Money Follows the Person Demonstration Project in New Jersey

1. Money Follows the Person Demonstration 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 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 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 do 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 Vehicle modification Peer & Family Mentor Housing Specialist Job Development Specialist 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 cleaningCommunity 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

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 WHY MFP? The extra $$ NJ receives as a result of MFP must be re-invested back into community based services. It cannot go back into the NJ General Fund. WHY MFP? The extra $$ NJ receives as a result of MFP must be re-invested back into community based services. It cannot go back into the NJ General Fund.

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