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CMS: Early Use of Community-Based Long-Term Services and Supports and Lower Downstream Use of Institutional Care Slide Deck
Description: This slide deck presented by CMS on June 7th, 2018 includes information and data on a study conducted to examine if community-based LTSS can lead to decreased usage of institutional…
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OK NWD and MFP Partnership
Key Partners: State Medicaid agency, ADRCs, ombudsmen Oklahoma used CARES Act funds to contract with the 11 ADRCs that house the Ombudsman program. The contracts solidified a partnership with the…
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MD Blending and Braiding of Funding
Maryland plans to divert individuals from nursing facilities at the point of hospital discharge through strategic partnerships between the ADRC and local hospitals.…
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RTC: People with Disabilities Still at Risk in Congregate Care Settings Brief
Description: "People with Disabilities Still at Risk in Congregate Care Settings" summarizes CMS data at county and regional levels to inform community response to the recent increases in COVID-19…
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ADBI: Health Care Outreach Toolkit
Description: This toolkit from the Aging and Disability Business Institute (ADBI) offers guidance for aging and disability community-based organizations (CBOs),…
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ADRC TA Exchange: Building Collaborative Partnerships between the Money Follows the Person Rebalancing Demonstration and ADRCs
Description: This toolkit provides partnership support to both Aging and Disability Resource Centers and Money Follows the Person Rebalancing Demonstration programs and contains useful information…
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ACL: COVID-19 Care Transitions Spotlight: Western New York Integrated Care Collaborative, Inc.
Description: This spotlight on the Western New York Integrated Care Collaborative, Inc. (WNYICC) provides information on the work they are doing to sustain their care transitions program before and…
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Medicaid: Money Follows the Person Resources Page
Description: This page on the Medicaid.gov website provides information on the Money Follows the Person program, including program goals, grantee information, and evaluation information and reports.…
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ACL: Advancing the NWD System through Money Follows the Person Demonstration Partnership
This document describes the benefits that can be achieved through partnerships between the NWD System and the Money Follows the Person Demonstration, as well as strategies for developing…
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Lewin Group: Money Follows the Person Demonstration Legislation from 2005 - 2021
This document summarizes and includes language from legislation pertaining to the Money Follows the Person Demonstration.
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ACL: State Examples of NWD Funding
Description: This document provides examples of how NWD Systems can use a variety of funding streams to support development and sustainability. Click here for more information on sustaining a NWD…
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ACL: Federal Hospital Care Transitions Resources and the Aging and Disability Network
Description: The COVID-19 public health emergency led many hospitals to quickly plan how to address rising hospitalization rates, reduced bed capacity, and expedited discharges.…
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Care Transitions March Peer Hour - Role of CBOs in Addressing SDoH Recording
Description: The following is a recording link for the Care Transitions March Peer Hour - Role of CBOs in Addressing SDoH call held on March 31, 2021. *If you would like the transcript for this call,…
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ACL: COVID-19 Care Transitions Spotlight: Southern Alabama Regional Council on Aging
Description: This spotlight on the Southern Alabama Council on Aging (SARCOA) provides information on their non-profit corporation, Community Care Solutions (CCS),…
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RIC: Key Considerations For Health Plans: Partnering With Community-Based Organizations To Address Social Determinants Of Health
Description: Resources for Integrated Care (RIC), in collaboration with The SCAN Foundation, has developed a brief on key considerations for health plans interested in working with CBOs to address…
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Care Transitions December Peer Hour - Michigan Hospital Transitions FAQ
Description: This FAQ document lists the questions posed during the Care Transitions December Peer Hour - Michigan Hospital Transitions held on December 1, 2020 and their corresponding answers.
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Iowa: Progress Report on the Pilot Initiative to Provide Long-Term Care Options Counseling – Iowa Return To Community
Description: This report was compiled by the Iowa Department of Aging to detail the progress of the Iowa Return to Community (IRTC) Initiative, a pilot initiative to provide long-term care options…
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Iowa: Return to Community Pilot Initiative Manual
Description: The Iowa Return to Community (IRTC) Program is a collaborative effort with a variety of partners including hospitals, long-term care facilities, Area Agencies on Aging (AAA),…
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CMS Acute Hospital Care At Home
Description: The Centers for Medicare & Medicaid Services (CMS) outlined comprehensive steps to increase the capacity of the American health care system to provide care to patients outside a…
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Care Transitions December Peer Hour - Michigan Hospital Transitions Recording
Description: The following is a recording link for the Care Transitions December Peer Hour - Michigan Hospital Transitions call held on December 1, 2020.…
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Care Transitions December Peer Hour - Michigan Hospital Transitions Slides
PowerPoint slides for the Care Transitions December Peer Hour - Michigan Hospital Transitions call.
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Care Transitions Peer Hour - AL's Partnerships FAQ
Description: This FAQ document lists the questions posed during the Care Transitions Peer Hour - Alabama's Partnerships held on October 22, 2020 and their corresponding answers.
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Care Transitions November Special Session Slides
PowerPoint slides for the Care Transitions November Special Session call.
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ACL: Episode 1: Supporting COVID-19 Challenges Through Care Transitions Partnerships
Description: Join Tim McNeill as he discusses best practices associated with care transitions amid the COVID-19 pandemic, where he will facilitate and provide guidance on how to support your local…