Money Follows the Person Demonstrations Project in New Jersey

1. Money Follows the Person Demonstrations Projectin New Jersey

2. What is Money Follows the Person? 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. Collaborative Effort between DDD, DDS, DACS, DMAHSCollaborative Effort between DDD, DDS, DACS, DMAHS

3. NJ’s MFP Plan: The Big Picture Demonstration Period – 5/14/07 to 9/30/11. 5-Year Projected Transitions=587 individuals 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 Institutional Setting: IN NJ = SNF or ICF/MR. Prescribed by CMS requirements. MFP OP Submitted 4/15/08 – awaiting CMS comments. Projected implementation date = 7/1/08. 75% on HCBS and Demonstration Category Services. 50% percent match for Admin. Costs & Supplemental Demonstration Category Services. Institutional Setting: IN NJ = SNF or ICF/MR. Prescribed by CMS requirements. MFP OP Submitted 4/15/08 – awaiting CMS comments. Projected implementation date = 7/1/08. 75% on HCBS and Demonstration Category Services. 50% percent match for Admin. Costs & Supplemental Demonstration Category Services.

4. What is special about MFP? It’s an opportunity for individuals to receive services and supports to help them move from an institutional setting into a residence in the community. It means entry into a Medicaid funding program that must allow for continued services and supports beyond the initial year The same public funds that pay for services in the institution will pay for services in the community. The option to change service providers is available. 1st Bullet: Person will be enrolled in MFP and receive services offered through MFP for one year post discharge from an institution. 1st Bullet: Person will be enrolled in MFP and receive services offered through MFP for one year post discharge from an institution.

5. NJ’s MFP Services: What can you get? Qualified HCBS: 75% match Demonstration Services: 75% match Supplemental Demonstration Services: 50% match MFP participants will enter the wavier program that most appropriately meets their needs as identified in the discharge planning process ON DAY ONE of discharge from the institution. Qualified HCBS – 75% FMAP for one year post discharge. Existing waiver programs and Medicaid State Plan Services in NJ. Demonstration Services – 75% FMAP One year in length for the person. – Could be Housing Development Specialist, Peer & family Mentors Supplemental Demonstration Services – 50% FMAP One time costs – appliance purchase, modified vehicle, security deposit for apartment,. MFP participants will enter the wavier program that most appropriately meets their needs as identified in the discharge planning process ON DAY ONE of discharge from the institution. Qualified HCBS – 75% FMAP for one year post discharge. Existing waiver programs and Medicaid State Plan Services in NJ. Demonstration Services – 75% FMAP One year in length for the person. – Could be Housing Development Specialist, Peer & family Mentors Supplemental Demonstration Services – 50% FMAP One time costs – appliance purchase, modified vehicle, security deposit for apartment,.

6. Qualified HCBS Services (Waivers)

7. Demonstration Services Peer/family mentors Individual Goods and Services Community Transition Services: For those who are not permitted under the regular waiver program. (i.e., Security Deposits Utility set-up/installation, Furnishing, Moving expenses,1x cleaning) Assistive Technology Devices Support Coordination

8. Supplemental Demo Services Environmental Assessment (occupational) for Individuals with Disabilities 1x Groceries 1x Clothing

9. Eligibility Requirements for MFP The consumer (in conjunction w/ Interdisciplinary Team): Must agree 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 contacted by program administrators to see how they are doing, ensure safety and learn from the experience in order to provide the best services possible.

10. NJ’s MFP: Who Qualifies? Qualifications for Participation: 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.

11. What qualifies in New Jersey as a community setting for MFP? Individual must move into a qualified 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 ASSISTED LIVING FACILITIES DO NOT QUALIFY FOR MFP!

12. MFP Gives Consumers… A chance to participate in a growing program based on a 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 An opportunity to help the government and service providers learn how to best serve individuals in the community

13. Professionals are always there… 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 (24 hr. on call system, substitute staff, etc.) If efforts to secure the appropriate supports are unsuccessful, there is the option to return to the nursing home or developmental center

14. The Bottom Line – Why MFP? Currently, New Jersey receives 50 cents for every dollar it spends, under MFP NJ will receive a larger Medicaid match of 75 cents from the federal government 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 long-term care system of the future where there is a greater emphasis on home and community based services WHY MFP?? The extra $$ that NJ receives as a result of MFP must be re-invested back into community based services. The money cannot go back into the NJ General Fund. WHY MFP?? The extra $$ that NJ receives as a result of MFP must be re-invested back into community based services. The money cannot go back into the NJ General Fund.

15. Support Coordination’s Role in MFP The Division of Developmental Disabilities’ (DDD) focus on Person Centered Planning has led to the adoption of a process called Support Coordination. DDD has partnered with community agencies to implement this new approach to finding resources, services and supports within the community. Individuals who live in Developmental Centers now have the opportunity to participate in the support coordination process to achieve the desired residential outcomes, when possible.

16. Support Coordination means.. Unique Individualized Planning that’s Person Centered Information to make Informed Choices about the Supports & Services You Need Control of the Resources to buy just what you need and none of what you don’t Support from a knowledgeable, experienced Team to help you work through the tough stuff Mentors who will share their experiences and be supportive and respectful of yours Education & Networking Opportunities on this new way of planning, new housing options, and other critical components to make a change successfully

17. For More Information Call any of the following Support Coordination agencies: Caregivers of New Jersey (877) 265-6360 Values Into Action (609) 985-6801 Neighbours, Inc. (609) 275-0606

18. For More Information NJ Money Follows the Person Project Director: Joe Bongiovanni NJ Division of Developmental Disabilities (609) 631-6392 Joe.Bongiovanni@dhs.state.nj.us