1. JUNE 11, 2015 MFP Monthly Webinar

2. Goals of our monthly webinars Our goals for our MFP monthly webinars are:  To provide training on key topics  To better the lines of communication between you and us, the MFP staff  To seek feedback on how to better the processes of MFP/waiver services for our participants  To provide the opportunity to share successes and challenges as RTC’s and MFP transitions

3. MFP Transition Numbers As of today June 11, 2015  119 referrals have been received  31 participants have transitioned to date (15 in 2014 and 16 thus far in 2015) 4-6 transitions set to go in the next 4 weeks

4. Waiver Wait Lists In our May webinar we were asked “How long should we keep MFP referrals on the wait list?  Since MFP partners with 4 different waivers we discussed the topic of “wait lists” at our May 27 th MFP steering committee.  Per direction from the MFP partners, length of time MFP referrals will be on a wait list will be determined on a case-by- case basis.

5. MFP Demonstration Services MFP Demonstration Services are part of Montana’s MFP grant. The services are:  Regional Transition Coordinator  Transition Services (Goods and Services)  Peer Support Services  Companion Services  Information Technology  Modifying Existing Vehicle for Accessibility  Overnight Supports  Substance Use Disorder Treatment Services* *this service is not defined or ready for billing by providers

6. Transition Services 1). MFP Demonstration Services  Transition Services (Goods and Services) – H2016/UA  Community Transition Services are non-recurring set up expenses for individuals who are transitioning from an institutional setting to qualified housing in a private residence or residential setting meeting MFP requirements.  DPHHS will support MFP participants in their transitions by paying one-time costs assessed as needed to support transitions. These cost may include security deposits (including 1 st month’s rent), moving expenses, payment toward past bills affecting ability to meet rental qualifications, set up fees or deposits for utilities or service access, furniture, other (continued)

7. MFP Transition Services (cont’d) household goods, services needed for health and safety, and home accessibility adaptations. The MFP State Transition Coordinator or MFP Project Director can prior authorize payment for up to $4,000 of goods and services. Transition services costs can exceed this amount with prior approval of the Department. RTC’s can identify appropriate one-time costs to support transitions. This will be determined through the person centered planning process. These service is limited to 30 days post moving day. If transition services are required after that, use the core services available in the qualified waiver.

8. MFP Quality Measures Quality Improvement Strategy Critical Incident Reporting and Management 24-hr Backup Strategy Risk Assessment and Mitigation MFP Participant

9. Risk Assessment and Mitigation A proactive process whereby the MFP transition coordinator and/or case manager works with the participant to identify and address risks.  The risk assessment and mitigation plan (or risk plan) is a written document for the individual that:  Initially identifies risks in transitioning to the community  Outlines how these risks will be addressed/mitigated, and  Is periodically reviewed and modified once the person has transitioned to the community, so that it is responsive to changing risks over time.  Customized and person-centered

10. Elements of a Risk Assessment & Mitigation Strategy Identifies and documents all risks an individual might encounter when transitioning to, and living in, the community Includes the individual and designated representative, as appropriate, in the process Honors individuals’ preferences and appreciates their values Allows individuals the right to assume risk Conducted in the spirit of facilitating the individual to live successfully in the community, not as a way to prevent/discourage community living Provides an opportunity for the individual and his/her designated representative, as applicable, to review and provide feedback

11. 24-Hour Backup Each participant must have an individualized backup plan in place to respond to and address any lapse in essential services, as well as other circumstances that could have a negative effect on a participant’s health or welfare. 24 hour backup plans may include: Provider(s) that agree to respond 24/7 Informal supports available to respond 24/7 On-call case managers/coordinators Personal Emergency Response System (PERS) Other agreed-upon resources

12. Critical Incident Reporting The MFP program defines critical incidents as alleged, suspected or actual occurrences of abuse, neglect; exploitation; serious injury; death other than by natural causes; other events that cause harm to an individual; hospitalizations and medical errors. Type of critical incidents that the need to be reported are: Abuse, neglect, exploitation Hospitalizations Emergency Room visits Deaths due to abuse, neglect or exploitation; breakdown in 24- hour backup system Medication errors

13. Successful Transition Story  Gary Nowell with Spectrum Medical – Great Falls Medicaid Waiver served as the RTC.  Participant transitioned from a nursing home to her Great Falls subsidized housing apartment in December 2014.

14. Other Items Would really like a picture of participant on moving day. Send to me at hnooonan@mt.gov hnooonan@mt.gov  Social Media release on MFP website. CMS site review scheduled for Monday July 20 th through Wednesday the 22 nd. RTC Planning Meeting mileage reimbursement and lodging must be submitted by June 17, 2015.

15. Next Call … Suggestions for topics that could be discussed in our future webinars? Our next MFP webinar will be Thursday July 9 th from 1:30-2:30 p.m.