Money Follows the Person Working Group

1. Money Follows the Person Working Group November 12th, 2010

2. Agenda • Money Follows the Person process flow • Transition Coordination • Transition Services • Next Meeting and Timelines

3. Reminder of opportunity and challenge framework: • Opportunities: • enhanced federal funding for HCBS services • 365 days for qualified individuals • certain administrative costs paid 75-100% with federal dollars • Personnel • IT • Qualified individuals • resided in qualified institutions for 90 days • stay is paid by Medicaid at the time of transition • move to qualified community residences • Challenges: • uncertain fiscal environment

4. Review of draft MFP Process Flow

5. Framework for discussion of Transition Coordination • Definition: standardized set of administrative activities that assist a qualified individual to transition • Processes, and roles and responsibilities of staff and agents performing the functions will evolve over the course of the Grant • State agencies and their agents will continue to manage Transition Coordination processes that support a broader range of members • Today’s focus = qualified MFP members

6. Transition Coordination Tasks • Transition Coordination tasks may include: • Assessment of service needs • non-medical supports • medical supports • Identification of delivery system options • community-based support services • community medical providers • Securing access to public benefits • Development of plans for social activities

7. Transition Processes in MA • Given the potential for new resources, how do we: • Enhance our current coordination work to: • improve success? • reach populations not currently assisted? • Prioritize or stage enhancements? • Enhance IT and data collection? • Measure Transition Coordination effectiveness? • Handle member complaints about Transition Coordination processes? • Determine which processes should be modified, including: • prior authorization • procedural or regulatory processes

8. Transitional Assistance Components • Transitional assistance services described in CF 1115 waiver application, and included in existing HCBS waivers • Previous stakeholder input process • Can be provided: • up to 180 days prior to discharge; and • 365 days following discharge • Housing Coordination • Coordination of efforts to obtain available, affordable and accessible housing for participants

9. Transitional Assistance Components • Transitional Assistance Services include such components as: • Non-recurring set-up expenses • security deposits for lease on an apartment or home • essential household furnishings • moving expenses • window coverings, food preparation items, and bed/bath linens • set-up fees or deposits for utility or service access, including: • telephone • electricity • heating • water • services necessary for health and safety such as: • pest eradication • one-time cleaning prior to occupancy • As well as…

10. Transitional Assistance Components • Necessary home accessibility adaptations and/or vehicle modification • Adaptive equipment, assistive technology • Peer support • Activities to assess need, arrange for and procure needed resources: • individual support • transportation • Service animals • Family support/training • Community re-integration, including: • pre-discharge community visits • specialized services

11. Transitional Assistance Components • Supplemental or Demonstration Services that other MFP States have added, include: • 24-hour personal care services • housing locator or roommate matching services • trial visits to res hab • telehealth monitoring or reminders • substance abuse treatment (being tested – Texas) • cognitive adaptive training (being tested – Texas)

12. Questions • Consider other components of transitional assistance services? • Are some elements more critical than others?

13. Next Meeting • The next meeting is scheduled for: December 3rd, 2010 2 PM – 4 PM France Conference Room UMass Medical School 333 South Street, Shrewsbury