1. 1 Money Follows the Person Working Group August 26, 2011

2. Agenda MFP Update Discussion Going Forward Next Meeting 22

3. MFP Update 33

4. What we’ve been up to since we last met CMS approved the Operational Protocol on July 12th Hiring MFP Staff – MassHealth and MRC Implementing the operations for Phase 1 – Existing Waivers: Developing processes and procedures, consent form, and status change data sets Designing Quality of Life (QoL) survey process Determining procurement plan Preparing IT systems - MassHealth eligibility and claiming Establishing housing support framework Started work on the 2 new MFP Waiver applications Began enrolling MFP Participants 4

5. Benefits of MFP in MA Additional community services New waiver programs Infrastructure and capacity expansion Enhanced federal funding for MFP HCBS services 55

6. Programs that will serve MFP Participants 66

7. MFP Overview Qualified Individuals/ Institutions Transition into the Community Qualified Residences 77 Qualified Institutions Nursing Facilities - Rehabilitation Hospitals - Intermediate Care Facilities DPH Hospitals - IMDs (age limits) Qualified Residences Individual’s/ Family’s Home - Individual’s Leased Apartment Community Residential Setting (Max 4 Individuals) Qualified Individuals People with disabilities 18 years or older and elders Must reside in qualified institution for 90 or more consecutive days Must be eligible for MassHealth and receive MassHealth benefits for inpatient services on the last day in the facility prior to discharge to qualified residence Must sign an informed consent

8. Timeline & Milestones April-June July-Sept. April-JuneJan.-Mar. July-Sept. Oct.-Dec. 20122011 New MFP Waivers Operational CMS Approved OPD Procure- ments Released Phase 1 Operations & Implementation MFP Waiver Services Provider Enrollment Transition Entity & Case Management Procurement MFP Waivers Development & Submission to CMS 1 st MFP Enrollee Phase 2 Operations & Implementation Milestone Targets Contract w/ TE & CM Provider AT, mobility training, transition services available 8 Milestones Accomplished

9. Adding community-based services Transition Entity/Case Management Region-based Procurement Transition Entity Transition coordination for individuals not connected to a current transition entity Support to current transition entities, as requested Case Management (includes 24 Hour Backup) Demo Case Management for State Plan - only MFP Participants Administrative Case Management for new MFP Waivers Housing Support Purchasing Services Mobility Training Assistive Technology Transition Services (e.g. non-recurring set-up expenses, peer support, community re-integration) 9

10. MFP Housing Activities Develop a strong working relationship with DHCD to leverage state housing opportunities Work with local housing agencies to leverage priority status Assist participants in searching for housing Help MFP participants apply for subsidies Address issues adapting housing to meet participants’ needs 10

11. New CMS Housing Grant Opportunity and MFP CMS Real Choice Systems Change Grant – Building Sustainable Partnerships for Housing For State Medicaid Agencies to develop sustainable partnerships with State Housing Agencies On August 15, 2011, the Office of Medicaid/EOHHS applied for the grant with support from the Department of Housing and Community Development (DHCD) Maximum grant award $330,000 For one year (Sept. 30, 2011 through Sept. 29, 2012) States encouraged to engage Medicaid populations including MFP participants and others using home and community based services Received broad support from state and community agencies 11

12. Housing Strategies in Grant Application Capitalizing on New Opportunities in HUD’s Section 811 Program Purpose: to create a formal partnership between the State Health and Human Services/Medicaid Agency and State Housing Agencies in order to: develop specific strategies to propose in applying for upcoming HUD Section 811 funding create new high quality and integrated supportive housing units for Medicaid-eligible persons with disabilities receiving community–based supportive services Creation of a Housing Choice Voucher (HCV) Preference Purpose: to improve access to HCVs by people with disabilities receiving Medicaid services and supports in the community 12

13. Grant activities will support MFP goals The new CMS grant opportunity will support the MFP Demonstration goals by establishing a system that can more effectively serve the housing needs and preferences of the target population Consumer involvement established for MFP will provide a solid base to ensure consumer involvement in the Real Choice grant activities The grant provides the opportunity to target MFP participants, Medicaid members that use home and community based waiver services, and Medicaid members that use Medicaid State Plan services for behavioral health and other conditions 13

14. Discussion 14

15. Going Forward 15

16. Ideas for Meetings MFP Working Group - meet quarterly; various geographic locations Outreach Providing ongoing input into the demonstration implementation and operation activities Community Integration Working Group - identify challenges and successes in the implementation and operation of the MFP Demonstration MFP participants, MFP potential participants, and former MFP participants Transition coordinators, case managers, advocacy organizations and provider organizations Topical Discussions – Stakeholders will be invited to participate in targeted discussions (e.g. self directed services) Are there other discussion forums we should consider? 16

17. How do you want to engage? What is the best way to get your input? Meetings In person Conference calls Combination Communications Discussion Topics Relevant policy design and operational details Critical issues Updates Other? 17

18. Future Discussion Topic Areas Training Target audiences Approach (web-based, in person) Topic areas Outreach Target populations (consumers, families, providers) Successful approaches Transition Process Opportunities for improvement Integration with emerging systems New Waivers Self-directed services Qualifications of waiver service providers What other areas do you want to discuss? 18

19. Next MFP Working Group Meeting Date – Wednesday, November 9, 2011 from 10:30 – 12 PM Location – Saxe Room Worcester Public Library 3 Salem Square Worcester, MA Contact MFP@state.ma.us to get involvedMFP@state.ma.us 19