Transcript Money Follows the Person Demonstration Project in New Jersey — A Training for Professionals — A collaboration with the Department of Human Services’ Divisions of.

Money Follows the Person
Demonstration Project
in New Jersey
— A Training for Professionals —
A collaboration with the Department of Human
Services’ Divisions of Developmental Disabilities,
Disability Services, and
Medical Assistance and Health Services; and the
Department of Health and Senior Services’
Division of Aging and Community Services
What is Money Follows the Person?
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MFP was begun by the federal government
so it can learn from people who want to
move from an institution (either a nursing
home or a developmental center) to
community-based options.
A CMS demonstration project to assist
states in rebalancing Medicaid Long Term
Care Systems
New Jersey was one of the states selected
by the federal government.
NJ’s MFP Plan: The Big Picture
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Demonstration Period – 5/14/07 to
9/30/11.
5-Year Projected Transitions=587
individuals
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325 developmentally disabled individuals
175 older adults
89 physically disabled individuals
Provides enhanced Federal Medicaid
match of 75% FMAP for one year post
discharge from an institutional setting
Total budget project is $48,915,863
What is special about MFP?
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It’s an opportunity to receive special
services and supports to help in moving
out of the institution and to get started in
a community setting
It means entry into a Medicaid funding
program that will continue services and
supports after the first year
The same public funds that pay for
services in the institution will pay for
services in the community– and service
providers may be changed
NJ’s MFP Services: What do you Get?
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Qualified HCBS: 75% match
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Demonstration Services: 75% match
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Supplemental Demonstration Services:
50% match
Qualified HCBS Services (Waivers)
Elderly (DHSS)
-Care mgmt.
-Homemaker
-Respite
-Env. Accesibility adaptations
-Spec. medical equip/supplies
-Chore
-PERS
-Attendant care
-Home delivered meals
-Caregiver/recip. training
-Social adult day
-Home-based supportive care
-Transportation
-Community transition services
-Transitional care management
-Assisted Living program
-Adult family care
-Adult day health
-Personal care assistant
-Home health
-Hospice
-Medical supplies/equipment
-Rehab services
-Medical transportation
MR/DD (DDD)
-Case mgmt.
-Habilitation services
-Individual supports
-Env./vehicle access.
adapt.
-PERS
-Respite care
-ITN
-Supported day
program
-Personal care asst.
-Transportation
-Private duty nurse
(EPSDT)
-Adult day health
-Hospice
Physical Disability (DDS)
-Care mgmt.
-Private duty nursing
-Private duty nursing (EPSDT)
-Adult day health
-Hospice
-Drug abuse treat. at home
-Pediatric comm. transitional home
-Spec. home scvs provider supervision
-Personal care assistant
-Env. acces. Adapts
-Community transitional services
-Counseling behav. & drug
-Community residential service
-Cognitive rehab. therapy
-Therapies by CRS
-Behavioral programs
-Structure day program
-Supported day program
-Respite care
-Night supervision
-Chore services
-PERS -Medical supplies/equip.
-Companion service
-Hospice -Medical transportation
Demonstration Services
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Vehicle modification
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Peer & Family Mentor
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Housing Specialist
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Job Development Specialist
Supplemental Demo Services
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Environmental Assessment
(occupational) for Individuals
with Disabilities
1x Groceries
1x Clothing
Eligibility Requirements for MFP
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Consumers must choose to be in MFP
Must have been in an institution for at least six
months
Must be on Medicaid for at least 30 days prior to
discharge
Must be willing to move to a qualified residential
setting
After the move, consumers must be willing to be
interviewed and followed by program
administrators to see how they are doing, ensure
safety and learn from the experience to serve
people even better in the future
NJ’s MFP: Who Qualifies?
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Qualified Individuals and Institutions:
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Minimum residence in institution: 6
months.
18+ with developmental disabilities living
in a State Developmental Center.
65+ living in a Nursing Facility.
18 – 64 with a physical disability living in
a Nursing Facility.
What qualifies in New Jersey as a
community setting for MFP?
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Qualified Community Residence
• A home owned or leased by the individual or the
individual's family member;
• An apartment with an individual lease, with lockable
access and egress, and which includes living, sleeping,
bathing, and cooking areas over which the individual
or the individual's family has domain and control;
• A residence, in a community-based residential setting,
in which no more than 4 unrelated individuals reside.
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ASSISTED LIVING FACILITIES DO NOT QUALIFY
FOR MFP!
MFP Gives Consumers…
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Participation in a growing conviction that
people prefer to live in community settings
that allow more independence,
opportunities to join in community life,
and connections with friends and family
Ability to help the government and service
providers learn how to best serve
individuals in the community
Professionals are always there…
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There will be back-up services and
supports to check in with consumers and
the provider agencies for safety and
customer satisfaction issues
There is a backup protection system to
help consumers
There is always the option to return to the
nursing home or developmental center
The Bottom Line – Why MFP?
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New Jersey will receive a larger Medicaid
match under MFP—for every dollar NJ
spends, it will get back 75 cents from the
federal government (versus 50 cents)
Medicaid match money from federal
government is required to go back into
state budget for home and community
based services
It’s an opportunity to help build the longterm care system of the future where
there is a greater emphasis on home and
community based services
For More Information
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Call the Division of Aging and Community
Services’ Office of Global Options for LongTerm Care/Quality Management at (609)
943-4984 and ask for Suzanne Watson.
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Call the Division of Aging and Community
Services’ Office of Community Choice
Options to speak to a Community Choice
Counselor at 1-877-856-0877.
For More Information
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NJ Money Follows the Person Project
Director:
Joe Bongiovanni
NJ Division of Developmental
Disabilities
(609) 631-6392
[email protected]