1 money follows the person working group august 26, 2011
Post on 18-Dec-2015
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TRANSCRIPT
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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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
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 [email protected] to get involved
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