Money Follows the Person Demonstration: Overview of State Grantee Progress, January to December 2016

Publisher: Cambridge, MA: Mathematica Policy Research
Sep 25, 2017
Authors
Rebecca Coughlin, Johanna Ward, Noelle Denny-Brown, Brynn Hagen, Kristin Maurer, Eric Morris, Jason Smoot, Allison Steiner, and Bryan Perez

Key Findings:

  • Forty-four MFP states transitioned 11,217 new participants during 2016. At the end of 2016, there were 9,995 current participants, an increase from 289 current participants at the start of the program in 2008.
  • From January 2008 to December 2016, the cumulative number of individuals that transitioned to the community through MFP totaled 75,151—a 19 percent increase over the cumulative number as of December 2015 (63,321).
  • The 44 MFP grantee states reported qualified community-based LTSS expenditures (total federal and state funds spent on LTSS for all Medicaid beneficiaries, including but not limited to MFP participants) that totaled approximately $84.2 billion in 2016, an increase of 13 percent from 2015 ($74.5 billion).
  • In an assessment of Quality of Life data collected from MFP participants by grantee states, we found participants reported improvements across several quality of life domains after transitioning to the community, including increases in life satisfaction, satisfaction with living arrangements, satisfaction with care received, and community integration. One year after transitioning to the community, approximately 9 percent of participants reported volunteering in the community and 7 percent reported working for pay.

This report summarizes the progress of the Money Follows the Person (MFP) demonstration in the 44 grantee states (including the District of Columbia) that were actively transitioning MFP participants in 2016. The MFP program assists states with rebalancing their Medicaid long-term care systems and helps individuals living in institutions move to community-based settings. Calendar year 2016 marked the ninth year of the MFP demonstration and the final year of the national evaluation. This report presents key indicators of progress, including the number of new enrollees, states’ progress towards 2016 transition goals, long-term services and supports (LTSS) expenditure levels, rates of reinstitutionalization among MFP participants, types of qualified housing for new enrollees, and employment supports and services for MFP participants. This report also presents MFP participants’ perspectives as reported in the MFP Quality-of-Life (QoL) survey before and after transitioning to the community, including life satisfaction and satisfaction with living arrangements, quality of care, and community integration.