Money Follows the Person

On October 5, 2006, Secretary of HUD, Alphonso Jackson wrote a \"Dear Executive Director\" letter to each Public Housing Authority regarding how Housing Authorities could implement both the Money Follows the Person legislation and the Presidents' New Freedom Initiative.

This Discussion Paper summarizes selected approaches for analyzing the cost effectiveness of nursing home transition/MFP projects. It identifies questions that should be asked about the cost effectiveness of nursing home transition projects, discusses each question, identifies available national and state data pertinent to the question, and shows how states have answered these questions.

This tool box is intended to synthesize information that is available from multiple sources about nursing home transition and Money Follows the Person (MFP) initiatives to help states prepare for the MFP Demonstration program created by the Deficit Reduction Act. Each chapter summarizes the state of the field in a particular MFP design component, such as identifying consumers, planning and implementing transitions from an institution, financing MFP, and evaluating programs and progress.

This report is the first in a series of final reports that RTI will prepare to document the outcomes of the Real Choice Systems Change Grants. The principal sources of data for this report are Grantees semi-annual, annual, and final reports, a 2005 topic paper on the NFT Grantees and Grantee-prepared final reports and evaluation results as well as publications and materials developed under the grant. This report was referenced on page 48 of CMS MFP Demonstration Solicitation Document.

This report highlights the work of nine CMS Money Follows the Persons Grantees, with a focus on Texas and Wisconsin. The report describes the initiatives, and discusses policy and design factors states should consider when developing MFP programs, including developing legislation and budget mechanisms for making transfers of funds, assuring availability of services and housing, identifying potential consumers for transition, developing NFT infrastructure, and monitoring and quality assurance.

Enacted by the Deficit Reduction Act, the MFP Rebalancing Demonstration is a part of a comprehensive, coordinated strategy to assist States in making widespread changes to their long-term care support systems. With the history and strength of the Real Choice Systems Change grants as a foundation, this initiative will assist in reducing reliance on institutional care while developing community-based opportunities. Applicants' teleconference - August 22, 2006. Proposals due November 1, 2006.

Provides practical information on how state agencies can obtain and use the MDS through Data Use Agreements (DUAs) with the Centers for Medicare & Medicaid Services (CMS). Explores the progress states have made in: using the MDS to facilitate nursing facility transition; identifying barriers that remain; and, suggesting recommendations for changes to the MDS to make it more useful for nursing home transition efforts. We examine three uses of the MDS by nursing facility transition program.

This memorandum and tables present data on Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver expenditures from Federal Fiscal Years 2000 through 2005. Each individual HCBS waiver is classified by population served in order to show the distribution of HCBS waiver expenditures across long term care populations.

This memorandum presents data on Medicaid long-term care expenditures in Federal Fiscal Year 2005 (Sept 2004-Sept 2005). The accompanying tables present data on Medicaid Expenditures for Long-Term Care services from 1993-2005. Data included for Nursing Homes, ICF-MR, Personal Care, HCBS Waivers, Home Health, Home Care, Inpatient Hospital Care, Inpatient DSH, Inpatient Mental Health, Mental Health DSH, Medicaid Managed-Care, Prescribed Drugs, Long-term Care, Targeted Case Management and PACE.

The manual is a nursing home to community discharge planning manual designed primarily for use in nursing homes and may be of help to others to use in developing manuals for their communities. It is designed to orient the long-term care providers to the nursing home discharge process by defining the roles of the key partners who are involved in returning residents to community living and to document a standard protocol for accessing and maximizing partner resources.