Indiana FSSA Division of Aging

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Indiana FSSA Division of Aging
Ellen Burton
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History
CMS Federal Initiative

• Flexible financing for long term care
• Increased options for those in need of long term
  care.
• Largest demonstration program in CMS history

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History
CMS Federal Initiative

• Individuals have a choice of where they live and
  receive services
• Strategic approach to providing person-centered,
  needs based quality of care and quality of life
  services

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History
Two Part System

• Transition program that helps people who wish to
  transition to the community
• Medicaid funds spent on home and community-based
  services when individuals move to the community

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History
Federal Funding

• Enhanced match to states through MFP program
• January 2007, Indiana was awarded funds to
  participate in MFP

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MFP in Indiana
State Award

• Awarded 21,047,402 in 2007
• January 1, 2007 to September 30, 2011

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MFP in Indiana
Program Plan

• Year 1 2 Planning
• Year 3-5 - Implementation

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MFP in Indiana
Planning

• Operational Protocol
• Contract with Indiana Association of Area
  Agencies on Aging (IAAAA) and Area Agencies on
  Aging (AAAs)
• Stakeholders
• Training

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MFP in Indiana
Implementation

• Potential Participants
• Transition
• Post Transition

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MFP in Indiana
Potential Participants

• Identified by Minimum Data Set Long Term Care
  (MDS-LTC) assessment tool as desiring to move
  back into the community
• Have lived in a qualified setting (nursing
  facility, hospital, etc.) for at least 6 months

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MFP in Indiana
Potential Participants

• Medicaid eligible 30 days prior
• Eligible for one of two waiver services

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MFP in Indiana
Waivers

• AD
• Individuals meeting nursing facility level of
  care, Medicaid eligible, Aged (age 65) or
  Disabled
• TBI
• Individuals meeting nursing facility level of
  care, Medicaid eligible, Disabled and Traumatic
  Brain Injured

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MFP in Indiana
Transition

• AAAs will provide transition specialist (case
  manager) and transition nurse for transition
  period
• Transition Team transition specialist,
  transition nurse, participant, legal guardian,
  family, etc.

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MFP in Indiana
Transition

• Person centered planning based on participants
  goals
• Team coordinates all necessary supports for
  community setting
• Additional program services
• Qualified residence

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MFP in Indiana
Additional Services

• 1500 Transition Assistance
• Personal Emergency Response System (PERS)
• Enhanced Transportation

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MFP in Indiana
Qualified Residence

• The individuals own home or family home
• An apartment with an individual lease, with
  lockable access and egress, and include living,
  sleeping, bathing, and cooking areas over which
  the individual or the individual's family has
  domain and control

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MFP in Indiana
Qualified Residence

• A shared home with no more than four unrelated
  housemates
• An adult foster care home where no more than four
  unrelated individuals reside.

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MFP in Indiana
Transition

• Discharge checklist completed
• Individual chooses community case manager
• Move to community

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MFP in Indiana
Post Transition

• Participants resides in community
• Receives necessary supports and services through
  MFP for 365 days
• Meets with case manager regularly

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MFP in Indiana
Post Transition

• Day 366 transition to waiver
• Seamless, transparent to client
• Continue to live in community, receiving
  necessary supports through the waiver

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MFP in Indiana
Suspension

• Participation in program can be suspended for
  hospitalization or rehab stays
• Does not count toward 365 days of program
  participation
• Suspension can last up to 30 days

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MFP in Indiana
The Numbers

• Goal transition 1039 individuals over next 3.5
  years
• Roughly 2000 individuals expressed interest and
  may be eligible

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MFP in Indiana
The Numbers
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Questions??
Contact Information

• Ellen Burton
• Director, Money Follows the Person
• Division of Aging
• Family Social Services Administration
• 317.234.5715
• Ellen.Burton_at_fssa.IN.gov