Transition/Diversion from Institutions

This site contains many policies and forms used in the Low Income Housing Tax Credit Program. Scroll down to DHHS Targeting Plans and Key Program Assistance to download documents: Program Procedures & Requirements, Support Coordinator Contact Information, Targeting Plan Template, Letter of Referral, Checklist for Initial Funding & Move-Ins, Direct Deposit, Authorization, Owner Agreement to Participate, Rent & Subsidy Calculation Worksheet, Payment Requisition, Termination Notice, IRS Form W-9.

As part of their 2004 Real Choice Systems Change Grant: Integrating Long-Term Supports with Affordable Housing, North Carolina developed this application for their one-time $1,000 awards. Grants can assist with security deposits, moving expenses, set up fees or health and safety assurances.

This presentation was developed by the Maryland Department of Health and Mental Hygiene as part of their Real Choice Systems Change Grant. The grant created and executed a Discharge Planning Resource Seminar to educate discharge planning professionals about basic Medicaid services as well as other State-run and privately-funded home and community-based services. The attached presentation reviews the progress, outcome and evaluation of the outreach efforts.

This report is the first in a series of final reports that RTI will prepare to document the outcomes of the Real Choice Systems Change Grants. The principal sources of data for this report are Grantees semi-annual, annual, and final reports, a 2005 topic paper on the NFT Grantees and Grantee-prepared final reports and evaluation results as well as publications and materials developed under the grant. This report was referenced on page 48 of CMS MFP Demonstration Solicitation Document.

This report describes grant activities in three major LTC systems areas: Access to Long-Term Care Services and Supports, Services, Supports, and Housing, Administrative and Monitoring Infrastructure. For each of the focus areas the report describes Grantees’ accomplishments, illustrates the challenges and discusses the consumers’ role in the implementation and evaluation of activities. The report uses information provided during the reporting period October 1, 2004 to September 30, 2005.

This report highlights the work of nine CMS Money Follows the Persons Grantees, with a focus on Texas and Wisconsin. The report describes the initiatives, and discusses policy and design factors states should consider when developing MFP programs, including developing legislation and budget mechanisms for making transfers of funds, assuring availability of services and housing, identifying potential consumers for transition, developing NFT infrastructure, and monitoring and quality assurance.

In many ways, consumers are the best experts on their disabling conditions, including their own needs for support and the effectiveness and quality of programs. As a result, obtaining consumer participation and input at all stages of program design, implementation, evaluation and quality assurance is important. Effectively and efficiently involving consumers and obtaining their input, however, requires creative and innovative methods. This checklist will help to enhance full participation.

Enacted by the Deficit Reduction Act, the MFP Rebalancing Demonstration is a part of a comprehensive, coordinated strategy to assist States in making widespread changes to their long-term care support systems. With the history and strength of the Real Choice Systems Change grants as a foundation, this initiative will assist in reducing reliance on institutional care while developing community-based opportunities. Applicants' teleconference - August 22, 2006. Proposals due November 1, 2006.

The New Jersey Association of Centers for Independent Living website provides resources that can help users transition successfully. Centers for Independent Living (CILs) are consumer-driven organizations, owned and operated by individuals with disabilities. New Jersey has a network of 12 CILs that provide the core services of Information and Referral, Peer Support, Independent Living Skills Training, and Advocacy. Visit the web site for useful tools, handbooks, links and many other resources.

This report tracks the work of 8 Passport caseworkers from 3 different service organizations. Caseworkers noted that clients experienced mixed feelings about the program; they were excited at the prospect of transitioning into the community but also frustrated at the length of time it took to complete the transition. Throughout the survey period, the biggest success experienced by caseworkers was finalizing a client’s housing and assisting them in moving out of a nursing home.