Nursing Facility Outreach & Transition

Money - Follows - the - Person - Project


The State of Maryland was chosen by the Centers for Medicare and Medicaid Services (CMS) to participate in the Money Follows the Person Rebalancing Demonstration (MFP), which was authorized by the Deficit Reduction Act of 2005 as an opportunity for states to rebalance long-term care systems. Through this demonstration, Maryland has the ability to address the institutional bias in long-term care by improving the availability and quality of community-based services.

Our Program

Consumer Ali sits proudly in his new apartment after moving from a nursing facility.Under contract with Maryland Department of Disabilities (MDOD), Independence Now Inc. staff visit 48 nursing facilities across Montgomery and Prince George's counties on a monthly basis to provide outreach and support to all residents who may be interested in transitioning to community living. Our staff visit with nursing facility residents, their family members as well as staff to provide information and resources on accessing community services. We find that when people have an opportunity to learn from a peer who has experienced moving from a nursing facility back to the community there is a greater comfort in exchanging information.

While all residents are eligible to receive support and resources from our staff about community living, only residents with Long Term Care or Community Medicaid are eligible for application assistance for Medicaid community based long-term supports and services, including Community First Choice and the Home and Community Based Options Waiver.

Both programs provide community services and supports to enable older adults and people with disabilities to live independently in their own homes. Available services may include: personal assistance services, assisted living, environmental assessments, accessibility adaptations, supports planning, transition services, nurse monitoring and more.

Application Process

Residents with Long Term Care Medicaid are eligible to apply for the Home and Community based Options Waiver, and residents with Community Medicaid are eligible to apply for Community First Choice. If a resident has either and is currently living in a nursing facility in Prince George's or Montgomery County an Independence Now staff member will provide application assistance and support during monthly facility visits or by appointment.

Additional Information

For more information about the Community First Choice and the Home and Community Based Options Waiver, eligibility and services please visit the Maryland Department of Health & Mental Hygiene: Home & Community-Based Programs.