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DSL INFO MEMO 2001-05

November 1, 2001

STATE OF WISCONSIN
Department of Health and Family Services
Division of Supportive Living

To:
Area Administrators/Assistant Area Administrators
Bureau Directors
County Departments of Community Programs Directors
County Developmental Disabilities Contacts
County Departments of Developmental Disabilities Services Directors
County Departments of Human Services Directors
County Departments of Social Services Directors
County COP Coordinators
County Mental Health Coordinators
State Independent Living Council
WI Council on Developmental Disabilities
WI Council on Mental Health
WI Council on Physical Disabilities

From:
Sinikka McCabe, Administrator

Re:
Grant from the Centers for Medicare and Medicaid Services (CMS) entitled Nursing Facility Transitions

I am pleased to announce that on September 28, 2001, the Department of Health and Family Services was awarded an $800,000 grant from the Centers for Medicare and Medicaid Services (CMS) entitled Nursing Facility Transitions. This funding may be used over a three-year period from September 28, 2001 through September 27, 2004 to provide opportunities for individuals to leave institutions and live in the community. In addition, Great River Independent Living Services in La Crosse received a complementary grant to assist Independent Living Centers statewide to identify and assist individuals who wish to live in the community.

Major components of the project, to be referred to as Homecoming II, include:

  • Community Partnership grants to local entities to provide housing resource development.
  • Expert consultation on complex relocation issues.
  • Relocation start-up support for costs not covered by COP or Home and Community-Based Waivers.
  • Outcome evaluations for consumers relocated through this project.
  • Input on program design and implementation from consumers and other stakeholders.
  • Enhancement of Long Term Care workforce development activities in the Division of Supportive Living.
  • Commitment to provide on-going service funding for individuals relocated under the project.

The Homecoming II project will improve community-integrated services on two levels—in the short term for consumers who are currently in institutions and over the long term through systems changes that will facilitate the relocation of additional individuals in systematic ways in the future. The original Homecoming project primarily served individuals with physical disabilities and elderly persons. DHFS plans to involve additional partners to expand this effort to persons with serious mental illness living inappropriately in nursing homes, and to individuals with developmental disabilities living in Intermediate Care Facilities for Mental Retardation (ICFs-MR).

The Department will work with Independent Living Centers and other consumer-focused agencies to identify individuals who want to leave institutions and to ensure that people have the support they need to live in the community. The Department will make Community Partnership Grants available to identify or develop resources to meet the housing needs of people moving from institutions.

The outcomes Wisconsin anticipates for Homecoming II over the next three years are:

  • Up to 400 individuals will be relocated from nursing homes.
  • Relocated individuals will have most of their needs and preferences met, cost-effectively, as determined by consumer outcome interviews.
  • Relocated individuals who need and want peer support in the community receive it.
  • Wisconsin will have a system in place to use available resources so that people live in the least restrictive setting appropriate to their needs, including outreach and identification, clinical expertise, peer support and availability of service funding.
  • Wisconsin will have more local partnerships to make readily available housing opportunities for individuals with disabilities.
  • Wisconsin will have an increasing supply of qualified direct care workers to meet the needs of its people with long term care needs.

This Department will be developing implementation plans for Homecoming II over the next few months and will provide information regarding opportunities to become involved in the project. If you have questions regarding Homecoming II, please contact Gail Propsom at 608/267-2455 or at propsgf@dhfs.state.wi.us.

CENTRAL OFFICE CONTACT:
Gail Propsom
Bureau of Aging & Long Term Care Resources
P. O. Box 7851
Madison, WI 53707-7851
Phone: (608) 267-2455
Fax: (608) 267-3203
propsgf@dhfs.state.wi.us

cc:
Diane Waller
Tribal Chairpersons/Human Service Facilitators

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