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What is Pathways to Community Living?

Pathways (Money Follows the Person) transitions interested and qualified Oklahomans from a nursing home or rehabilitation center back into the community of their choice. Pathways also helps establish sustainable and culturally appropriate long-term services and supports in tribal communities. 


Tribal Benefits

  • Promotes government-to-government relationships
  • Enhances tribal infrastructure
  • Increases access to needed long-term services
  • Addresses disparities
  • Supports effective tribal programs
  • Maximizes fiscal resources

Who Qualifies?

Members of federally recognized tribes in Oklahoma may be eligible if they meet the following criteria:

  • 19 years old and older
  • Lived for more than 60 days in an inpatient facility (nursing or intermediate care)
  • Interested in moving back to the community
  • Eligible for Sooner Care at least one day before leaving the inpatient facility 

Covered Services

Final services will be determined in consultation with the participating tribes but may include:

  • Personal care
  • Skilled nursing
  • Case management
  • Adult day services
  • Transportation
  • Home-delivered meals
  • Limited dental services
  • Mental Health Counseling
  • Self-direction for services
  • Transition funds for housing needs

Our Mission

To provide states and tribal partners with the opportunity to create and implement tribally sustainable home and community-based long-term services and supports systems.

Goals

  • Expand the leadership role of tribes in the creation, implementation and operation of Medicaid-funded programs tailored for tribal members
  • Transition eligible and interested tribal members from inpatient institutional settings back into their homes or communities

For more information

Johnney Johnson
Director
johnney.johnson@okhca.org
405-522-7058

Carley Fryrear 
Community Outreach Coordinator  carley.fryrear@okhca.org
405-522-7784

LeeAnn Bennett
Community Outreach Coordinator  
leeann.bennett@okhca.org
405-522-0027

Last Modified on Apr 26, 2023