Virginias Money Follows the Person Demonstration Project

1
Virginias Money Follows the Person Demonstration
Project

• Jason Rachel, MFP Rebalancing Project Director,
• Virginia Department of Medical Assistance
  Services
• Contact Information
• Jason Rachel, 804-225-2984 Jason.Rachel_at_dmas.virgi
  nia.gov

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Money Follows the Person (MFP)

• Review of the Money Follows the Person Project
• General overview of Virginias MFP Project
• Operational item updates

3
Money Follows the Person (MFP)

• MFP is the single largest investment in Medicaid
  Long Term Care
• 31 States have been awarded 1.4 Billion with a
  projected number of over 37,000 individuals to be
  transitioned
• Federal opportunity to further develop community
  integration strategies, systems, and
  infrastructure for people with long-term care
  needs
• Emphasizes community living vs. institutional
  placement to help rebalance the system
• A program that identifies individuals in
  institutions who wish to move back into the
  community and assists them with the transition
  process

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MFP Demonstration Funding

• States receive an enhanced federal medical
  assistance percentage (FMAP) for 12 months for
  each Medicaid recipient who transitions from an
  institutional setting into the community during
  the demonstration period
• Covers only expenditures on current and
  demonstration home and community-based services
  not acute care services
• Virginias Rebalancing Amount - 38,508,185
• Federal (28,626,135)
• State (9,882,049)
• Four-year enhancement period, from July 1, 2008
  through September 30, 2011

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Money Follows the Person Virginias Demonstration

• Application developed in collaboration with the
  Office of Community Integration for People with
  Disabilities, numerous state agencies,
  self-advocates, their families and other
  stakeholders
• Virginia was selected to participate in the
  Demonstration in May 2007
• Launch date of July 1, 2008

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Virginias Numbers

• Anticipated numbers of transitions by waiver by
  year (MFP slots)

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Money Follows the PersonVirginias Demonstration

• Eligibility Requirements Who Can Participate?
• Have lived for at least six (6) consecutive
  months in a nursing facility, an intermediate
  care facility for individuals with mental
  retardation/intellectual disabilities, or a
  long-stay hospital licensed in Virginia, which
  can include periods of hospitalization
• Be a resident of the Commonwealth of Virginia
• Be Medicaid eligible for at least one month at
  the time of discharge
• Qualify for PACE or one of the five following
  waiver programs
• Elderly or Disabled with Consumer-Direction
  Waiver (EDCD)
• Individual and Family Developmental Disabilities
  Support Waiver (DD)
• HIV/Aids Waiver (AIDS)
• Mental Retardation Waiver (MR)
• Technology Assisted Wavier (TECH) and
• Move to a qualified residence.  A qualified
  residence is 1) a home that you or your family
  member owns or leases 2) an apartment with an
  individual lease, with lockable access and
  egress, that includes living, sleeping, bathing
  and cooking areas over which you or your family
  has domain and control or 3) a residence in a
  community-based residential setting in which no
  more than four (4) unrelated individuals reside.

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Virginias MFP Demonstration

• Permanent changes to our home and community-based
  waivers
• New Waiver Services
• Transition Services/Funding is a one-time,
  life-time benefit assisting with one-time,
  up-front household expenses. Added to EDCD,
  AIDS, TECH, MR and DD waivers.
• Time limited to 9 months (Up to 2 months prior to
  discharge for MFP Participants only)
• Transition Coordination supports participants who
  elect services through the Elderly or Disabled
  with Consumer Direction Waiver both before and
  after transitioning to the community.
• Time limited to 14 months (Up to 2 months prior
  to discharge for MFP Participants only)

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Added Existing Waiver Services

• Assistive Technology - includes devices that
  enhance ones ability to function and
  communicate, such as specialized toilets,
  braces, chairs, and computer hardware and
  software. Added to EDCD and AIDS waivers.
• Environmental Modifications - assistance with
  making modifications to homes and primary
  vehicles to make them accessible. Added to EDCD,
  AIDS and TECH waivers. (For MFP Participants,
  this service can be delivered prior to discharge)
• Personal Emergency Response System and Personal
  Emergency Response System medication monitoring.
  Added to AIDS and TECH waivers.

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MFP DemonstrationOperational Items Regulations
Policies

• Virginias Operation Protocol Received CMS
  Approval on June 24, 2008
• http//www.olmsteadva.com/mfp
• Emergency Regulations were approved and signed by
  the Governor on June 24, 2008 - went into effect
  on July 1, 2008
• Policy manuals affected have been updated to
  reflect changes in services and are available on
  the DMAS website
• MFP Appendix has been added to the policy manuals
• Medicaid Memo sent to all HCBC Providers, MCOs,
  AAAs, CSBs, Local DSS, and CILs on June 11, 2008

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MFP DemonstrationOperational Items - Training

• Transition coordination provider agency
  recruitment training
• Recorded WebEx available at
• http//dmas.webex.com click on recorded
  sessions
• Training on the new services is completed
• Five in-class sessions across the Commonwealth
• Training on reimbursement of Transition Services
  with PPL has been completed
• Two in-class sessions in Richmond and Roanoke
• Two WebEx sessions

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MFP DemonstrationOperational Items Back-up Plan

• Tier 1 Service Plan Backup- Providers
• Required to have backup provider for each service
• Tier 2  Informal Network
• Reaches out to the participant family, friends,
  and neighbors to provide interim supports
• Tier 3 24-hour Response System
• Call the toll-free call center, 2-1-1 Virginia
• Tier 4 Extreme Emergency
• An immediate crisis involving a threat to your
  health, safety, or life, call 911

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MFP DemonstrationOperational Items Provider
Recruitment

• Transition Coordination Provider Agency
  Recruitment
• As of October 17, 2008
• 19 Enrolled Providers across the Commonwealth
• 8 AAAs
• 7 CILs
• 3 Private, Non-Profit
• 1 Community Service Board

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MFP DemonstrationOperational Items - Enrollment

• As of October 17, 2008
• EDCD Waiver
• One MFP Participant residing in the community
• MR Waiver
• 5 MFP Participants enrolled awaiting transition
  to the community

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MFP Demonstration

• Thank you
• Questions?