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Money Follows the Person Demonstration Project in New Jersey

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

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Money Follows the Person Demonstration Project in New Jersey

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  1. Money Follows the Person Demonstration Projectin 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

  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.

  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

  4. What is special about MFP? • 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

  5. NJ’s MFP Services: What do you Get? • Qualified HCBS: 75% match • Demonstration Services: 75% match • Supplemental Demonstration Services: 50% match

  6. Qualified HCBS Services (Waivers)

  7. Demonstration Services • Vehicle modification • Peer & Family Mentor • Housing Specialist • Job Development Specialist

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

  9. Eligibility Requirements for MFP • 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

  10. NJ’s MFP: Who Qualifies? • Qualified Individuals and Institutions: • 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? • 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. • ASSISTED LIVING FACILITIES DO NOT QUALIFY FOR MFP!

  12. MFP Gives Consumers… • 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

  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 • There is always the option to return to the nursing home or developmental center

  14. The Bottom Line – Why MFP? • 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 long-term care system of the future where there is a greater emphasis on home and community based services

  15. For More Information • Call the Division of Aging and Community Services’ Office of Global Options for Long-Term Care/Quality Management at (609) 943-4984 and ask for Suzanne Watson. • 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.

  16. 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

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