CMS

Wisconsin uses a variety of initiatives to support Medicaid participants who want to leave nursing facilities, including ensuring services are available as soon as the person is ready to move and providing funding for transition. This document describes some of these initiatives.

This document describes the State of Washington’s many resources specifically designed to facilitate the transition of nursing facility residents to less restrictive, community settings. The state also offers four funding sources for transitional services people may need when leaving a nursing facility. The document notes the specific programs, their implementation and impact.

In 1996, Vermont began to shift resources from nursing facilities to home and community-based services. To implement the legislation, several programs, new services, and policy changes were created that offered individuals more choices for long-term services. This report describes how Vermont changed its long-term care system to reduce institutional reliance by supporting people with physical disabilities and older people in the most appropriate and least restrictive environment possible.

This document describes Utah’s efforts to educate nursing home residents about community-based long-term care options. Group and individual educational sessions and assessments are conducted through organizations knowledgeable about community services. The document provides further information on the implementation of this program.

This document describes Community Choice, New Jersey’s permanent, state-operated nursing facility transition program. The program provides information about nursing home alternatives and assistance moving from nursing facilities. This program’s implementation and impact are illustrated in this document.

This document describes Colorado’s Fast Track program, which aims to improve access to home and community-based services after a hospital discharge. In this program, staff work to facilitate quick eligibility determination for hospital patients who need long-term care after discharge. The program seeks to decrease unnecessary nursing home admittance. The implementation and impact of this program are described in the document.

This report describes the State of Washington’s program to increase the support of family caregivers for people with Alzheimer’s disease in ethnically diverse communities. The program includes outreach, education, and culturally sensitive assessment. The implementation and impact are described in this report.

This report describes the State of Washington’s plan to allow families to create a trust fund for people with disabilities without effecting eligibility. This program matches 25% of private contributions and eliminates fees to encourage participation. This document describes the program implementation.

The Utah Family Council is a non-profit organization that provides support to all families of people with disabilities, regardless of whether they receive public funding. This document describes this program, which uses funding from the Self-Determination Grant from the Robert Wood Johnson Foundation to increase availability. The report describes the program and its implementation.

This was a teleconference held on March 17, 2004. The purpose of the teleconference was to have CMS Medicaid and Medicare staff discuss Dual Eligibility in both programs, particularly as it relates to children transitioning to eligibility as adults. Programs which paid for Medicare premiums, coinsurance and deductibles were also discussed.