Maryland Money Follows the Person

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MarylandMoney Follows the Person
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Federal Overview

• Federal demonstration created by the Deficit
  Reduction Act and offered through the Centers for
  Medicare and Medicaid Services
• Partnership between Marylands 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

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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 Transitions
• Older Adults 1361
• Adults with Physical Disabilities 371
• Adults with Developmental Disabilities 250
• Other Disabilities (Brain Injury, Mental
  Illness) 12
• Total Transitions 1994

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Qualified Residences

• A home owned or leased by the individual or the
  individual's family member
• 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
• A residence, in a community-based residential
  setting, in which no more than 4 unrelated
  individuals reside.

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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

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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

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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 1st,
• Community Placement Specialists begin by August
  1st
• Behavioral Health Workgroup
• Continues to meet and explore the integration of
  somatic and mental health services

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Questions?

• Lorraine Nawara
• Money Follows the Person Project Director
• Office of Health Services, DHMH
• [phone]
• NawaraL_at_dhmh.state.md.us