The Pathways to Community Living grant is a federal grant program in Oklahoma that’s also known as the Money Follows the Person Tribal Initiative.
This grant:
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Helps elders and individuals in tribal communities move out of nursing homes and back into their homes
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Focused on long-term, culturally appropriate support that promotes independence and dignity
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Works in partnership with Oklahoma Health Care Authority (OHCA) and tribal governments
Who is eligible for the Pathways to Community Living grant?
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Tribal members currently living in nursing homes or rehab centers
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Individuals who are interested and medically eligible to transition back into their community
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Must be enrolled in SoonerCare (Oklahoma Medicaid)
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Tribal Nations and organizations serving eligible tribal members
Who Can Apply for the Pathways to Community Living Grant?
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Tribal Nations or affiliated health programs in Oklahoma
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Organizations looking to expand or support home- and community-based services
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Groups ready to partner with OHCA to offer sustainable long-term care solutions
What Are the Conditions of the Pathways to Community Living Grant?
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No additional contracts are needed—tribes work directly with OHCA
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Services are flexible and tailored based on tribal input
This grant can be used to:
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Lease vehicles for community transportation (not just medical trips)
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Modify homes for safety and accessibility
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Hire staff or add new support services
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Reimburse services your tribe already offers (like meals, counseling, or home visits)
- Provide medical equipment to help people live at home safely
Final approved services may include:
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Case management
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Skilled nursing
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Mental health counseling
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Adult day services
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Personal care and self-directed services
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Housing-related transition support
Key contacts to ask questions
If you have questions about applying or program details, reach out directly:
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Johnney Johnson, Program 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
Got any questions about the Pathways to Community Living grant?
The Pathways to Community Living grant is an effective way to help tribal members return home with the support they need. Whether it’s transportation, in-home care, or help modifying a home, this program is designed to put people first.
Have questions about how mobility solutions could support your program? Click the button below to connect with one of our experts.
Note: AVAN Mobility does not provide this funding and cannot assist with applications. This information is shared to help raise awareness and encourage support for funding or grant opportunities that may assist your program.
