North Dakota Health and Human Services administers a Money Follows the Person Grant program to enable Medicaid members with disabilities to transition from institutions to community living.
Historical Background
- In November 2006, North Dakota's Department of Health and Human Services submitted an application for a federal “Money Follow the Person” rebalancing demonstration grant with the goal of rebalancing the state's long-term care services and support system by expanding access to services in the community.
- The federal Department of Health and Human Services - Centers for Medicare and Medicaid Services (CMS) originally awarded North Dakota a $8.9 million, five-year MFP grant in 2007. CMS has continued to extend grant funding.
- As of May 2022, CMS had awarded North Dakota $47 million to help move eligible individuals from institutions to community settings.
- Grant Award Announcement (14kb pdf)
Brochures, Fact Sheets, and Forms
- MFP Brochure (538kb pdf)
- MFP Fact Sheet (Updated Jan. 2012) (90kb pdf)
- Guardianship Expectations Fact Sheet (91kb pdf)
- Independent Living Philosophy and Person-Centered Planning Fact Sheet (112kb pdf)
- Assistive Technology Client Profile Form-IPAT(57kb pdf) Fillable (94kb pdf)
- Authorization for Transition Adjustment Services (159kb doc) (SFN 1958)
- Denial or Termination of Services (184kb doc) (SFN 699)
- Emergency Backup Plan (196kb doc) (SFN 926)
- Community Transition Role Matrix - ICF/ID Transitions (41kb pdf) (DN 924)
- Informed Consent for Participation (146kb doc) (DN 881)
- IPAT Referral Process for Assistive Technology (14kb pdf)
- Nursing Assessment Billing Worksheet (SFN 692)
- Nursing Assessment Authorization Worksheet (SFN 704)
- Nursing Facility Transitions Role Matrix (DN 894)
- Referral Packet Checklist Nursing Facility Transitions (DN 1022)
- Referral Packet Checklist ICF/ID Transitions (DN 1021)
- Referral Packet Checklist Life Skills and Transition Center Transitions (185kb doc) (DN 532)
- Rental Application (162kb doc) (SFN 774)
- Supplemental Services Billing Worksheet (42kb xls)
- Transition Adjustment Support Services Worksheet (195kb doc) (SFN 1956)
- Transition Assistance Request (164kb doc) (SFN 542)
Protocols, Policies, and Videos
- Operational Protocol - Revised October 2014 (1.55MB pdf)
- Critical Incident Reporting Policy (68kb pdf)
- Crisis Response Team Process Policy (17kb pdf)
- Emergency Backup Policy (74kb pdf)
- Go on-the-job to learn about becoming a Qualified Service Provider or Direct Support Professional
- CaringJobs.ND.GOV (Public Service Announcement)
- Money Follows the Person Transitions to Community Living (video length 2:58)
- Money Follows the Person Transitioning People with Intellectual and Developmental Disabilities to Community Settings (video length 3:21)
- Money Follows the Person (Public Service Announcement)
- Home and Community-Based Services (Public Service Announcement)
Stakeholder participation is vital to the successful implementation of the Money Follows the Person Rebalancing demonstration grant.
