A skilled nursing referral to Leeway for a person living with HIV/AIDS starts with a call to the Admissions Office at (203) 865-0068. Leeway is a nonprofit HIV/AIDS care organization in New Haven, Connecticut, operating since 1995. Its skilled nursing program has 30 skilled nursing beds on the campus at 40 Albert Street, New Haven, CT 06511.
This guide is written for hospital discharge planners, clinic case managers, and referring physicians. It covers who qualifies, what the admissions process asks for, and which door each kind of referral goes to.
Leeway is not an emergency shelter and does not offer walk-in or same-night beds. We provide permanent supportive housing for people living with HIV/AIDS, available by referral through Connecticut's Coordinated Access Network. If you need a shelter or a bed tonight in New Haven, call 211.
Who qualifies for skilled nursing at Leeway
Leeway publishes one eligibility rule for skilled nursing on Leeway's Admission Office page: "Anyone 16 years of age or older, who has HIV/AIDS, and who needs 24-hour skilled nursing services is eligible for admission." All three conditions apply together. A referral that meets two of the three does not meet the published rule.
The program page, titled Long-Term Care, describes long-term skilled nursing care for adults living with HIV/AIDS who need ongoing clinical support. The counts and clinical descriptions across the site use the term skilled nursing. Treat both names as naming the same 30-bed program and ask Leeway which name it wants in your referral paperwork.
Payment is part of eligibility
Payment is a condition of admission at Leeway, not a question for later. The Admission Office page states: "All applicants must have a source of payment available to cover the cost of care at Leeway." It adds: "Sources of payment include, but are not limited to, Medicaid, Medicare, private insurance, or other sources of payment."
Confirm the source of payment before you build a discharge date around a Leeway bed. Connecticut administers its own Medicaid program as HUSKY Health.
Leeway publishes no prices for any of its programs. Questions about cost go to the Admissions Office, not into a conversation with the patient or the family.
How the Admissions Committee decides
A referral starts a review. Leeway describes the review this way: "The Admissions Committee considers whether or not the level of services required by the applicant can be provided at Leeway at that particular time, taking into account the resources, personnel, equipment and services available at Leeway and the medical and psychosocial needs of the applicant."
The page adds two further considerations: "Also considered are any communicable diseases that may be present and the applicant's need for isolation facilities." And: "Sometimes, additional information may be requested from the applicant's medical providers." Build that last sentence into your plan, because it often lands with the referring team.
How to make a skilled nursing referral
Leeway names its referral sources on two different pages, and the two lists are worded differently. The Admission Office page says: "Referrals are accepted from hospitals, home care agencies, outpatient clinics, as well as from private physicians." The Long-Term Care page says: "Referrals are accepted from hospitals, clinics, physicians, and community agencies." Use the list that fits your setting rather than combining them.
Call the Admissions Office: Phone (203) 865-0068 and tell the Admissions Coordinator what you are referring and when the person is likely to be ready for discharge.
Pick an application route: Both routes are published, so ask which one Leeway wants for this case. You can Apply for Admission Online, and the page also states, "An application is completed and sent to the Leeway Admissions Coordinator, 40 Albert Street, New Haven, CT 06511."
Work from the published forms: Leeway's admission resources page publishes these documents by name: "Ascend Pre-Admission Review", "Ascend Practioner's Certification", "Ascend CT Levels of Care", "CT Elders Home Care Request", "Admissions Application", "Residential Care Application", "Notice Of Privacy Practices", and "Notice of Privacy Practices - Spanish".
Complete the medical information and the tests: The rule is published in one sentence, so quote it to your team: "All necessary medical information and required tests must be completed in order to be placed on the facility waiting list."
Confirm receipt and keep planning: Call back to confirm the package arrived and ask what is outstanding. Leeway's own wording is plain: "Placement on the waiting list does not guarantee admission to Leeway; it indicates only that the potential resident will be considered for admission."
Leeway also states what happens after that: "If all requirements are met, the applicant is admitted in the order in which he or she appears on the list." The Referrals to Leeway page carries the same instruction for referring professionals: "Call our office at (203) 865-0068 for more information on referrals to Leeway."
What to have ready before you call
Referring source: The hospital, clinic, home care agency, or physician making the referral, and a named contact for follow-up.
Current setting: Where the person is now and what the anticipated discharge timing looks like.
Clinical picture: Why 24-hour skilled nursing is being considered, in the words the clinical team would use.
Source of payment: What the person has available, since Leeway treats this as a condition of admission.
Documentation status: Which of the published forms and tests are done and which are outstanding.
