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Money Follows the Person Project

Program Background

Despite existing efforts to provide information about home and community-based options, there may be nursing home residents who are unaware of available home and community-based long term care options. The goals of the Money Follows the Person (MFP) Project are to identify those individuals who are interested in moving from institutional to community-based settings and to educate those who choose to leave nursing home facilities on the community-based, integrated, and accessible options that are available to them in their community.

Program Information

The Westchester Independent Living Center (WILC) has been contracted by the New York State Department of Health to administer the Money Follows the Person (MFP) Project in the Lower Hudson Valley Region. The purpose of the MFP Project is to provide objective information to nursing home residents on available community-based services should they want to transition out of the nursing home.

Service Provision Area

Program coordination for this statewide MFP Project is divided into 9 geographic regional areas. WILC’s Lower Hudson Valley Region provides services for residents of the following counties: Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster, and Westchester.

Visits from Trained Peer Mentors

WILC’s MFP Project will utilize a MFP network of trained Peer Mentors to contact select nursing home residents. These Peer Mentors will be retired businessmen/women, persons with disabilities that WILC personnel have successfully transitioned out of nursing homes, and family members of persons that we have successfully transitioned out of nursing homes. These individuals will be from various cultural/linguistic backgrounds and will be familiar with, and located throughout, the 7 counties of our Region.

The trained Peer Mentors will schedule and conduct informal visits with the nursing home residents, their families and/or legal guardians to introduce the MFP Project. During these visits, which can be either on an individual basis or in a group setting, the Peer Mentors will discuss the MFP Project, the concept of home and community-based long-term care services, and personal experiences living in the community. Information will be presented in an objective, culturally appropriate, relaxed manner, so as not to influence any decisions made by the nursing home residents. When possible, information will be presented in the language in which the residents feel most comfortable conversing.

At the conclusion of the visits, if the residents/guardians want to learn more about specific community options available to them or if they want to explore transitioning out of the nursing home, their name will be given to a MFP Project Outreach Specialist who will follow up on their request.

Visits from Outreach Specialists

WILC’s MFP Project Outreach Specialists are knowledgeable about the available home and community-based services in each of the counties we serve. They will speak to residents, families and/or legal guardians about obtainable community-based services that may be viable alternatives to remaining in the nursing home. The information will be presented in an objective manner so as not to influence any decisions made by the residents. Some examples of community-based services include:

  • Transportation - Social and Medical
  • Housing Options and Programs
  • Programs to make housing accessible
  • Home Care Options
  • Day Programs - Social and Medical
  • Medicaid Programs - Physician, OT, PT, Speech Services
  • Medicaid Waiver Programs - Nursing Home Transition and Diversion, Traumatic Brain Injury, Long Term Care (Lombardi)
  • Pharmaceutical/Drug Programs including Medicare Part D and EPIC
  • Department of Social Service Programs - Public Assistance, Food Stamps, Home Heating Assistance, PERS (Personal Emergency Response System)
  • Office for the Aging Programs - Congregate and Home Delivered Meals, Financial Counseling, Recreation Programs
  • New York Connects and TRAID
  • Vocational Rehabilitation Programs

What Can Nursing Home Staff Expect from the MFP Project?

Nursing home staff can expect to:

  • Be treated with respect by MFP Project personnel
  • Be provided with accurate information regarding the MFP Project and available community-based programs and services
  • Have identified residents contacted and provided information on the MFP Project
  • Have some residents express their desire to move to community-based settings with appropriate community-based services and supports
  • Be provided with technical assistance by MFP Project personnel

Technical Assistance to Nursing Homes

WILC’s MFP Project Outreach Specialists are available to provide technical assistance to nursing home staff, such as Social Workers and/or Discharge Planners, on community-based programs and services in each county.

Outreach Specialists can also participate in resident discharge planning, when requested.

If you have any questions, please call MFP staff at 845-228-7457 (Voice - PILS), 914-682-3926 (Voice - WILC), 866-933-5390 (VP/TTY) or E-mail: jcortez@wilc.org

This document was developed under grant CFDA 93.791 from the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services.

However, these contents do not necessarily represent the policy of the U.S. Department of Health and Human Services and you should not assume endorsement by the federal government.

Regional Programs

These WILC/PILS programs serve 7 counties of the Lower Hudson Valley Region - Putnam, Westchester, Dutchess, Orange, Rockland, Sullivan, and Ulster.

Tramatic Brain Injury RRDC

Nursing Home Transition and Diversion Waiver RRDC

Money Follows the Person

Client Assistance Program

Parent Training & Information Center




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General Information

The following links provide information on topics of concern for persons with disabilities.

Independent Living

Americans with Disabilities Act

Personal Prepardeness


WILC Main Office
200 Hamilton Avenue, 2nd Floor
White Plains, New York 10601
(914) 682-3926 (Voice)
866-933-5390 (VP/TTY)
(914) 682-8518 (FAX)
Directions to WILC

Satellite Office PILS
1961 Route 6, 2nd Floor
Carmel, New York 10512
845-228-7457 (Voice)
866-933-5390 (VP/TTY)
845-228-7460 (Fax)
Directions to PILS

Yonkers Outreach Office
Pathways to Success
75 Riverdale Avenue
Yonkers, New York 10701
914-376-8600 (Voice)

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