Publications: N.D. Money Follows the Person Grant

Overview

• November 2006 - The North Dakota Department of Human Services submitted an application for a federal “Money Follow the Person” rebalancing demonstration grant.
• May 2007 - The federal Department of Health and Human Services - Centers for Medicare and Medicaid Services awarded North Dakota an $8.9 million grant to help move eligible individuals from institutions to community settings over the next five years.
• June 20, 2008-Centers for Medicare and Medicaid approved North Dakota’s Money Follows the Person Rebalancing Demonstration Grant Operational Protocol.
• April 2010- Centers for Medicare and Medicaid approved North Dakota’s Money Follows the Person Rebalancing Demonstration Grant Operational Protocol Amendment (OP Version 1.1).

• Quality of Life Survey Data Set 2 - Stats - Baseline - Full Data Set (255 kB xlsx)
• Quality of Life Survey Data Stats - 11 Month - Full Data Set (212kB xlsx)
• Quality of Life Survey Data - Stats - 24 Month -Full Data Set (212kB xlsx)
• Grant Award Announcement (14kb pdf)

Brochures

• MFP Brochure (538kb pdf)

Fact Sheets

• MFP Fact Sheet (Updated Jan. 2012) (90kb pdf)
• Guardianship Expectations Fact Sheet (38kb pdf)
• Independent Living Philosophy & Person-Centered Planning Fact Sheet (39kb pdf)

Operational Protocol

• 2012 Federally Approved Implementation Plan (2.15 MB pdf)
• Archive 2011 Federally Approved Implementation Plan (709 kb pdf)
• Archive 2010 Federally Approved Implementation Plan (1.46 MB pdf)
• Archive 2008: Federally Approved Implementation Plan (1.26 MB pdf)

Forms

• Assistive Technology Client Profile Form-IPAT(57kb pdf) Fillable (94kb pdf)
• Critical Incident Report Form (194kb doc)
• Denial/Termination of Services Document (160kb doc)
• Emergency Backup Plan (197kb doc)
• ICF/MR Transitions Role Matrix (41kb pdf)
• Informed Consent for Participation Document (146kb doc)
• Independent Living Plan (Nursing Facility Transitions) (1.2Mb doc) (SFN-539)
• IPAT Referral Process for Assistive Technology (14kb pdf)
• IPAT Fee for Services Schedule (31kb pdf)
• Nursing Facility Transition Referral Document (190kb doc)
• Nursing Facility Transitions Role Matrix (42kb pdf) (DN-894)
• Authorization for Transition Adjustment Services (34kb fillable pdf) (SFN-1958)
• Transition Adjustment Support Services worksheet (194kb doc) (SFN-1956)
• Participant Risk Mitigation Assessment (155kb doc) (SFN-1955)
• Quality of Life Survey (741kb doc)
• Referral Process Nursing Facilities (197kb doc)
• Referral Process ICF/MRs (185kb doc)
• Referral Process Developmental Center Transitions (185kb doc)
• Risk Mitigation Assessment/Plan (Nursing Facility Transitions) (205kb doc)
• Risk Mitigation Assessment/Plan (ICF/MR Transitions) (482kb doc)
• Supplemental Services Billing Worksheet (42kb xls)
• Supplemental Services Request Form (164kb doc) (SFN-542)

Policies

• Critical Incident Reporting Policy (68kb pdf)
• Crisis Response Team Process Policy (17kb pdf)
• Emergency Backup Policy (74kb pdf)
• Risk Mitigation Policy (68kb pdf)

 

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