1. 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

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

3. Money Follows the Person in WA
Aging and Disability Services Administration
Transitioned to date:
Home & Community Services (HCS)
(Seniors & Adults with Disabilities):
Division of Developmental Disabilities (DDD):
Division of Behavioral Health and Recovery (DBHR):
TOTAL
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

4. 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

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

7. RCL Administrative
Staff

8. 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

9. Steering Committee

10. 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

11. 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

12. 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.

13. Washington State MFP Project Director:
Liz Prince
Debbie Blackner

14. 2011 Money Follows the Person Summit
Baltimore, MD
October 17, 2011
Kristi R. Plotner, LCSW
Director, Policy, Planning & Development
Mississippi Medicaid

15. 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

16. 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

17. 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

19. 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

20. Project Staff Kristi Plotner, LCSW- Project Director
Jennifer Fulcher- Assistant Project Director
Molly Parker- Special Projects
Housing Resource Development