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THE “NO FRILLS” SLIDESHOW about NC MFP

THE “NO FRILLS” SLIDESHOW about NC MFP. What is MFP?. A beautifully simple concept…. An opportunity to support people to transition into their homes and communities. MFP: 2 Primary Purposes. Support the transition process Systems change: Increase Home and Community Based Services

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THE “NO FRILLS” SLIDESHOW about NC MFP

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  1. THE “NO FRILLS” SLIDESHOW about NC MFP

  2. What is MFP? A beautifully simple concept…. An opportunity to support people to transition into their homes and communities.

  3. MFP: 2 Primary Purposes • Support the transition process • Systems change: • Increase Home and Community Based Services • Eliminate Barriers • Continued Provision of Services • Quality Improvement If we only support people to transition, we’re only doing half our job.

  4. A Quick History Lesson • A Public Initiative and a Community Effort • 2005: MFP legislation • 2006: NC application • 2007: NC awarded • 2008: Protocol Approved • 2009: Transition services begin • To date, over 200 individuals have transitioned.

  5. MFP – Individual Level The MFP Demonstration Project willtransition qualified individuals from qualified inpatient facilities to qualified residences in the community. What does this mean?

  6. MFP – Individual Level “Qualified Individual” • Currently track three population groups: people with physical disabilities, people with I/DD and older adults. • Currently resides and has resided for at least three months in an inpatient facility (nursing facility, developmental center, ICF/MR, hospital) • Is receiving Medicaid benefits for inpatient services furnished by the inpatient facility, and • Continues to require the level of care provided by the inpatient facility.

  7. MFP – Individual Level Qualified facilities include: • Nursing facilities • Developmental Disability Centers (State Operated Centers) • Intermediate Care Facilities for Persons with Mental Retardation (ICFs/MR) • Acute Care Facilities • NOT Assisted Living Facilities

  8. MFP – Individual Level Qualified residences in the community include: • 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 that includes living, sleeping, bathing, and cooking areas over which the individual or the individual’s family has domain and control, and • A residence in a community-based setting in which no more than four unrelated individuals reside.

  9. NC MFP’s Benefits to the Individual… • CAP slot or PACE participation • Project pays for first year, becomes regular CAP slot afterwards. • Start up funding to assist in transitions • Broadly construed: furniture, ramps, services (like therapeutic consultation, staff training, etc.) • Additional case management • Transition coordination support

  10. Important Changes under ACA • Eligibility requirements for participation in MFP have been reduced from 6 months in a facility to 3 months (Medicare parameters exist). • Project funding available through 2016, to be used for services through 2019.

  11. A Quick Note about MDS 3.0 Section Q • MFP not authority/expert/point of contact for any part of MDS 3.0. • LCA structure and MDS call line funded by MFP infrastructure building dollars. • LCAs trained in MFP application processes, MFP one option that LCAs may provide during bedside visits to interested residents. • Nursing Facilities do not have to wait for MDS 3.0 to submit an application for MFP. You can do it at any time.

  12. How to Make an MFP Application

  13. NC MFP Application Information • Application forms available at: www.mfp.ncdhhs.gov • Anyone can submit a referral. • Referral takes about a week to process. • Submit to MFP Administrative Coordinator at: • Diane.upshaw@dhhs.nc.gov • Fax: 919-715-4159 • Really helpful information from facilities: • Current FL-2 status • Medicare Rehab Days • Face sheet/basic information

  14. PUT APPLICATION HERE

  15. The MFP Transition Process • Every transition is unique, facing different issues and different circumstances. • Transitions can take a few weeks to several months. • Not everyone transitions • Transitions are collaborative between MFP transition coordinators, participants, supports and facilities. • Person guides process.

  16. NC MFP Transition Process

  17. Partnering with Facilities • Transparent partnership • MFP doesn’t reduce facility discharge planner’s role or responsibilities. • Thank you! • Most facility staff have made the transition process stronger. • Some challenges: “meds” hand offs, philosophical differences about “transitionability.”

  18. Some of the Community-Based Challenges Observed • Community resources unable to meet participant’s needs. • Lack of affordable accessible housing • Deductible status • Lack of family support/caregiver fatigue • But despite this….

  19. What’s Working… • Kiddos are being reunited with their families. • Brothers and sisters are reconnecting. • Senior parents are coming home. • Preliminary Quality of Life survey findings are strong. • Collaboration is happening!

  20. Would you like additional information? Join the MFP Roundtable! Visit our website: www.mfp.ncdhhs.gov Give us a call: 855-761-9030

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