Money Follows the Person Demonstration 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

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.

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

What is special about MFP? Its an opportunity to receive special services and supports to help in moving out of the institution and to get started in a community setting It means entry into a Medicaid funding program that will continue services and supports after the first year The same public funds that pay for services in the institution will pay for services in the community– and service providers may be changed

NJs MFP Services: What do you Get? Qualified HCBS: 75% match Demonstration Services: 75% match Supplemental Demonstration Services: 50% match

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

Demonstration Services Vehicle modification Peer & Family Mentor Housing Specialist Job Development Specialist

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

Eligibility Requirements for MFP Consumers must choose to be in MFP 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 willing to move to a qualified residential setting After the move, consumers must be willing to be interviewed and followed by program administrators to see how they are doing, ensure safety and learn from the experience to serve people even better in the future

NJs MFP: Who Qualifies? Qualified Individuals and Institutions: Minimum residence in institution: 6 months. 18+ with developmental disabilities living in a State Developmental Center. 65+ living in a Nursing Facility. 18 – 64 with a physical disability living in a Nursing Facility.

What qualifies in New Jersey as a community setting for MFP? Qualified Community Residence A home owned or leased by the individual or the individual's family member; 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; 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!

MFP Gives Consumers… Participation in a growing 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 Ability to help the government and service providers learn how to best serve individuals in the community

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 is a backup protection system to help consumers There is always the option to return to the nursing home or developmental center

The Bottom Line – Why MFP? New Jersey will receive a larger Medicaid match under MFPfor every dollar NJ spends, it will get back 75 cents from the federal government (versus 50 cents) 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

For More Information Call the Division of Aging and Community Services Office of Global Options for Long- Term Care/Quality Management at (609) and ask for Suzanne Watson. Call the Division of Aging and Community Services Office of Community Choice Options to speak to a Community Choice Counselor at

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