Presentation is loading. Please wait.

Presentation is loading. Please wait.

Money Follows the Person Demonstrations Project in New Jersey A Training for Professionals A collaboration with the Department of Human Services Divisions.

Similar presentations


Presentation on theme: "Money Follows the Person Demonstrations Project in New Jersey A Training for Professionals A collaboration with the Department of Human Services Divisions."— Presentation transcript:

1 Money Follows the Person Demonstrations Project in 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 NJs 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? Its an opportunity for individuals to receive services and supports to help them move from an institutional setting into a residence in the community. It means entry into a Medicaid funding program that must allow for continued services and supports beyond the initial year The same public funds that pay for services in the institution will pay for services in the community. The option to change service providers is available.

5 NJs MFP Services: What can you get? Qualified HCBS: 75% match Qualified HCBS: 75% match Demonstration Services: 75% match Demonstration Services: 75% match Supplemental Demonstration Services: 50% match Supplemental Demonstration Services: 50% match

6 Qualified HCBS Services (Waivers) Elderly (DHSS) - Care mgmt. -Homemaker -Respite -Env. Accesibility adaptations -Spec. medical equip/supplies -Chore -PERS -Attendant care -Home delivered meals -Caregiver/recip. training -Social adult day -Home-based supportive care -Transportation -Community transition services -Transitional care management -Assisted Living program -Adult family care -Adult day health -Personal care assistant -Home health -Hospice -Medical supplies/equipment -Rehab services -Medical transportation MR/DD (DDD) -Case mgmt. -Habilitation services -Individual supports -Env./vehicle access. adapt. -PERS -Respite care -ITN -Supported day program -Personal care asst. -Transportation -Private duty nurse (EPSDT) -Adult day health -Hospice Physical Disability (DDS) - Care mgmt. -Private duty nursing -Private duty nursing (EPSDT) -Adult day health -Hospice -Drug abuse treat. at home -Pediatric comm. transitional home -Spec. home scvs provider supervision -Personal care assistant -Env. acces. Adapts -Community transitional services -Counseling behav. & drug -Community residential service -Cognitive rehab. therapy -Therapies by CRS -Behavioral programs -Structure day program -Supported day program -Respite care -Night supervision -Chore services -PERS -Medical supplies/equip. -Companion service -Hospice -Medical transportation

7 Demonstration Services Peer/family mentors Peer/family mentors Individual Goods and Services Individual Goods and Services 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 cleaning) 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 cleaning) Assistive Technology Devices Assistive Technology Devices Support Coordination Support Coordination

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

9 Eligibility Requirements for MFP The consumer (in conjunction w/ Interdisciplinary Team): Must agree to be in MFP Must agree to be in MFP Must have been in an institution for at least six months 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 on Medicaid for at least 30 days prior to discharge Must be willing to move to a qualified residential setting Must be willing to move to a qualified residential setting After the move, consumers must be willing to be interviewed and contacted by program administrators to see how they are doing, ensure safety and learn from the experience in order to provide the best services possible. After the move, consumers must be willing to be interviewed and contacted by program administrators to see how they are doing, ensure safety and learn from the experience in order to provide the best services possible.

10 NJs MFP: Who Qualifies? Qualifications for Participation: Qualifications for Participation: Minimum residence in institution: 6 months. Minimum residence in institution: 6 months. 18+ with developmental disabilities living in a State Developmental Center. 18+ with developmental disabilities living in a State Developmental Center. 65+ living in a Nursing Facility. 65+ living in a Nursing Facility. 18 – 64 with a physical disability 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? Individual must move into a qualified residence: 1. A home owned or leased by the individual or the individual's family member 2. 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 3. 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! ASSISTED LIVING FACILITIES DO NOT QUALIFY FOR MFP!

12 MFP Gives Consumers… A chance to participate in a growing program based on a 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 A chance to participate in a growing program based on a 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 An opportunity to help the government and service providers learn how to best serve individuals in the community An opportunity 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 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 (24 hr. on call system, substitute staff, etc.) There is a backup protection system to help consumers (24 hr. on call system, substitute staff, etc.) If efforts to secure the appropriate supports are unsuccessful, there is the option to return to the nursing home or developmental center If efforts to secure the appropriate supports are unsuccessful, there is the option to return to the nursing home or developmental center

14 The Bottom Line – Why MFP? Currently, New Jersey receives 50 cents for every dollar it spends, under MFP NJ will receive a larger Medicaid match of 75 cents from the federal government Currently, New Jersey receives 50 cents for every dollar it spends, under MFP NJ will receive a larger Medicaid match of 75 cents from the federal government Medicaid match money from federal government is required to go back into state budget for home and community based services Medicaid match money from federal government is required to go back into state budget for home and community based services Its 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 Its 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 Support Coordinations Role in MFP The Division of Developmental Disabilities (DDD) focus on Person Centered Planning has led to the adoption of a process called Support Coordination. The Division of Developmental Disabilities (DDD) focus on Person Centered Planning has led to the adoption of a process called Support Coordination. DDD has partnered with community agencies to implement this new approach to finding resources, services and supports within the community. DDD has partnered with community agencies to implement this new approach to finding resources, services and supports within the community. Individuals who live in Developmental Centers now have the opportunity to participate in the support coordination process to achieve the desired residential outcomes, when possible. Individuals who live in Developmental Centers now have the opportunity to participate in the support coordination process to achieve the desired residential outcomes, when possible.

16 Support Coordination means.. Unique Individualized Planning thats Person Centered Information to make Informed Choices about the Supports & Services You Need Control of the Resources to buy just what you need and none of what you dont Support from a knowledgeable, experienced Team to help you work through the tough stuff Mentors who will share their experiences and be supportive and respectful of yours Education & Networking Opportunities on this new way of planning, new housing options, and other critical components to make a change successfully

17 For More Information Call any of the following Support Coordination agencies: Call any of the following Support Coordination agencies: Caregivers of New Jersey Caregivers of New Jersey (877) (877) Values Into Action Values Into Action (609) (609) Neighbours, Inc. Neighbours, Inc. (609) (609)

18 For More Information NJ Money Follows the Person Project Director: Joe Bongiovanni NJ Division of Developmental Disabilities (609)


Download ppt "Money Follows the Person Demonstrations Project in New Jersey A Training for Professionals A collaboration with the Department of Human Services Divisions."

Similar presentations


Ads by Google