Establishing an Effective MFP Management Organization Liz Prince, Project Director, Washington State MFP Kristi Plotner, Office Director for Policy, Planning and Development, Mississippi Division of Medicaid

Liz Prince, Project Director WASHINGTON MFP PROGRAM Liz Prince, Project Director

Money Follows the Person in WA Aging and Disability Services Administration Transitioned to date: Home & Community Services (HCS) (Seniors & Adults with Disabilities): 1193 Division of Developmental Disabilities (DDD): 49 Division of Behavioral Health and Recovery (DBHR): 17 TOTAL 1259 MFP is housed in ADSA All populations in this administration Demonstration designed to allow each state to take their own next step towards rebalancing Each state’s demo looks different MFP has affected each system individually As well as changed the interaction and overlap of all of them I’ll be focusing on HCS: seniors, younger adults with disabilities

The Changing Population of Long Term Care The nursing home caseload has declined dramatically with the increase of community program options. Washington State Medicaid nursing home caseload: 1992=17,710 2010=11,229 The Changing Population of Long Term Care

Partners Collaborative team: Public Housing Authorities Family members Consumers Advocacy groups Public Housing Authorities Regional Support Networks Area Agencies on Aging

RCL Administrative Staff

Training: Standing Meetings: 1. Monthly conference calls: AAAs and HCS separate then together as needs changed 2. Face to face time 3. Road Tour 4. Webinars Standing Meetings: Field Services Administrators/RCL Staff Monthly Conference Calls Team Meeting Caseload Forecast Steering Committee

Steering Committee

Lessons Learned… Be a Team Listen to national webinars together Met weekly initially 2nd year: met as needed with specific purposes Increase visibility within the silos-cross attend meetings to introduce each other Put a face to the program Intensive upfront communication Role Delineation-don’t be afraid of allowing program to evolve

MFP Impact on HCS Spurs legislative support for additional transition funding: Washington Roads program Early Savings Bill Increases attention to longer stay NH clients Broadens contracting options to draw on expertise to address specialized care needs Increases emphasis on independent living settings/vouchers Encourages improvements in effectiveness and consistency of transition process

What services did we add? Community Choice Guide: Provides intensive one on one relocation support. Life Skills Consultation: Provides training to enhance participant’s ability to access community settings or health services.  Challenging Behavior Specialist: Targets direct interventions to decrease inappropriate or other behaviors that may compromise a participant’s ability to remain in the community. Transitional Mental Health Services: Short-term mental health services that may assist clients such as someone experiencing mild depression or anxiety successfully live in the community.

Washington State MFP Project Director: Liz Prince Prince@dshs.wa.gov 360-725-2561 Debbie Blackner Debbie.blackner@dshs.wa.gov 360-725-2557

2011 Money Follows the Person Summit Baltimore, MD October 17, 2011 Kristi R. Plotner, LCSW Director, Policy, Planning & Development Mississippi Medicaid

Our Perspective 2011 MFP Awardee Operational Protocol approved April 2011 Implementation expected end of this year Bridge to Independence 2006 CA-PRTF grant award Implemented MYPAC in 2007

Our Approach Evolving Process Lessons learned from CA-PRTF used in B2I Including stakeholders in decision making Including service partners in problem solving Team approach, very little 1:1 Regular check in Conference calls Webinars On-site visits Annual Mission training

Organizational Structure Division of Medicaid as operating agency State does not have umbrella agency Located within Health Services Bureau of Policy, Planning & Development Stakeholder Advisory Group Core group of decision makers Representative Self-disclosure of consumer status New Partnerships

Benefits and Challenges of Structure Medicaid agency is committed to getting claims to pay Ability to convene stakeholders from multiple perspectives Understanding of Medicaid regulations (stay within the lines) Able to get reporting right on the front end Challenges Not a service provider agency Housing- prior to B2I, not a Medicaid focus Getting fully staffed Competing priorities Role definition as payer and program developer

Project Staff Kristi Plotner, LCSW- Project Director 601-359-5241 kristi.plotner@medicaid.ms.gov Jennifer Fulcher- Assistant Project Director 601-359-4101 jennifer.fulcher@medicaid.ms.gov Molly Parker- Special Projects Housing Resource Development 601-359-9524 molly.parker@medicaid.ms.gov www.medicaid.ms.gov