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Nursing Home Transitions

Transitioning from home to facility, facility to facility, or facility back home can be a difficult process both physically and emotionally. Below are some resources to help aid in a person’s transitional process.

The Money Follows the Person Demonstration

The Money Follows the Person (MFP) Demonstration was designed to assist states with (1) supporting Medicaid enrollees who want to transition from nursing facilities back to community-based settings; and (2) developing infrastructure to promote and enhance access to HCBS.  MFP has assisted more than 75,000 long-term care consumers with moving into a setting of their choice and has helped 44 states improve access to HCBS.  However, the MFP program expired on September 30, 2016.  As a result, states are running out of funding and scaling back their programs.  2017 was the first time that the number of people transitioned to the community declined.  Some states have already stopped funding for the MFP program.  To see when your state stopped funding or will do so in the future, please click here.

Senators Portman (R-OH) and Cantwell (D-WA) have introduced bipartisan legislation (EMPOWER Care Act - S. 2227) to improve and extend the program for five years.  For more information on the EMPOWER Care Act, please click hereTake action and tell your Senators to co-sponsor the EMPOWER Care Act and pass it immediately through inclusion in budget discussions. 

Click on the following resources to learn more about the MFP program:


Quality Care, No Matter Where: Successful Nursing Home Transitions Report
This report examines nursing home transitions nationwide and how they can be improved from the perspective of both the individuals who had moved back into the community and the programs that assist them.  The findings from interviews and surveys with these individuals are presented, along with policy recommendations for making the transition process go more smoothly for consumers from beginning to end.


Consumer to Consumer: Tips for a Successful Nursing Home Transition
Moving out of a nursing home and back into the community can be difficult.  The purpose of this Tip Sheet is to share with you suggestions for steps you can take to make your move go as smoothly as possible. These recommendations come directly from people who have already transitioned so you can learn from their experiences.
This Tip Sheet is designed to be used along with a checklist that takes you step by step through what you can do before, during and after your move in order to make your transition a success.  The checklist is included with permission of the Independent Living Research Utilization (ILRU) and IL-NET. 


How To Guide for State and Local Advocates
This How To Guide is intended to equip state and local advocates with information and tools to advocate for improvements to nursing home transitions. The recommendations found in the Quality Care, No Matter Where: Successful Nursing Home Transitions Report are elaborated on and examples are provided within this guide. 


Quality Care, No Matter Where: Successful Nursing Home Transitions Webinar
An audiovisual overview of the information provided within the national report is available here.