MONTANA COMMUNITY CHOICE PARTNERSHIPMONEY FOLLOWS THE PERSON (MFP)DEMONSTRATION GRANT
Demonstration ServicesWorkshop
MONTANA WILL CREATE A SUSTAINABLE SYSTEM THAT SUPPORTS COMMUNITY OPTIONS AS A FIRST CHOICE FOR INDIVIDUALS NEEDING LONG TERM CARE SERVICES.
MFP VISION
MFP ELIGIBILITY REQUIREMENTS
PARTICIPANTS MUST:Be 90 consecutive days in an
inpatient facilityBe Medicaid eligible at least one day
prior to transitionEnroll in HCBS waiver or 1915 (i)
State Plan HCBS programTransition into MFP qualified housing
WHAT SERVICES ARE PROVIDED TO AN MFP PARTICIPANT?
0208 (Comprehensive) Waiver Services
Big Sky Waiver Services
Severe Disabling Mental Illness (SDMI) Waiver
Children’s Mental Health Bureau (CMHB) 1915(i) State Plan
MFP Demonstration Services are available to participants who entered the waivers or CMHB 1915(i).
Are in addition to the core services in partner programs.
Note: Demonstration Services could be duplicative.
Waiver or 1915(i) State Plan Services
MFP Demonstration Services
MFP DEMONSTRATION SERVICES MFP Transition Services MFP Regional Transition Coordinator MFP Peer Support Services MFP Companion Services MFP Information Technology MFP Overnight Supports MFP Modify Existing Vehicle for
Accessibility MFP Transportation Supports MFP Geographic Factor for Travel MFP Substance Use Disorder Treatment
Services
PROVIDER BILLING FOR MFP DEMONSTRATION SERVICES All providers must be enrolled Medicaid HCBS
providers. http://medicaidprovider.hhs.mt.gov/index.sht
ml All billing for MFP Demonstration Services will
be done on a claim form 1500 in the Xerox/MMIS system DD providers – bill AWACS for waiver services DD providers – bill MMIS for MFP demonstration
services MFP Demonstration Services
Require prior authorization from the MFP Program Must be supported by the Person Centered Plan
MFP Demonstration Services will be paid at actual cost
MFP TRANSITION SERVICES Review definition, policy, and fee
structure MFP Transition Services vs. other
Transition Services:Bill MFP Transition Services instead of
program’s Transition Services when possible
Higher per unit costCovers 1st month’s rent and depositsLimited to 30 days post moving day
Home Modification Guidance Policy regarding pre-payment
MFP REGIONAL TRANSITION (RTC) COORDINATOR Review definition, policy, and fee structure Can only be billed by case managers who are
not employees of the State of Montana Service begins with:
Signed “Regional Transition Coordinator Acceptance Form” and
Signed “Informed Consent” Service ends:
The day the participant moves to the community; or
Upon failure to move (death, decline) Review “failed” transition vs. “successful”
transition No “double billing”
PAYMENT FOR FAILED TRANSITIONS Pre-payment for
MFP Transition Services
Participant does not move – administrative cost to MFP
Participant does move – billed as service and garners enhanced FMAP for State
Payment for failed MFP Regional Transition Coordinator Service
Review tiered structure for reimbursement if a participant does not move to the community.
TO RECEIVE PAYMENT FOR FAILED TRANSITION
Submit MFP Withdrawal form Submit invoice Submit W-9 Mail to:
MFP-SLTCPO Box 4210Helena, MT 59604
MFP PEER SUPPORT SERVICES Review definition, policy, and fee
structure Review provider qualification and
training requirements MT Peer Task Force
MFP COMPANION SERVICES Review definition, policy, and fee
structure This service is distinctly different than
MFP Peer Mentor/Advocate Services
MFP INFORMATION TECHNOLOGY Review definition, policy, and fee
structure Fee structure:
Capped per specific unit of service Maximum for all is $5000 Not able to separate different kinds of
service – all will be one billing code
MFP OVERNIGHT SUPPORTS Review definition, policy, and fee
structure 6-12 consecutive, nighttime hours
during a 24-hour period Focus is to offer support to a new
participant for a time-limited period upon moving into the community
MFP MODIFY EXISTING VEHICLE FOR ACCESSIBILITY Review definition, policy, and fee
structure This service does not include the
purchase or lease of a new vehicle
MFP TRANSPORTAION SUPPORTS Review definition and fee structure Policy not completed Request feedback May not be necessary due to all
partners have a service for this already
MFP GEOGRAPHIC FACTOR FOR TRAVEL Review definition and fee structure Policy not completed Request feedback
MFP SUBSTANCE USE DISORDER TREATMENT SERVICES Review definition and fee structure Policy not completed Request feedback Suggest workgroup partners
MFP Demonstration Services MMIS BillingCode/Modifier
MFP Transition Services H2016/UA
MFP Regional Transition Coordinator H0043/UA
MFP Peer Support Services T2012/UA
MFP Companion Services S5136/UA
MFP Information Technology T1014/UA
MFP Overnight Supports S5116/UJ
MFP Modify Existing Vehicle for Accessibility
T2039/UA
MFP Transportation Supports T2002/UA*
MFP Geographic Factor for Travel A0425/UA*
MFP Substance Use Disorder Treatment Services*not complete-not able to bill
H0026/UA*
This PowerPoint presentation is created as part of the
Community Choice Partnership Money Follows the Person Demonstration Grant awarded to the Montana Department of Public
Health and Human Services.