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Maryland’s Money Follows the Person Rebalancing Demonstration PowerPoint Presentation
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Maryland’s Money Follows the Person Rebalancing Demonstration

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Maryland’s Money Follows the Person Rebalancing Demonstration

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  1. Maryland’s Money Follows the Person Rebalancing Demonstration Maryland Medicaid Advisory Committee Stacey Davis March 26, 2007

  2. MFP Overview • Created as part of the Deficit Reduction Act (2005) • Maryland was among 17 states awarded funding in 2007 for this five year demonstration • Intended to help states “rebalance” their long-term care systems • Serve more people in the community and fewer people in institutions

  3. Demonstration Goals • Rebalancing • Increase the use of home and community-based, rather than institutional, long-term care services • Flexible funding • Eliminate barriers to the flexible use of Medicaid funds to provide eligible individuals support for long-term services in the setting of their choice • Sustainability • Ensure that long-term care services provided in a community setting are sustainable • Quality • Implement quality assurance and continuous quality improvement procedures for persons receiving home and community-based long-term care services

  4. Maryland’s Proposed Transitions ** Only approximately 80 individuals are currently eligible to participate in the Demonstration, as the remainder have fewer than six months continuous residency. Total Proposed Demonstration Transitions: 3091 (Will change based on the approved Operational Protocol)

  5. Funding • Initial award of $1 million for calendar year 2007 • Projected 5 year award: $67,155,856 • Enhanced match (75% Federal / 25% State) must be used towards demonstration goals and rebalancing • State will prioritize the use of funding during the development of the operational protocol • Stakeholders will be involved in developing priorities through workgroups

  6. The MFP Program • Creates a new program to offer enhanced services to individuals who transition from an institution to the community • Eligibility for MFP • Six months in an institution, at least one month of Medicaid eligibility • Participants must transition from a qualified institution to a qualified community residence • Maximum of four unrelated individuals in a single residence

  7. 6 months 365 days day 366 - ? Timeline for Participants Day of Discharge After 365 days in demonstration, the qualified HCBS package must continue through a waiver or State Plan Amendment

  8. Participating State Agencies • Mental Health Administration • Office of Health Care Quality • Developmental Disabilities Administration • Department of Aging • Department of Disabilities • Department of Human Resources • Department of Housing and Community Development

  9. Other Information • UMBC will assist in the development of the operational protocol • The State is required to hire a full-time project director • The State will create a process for stakeholder participation in the development of the operational protocol