Kansas Money Follows the Person (MFP)
The Sustainability Program to Follow
MFP is a demonstration grant from the federal Centers for Medicare and Medicaid (CMS) that since 2008 has helped more than 1,000 individuals living in long-term care institutional settings in Kansas to choose transition to living in the community and to enable them to overcome the obstacles keeping them from moving.
The program has served individuals who would otherwise be residing in nursing facilities (NF) or ICF/IDD (private or state hospital) for individuals with developmental disabilities. Grant participants were required to have Medicaid and to qualify for one of the following four (4) HCBS waiver programs: Frail Elder waiver (FE), Physical Disabilities waiver (PD), I/DD waiver, or Traumatic Brain Injury waiver (TBI)
The current demonstration grant as funded by CMS is coming to an end in all 43 participating states. The end date in Kansas for transitions to the community is June 30, 2017. Consumers who transition by that date will still receive the supports of the MFP program for 365 days and a seamless transition onto the appropriate waiver without going on a waiting list.
Given the experiences with the MFP Grant, Kansas will continue to prioritize home- and community based-services for meeting the needs of individuals who would otherwise live in institutional settings. Kansas has chosen to prioritize the support of individuals to live in the least restrictive setting possible that meets their needs.
To this end, Kansas is working to create a sustainability plan that will retain some of the features of the MFP Grant when federal funds are no longer available. Perhaps the most important feature of the new plan is the fact that individuals will still be able to transition from an institutional setting with immediate access to existing HCBS waiver programs and services without being subject to existing waiting lists.
Currently details of the new plan are being codified. We hope to announce them soon. Each individual’s assigned KanCare MCO will be the primary means of supporting their ability to live in the least restrictive environment of their choice. This includes helping to transition individuals out of institutional settings. It is our belief that sustainability of the goals and objectives of the MFP program must be an integral component of the Medicaid healthcare delivery system.
An integral component of KanCare is and will be on-going identification and support to transition individuals residing in institutional settings into community settings. In light of this any Medicaid participant who wishes to transition to a community-based environment should contact their MCO care coordinator and indicate their desire to live in the community. When details for the new sustainability program are established and eligibility criteria are announced, these individuals will be among the first able to enroll in the new plan.
KDADS does not intend for those individuals who want to make a change in their living arrangements to be forgotten or to think they have no options. The agency hopes that this will be a smooth adjustment with continued positive results.
If there any questions please contact:
Larry D Kelley
HCBS-MFP Program Manager
Kansas Department for Aging and Disability Services
503 S. Topeka, KS 66603