Moving Home Minnesota A New Transition Solution A Federal Money Follows the Person Rebalancing Demonstration June 2013

Agenda Overview and background Violet’s Story Ellen’s Story Summary Question and Answer

Learning Objectives After this training you will be able to describe and identify: –The goals of Moving Home Minnesota –The eligibility criteria of Moving Home Minnesota –The role of a transition coordinator –The enrollment process.

What is Money Follows the Person? Federal Medicaid demonstration project Assists individuals with transitions from nursing homes or institutions to community living Authorized by Congress through passage of the 2005 Deficit Reduction Act Allows states to develop, implement and evaluate demonstration and supplemental services not otherwise covered by the state’s HCBS waivers

What is Moving Home Minnesota? Moving Home Minnesota is the name for Minnesota’s Money Follows the Person Demonstration project

Goals of Moving Home Minnesota Increase the use of home- and community- based long term care services, Eliminate barriers that prevent or restrict flexible use of Medicaid funds for necessary long term care services in the settings reflecting individual choice, and Increase the ability to assure continued community-based long term care services to eligible individuals after transition.

Mission Statement Creating choice and opportunity for Minnesotans to move from institutions to homes and communities, live more independently, and enhance the quality of their own lives.

Why Moving Home Minnesota? Cost effective Increased quality of life for participants Systems- wide momentum Federal demonstration project Olmstead planning Medicaid reform Community Living Honor choice

Moving Home Minnesota and Related Initiatives Other programs –Relocation Service Coordination –Return to Community –Housing Access Services How Moving Home Minnesota is different: –Coordinated effort –Access to enhanced services –Potential for follow-up

Moving Home Minnesota Vernacular Transition Coordinator Demonstration Services Supplemental Services Person Centered Plan

Meet Violet

Individual Eligibility Requirements All age groups One or more qualified institutions –90 consecutive days –Excludes Medicare rehabilitative days Medical Assistance has paid for at least 1 day of institutional care prior to discharge. Resident of Minnesota

Moving Home Minnesota Qualified Institutions Hospitals Nursing facilities Intermediate Care Facilities for People with Developmental Disabilities (ICF/DD) Institutions for people with mental diseases (participants under 21 or 65 years of age or older).

Qualified Community Residence Single-family home owned or leased by the individual or the individual’s family member; 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; or Residence in a community-based residential setting, in which no more than 4 unrelated individuals reside.

How to Access Moving Home Minnesota Phone –Senior LinkAge Line® –Disability Linkage Line® –Managed Care Coordinator –Case Manager Fax – Mail –PO Box St. Paul, MN Online (available in the future)

Enrollment Process Participant identified Complete form INTAKE DHS reviews eligibility Notifies lead agency VERIFICATION Meet with transition coordinator Informed consent ENROLLMENT

Recruitment Strategies Letters to potential participants –Identified through MDS/MMIS data using MFP criteria Referrals from facilities (including Section Q) Referrals from providers and lead agencies –Long-term care consultation

What is the role of a Transition Coordinator? Someone with experience relocating people who use services. Identified by the lead agency Transition Coordinator is a term used by MFP programs across the country.

Potential Transition Coordinators Managed Care Organization Care Coordinator Lead agency case manager Another professional designated by the lead agency. This professional needs to meet the minimum qualifications of an RSC

Transition Coordinator Responsibilities Facilitate person centered transition planning Understand demonstration services and other community services/supports and how to access Collaborate with person’s existing supports

Transition Coordinator Responsibilities, cont. Explore and identify housing options Inform participant of their rights Assist with preparation of needed documentation Help create 24-hour emergency back-up plan

Communication with DHS and Transition Coordinators DHS Receive forms Determine eligibility based on criteria Inform designated County/MCO contacts of eligible participants Transition Coordinators Complete informed consent with eligible participants Forward signed Informed Consent to DHS Notify DHS about discharge plans and successful transitions

Purpose of Communication Alert county of eligibility Currently there is no eligibility type in MMIS for Moving Home MN DHS must receive notification of transition date to enter into MMIS Tracking and referral for 90 day follow up to 5 years Tracking of housing type for enrollment changes Demonstration requires follow up and evaluation

Meet Ellen

Olmstead: Housing as a Continuum Institutional Most restrictive Least integrated Dependent Community Least restricted Most integrated Independent Factors impacting choice Individual-based Preferences Level of support needed Resources (income and support) Community-based Availability of options Availability of supports Affordability GOAL

How did Ellen Move Home? Person Centered Plan DD waiver services Moving Home MN Demonstration and Supplemental Services –not otherwise covered by the state’s HCBS waivers or the State Plan –Support participants in transition –Assist them in developing and maintaining stability in the community –Services work in conjunction with HCBS waivers and state plan services

Person Centered Plan Components Focus: What’s important to the person? What’s important for the person to keep them healthy and safe? Individualized Risk Mitigation and emergency back up plan

Ellen’s Person Centered Plan –Strategies for managing her mood and periodic aggression –Consultation and Collaboration –1:1 staffing in community through waiver Supportive Living Services (SLS) –Door alarm so staff/family know when leaves –YMCA membership for regular light workouts (accompanied by staff) to assist with anger management

Risk Assessment and Mitigation Required components of the demonstration –Assessment of risks associated with community living for each individual –Plan to mitigate the risks –Acknowledgement of the risks and the plan by the person, planning team members and others

Risk Mitigation Plan Factors Community Connectedness –Family & Friends –Leisure/Social Activities –Financial –Self-advocacy Access –Transportation –Employment –Informal support network –Paid supporters Health and Medical Safety –Emergency Back-up plan –Medications –Contact information –Mental Health History –Substance Abuse or Use –Critical Dependencies

Moving Home Minnesota Services Can be utilized with Home and Community Based Service waivers and state plan services Also available to those under the age of 65 in lieu of a waiver Demonstration and supplemental services available to person for 12 months after transition

Demonstration and Supplemental Services for All Populations Transition Planning and Transition Coordination Services Comprehensive Community Support Services Pre and Post -Discharge Case Consultation and Collaboration Night Supervision Environmental modifications Personal emergency response systems Durable Medical Equipment and Assistive technology Non-medical transportation Membership fees (Supplemental) Tools, clothing and equipment (Supplemental)

Demonstration and Supplemental Services for Specific Populations Ages 0-21 Psychoeducation Services Respite Services Youth Assertive Community Treatment Under Age 65 Certified Peer Specialist (CPS) Supported Employment Services Ages 65+ Caregiver Education

Changes in Enrollment Changes in enrollment in Moving Home Minnesota can occur when: Person leaves qualified residence Person returns to an institution (suspension) Demonstration period ends (12-months post- discharge) Participants decides to end involvement

Re-institutionalization Less than 30 days - Remains on Moving Home MN More than 30 days - Moving Home MN services are suspended until the participant returns to the community

Follow Up and Evaluation Data from MFP states are part of a national evaluation conducted by Mathematica Each participant will receive face-to-face surveys and follow-up by Vital Research regarding services –Prior to discharge –At 11 months, and –At 24 months Participants will be able to receive follow up calls every 90 days for up to five years 38

Summary Moving Home Minnesota Goals –Simplify and improve effectiveness of transition services –More consistent individualized approaches to HCBS to better serve those with complex needs –Increase stability by strengthening community connections –Decrease reliance on institutional care

Questions