M ONTANA COMMUNITY CHOICE PARTNERSHIP MONEY FOLLOWS THE PERSON (MFP) DEMONSTRATION GRANT Demonstration Services Workshop

M ONTANA WILL CREATE A SUSTAINABLE SYSTEM THAT SUPPORTS COMMUNITY OPTIONS AS A FIRST CHOICE FOR INDIVIDUALS NEEDING LONG TERM CARE SERVICES. MFP VISION

MFP ELIGIBILITY REQUIREMENTS PARTICIPANTS MUST: Be 90 consecutive days in an inpatient facility Be Medicaid eligible at least one day prior to transition Enroll in HCBS waiver or 1915 (i) State Plan HCBS program Transition into MFP qualified housing

W HAT S ERVICES ARE PROVIDED TO AN MFP PARTICIPANT ? 0208 (Comprehensive) Waiver Services Big Sky Waiver Services Severe Disabling Mental Illness (SDMI) Waiver Children’s Mental Health Bureau (CMHB) 1915(i) State Plan MFP Demonstration Services are available to participants who entered the waivers or CMHB 1915(i). Are in addition to the core services in partner programs. Note: Demonstration Services could be duplicative. Waiver or 1915(i) State Plan Services MFP Demonstration Services

MFP DEMONSTRATION SERVICES MFP Transition Services MFP Regional Transition Coordinator MFP Peer Support Services MFP Companion Services MFP Information Technology MFP Overnight Supports MFP Modify Existing Vehicle for Accessibility MFP Transportation Supports MFP Geographic Factor for Travel MFP Substance Use Disorder Treatment Services

P ROVIDER BILLING FOR MFP D EMONSTRATION SERVICES All providers must be enrolled Medicaid HCBS providers. All billing for MFP Demonstration Services will be done on a claim form 1500 in the Xerox/MMIS system DD providers – bill AWACS for waiver services DD providers – bill MMIS for MFP demonstration services MFP Demonstration Services Require prior authorization from the MFP Program Must be supported by the Person Centered Plan MFP Demonstration Services will be paid at actual cost

MFP T RANSITION S ERVICES Review definition, policy, and fee structure MFP Transition Services vs. other Transition Services: Bill MFP Transition Services instead of program’s Transition Services when possible Higher per unit cost Covers 1 st month’s rent and deposits Limited to 30 days post moving day Home Modification Guidance Policy regarding pre-payment

MFP REGIONAL TRANSITION ( RTC ) COORDINATOR Review definition, policy, and fee structure Can only be billed by case managers who are not employees of the State of Montana Service begins with: Signed “Regional Transition Coordinator Acceptance Form” and Signed “Informed Consent” Service ends: The day the participant moves to the community; or Upon failure to move (death, decline) Review “failed” transition vs. “successful” transition No “double billing”

P AYMENT FOR FAILED TRANSITIONS Pre-payment for MFP Transition Services Participant does not move – administrative cost to MFP Participant does move – billed as service and garners enhanced FMAP for State Payment for failed MFP Regional Transition Coordinator Service Review tiered structure for reimbursement if a participant does not move to the community.

T O RECEIVE PAYMENT FOR FAILED TRANSITION Submit MFP Withdrawal form Submit invoice Submit W-9 Mail to: MFP-SLTC PO Box 4210 Helena, MT 59604

MFP P EER S UPPORT SERVICES Review definition, policy, and fee structure Review provider qualification and training requirements MT Peer Task Force

MFP C OMPANION S ERVICES Review definition, policy, and fee structure This service is distinctly different than MFP Peer Mentor/Advocate Services

MFP I NFORMATION TECHNOLOGY Review definition, policy, and fee structure Fee structure: Capped per specific unit of service Maximum for all is $5000 Not able to separate different kinds of service – all will be one billing code

MFP O VERNIGHT SUPPORTS Review definition, policy, and fee structure 6-12 consecutive, nighttime hours during a 24-hour period Focus is to offer support to a new participant for a time-limited period upon moving into the community

MFP M ODIFY EXISTING VEHICLE FOR ACCESSIBILITY Review definition, policy, and fee structure This service does not include the purchase or lease of a new vehicle

MFP T RANSPORTAION SUPPORTS Review definition and fee structure Policy not completed Request feedback May not be necessary due to all partners have a service for this already

MFP G EOGRAPHIC FACTOR FOR TRAVEL Review definition and fee structure Policy not completed Request feedback

MFP S UBSTANCE USE DISORDER TREATMENT SERVICES Review definition and fee structure Policy not completed Request feedback Suggest workgroup partners

MFP Demonstration Services MMIS Billing Code/Modifier MFP Transition ServicesH2016/UA MFP Regional Transition CoordinatorH0043/UA MFP Peer Support ServicesT2012/UA MFP Companion ServicesS5136/UA MFP Information TechnologyT1014/UA MFP Overnight SupportsS5116/UJ MFP Modify Existing Vehicle for Accessibility T2039/UA MFP Transportation SupportsT2002/UA* MFP Geographic Factor for TravelA0425/UA* MFP Substance Use Disorder Treatment Services *not complete-not able to bill H0026/UA*

This PowerPoint presentation is created as part of the Community C hoice P artnership M oney Follows the Person Demonstration Grant awarded to the Montana Department of Public Health and Human Services.