Connections to Community Living
Money Follows the Person
In January 2007, the Department was awarded a Money Follows the Person
(MFP) Rebalancing Demonstration grant. The MFP Demonstration, per
federal law, supports State efforts to:
- Rebalance long term support systems while supporting individual
choice of living situation (that is, move away from the use of
institutions towards greater choice for community care);
- Transition people from institutions; and
- Promote a person-centered, needs based, quality driven system of
long term care.
Under the demonstration, Wisconsin receives enhanced federal match
for each qualifying person’s first 365 days in the community. The
demonstration will continue through 2016.
MFP ELIGIBILITY
In order for the State to be eligible for Money Follows the Person
enhanced FMAP, an individual must meet the following eligibility
criteria:
Pre-Relocation Eligibility Criteria. The person must
have resided in a qualifying institution for at least 90 days. Medicare
skilled rehabilitation days cannot be included in the 90-day period, but
Medicare skilled nursing days can be counted.
Qualifying institutions include:
- Nursing home;
- Intermediate care facility for the mentally retarded (ICF-MR),
or
- Nursing home IMD if paid by Medicaid (if resident is under
22 or over 64).
- The person must receive Medicaid benefits for institutional
services for at least one day prior to relocation.
Long-Term Care Eligibility. The person must meet Family
Care, Partnership, PACE, or IRIS functional eligibility at the nursing
home or non-nursing home level of care.
Eligible Living Arrangement. The individual must
relocate to an eligible living arrangement to qualify for MFP. Eligible
living arrangements include:
- A house owned or leased by the individual or individual’s family
member, or
- An apartment with an individual lease and where the individual
or the individual’s family has domain and control, or
- An adult family home (where no more than four unrelated
individuals reside).
- Certified and MFP-eligible RCACs where an individual has a
separate key to the apartment and signs a lease separate from the
service agreement.
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Last Revised: January 31, 2013 |
