Indiana FSSA Division of Aging

1. Indiana FSSA Division of Aging Ellen Burton

2. History • 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

3. 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 History CMS Federal Initiative

4. 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 History Two Part System

5. Enhanced match to states through MFP program January 2007, Indiana was awarded funds to participate in MFP History Federal Funding

6. Awarded $21,047,402 in 2007 January 1, 2007 to September 30, 2011 MFP in Indiana State Award

7. Year 1 & 2– Planning Year 3-5 - Implementation MFP in Indiana Program Plan

8. Operational Protocol Contract with Indiana Association of Area Agencies on Aging (IAAAA) and Area Agencies on Aging (AAAs) Stakeholders Training MFP in Indiana Planning

9. Potential Participants Transition Post Transition MFP in Indiana Implementation

10. 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 MFP in Indiana Potential Participants

11. Medicaid eligible 30 days prior Eligible for one of two waiver services MFP in Indiana Potential Participants

12. 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 MFP in Indiana Waivers

13. AAAs will provide transition specialist (case manager) and transition nurse for transition period Transition Team: transition specialist, transition nurse, participant, legal guardian, family, etc. MFP in Indiana Transition

14. Person centered planning based on participants goals Team coordinates all necessary supports for community setting Additional program services Qualified residence MFP in Indiana Transition

15. $1500 Transition Assistance Personal Emergency Response System (PERS) Enhanced Transportation MFP in Indiana Additional Services

16. 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 MFP in Indiana Qualified Residence

17. A shared home with no more than four unrelated housemates; An adult foster care home where no more than four unrelated individuals reside. MFP in Indiana Qualified Residence

18. Discharge checklist completed Individual chooses community case manager Move to community MFP in Indiana Transition

19. Participants resides in community Receives necessary supports and services through MFP for 365 days Meets with case manager regularly MFP in Indiana Post Transition

20. Day 366 – transition to waiver Seamless, transparent to client Continue to live in community, receiving necessary supports through the waiver MFP in Indiana Post Transition

21. 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 MFP in Indiana Suspension

22. Goal: transition 1039 individuals over next 3.5 years Roughly 2000 individuals expressed interest and may be eligible MFP in Indiana The Numbers

23. MFP in Indiana The Numbers

24. Ellen Burton Director, Money Follows the Person Division of Aging Family & Social Services Administration 317.234.5715 Ellen.Burton@fssa.IN.gov Questions?? Contact Information