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Money Follows the Person

Working GroupAugust 26, 2011

Agenda• MFP Update• Discussion• Going Forward• Next Meeting

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MFP Update

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What we’ve been up to since we last met

• CMS approved the Operational Protocol on July 12th• Hiring MFP Staff – MassHealth and MRC• Implementing the operations for Phase 1 – Existing

Waivers:• Developing processes and procedures, consent form, and

status change data sets• Designing Quality of Life (QoL) survey process• Determining procurement plan• Preparing IT systems - MassHealth eligibility and claiming• Establishing housing support framework

• Started work on the 2 new MFP Waiver applications• Began enrolling MFP Participants 4

Benefits of MFP in MA

Additional community

services

New waiver programs

Infrastructure and capacity

expansion

Enhanced federal

funding for MFP HCBS

services

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Programs that will serve MFP Participants

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MFP Overview

Qualified Individuals/ Institutions

Transition into the

Community

Qualified Residences

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Qualified InstitutionsNursing Facilities - Rehabilitation Hospitals - Intermediate Care Facilities

DPH Hospitals - IMDs (age limits)

Qualified ResidencesIndividual’s/ Family’s Home - Individual’s Leased Apartment

Community Residential Setting (Max 4 Individuals)

Qualified IndividualsPeople with disabilities 18 years or older and elders

Must reside in qualified institution for 90 or more consecutive days

Must be eligible for MassHealth and receive MassHealth benefits for inpatient services on the last day in the facility prior to discharge to qualified residence

Must sign an informed consent

Timeline & MilestonesApril-June July-Sept.April-JuneJan.-Mar.July-Sept. Oct.-Dec.

20122011

New MFPWaivers Operational

CMS ApprovedOPD

Procure-mentsReleased

Phase 1 Operations & Implementation

MFP Waiver Services Provider Enrollment

Transition Entity & Case Management Procurement

MFP Waivers Development & Submission to CMS

1st MFPEnrollee

Phase 2 Operations & Implementation

Milestone Targets

Contract w/ TE & CM Provider

AT, mobility training, transition services available

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Milestones Accomplished

Adding community-based services

Transition Entity/Case Management Region-based Procurement

•Transition Entity•Transition coordination for individuals not connected to a current transition entity•Support to current transition entities, as requested

•Case Management (includes 24 Hour Backup)•Demo Case Management for State Plan - only MFP Participants•Administrative Case Management for new MFP Waivers

•Housing Support

Purchasing Services•Mobility Training•Assistive Technology•Transition Services (e.g. non-recurring set-up expenses, peer support, community re-integration)

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MFP Housing Activities • Develop a strong working relationship with DHCD to leverage

state housing opportunities

• Work with local housing agencies to leverage priority status

• Assist participants in searching for housing• Help MFP participants apply for subsidies• Address issues adapting housing to meet participants’ needs

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New CMS Housing Grant Opportunity and MFP

CMS Real Choice Systems Change Grant – Building Sustainable Partnerships for Housing

• For State Medicaid Agencies to develop sustainable partnerships with State Housing Agencies

• On August 15, 2011, the Office of Medicaid/EOHHS applied for the grant with support from the Department of Housing and Community Development (DHCD)• Maximum grant award $330,000 • For one year (Sept. 30, 2011 through Sept. 29, 2012)• States encouraged to engage Medicaid populations including MFP

participants and others using home and community based services

• Received broad support from state and community agencies 11

Housing Strategies in Grant Application• Capitalizing on New Opportunities in HUD’s Section 811 Program

• Purpose: to create a formal partnership between the State Health and Human Services/Medicaid Agency and State Housing Agencies in order to:

• develop specific strategies to propose in applying for upcoming HUD Section 811 funding

• create new high quality and integrated supportive housing units for Medicaid-eligible persons with disabilities receiving community–based supportive services

• Creation of a Housing Choice Voucher (HCV) Preference• Purpose: to improve access to HCVs by people with disabilities

receiving Medicaid services and supports in the community

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Grant activities will support MFP goals

• The new CMS grant opportunity will support the MFP Demonstration goals by establishing a system that can more effectively serve the housing needs and preferences of the target population

• Consumer involvement established for MFP will provide a solid base to ensure consumer involvement in the Real Choice grant activities

• The grant provides the opportunity to target MFP participants, Medicaid members that use home and community based waiver services, and Medicaid members that use Medicaid State Plan services for behavioral health and other conditions 13

Discussion

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Going Forward

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Ideas for Meetings

• MFP Working Group - meet quarterly; various geographic locations• Outreach• Providing ongoing input into the demonstration implementation and

operation activities

• Community Integration Working Group - identify challenges and successes in the implementation and operation of the MFP Demonstration• MFP participants, MFP potential participants, and former MFP participants• Transition coordinators, case managers, advocacy organizations and provider

organizations

• Topical Discussions– Stakeholders will be invited to participate in targeted discussions (e.g. self directed services)

• Are there other discussion forums we should consider?1616

How do you want to engage?What is the best way to get your input?• Meetings • In person• Conference calls• Combination

• Communications• Discussion Topics• Relevant policy design and operational details• Critical issues• Updates

Other? 17

Future Discussion Topic Areas Training• Target audiences• Approach (web-based, in person)• Topic areas

Outreach• Target populations (consumers, families, providers)• Successful approaches

Transition Process• Opportunities for improvement• Integration with emerging systems

New Waivers• Self-directed services• Qualifications of waiver service providers

What other areas do you want to discuss?1818

Next MFP Working Group Meeting

• Date – Wednesday, November 9, 2011 from 10:30 – 12 PM• Location – Saxe Room

Worcester Public Library

3 Salem Square

Worcester, MA• Contact MFP@state.ma.us to get involved

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