Maine has designated the Long Term Care Ombudsman Program (LTCOP) as the Local Contact Agency (LCA). When a resident indicates a preference for living in the community, the Nursing Facility will follow the Section Q Protocol detailed in FIGURE 3, page 28. The role of LTCOP as the LCA is to make in person contact and provide general information about community living services and supports upon receipt of the referral. LTCOP will in turn make referrals to the Center for Independent Living (Alpha One) and or the local ADRC as per individual needs. For individuals who appear to meet threshold eligibility (the individual is currently or likely to become eligible for Medicaid, and the individual is currently or likely to meet the 90-day residency requirement), a referral will be initiated for HOMEWARD BOUND. Supported by ADRC supplemental funds, Maine’s Long Term Care Ombudsman Program will work in partnership with the Office of Aging and Disability Services, the ADRCs and Alpha One to support full implementation of the MDS Section Q protocol to include development of a tracking system in order to monitor compliance and address challenges. ACCESS TO RESIDENTS AND PATIENTS IN NURSING FACILITIES AND HOSPITALS The Department will conduct an education and outreach campaign targeting nursing facilities, working with their provider association and the Maine Long Term Care Ombudsman to deliver the message. This training will provide information about the MFP Demonstration and its processes as well as introduce the revisions to the Section Q referral protocols incorporating referrals to Homeward Bound. Persons whose activities involve contacting participants or potential participants in nursing facilities will, if needed, have access to a Provider Letter describing the MFP Demonstration, their roles and responsibilities, the fact that they are agents of the Department, and have the authority to meet with residents to determine their interest in MFP. ENROLLMENT AND TRANSITION PROCESS The enrollment process will take place in three stages: Participation in the Preliminary Assessment Process Enrollment into the Transition Planning Process Enrollment into the Transition Process 2: THE PRELIMINARY ASSESSMENT PROCESS Upon referral the Referral Manager initiates the Preliminary Assessment Process. The purpose of the Preliminary Assessment process is to capture information about the potential Homeward Bound participant. The information collected will help determine if the individual is a likely candidate for Homeward Bound and, if so, what type of Transition Coordinator is needed. This information will also help the Transition Coordinator build an Individualized Transition Plan.
Maine has designated the Long Term Care Ombudsman Program (LTCOP) as the Local Contact Agency (LCA). When a resident indicates a preference for living in the community, the Nursing Facility will follow the Section Q Protocol detailed in FIGURE 3, page 28. The role of LTCOP as the LCA is to make in person contact and provide general information about community living services and supports upon receipt of the referral. LTCOP will in turn make referrals to the Center for Independent Living (Alpha One) and or the local ADRC as per individual needs. For individuals who appear to meet threshold eligibility (the individual is currently or likely to become eligible for Medicaid, and the individual is currently or likely to meet the 90-day residency requirement), a referral will be initiated for HOMEWARD BOUND. Supported by ADRC supplemental funds, Maine’s Long Term Care Ombudsman Program will work in partnership with the Office of Aging and Disability Services, the ADRCs and Alpha One to support full implementation of the MDS Section Q protocol to include development of a tracking system in order to monitor compliance and address challenges. ACCESS TO RESIDENTS AND PATIENTS IN NURSING FACILITIES AND HOSPITALS The Department will conduct an education and outreach campaign targeting nursing facilities, working with their provider association and the Maine Long Term Care Ombudsman to deliver the message. This training will provide information about the MFP Demonstration and its processes as well as introduce the revisions to the Section Q referral protocols incorporating referrals to Homeward Bound. Persons whose activities involve contacting participants or potential participants in nursing facilities will, if needed, have access to a Provider Letter describing the MFP Demonstration, their roles and responsibilities, the fact that they are agents of the Department, and have the authority to meet with residents to determine their interest in MFP. ENROLLMENT AND TRANSITION PROCESS The enrollment process will take place in three stages: Participation in the Preliminary Assessment Process Enrollment into the Transition Planning Process Enrollment into the Transition Process 2: THE PRELIMINARY ASSESSMENT PROCESS Upon referral the Referral Manager initiates the Preliminary Assessment Process. The purpose of the Preliminary Assessment process is to capture information about the potential Homeward Bound participant. The information collected will help determine if the individual is a likely candidate for Homeward Bound and, if so, what type of Transition Coordinator is needed. This information will also help the Transition Coordinator build an Individualized Transition Plan.