1. HOME Choice Helping Ohioans Move, Expanding Choice Ohio’s Money Follows the Person Demonstration May 2011

2. Key Features Cross-Disability beyond the MFP eligibility parameters – Success is not = to Transition. – Success is = to Sustainable Community Living. Balancing Plan built on eight components and managed strategically to use minimal resources to drive extensive system change (ROI approach) Use of multiple data sources to drive policy changes and improve quality Partnership Building Testing Innovation and a Leader of System Change

3. Housing Housing Finance Agency and Department of Development Interagency Council on Homelessness and Affordable Housing: Medicaid/Housing Workgroup Public Housing Authorities Local Housing and Services Cooperatives

4. Peer Support/Self-Advocacy Community Support Coach – Demonstration Service pre and post transition – “Guiding, educating, and empowering” – To be a provider: Must have a disability and have lived in an institution or have transition experience OR be a community mental health peer center OR be a non- profit agency with staff who have disabilities and experience with transition. Cross-Disability HOME Choice Consumer Advisory Council – Interagency with DD council – funds to cover aide and travel for advisory council and Olmstead Task Force as well as empowerment tools and Olmstead related conferences Ohio’s web-based state profile Local Housing and Services Cooperatives

5. Mental Health Children – Family and Children First Councils – EPSDT connection Adults – Hired MFP person to sit within the MH agency – Building Provider Network for MFP purposes along with Local Support Structure – PASRR and MDS data driven – Testing Service Provision Needed to Sustain Community Living ($100,000 from 100% Admin)

6. Partnering with ADRCs As of April 2011: There are 356 ADRC program sites covering approximately 54.7 percent of the U.S. population. Twenty-One (21) ADRC States indicate a partnership with MFP. Forty-Two (42) ADRC program sites indicate participation in nursing facility transition (MFP and non-MFP States). Twenty-Five (25) States received MFP/ADRC Collaboration Grant Funding in September 2010. Federal agencies and States recognize the value ADRCs provide: The Administration on Aging and the Centers for Medicare and Medicaid Services contributed over $110 million in funding for ADRC initiatives since 2003. Thirty three states passed ADRC legislation, developed executive guidance, and/or contributed state funds to enhance and expand ADRCs. State funding contributions to date exceed $43 million. (from Aging and Disability Resource Center Successes October 2010 - www.adrc-tae.org) www.adrc-tae.org

7. Partnering with ADRCs Ohio Examples of ADRC/MFP collaboration: 1.) Building a “D” in ADRC – using MFP to leverage partnership through the development of Local Housing and Services Cooperatives 2.) “Front Door” Policy changes: a.) moving toward a uniform assessment and web-based tools b.) enhancing www.connectmeohio.org as a resource to inform all “no wrong door” navigators as well as developing a guide and matrix of long term services and supportswww.connectmeohio.org