This is a preparation list for your own call, not Leeway's list of required admission documents. The Admissions Coordinator confirms what is actually needed for each case.
Which Leeway program fits the referral
Leeway runs four programs on one continuum of care from a single New Haven campus plus scattered housing sites. Three of the four run from the campus at 40 Albert Street. Permanent Supportive Housing is 41 independent housing units across four named sites: Leeway PILOTS (5), Canterbury Gardens (9), Leeway-Putnam (17), and Leeway-Welton (10).
Skilled Nursing: 30 skilled nursing beds for people living with HIV/AIDS, with Short-Term Rehabilitation delivered inside the program as physical, occupational, and speech therapy.
Leeway Residential Care Home: 30 Residential Care Beds, and the published criterion is that "Leeway RCH is open to individuals living with HIV/AIDS, Hepatitis C, or related chronic conditions." See the Leeway Residential Care Home page.
Permanent Supportive Housing: 41 independent housing units, available by referral through Connecticut's Coordinated Access Network and never through the Admissions Office. See Permanent Supportive Housing.
Community Case Management: Leeway publishes case management for all residents in its Skilled Nursing, Residential Care, and Supportive Housing programs, with intake at "Contact our intake team at (203) 865-0068". See Community Case Management.
Whether a person who is not in a Leeway program can enroll in case management is not published, and neither the referral source nor the catchment is published. Ask Leeway before you tell a patient or a family either way.
How housing referrals work
Permanent Supportive Housing uses a separate intake system, and Leeway publishes it as three steps.
Call 2-1-1 in Connecticut: Connecticut's Department of Housing tells callers to use 2-1-1 for housing assistance, Monday through Friday.
Request a Coordinated Access Network (CAN) housing appointment: Ask for the appointment by name when you reach a specialist.
Mention Leeway during assessment: Name Leeway, and note any needs related to HIV/AIDS or skilled nursing care.
Do not send a housing request to the Admissions Office, and do not send a skilled nursing or residential care referral through 2-1-1. The two intake systems are separate and a misrouted call costs the person days.
What to tell patients and families
Say that a referral starts a review and that Leeway decides the outcome. Nothing is promised until Leeway confirms it.
Name the source of payment requirement early, in Leeway's words, so it does not arrive as a surprise late in the process. Avoid admission dates, cost figures, and any description of admission as automatic. Use person-first language throughout, and share records through your organization's approved channels.
Keep an alternative discharge plan live until Leeway confirms placement. If placement is not confirmed, the Admissions Office can clarify eligibility, availability, and payment questions for the next attempt.
Where each referral ends up
Skilled nursing referrals go to Leeway's Admissions Coordinator at (203) 865-0068, by the online application, or as the page puts it: "An application is completed and sent to the Leeway Admissions Coordinator, 40 Albert Street, New Haven, CT 06511." Residential Care Home referrals go to the Admissions Coordinator at (203) 865-0068 or through the online application, on the form Leeway publishes as the "Residential Care Application". Permanent Supportive Housing goes through 2-1-1 and the Coordinated Access Network. Community case management intake also runs through (203) 865-0068, and the published scope covers residents of Leeway's three residential programs.
Keep your referral notes clear about which stage a case is at: first contact, application submitted, documents outstanding, waiting list placement, or confirmed admission. Those five stages are not the same thing, and families hear them as one.
Call Our Admissions Office
When a person living with HIV/AIDS may need 24-hour skilled nursing care, call Leeway's Admissions Office to confirm eligibility, the application route, and the current documentation requirements.
40 Albert Street | (203) 865-0068 | info@leeway.net
Frequently asked questions
Does a submitted referral mean the person has been admitted?
No. A referral starts a review by the Admissions Committee. Leeway states that "Placement on the waiting list does not guarantee admission to Leeway; it indicates only that the potential resident will be considered for admission."
Can we keep working on another discharge plan while Leeway reviews a referral?
Yes, and you should. Nothing about a submitted application or a place on the waiting list fixes a discharge date.
What happens if the person's condition changes after we send the application?
Call the Admissions Coordinator and ask whether updated medical information is needed. Leeway's own wording allows for this: "Sometimes, additional information may be requested from the applicant's medical providers."
Who do we contact about supportive housing instead?
Housing does not go through the Admissions Office. Call 2-1-1 in Connecticut, request a Coordinated Access Network housing appointment, and mention Leeway during the assessment.
How should we send confidential records to Leeway?
Send records through your organization's approved secure channels and follow the privacy requirements that apply to your setting. Confirm the current method with Leeway before you send anything, by calling the Admissions Office at (203) 865-0068.