Stakeholder Committee Responsibilities
- Participate in the design of North Dakota's implementation plan
- Provide ongoing review and/or advice on state policy changes to achieve rebalancing
- Monitor grant implementation progress during the five-year grant
- Monitor achievement of grant benchmarks
- Suggest ways to improve implementation
- Represent consumers and/or their family members, advocacy entities, provider association representatives, state agency staff, and housing agency representatives
- Member list
Committee Meetings
- 2020 Meeting Schedule
- Wednesday, March 4, 1 to 4 p.m. - Pioneer Room, Judicial Wing, State Capitol
- Thursday, June 18, 1 to 4 p.m. - Pioneer Room, Judicial Wing, State Capitol
- Tuesday, Sept. 8, 1 to 4 p.m. - Pioneer Room, Judical Wing, State Capitol
- Tuesday, Nov. 17, 1 to 4 p.m. - Pioneer Room, Judicial Wing, State Capitol
- 2019 Meeting Schedule
- Wednesday, May 15, 1 to 4 p.m. - North Dakota Heritage Center, Lecture Rooms A and B (Agenda)
- Tuesday, July 23, 1 to 4 p.m. - Pioneer Room, Judicial Wing, State Capitol (Agenda)
- Tuesday, Oct. 3, 1 to 4 p.m. - Pioneer Room, Judicial Wing, State Capitol (Agenda)
- Tuesday, Nov. 19, 1 to 4 p.m. - Pioneer Room, Judicial Wing, State Capitol (Agenda)
North Dakota’s Money Follows the Person Tribal Initiative helps tribal elders and/or tribal members with disabilities transition from long-term care facilities or institutions to community living that meets their needs and wants. The program covers one-time moving costs and provides services and supports to help individuals achieve successful transitions.
The goals of the Tribal/State Partnership:
- Expand the capacity of Medicaid community-based long-term services and supports
- Enhance the leadership role of Tribes in the design and operations of these programs
- Rebalance the long-term care system by transitioning, at their choice, eligible and interested tribal members to their communities
- Build capacity of tribal organizations to work with their partner state in designing and managing a system of community-based long-term services and supports focused on culturally responsive support services with continuous quality improvement
The program is a collaborative effort between North Dakota Tribal Nations, the North Dakota State University Master of Public Health Department and the North Dakota Department of Human Services. The program is funded by the Centers for Medicare and Medicaid Services.
- North Dakota Phase Two Operational Protocol - Aug. 2017 (593kb pdf)
- Tribal Initiative Concept Paper - Sept. 2015 (625kb pdf)
Contact
For more information about the Money Follows the Person Tribal Initiative Program, contact:
Melissa Reardon, program administrator
Phone: 701-231-6108
Email: Melissa.reardon@ndsu.edu
Local Contact Agency (LCA) Contact Information:
Submit Local Contact Agency Referrals to the Aging Services Division by fax to 701-328-8744 or email at carechoice@nd.gov.
Contact the Aging and Disability Resource LINK at 1-855-GO2-LINK (1-855-462-5465) Monday through Friday, 8 a.m. - 5 p.m. (Central Time) to learn about community living options.
Local Contact Agency Referral Process and Flow Sheets (424kb pdf)
Nursing Facility/Human Service Center Designation (243kb pdf)
Training
Local Contact Agency - Overview Training (May 2017) - Click the "Power button" on the image to begin the training.
MDS Section Q - General Overview Training (May 2017) - Click the "Power button" on the image to begin the training.
Forms
- Plan of Care for Discharge Potential (Print Version) (32kb Word Doc)
- Plan of Care for Discharge Potential (Word Version) (44kb Word Doc)
- Discharge Instructions (Word Version) (158kb Word Doc)
- SFN 584 - Local Contact Agency Referral Form (457kb PDF)
- SFN 585 - Local Contact Agency Transition Plan (967kb PDF)
Brochure
- Your Right to Get Information about Returning to the Community (CMS Section Q brochure) (1.54 MB pdf)
MFP Housing Facilitation Program helps people with disabilities to access safe, affordable and accessible housing. This program enables individuals to transition out of institutions or nursing facilities and back into the community. Housing program staff include a State Housing Facilitator (SHF) and six Regional Housing Facilitators located in Bismarck, Fargo, Grand Forks, Jamestown and Minot. Learn more at Minot State University Center of Excellence
Contact
For more information about North Dakota's Money Follows the Person grant, contact Jake Reuter, program administrator.
North Dakota Department of Human Services - Medical Services Division
600 E. Boulevard Ave., Dept. 325
Bismarck ND 58505-0250
Phone: 701-328-2321
Fax: 701-328-1544
Relay ND TTY: 800-366-6888 or 711
Email: jwreuter@nd.gov