2 Background: Money Follows the Person 2 The Money Follows the Person (MFP) Program, currently funded in 29 states and the District of Columbia with 14 additional States joining the demonstration in April, is designed to: Transition elders & persons with disabilities who have lived in nursing facilities or other qualified institutions to community-based housing, and Assist grantee States to increase access to Home & Community Based Services (HCBS) by providing an increased FMAP and a Supplemental Service category which can be used to fund services that are not traditionally supported by Medicaid.

3 Challenges to implementation: Start up proving to be more complex and time consuming than projected Problems/delays meeting planning and data reporting requirements Impact of the economic downturn on state revenues Community-level barriers such as lack of affordable and accessible housing and rental assistance vouchers. Background: MFP Implementation Issues

4 HUD HHS Collaboration 4

On October first of 2010 HUD awarded forty three hundred (Category I) vouchers, totaling more than $33.5 million dollars, to 20 States and the District of Columbia to help support individuals with disabilities that are at risk of institutionalization to remain in the community. On January 6 th, HUD announced the award of nearly one thousand additional (Category II) vouchers to 15 States to support individuals who are currently institutionalized in long term care settings such as nursing homes and other institutions, to return to the community and receive the necessary supports to live as independently as possible. 5

Contract Goals and Objectives 7 Goal: Build sustainable collaborations Across agencies at all government levels Linking housing options with long-term community-based support service  Increasing capacity across all levels of government on how to link services and affordable housing.  Providing technical assistance and funding 5 pilot projects under MFP.  Conducting on-site team building activities between Medicaid, human service agencies and housing at specific sites  Disseminate lessons learned from pilot sites 7

8 Important Role of Federal Interviews Step One: Federal level Leadership base for Federal, State & local contract activities Interviews of key Federal agency personnel are vital to: Build support for goals of housing & community living for these low income MFP participants Generate interest in cross-agency relationships Identify and understand the challenges and opportunities in communication & collaboration Guide development of agenda for Federal training sessions & resource development.

Federal Interviewees: Oct-Dec 2010 Department of Housing and Urban Development Public and Indian Housing Sandra Henriquez, PIH Assistant Secretary Danielle Bastarache Laure Rawson Dina Elani Althea Forrester, Acting Associate General Counsel Community Planning and Development Mark Johnston, Deputy Assistant Secretary for Special Needs Virginia “Ginny” Sardone Fair Housing and Equal Opportunity John Trasvina, Assistant Secretary Lynn Grosso, Director Jeanine Valles Office of Housing Benjamin Metcalf Office of the Secretary Fred Karnas, Senior Advisor to Secretary Donovan Estelle Richman, HUD Chief Operating Officer Department of Health & Human Services –Administration on Aging Greg Case Richard Nicholls Becky Kurtz, Director, Office of LTC Ombudsman Programs Joseph Lugo Robert Hornyak –Assistant Secretary for Planning and Evaluation Donald Moulds Richard Frank Gavin Kennedy William Marton –Office on Disability Henry Claypool, Director, OD Shawn Terrell –Substance Abuse and Mental Health Services Administration Charlene Le Fauve Frances L. Randolph Kathryn Power John O'Brien –Centers for Medicare & Medicaid Services Cindy Mann, Deputy Administrator & Director, Medicaid CMSO Disabled & Elderly Health Programs Group –Barbara Edwards, Director –Suzanne Bosstick –Melissa Hulbert –Mary Sowers –Daniel Timmel 9

10 Selection of 5 MFP State Grantees Based on expert assessment of current housing & supportive services needs, environment, and interest Availability of and/or application for new Housing Choice Vouchers Input from CMS, HUD, interagency advisory work group Selection of 15 pilot sites Related to state selection process 10 Selection of States & Pilot Sites

Promising Practices & Project Success Definition of Project Success: Examples of new program infrastructures at all levels incorporating policies that build links between MFP, housing, and support services that will continue beyond leadership or program staff changes Personnel understand how to connect with MFP, housing and support services Housing activities, such as the development of consolidated plans, have the right people at the table Barriers to collaboration are identified and potential solutions suggested. 11