Transition/Diversion from Institutions

This survey was developed by the Colorado Facility Transition grant to evaluate the transition process of individuals across Colorado. Results from this survey were used to develop and implement changes in the transition process to better serve the population. The form is for people who have moved out of a nursing home in Colorado within the last two years. How you fill in this form is important because the answers help other people who will move from a nursing home soon.

The Indiana Waiver Services is a new unit created in Jan ‘04, to consolidate the management and operation of Indiana’s eight HCBS Waivers. Attached are documents that provide a program overview. The Services Unit Summary describes the program; the Priority Diversion Guidelines details the individual criteria for priority diversion; the Waiver Services Organizational Chart provides a pictorial overview; and the Hoosiers at Home Press Release announces the programs goals.

This report summarizes information from the WI Department of Health and Family Services, Bureau of Aging and Long Term Care Resources (DHFS-BALTCR) Nursing Home Transition Real Choice Systems Change grant. A survey colleting information is an important initial step to assist county and state-level program and policy planners. This report provides an overview of the ways in which counties purchase direct care and support services for elderly people and people with disabilities.

When Medicaid was first enacted, payment for long-term services was made solely to institutions such as nursing homes. Medicaid now pays for a comprehensive range of home & community services that provide alternatives to institutional care. Medicaid is a flexible program but it is also a complex program. It is no surprise that there are a host of questions about what is allowable under Medicaid law and regulation. This Primer on Medicaid Home and Community Services serves as a reference guide.

Explores states’ use of “global budgeting” to promote a public policy of supporting consumers’ long-term care choices. Prepared for NJ policymakers, this report defines global budgeting in the context of long-term care, provides five state models, and offers lessons learned about determining what is “in the globe,” legislative and administrative language to advance it, and how it can be implemented. Funded by the NJ Department of Health and Senior Services.

This report provides analysis of NFT grantees annual reports (2002-2003). It includes aggregate data on the number of people who left or where diverted from a nursing facility, transition costs, length of nursing facility stay prior to transition, type of housing after transition, and age at time of transition.

This report describes the FY ‘01 & FY ‘02 Grantees’ accomplishments & progress, using information from 10/1/02 to 9/30/03 (Year Two of grant period for FY ‘01 Grantees & Year One of grant period for FY ‘02 Grantees). The report describes grant activities in six major areas: Consumer Direction & Control, Access to LTC Services & Supports, State Budgeting & Reimbursement Rates & Methodologies, Service Creation/Modification, LTC Service & Support Workforce, Quality Management Mechanism.

On October 5, 2004, HHS Secretary Tommy Thompson announced $31 million in grants to 31 states to help people with disabilities or long-term illnesses live in their homes and participate fully in community life. The grants were awarded under the New freedom Initiative and are known as Real Choice Systems Change Grants. A total of 52 grants were awarded in nine categories. The press release, which describes the grant categories, and list of grantees are available.

Call hosted by the Community Living Exchange Collaborative at Rutgers Center for State Health Policy with CMS and grantees to explore the potential use of the MDS section Q1 to identify people in nursing homes who want to relocate. We were joined by a member of our National Advisory Committee, Bob Kafka. We invited Money Follows the Person grantees and Nursing Home Transition grantees.

You Have a Choice! DVD in four formats: standard, with English subtitles, with Spanish subtitles, and audio described. The video is excellent for informing consumers about their options to leave a nursing home and to educate nursing home staff, family members and the general public about the option of transition. Produced by the Nursing Facility Transition project at the Center for People with Disabilities in Boulder, CO. To recieve a copy of the DVD please contact Sharon Finney.