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At a Glance

Funder:

U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services

Project Time Frame:

2007-2015

Project Publications

 

Money Follows the Person: Expanding Options for Long-Term Care

Many Americans who need long-term care services and supports would prefer to receive them in home- and community-based settings rather than in institutions. Often, decisions relating to the provision of long-term care services are dictated by what is reimbursable under federal and state Medicaid policy rather than by what an individual needs or wants.

The Money Follows the Person (MFP) Demonstration is a large federal initiative to help states reduce their reliance on institutional care for people needing long-term care, and expand options for elderly people and individuals with disabilities to receive care in the community. Funded at $4 billion over nine years, it is the largest demonstration program of its kind in the history of Medicaid. States use the grant funds to develop systems and services to help long-term residents of nursing facilities, intermediate care facilities for individuals with intellectual disabilities, and psychiatric hospitals who want to move back to home or community-based settings. They also are increasing efforts to shift Medicaid long-term care spending permanently toward community-based care and services.

Mathematica's comprehensive evaluation for the Centers for Medicare & Medicaid Services (CMS) is assessing how state long-term care systems change to support the transition of people from institutions to the community, whether the changes were successful and sustainable, and to what extent MFP helps rebalance state long-term care spending. The evaluation is also analyzing the effects of MFP on Medicaid beneficiaries' health and quality of life, as well as identifying characteristics of individuals and state programs strongly associated with success.

As part of the project, Mathematica is also providing technical assistance to CMS and to state grantees. To date, we have supported CMS review of the detailed operational plans each demonstration program developed and created a web-based semi-annual reporting system in collaboration with Truven Health Analytics. We are now monitoring grantee progress toward benchmarks.

Publications

Annual Evaluation Reports:
"Money Follows the Person 2012 Annual Evaluation Report" (October 2013)
"Money Follows the Person 2011 Annual Evaluation Report" (October 2012)
"Money Follows the Person 2010 Annual Evaluation Report" (October 2011)
"Money Follows the Person 2009 Annual Evaluation Report" (September 2010)

Semi-Annual Summaries of Grantee Progress:
"Money Follows the Person Demonstration: Overview of State Grantee Progress, January to June 2013" (December 2013)
"Money Follows the Person Demonstration: Overview of State Grantee Progress, July to December 2012" (July 2013)
"Money Follows the Person Demonstration: Overview of State Grantee Progress, July to December 2011" (June 2012)
"Money Follows the Person Demonstration: Overview of State Grantee Progress, January to June 2011" (December 2011)
"Money Follows the Person Demonstration: Overview of State Grantee Progress, July-December 2010" (May 2011)
"Money Follows the Person Demonstration: Overview of State Grantee Progress, January-June 2010" (January 2011)

Reports from the Field:
"Recent Developments in State Efforts to Rebalance Long-Term Services and Supports" Reports from the Field #13 (October 2013)
"Disparities in Post-Transition Outcomes by Level of Care Needs Among Former Nursing Home Residents" Reports from the Field #12 (September 2013)
"Toward a More Perfect Union: Creating Synergy Between the Money Follows the Person and Managed Long-Term Services and Supports Program" Reports from the Field #11 (February 2013)
"Institutional Level of Care Among Money Follows the Person Participants" Reports from the Field #10 (October 2012)
"Post-Institutional Services of MFP Participants: Use and Costs of Community Services and Supports" Reports from the Field #9 (February 2012)
"What Determines Progress in State MFP Transition Programs?" Reports from the Field #8 (October 2011)
"A First Look at How MFP Participants Fare After Returning to the Community" Reports from the Field #7 (July 2011)
"Money Follows the Person: Change in Participant Experience During the First Year of Community Living" Reports from the Field #6 (May 2011)
"Money Follows the Person Demonstration Program: A Profile of Participants" Reports from the Field #5 (January 2011)
"The Starting Point: The Balance of State Long-Term Care Systems Before the Implementation of the Money Follows the Person Demonstration" Reports from the Field #4 (May 2010)
“Early Implementation Experiences of State MFP Programs” Reports from the Field #3 (November 2009)
“Implications of State Program Features for Attaining MFP Transition Goals” Reports from the Field #2 (July 2009)
“Transitioning Medicaid Enrollees from Institutions to the Community: Number of People Eligible and Number of Transitions Targeted Under MFP” Reports from the Field #1 (January 2009)

Other Reports:
"Synthesis of Findings from System Change Grant Programs" (October 2012)
"Research Design Report for the Evaluation of the Money Follows the Person (MFP) Grant Program" (October 2008)
"Money Follows the Person Quality of Life Survey" (September 2007)