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Money Follows the Person Working Group

Money Follows the Person Working Group. August 26, 2011 . 1. Agenda. MFP Update Discussion Going Forward Next Meeting. 2. 2. MFP Update. 3. 3. What we’ve been up to since we last met. CMS approved the Operational Protocol on July 12th Hiring MFP Staff – MassHealth and MRC

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Money Follows the Person Working Group

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  1. Money Follows the Person Working Group August 26, 2011 1

  2. Agenda • MFP Update • Discussion • Going Forward • Next Meeting 2 2

  3. MFP Update 3 3

  4. 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

  5. Benefits of MFP in MA Enhanced federal funding for MFP HCBS services Additional community services New waiver programs Infrastructure and capacity expansion 5 5

  6. Programs that will serve MFP Participants 6 6

  7. MFP Overview Transition into the Community Qualified Individuals Qualified Residences People 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 Qualified Individuals/ Institutions Qualified Institutions Nursing Facilities - Rehabilitation Hospitals - Intermediate Care Facilities DPH Hospitals - IMDs (age limits) 7 7 Qualified Residences Individual’s/ Family’s Home - Individual’s Leased Apartment Community Residential Setting (Max 4 Individuals)

  8. Timeline & Milestones 2011 2012 April-June Oct.-Dec. Jan.-Mar. April-June July-Sept. July-Sept. CMS Approved OPD Contract w/ TE & CM Provider New MFP Waivers Operational Procure-ments Released 1st MFP Enrollee AT, mobility training, transition services available Phase 1 Operations & Implementation Transition Entity & Case Management Procurement MFP Waivers Development & Submission to CMS MFP Waiver Services Provider Enrollment Phase 2 Operations & Implementation 8 Milestones Accomplished Milestone Targets

  9. Adding community-based services • 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 Transition Entity/Case Management Region-based Procurement • Mobility Training • Assistive Technology • Transition Services (e.g. non-recurring set-up expenses, peer support, community re-integration) Purchasing Services 9

  10. 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 10

  11. New CMS Housing Grant Opportunity and MFP CMSReal 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

  12. 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 12

  13. 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

  14. Discussion 14 14

  15. Going Forward 15 15

  16. 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? 16 16

  17. 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

  18. 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? 18 18

  19. 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 19 19

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