CMS Announces New Federal Funding for 33 States to Support Transitioning Individuals from Nursing Homes to the Community

WASHINGTON – September 23, 2020 – The Centers for Medicare & Medicaid Services (CMS) announced the availability of up to $165 million in supplemental funding to states currently operating Money Follows the Person (MFP) demonstration programs. This funding will help state Medicaid programs jump-start efforts to transition individuals with disabilities and older adults from institutions and nursing facilities to home and community-based settings of their choosing.

Today’s action delivers on the Administration’s commitment to transform Medicaid (PDF) by fostering increased state flexibility and innovation and to ensure safety and quality for beneficiaries.

“The tragic devastation wrought by the Coronavirus on nursing home residents exposes America’s over-reliance on institutional long-term care facilities,” said Administrator Seema Verma. “Residential care will always be an essential part of the care continuum, but our goal must always be to give residents options that help keep our loved ones in their own homes and communities for as long as possible.”

“Home and community-based care is not only frequently more cost effective, but is preferred by seniors and adults with disabilities seeking to maintain the dignity of independent living. This new federal investment will help states get our loved ones back home,” she added.

Today’s action is supported by new data that shows the need for this supplemental funding opportunity to accelerate states’ MFP activities.  According to a new report released by CMS today, MFP state grantees transitioned 101,540 Medicaid beneficiaries from institutional care to home-based and community services (HCBS) since the program started in 2007.  However, last year, only 4,173 Medicaid beneficiaries were transitioned under the MFP program – a 46 percent decrease from 2018.

Thirty-three states (including the District of Columbia) that operate MFP-funded transition programs and plan to continue participating in MFP after this fiscal year are eligible to participate: Alabama, Arkansas, California, Colorado, Connecticut, District of Columbia, Georgia, Iowa, Idaho, Indiana, Kentucky, Louisiana, Maryland, Maine, Minnesota, Missouri, Montana, North Carolina, North Dakota, New Jersey, Nevada, New York, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Texas, Vermont, Washington, Wisconsin, and West Virginia.

Each state is eligible to receive up to $5 million in supplemental funding for planning and capacity building activities to accelerate long-term care system transformation design and implementation, and to expand HCBS capacity, such as:

  • Assessing HCBS system capacity and determining the extent to which additional providers and/or services might be needed;
  • Assessing institutional capacity and determining the extent to which the state could reduce this capacity and transition impacted individuals to more integrated settings;
  • Provider and direct service worker recruitment, education, training, technical assistance, and quality improvement activities, including training people with disabilities to become direct service workers;
    Caregiver training and education;
  • Assessing and implementing changes to reimbursement rates and payment methodologies to expand HCBS provider capacity and/or improve HCBS and/or institutional service quality;
  • Building Medicaid-housing partnerships to facilitate access to affordable and accessible housing for Medicaid beneficiaries with disabilities and older adults; and
  • Diversion strategies to prevent nursing facility admission.

In addition, states could use this funding opportunity to support HCBS planning and capacity building activities in direct response to the COVID-19 public health emergency, such as to plan and implement the use of telehealth for nursing facility transition activities that would normally be conducted in-person or to redesign service delivery models to reduce the risk of COVID-19 infection among MFP participants.

Supplemental budget requests under this funding opportunity will be accepted on a rolling basis through June 30, 2021.  CMS will provide all eligible grantee states that currently operate a MFP-funded transition program, with additional information on this funding opportunity.

For more information, please visit Medicaid.gov

 

Assistive Technology for people with Autism

child using GPS watch phoneAs part of Maine CITE’s presentations at recent conferences, we have created this resource for assistive technology (AT) for people affected by Autism Spectrum Disorder (ASD).

Resources include the handouts and links of information shared at the Southern Maine Autism Conference as well as links to other resources on related topics.

This resource is updated regularly as we become aware of new AT devices and services. If you know of anything you think should be added to this page, please contact Maine CITE.

Use this link to go to Assistive Technology for People with Autism Spectrum Disorder

 

Maine Trust for People with Disabilities

Maine’s only pooled trust for people with disabilities

The Maine Trust for People with Disabilities - logoThe Maine Trust for People with Disabilities (MTPD) is Maine’s only nonprofit organization that offers parents, relatives and friends a convenient and economical way to establish and fund a special needs trust account for an individual who has a disability and who qualifies for public benefits, such as MaineCare or SSI. In addition, the MTPD offers individuals with disabilities the option to establish and fund their own accounts. The MTPD is a pooled special needs trust established in compliance with federal law.

These funds can be used to pay for such things as:

  • Recreation and Entertainment
  • Training/Education
  • A  car
  • Electronic devices
  • Appliances
  • Medical care and goods not covered by Medicaid
  • Other living expenses not covered by public benefits

The Maine Trust for People with Disabilities is sponsored by a Maine non-profit corporation The Maine Trust for People with Disabilities, Inc. The daily operations of the Trust are performed by a wide range of volunteers, including people who have disabled family members, representatives of social service agencies, and individuals from legal, business, accounting and investment management businesses. Norway Savings Bank serves as Trustee, and Old Port Pension Administrators is the recordkeeper.

For more information and to create a trust, visit the MTPD website… 

Foundation supports robots in Maine schools

Gramtastic Connection logoThe Grahamtastic Foundation, is a Maine non-profit that provides free technology to seriously ill children.

In addition to providing FREE iPads, laptops and internet access, Grahamtastic has a fleet of nine robots it has been lending to schools since 2013.

According to spokesperson, Leslie Morissette, “…currently all nine of our robots are being used but … we are always accepting new applications. If the school is far from Springvale, Maine (when the foundation is located) we ship our robots to the schools.  We shipped one to Fort Kent yesterday.”

For more information

 

Grahamtastic.org
21 Bradeen Street, Suite 107
Springvale, ME 04083

Phone: 207-324-0888 ext. 209
E-mail: grahamtastic@metrocast.net

Robot assists student in need

Double Robotics - DoubleAs reported in the Portland Press Herald and News Center – WCSH-6 – Portland, the Vassalboro Community School in AOS92 has recently purchased a Double Robotics telepresence device to assist on of their students with a chronic illness who is not able to attend school.

The device, called “Double” is a remote student-controlled robotic device that is able to navigate through the school and allow the student to attend classes and interact with students and teachers from home. The device was created by a company called Double Robotics a California-based technology company.  As noted in the Press Herald article:

“Double is an iPad mounted on wheels that Abby (the student) is able to remotely control over Wi-Fi. Think Skype on a Segway.

“‘It acts as your double,’ says Sara Broyles, communications manager Double Robotics Inc., the company that created the ‘telepresence’ robot that Abby uses. ‘It gives you a physical presence where you can’t be in person.'”

The use of robots as assistive technology is growing across the country. We have posted more information about this device and others here on our website. 

Funding for this particular technology was provided by the Perloff Family Fund of the Maine Community Foundation.

Another source of funding is the Grahamtastic Foundation who currently has a fleet of nine robots working to support students in Maine schools.

More information