Indiana FSSA Division of AgingIndiana FSSA Division of AgingEllen Burton
• Flexible financing for long term care
• Increased options for those in need of long term care.
• Largest demonstration program in CMS history
CMS Federal Initiative
HistoryHistory
HistoryHistory
•Individuals have a choice of where they live and receive services
•Strategic approach to providing person-centered, needs based quality of care and quality of life services
CMS Federal Initiative
• Transition program that helps people who wish to transition to the community
• Medicaid funds spent on home and community-based services when individuals move to the community
HistoryHistory
Two Part System
• Enhanced match to states through MFP program
• January 2007, Indiana was awarded funds to participate in MFP
HistoryHistory
Federal Funding
• Awarded $21,047,402 in 2007
• January 1, 2007 to September 30, 2011
MFP in IndianaMFP in Indiana
State Award
MFP in IndianaMFP in Indiana
• Year 1 & 2– Planning
• Year 3-5 - Implementation
Program Plan
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•Operational Protocol
•Contract with Indiana Association of Area Agencies on Aging (IAAAA) and Area Agencies on Aging (AAAs)
•Stakeholders
•Training
Planning
MFP in IndianaMFP in Indiana
• Potential Participants
• Transition
• Post Transition
Implementation
MFP in IndianaMFP in Indiana
•Identified by Minimum Data Set – Long Term Care (MDS-LTC) assessment tool as desiring to move back into the community
• Have lived in a qualified setting (nursing facility, hospital, etc.) for at least 6 months
Potential Participants
MFP in IndianaMFP in Indiana
• Medicaid eligible 30 days prior
• Eligible for one of two waiver services
Potential Participants
MFP in IndianaMFP in Indiana
•A&D•Individuals meeting nursing facility level of care, Medicaid eligible, & Aged (age 65+) or Disabled
• TBI•Individuals meeting nursing facility level of
care, Medicaid eligible, & Disabled and Traumatic Brain Injured
Waivers
MFP in IndianaMFP in Indiana
•AAAs will provide transition specialist (case manager) and transition nurse for transition period
• Transition Team: transition specialist, transition nurse, participant, legal guardian, family, etc.
Transition
MFP in IndianaMFP in Indiana
•Person centered planning based on participants goals
• Team coordinates all necessary supports for community setting
• Additional program services
• Qualified residence
Transition
MFP in IndianaMFP in Indiana
•$1500 Transition Assistance
• Personal Emergency Response System (PERS)
• Enhanced Transportation
Additional Services
MFP in IndianaMFP in Indiana
•The individual’s own home or family home
•An apartment with an individual lease, with lockable access and egress, and include living, sleeping, bathing, and cooking areas over which the individual or the individual's family has domain and control
Qualified Residence
MFP in IndianaMFP in Indiana
•A shared home with no more than four unrelated housemates;
•An adult foster care home where no more than four unrelated individuals reside.
Qualified Residence
MFP in IndianaMFP in Indiana
•Discharge checklist completed
• Individual chooses community case manager
• Move to community
Transition
MFP in IndianaMFP in Indiana
•Participants resides in community
• Receives necessary supports and services through MFP for 365 days
• Meets with case manager regularly
Post Transition
MFP in IndianaMFP in Indiana
•Day 366 – transition to waiver
• Seamless, transparent to client
• Continue to live in community, receiving necessary supports through the waiver
Post Transition
MFP in IndianaMFP in Indiana
•Participation in program can be suspended for hospitalization or rehab stays
• Does not count toward 365 days of program participation
• Suspension can last up to 30 days
Suspension
MFP in IndianaMFP in Indiana
•Goal: transition 1039 individuals over next 3.5 years
• Roughly 2000 individuals expressed interest and may be eligible
The Numbers
MFP in IndianaMFP in Indiana
The Numbers
Questions??Questions??
Ellen BurtonDirector, Money Follows the Person
Division of AgingFamily & Social Services
Administration317.234.5715
Contact Information