Partnership for Community Integration

1. Partnership for Community Integration Iowa’s Money Follows the Person Grant Appendix C-6

2. What is Money Follows the Person? • A $51 million, five year grant from CMS • To provide opportunities for 528 people to move out of Iowa’s ICF/MR facilities to independent settings of their choice. • Grant funds the transition services and extra supports needed for the first year after they transition into the community. Appendix C-6

3. Individuals Eligible for Assistance • Must be living in an ICF/MR for at least six months • Primary age targeted will be 16 to 45 years old, but all age groups are eligible. • Must express an interest in moving out of the ICF/MR. Appendix C-6

4. Project AdministrationIowa Department of Human Services • Iowa Medicaid Enterprise manages the project (as required by CMS • Consultation with the Division of Mental Health and Disability Services of DHS Appendix C-6

5. Five Year Project • 2007: Pre-implementation phase - policy development with stakeholder participation • 2008: 75 people transitioned • 2009: 113 people transitioned • 2010: 151 people transitioned • 2011: 189 people transitioned Appendix C-6

6. First Year Activities Planning activities have included: • Monthly planning sessions with stakeholders • Drafting of a proposed transition process, informational materials, staff position descriptions and training curriculum, etc. • Identification of new services needed to sustain individuals once they have transitioned, including crisis intervention and behavioral programming Appendix C-6

7. Consultation with a broad stakeholder base during planning : • Consumers and family members • County CPC’s and Case Managers • ICF/MR owners and operators • Community providers • Disability advocates • State staff Appendix C-6

8. Important stakeholder recommendations • Transition specialists to work with consumers, families and the transition planning team • A consumer-centered planning process • Thorough assessment of need • Access to the Consumer Choices Option • Safeguards for informed consent • Partnership with Iowa Finance Authority to ensure a choice of qualified housing Appendix C-6

9. Why is project outreach important? • To make sure people know their options • To understand the barriers and how MFP can help address them • To address fears that consumers would lack sufficient supports outside the ICF/MR • To provide an opportunity for people to share their successful transition stories. Appendix C-6

10. What MFP offers individuals who decide to transition: • First year traditional and enhanced services in the community setting • After the first year, the individual has access to an HCBS Waiver. Appendix C-6

11. Traditional and enhanced services Include: • Supports equivalent to services offered in HCBS MR waiver • With legislative approval, increased access to mental health and crisis intervention services • Cost of setting up the new living arrangements Appendix C-6

12. Other benefits under MFP: • The project covers the cost of training community provider staff to respond to the needs of individuals transitioning • Transition planning teams will look at ways to promote community participation and reduce social isolation Appendix C-6

13. Individuals may access their services through: • Traditional Medicaid service providers • HCBS service providers • Consumer Choices Option with an individualized budget. Appendix C-6

14. Iowa Medicaid Enterprise looks forward to this exciting opportunity for individuals to actively choose where they want to live and the type of supports they will need. Questions? Appendix C-6

15. For More Information Link ToIME’s Web Page For: • The Money Follows The Person Grant and Updates at http://www.ime.state.ia.us/reportsPublic Actions/index.html Appendix C-6