Understanding Medicaid Home and Community Services: A Primer, 2010 Edition. Nursing Home Transition Grants Program


During the 1990s, the system serving individuals with developmental disabilities gained considerable experience transitioning individuals from institutions to the community. In contrast, most states had little experience transitioning nursing home residents to the community. To encourage states to develop and implement nursing home transition programs, in 1998 and 1999 the U.S. Department of Health and Human Services (HHS) provided grants to eight states through the Nursing Home Transition Program.

By 1999, the Olmstead decision had increased state interest in nursing home transition, and in Federal fiscal year (FFY) 2001 and FFY 2002, under its Systems Change for Community Living Grants program, CMS provided 33 Nursing Facility Transition (NFT) grants to help states develop a sustainable transition infrastructure, and to promote partnerships between state agencies and Independent Living Centers (ILCs) to facilitate transitions.15 In FY 2004, CMS awarded nine Systems Change Money Follows the Person (MFP) grants to states to continue working on NFT initiatives with a specific focus on developing and implementing MFP initiatives.16 Many of the lessons learned through this grants program, and Grantees’ recommendations for addressing continuing transition barriers, have been incorporated into the discussion that follows.

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