Indiana FSSA Division of Aging Ellen Burton

Flexible financing for long term care Increased options for those in need of long term care. Largest demonstration program in CMS history CMS Federal Initiative History

History Individuals have a choice of where they live and receive services Strategic approach to providing person-centered, needs based quality of care and quality of life services CMS Federal Initiative

Transition program that helps people who wish to transition to the community Medicaid funds spent on home and community-based services when individuals move to the community History Two Part System

Enhanced match to states through MFP program January 2007, Indiana was awarded funds to participate in MFP History Federal Funding

Awarded $21,047,402 in 2007 January 1, 2007 to September 30, 2011 MFP in Indiana State Award

MFP in Indiana Year 1 & 2– Planning Year Implementation Program Plan

MFP in Indiana Operational Protocol Contract with Indiana Association of Area Agencies on Aging (IAAAA) and Area Agencies on Aging (AAAs) Stakeholders Training Planning

MFP in Indiana Potential Participants Transition Post Transition Implementation

MFP in Indiana Identified by Minimum Data Set – Long Term Care (MDS- LTC) assessment tool as desiring to move back into the community Have lived in a qualified setting (nursing facility, hospital, etc.) for at least 6 months Potential Participants

MFP in Indiana Medicaid eligible 30 days prior Eligible for one of two waiver services Potential Participants

MFP in Indiana A&D Individuals meeting nursing facility level of care, Medicaid eligible, & Aged (age 65+) or Disabled TBI Individuals meeting nursing facility level of care, Medicaid eligible, & Disabled and Traumatic Brain Injured Waivers

MFP in Indiana AAAs will provide transition specialist (case manager) and transition nurse for transition period Transition Team: transition specialist, transition nurse, participant, legal guardian, family, etc. Transition

MFP in Indiana Person centered planning based on participants goals Team coordinates all necessary supports for community setting Additional program services Qualified residence Transition

MFP in Indiana $1500 Transition Assistance Personal Emergency Response System (PERS) Enhanced Transportation Additional Services

MFP in Indiana The individual’s own home or family home An apartment with an individual lease, with lockable access and egress, and include living, sleeping, bathing, and cooking areas over which the individual or the individual's family has domain and control Qualified Residence

MFP in Indiana A shared home with no more than four unrelated housemates; An adult foster care home where no more than four unrelated individuals reside. Qualified Residence

MFP in Indiana Discharge checklist completed Individual chooses community case manager Move to community Transition

MFP in Indiana Participants resides in community Receives necessary supports and services through MFP for 365 days Meets with case manager regularly Post Transition

MFP in Indiana Day 366 – transition to waiver Seamless, transparent to client Continue to live in community, receiving necessary supports through the waiver Post Transition

MFP in Indiana Participation in program can be suspended for hospitalization or rehab stays Does not count toward 365 days of program participation Suspension can last up to 30 days Suspension

MFP in Indiana Goal: transition 1039 individuals over next 3.5 years Roughly 2000 individuals expressed interest and may be eligible The Numbers

MFP in Indiana The Numbers

Questions?? Ellen Burton Director, Money Follows the Person Division of Aging Family & Social Services Administration Contact Information