Montana Community Choice Partnership
Money Follows the Person (MFP)Demonstration Grant
Stakeholder Advisory Council Meeting
March 10, 2015
MFP Vision
*Montana will create a sustainable system that supports community options as a first choice for individuals needing long term care services.
Timeline of MFP
*September 2012 – Montana receives a MFP Award
*August 2013 – Montana’s initial MFP budget is approved
*December 2013 - MFP Director starts
*April 2014 - Draft process and materials are developed
*May 2014 – 2 pilot transitions from MDC
*July 2014 – 3 staff start, materials finalized, MFP webpage established, online referral form active
*August 2014 – Transitions begin
*January 2015 – Statewide MFP trainings complete, 5 of 10 Demonstration Services finalized and coded
*February 2015 – Sustainability Planning
Eligibility Requirements
PARTICIPANTS MUST:*Be 90 consecutive days in an inpatient facility
*Be Medicaid eligible at least one day prior to transition
*Enroll in HCBS waiver or 1915 (i) State Plan HCBS program
*Transition into MFP qualified housing
Benefits to Participants
PARTICIPANTS RECEIVE:*Significant planning time focused on
finding appropriate housing, services, and other transition work
*365 days MFP participation/funding – does not include pre-transition work
*Waiver or State Plan program benefits form services baseline
*MFP demonstration services provide extra service options especially to help transition
Benchmarks
201788
• Elderly 15• ID/DD 5• PD 22• Mental Illness 12• Other 34
201677
• Elderly 13• ID/DD 7• PD 15• Mental Illness 12• Other 30
201547
• Elderly 5• ID/DD 5• PD 10• Mental Illness 3• Other 24
201423
• Elderly 2• ID/DD 3• PD 3• Mental Illness 3• Other 12
235
* Other = Youth with SED
MFP Referrals
REFERRALS BY WAIVER TYPE 2014 = 67 2015 = 22 Total = 89DSD MDC-0208 PRTF-0208 NH-0208 1915(i)-CMHB
208831
21010
229841
Big Sky Elderly 8 3 11
Big Sky Physically Disabled
23 11 34
SDMI 13 1 14Unknown 3 5 8
MFP Transitions
TRANSITIONS BY WAIVER TYPE 2014 = 15 2015 = 6 Total = 21DSD 7-MDC 0208 3-PRTF 0208 0-1915(i)
9630
1100
10730
Big Sky Elderly 2 1 3
Big Sky Physically Disabled
3 4 7
SDMI 1 0 1
MFP Qualified Housing
*Home owned or leased
*Apartment with individual lease, secure access, as well as living, sleeping, bathing and cooking areas over which you or your family has control
*Community-based residential setting, such as a group home, with a maximum of four unrelated people (excluding caregivers and personal attendants)*Must have living, sleeping, bathing, and cooking
areas
*Must have lockable access and egress
MFP Housing Placements
MFP HOUSING PLACEMENTSTotal Placements to Date: 21 MDC
0208PRTF 0208
PRTF 1915(i)
SDMI Elderly PhysicallyDisabled
Group Home (4 bed or less)
2 2
Assisted Living
2 1
Apartment 4 1 1 4Home 1 1 2
MFP Housing Placements
SUBSIDIZED HOUSING
6 transitioned into subsidized housing.
*2 – MDC (Project Based Section 8)
*3 – Physically Disabled (1-Public Housing, 1-Project Based Section 8, 1-Housing Choice Voucher)
*1 – Elderly 1 (Project Based Section 8)
2 transitioned with Housing Bridge Assistance
*1 – MDC
*1 – Physically Disabled
MFP Reporting
SCHEDULE OF REPORTSMonthly:
*Quality of Life
*New Edition’s (monthly call)
*Quarterly:
*ABCD Report (Financial)
*Mathematica Files (Quantitative Financial)
*QOL
*Semi-annual:
*Truven Report
*Yearly:
*Supplemental Budget
*Travel Log
Challenges and Successes
SUCCESSES*Referrals from many sources
*Opportunities to transition that would not have been available without MFP
*Complex, high needs transitions
*Good collaboration of effort
*Moving participants from settings other than nursing homes (MSH, PRTF, MDC)
*Success stories
Challenges and Successes
CHALLENGES*Lack of direct service providers
*Resistance to a new program
*Complex, high needs transitions
*Housing
*Expanded target populations
*Benchmarks do not include ID/DD in nursing home
*1915(i) is not expanding – how to serve youth
*Agencies resistant to upfront transition expenses
*Regional Transition Coordinator Service
*Billing across two Medicaid systems
Sustainability Planning
POLICY GUIDANCE*Statute allows MFP programs to continue
expending funds through September 30, 2020 by supplemental budgets awarded in FFY 2016
*MFP grant 2016 budget submission must include all expenses anticipated through 2020 – no new budgets after October 1, 2015
*Plan must detail grantee’s efforts to rebalance the LTC systems and maintain increasing transition activities during the final years of the program
Sustainability Planning
POLICY GUIDANCE CONTINUED…*Detail how to sustain staffing, transition activity,
services, demonstration projects, and structural changes initiated under MFP
*Detail any services, structural changes, or demonstration projects that will not be continued after the grant and explain why
*Include a timeline
Sustainability Plan due by April 30, 2015
Sustainability Template
Mandatory Elements:*Executive summary
*Stakeholder involvement
*Plan for continuing to transition out of institutions
*Decision to include MFP Demonstration Services and services funded by MFP Administrative funds (or not) and explain how and why
*Decision to continue funding for MFP staff
*State’s plan for utilizing all rebalancing funds by 9/30/20.
*Timeline for the above
*Estimated budget summary
Sustainability Template
Optional Elements:*State’s plans to expand HCBS
*State’s efforts to develop an adequate supply of accessible, affordable housing
*State’s efforts to support state of the art quality improvement systems for HCBS
Sustainability Template
Other requirements:
*Cover letter signed by the State Medicaid Director
*Plan to not exceed 50 pages excluding cover letter.
*Must address all mandatory elements
Next Meeting
Check your calendars for June
The End…..
Thank you and Safe Travels