Transition/Diversion from Institutions

This online resource archives a national signature event. The Conference provides excellent workshops focused on the most promising opportunities and pressing issues, specifically care transition. Review past presentations, general sessions and hot topic videos.

Looking to better understand how states pay for adult day services through the Medicaid program? Comparing adult day services to other LTC provider types, adult day tends to be the most cost effective providers within the waiver or State Plan. This report looks at the scope of services provided by adult day and relates the clinical complexity of the care provided with the Medicaid reimbursement. Analyze the growth of programs in relation to the reimbursement and scope of services provided.

The Veterans Directed Home and Community Based Services program, sometimes referred to as Cash and Counseling for Veterans is designed to allow veterans who are potential candidates for nursing home placement to receive that level of care in their homes. The program provides veterans with a budget and allows them to choose their own care providers in place of receiving care services from the VA health care system. To learn more, explore this website.

Mathematica released the sixth report in a series that use the latest data available on MFP grants and state efforts to transition Medicaid enrollees to community living and rebalance LTC systems. The report presents survey results showing change in quality of life, quality of care and community integration reported by 803 MFP participants after one year of community living. The authors explore policy implications for MFP and other transition programs.

How is the state of Maryland providing necessary information on Medicaid waiver programs to consumers, families, and professionals? Attached find a presentation from a 2010 training presentation as well as a case study. May be replicable by other states wanting to disseminate similar information.

This latest installment of Health Affairs' new series The Care Span, supported by The SCAN Foundation, identifies several ways to strengthen transitional care processes through health reform provisions. Most of the interventions led to reductions in readmissions through at least thirty days after discharge. To learn about the recommendations and proposed strategies, peruse this publication.

In July 2010, the Kaiser Commission on Medicaid and the Uninsured surveyed states about the current status of their Money Follows the Person (MFP) program including trends in enrollment, services and per capita spending. Explore the report for information on the findings regarding information on transitions back to the community, the average monthly cost of transitioning a MFP participant to the community, obstacles to transition, and more.

This report profiles MFP participants who transitioned from institutions to qualified home or community-based residences from the program start until June 2010. It finds that the majority eligible in 2007 was older adults living in nursing facilities; the largest group of MFP participants by mid-2010 has been people with physical disabilities under 65 who had lived in nursing homes. The report discusses discrepancy and describes recent policy and program changes that might narrow the difference.

A Geriatric Care Manager can maximize independence and autonomy for care recipients while supporting families and caregivers. This resource discusses the various roles that this professional can play. A number of useful technologies are also suggested, including web-conferencing, monitoring and assistive devices. According to the author, despite the costs of these technologies, keeping older adults in their homes is still less expensive than placement in nursing homes.

MDS 3.0 has been designed to improve the reliability, accuracy and usefulness of the MDS, to include the resident in the assessment process and to use standard protocols used in other settings. This website offers a number of resources regarding this tool, including videos, fact sheets, presentations and CMS training materials.