Money Follows the Person

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States’ Plans to Pursue New and Revised Options for Home- and Community-Based Services

States have continued to rebalance their long-term services and supports (LTSS) toward more home and community-based services (HCBS). This report uses diverse methods to assess the different incentives affecting states’ decisions to implement the four Medicaid HCBS options under the Patient Protection and Affordable Care Act (PPACA); two new options (Community First Choice and the Balancing Incentive Program) and two existing [Money Follows the Person and 1915(i)].

Short URL: http://www.advancingstates.org/node/53122

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States Encounter Obstacles Moving Elderly And Disabled Into Community

Launched in 2007 during the Bush administration, the Money Follows the Person Program has supported states’ rebalancing efforts of moving low-income older adults and disabled people from long-term care facilities into the community. The program offers states extra Medicaid funding to pay for the participant's home and community-based services over 12 months. This article addresses the major challenges of the participating states in terms of administering the program.

Short URL: http://www.advancingstates.org/node/53119

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Through the Eyes of the Caregiver - Family Caregiving 2011 Year in Review: A Compilation of Research, Programs, Legislation & Media Coverage

This is the second “year in review” of developments in family caregiving, and there remains considerable room for improvement in how this nation supports the over 42 million family caregivers (and growing) who provide an estimated $450 billion in “free” care annually. The guide provides an overview of key developments in 2011. Two shorter versions, "45 Facts About Family Caregivers" and "27 Things You May not Know about Women and Caregiving" are also available.

Short URL: http://www.advancingstates.org/node/53100

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Flexible Accounting for Long-Term Care Services: State Budgeting Practices that Increase Access to Home-and Community-Based Services

This report presents budgeting and contractual strategies used in Arizona, Hawaii, Louisiana, Massachusetts, Michigan, Minnesota, New Jersey, Pennsylvania, Tennessee, Texas, Washington and Wisconsin. In different ways, these states have made substantial progress in transforming their LTSS systems by developing flexible accounting policies that have reduced NF utilization and captured the savings to support their HCBS programs.

Short URL: http://www.advancingstates.org/node/53086

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Post-Institutional Services of MFP Participants: Use and Costs of Community Services and Supports

The Money Follows the Person (MFP) Demonstration supports state efforts to help Medicaid beneficiaries living in long-term care facilities transition back to community-based residences and to make community-based long-term care services and supports more accessible. This report uses aggregate data from annual financial reports and service claims records submitted by grantees to examine the costs and types of community-based services received by participants in the MFP program.

Short URL: http://www.advancingstates.org/node/53069

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Flexible Accounting for Long-Term Care Services: State Budgeting Practices that Increase Access to Home- and Community-Based Services

In the context of “rebalancing” efforts, the authors describe flexible accounting as budgeting practices and contractual language that incentivize the use of less expensive noninstitutional programs and use savings to expand lower-cost services to further reduce the state’s use of institutional care. The authors offer recommendations for California and pay special attention to flexible accounting in Medicaid managed LTSS and identify examples of flexible accounting practices.

Short URL: http://www.advancingstates.org/node/53064

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Federal Funding and Support for Respite: Building Blocks for Lifespan Respite Systems

This guide lays out information about each federal program that provides or could provide respite funding or support. It is meant to be used by state Lifespan Respite Care Programs & their partners to help identify the funding sources that could be the building blocks for the state’s Lifespan Respite systems, help serve the underserved, build respite capacity & quality and help recruit & retain respite workers, and identify individuals who administer funds for future partnerships.

Short URL: http://www.advancingstates.org/node/53044

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Affordable Care Act: Opportunities for the Aging Network

The Administration on Aging (AoA) has a new page on its website that highlights program and funding opportunities within the Affordable Care Act that relate to the mission and vision of AoA and the Aging Network. Topics covered include Medicare and Medicaid, prevention, and webinars and technical assistance resources.

Short URL: http://www.advancingstates.org/node/53036

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On the Verge: The Transformation of Long Term Services and Supports

Many states are undergoing long-term services & supports (LTSS) transformations. The lagging economy & increased demand for publicly funded LTSS are placing pressure on state policymakers to find solutions. As a result, many states either have or plan to implement Medicaid Managed LTSS, with 12 states having existing programs & another 11 with plans for implementation. Many states used the economic downturn as an opportunity to balance services from institutional to non-institutional settings.

Short URL: http://www.advancingstates.org/node/53034

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Money Follows the Person Demonstration: Overview of State Grantee Progress, January to June 2011

Enrollment in MFP continued to grow steadily with 15,818 cumulative transitions to the community as of June 30, 2011, a 33 percent increase from the end of 2010. The states reported 3,722 new transitions during the six-month period from January to June 2011, 9 percent more than in the previous six-month period. The report provides an overview of state MFP grantee progress on key performance indicators and challenges states reported when implementing their transition programs.

Short URL: http://www.advancingstates.org/node/53029

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