Maryland Money Follows the Person Federal Overview Federal

Maryland Money Follows the Person

Federal Overview • Federal demonstration created by the Deficit Reduction Act and offered through the Centers for Medicare and Medicaid Services • Partnership between Maryland’s Department of Health and Mental Hygiene (State Medicaid Agency) and CMS • 5 year demonstration designed to: – Assist states in rebalancing long-term care systems – Increase the use of Home- and Community-Based Services (HCBS) – Remove barriers to receiving services in the community

Maryland Transitions • To access MFP funds, states must transition individuals receiving Medicaid services from “qualified institutions” to “qualified residences” – Individual must have lived for 6 months in institution – Individual must have 1 prior month of Medicaid eligibility Population • Older Adults • Adults with Physical Disabilities • Adults with Developmental Disabilities • Other Disabilities (Brain Injury, Mental Illness) Total Transitions 1361 371 250 12 1994

Qualified Residences 1. A home owned or leased by the individual or the individual's family member; 2. An apartment with an individual lease, with lockable access and egress, and which includes living, sleeping, bathing, and cooking areas over which the individual or the individual's family has domain and control; 3. A residence, in a community-based residential setting, in which no more than 4 unrelated individuals reside.

Maryland Goals • Increase outreach to institutional residents – Peer Mentoring – Publications and video • Improve the transition process – Transition Center – DDA Transition staff – Housing Assistance • Enhance existing community-based services – New Services – Provider Training • Increase the rate of transitions

July 2008 Updates • Peer Outreach in NFs – RFP IN procurement process, to be posted in August, award anticipated in November • Transition Center – RFP is at DBM; anticipate posting in August, award in November • Ongoing Peer Support – RFP being written, anticipate posting in November • New Waiver Services – Incorporated into regulations for the Living at Home and Older Adults waiver in June

July 2008 Updates • Peer and Family Mentoring in SRCs – MOU with the DD Council to write and post the family mentoring RFP in process • Anticipate posting in September, award in November – Self-Advocacy Network contract enhanced in June • DDA Staff – New Transition Coordinator began July 1 st, – Community Placement Specialists begin by August 1 st • Behavioral Health Workgroup – Continues to meet and explore the integration of somatic and mental health services

Questions? Lorraine Nawara Money Follows the Person Project Director Office of Health Services, DHMH (410) 767 -1442 Nawara. L@dhmh. state. md. us