Nursing Home Education & Outreach

Our Nursing Home Education & Outreach Program (also called Money Follows the Person or MFP) provides nursing home residents, social workers, and discharge planners with objective information about community-based programs and services. We serve as the Syracuse Region MFP Transition Center for eight counties (Onondaga, Oswego, Madison, Jefferson, Herkimer, Lewis, Oneida, and St. Lawrence).

How does the program work?

If a nursing home resident or their family is considering transitioning the resident out of a nursing home, our MFP Transition Specialist will meet with the resident and family to discuss their care needs and possible community-based service options.

At the request of the resident or family, our MFP Transition Specialist can also:

  • Attend the discharge meetings to further discuss community-based options and how to access them
  • Follow up on referrals to community resources

What can I expect during the visit from the MFP Transition Specialist?

During the visit, we will speak to residents, families, and/or legal guardians about available community-based services that may be viable alternatives to remaining in a nursing home. We will provide objective information about the available home and community-based services. Some examples of services include:

  • Senior care services
  • Home care options
  • Health insurance programs
  • Housing related resources
  • Medicaid waiver programs
  • Mental health services

If you have any questions, feel free to contact us to learn more!