Policy/Initiative Type: Medicaid

New York OPWDD Comprehensive Medicaid Waiver

“Provides day habilitation, live-in caregiver, prevocational services, residential habilitation, respite, supported employment, community transition services, fiscal intermediary, individual directed goods and services, support brokerage, assistive technology/adaptive devices, community habilitation, environmental modifications (home accessibility), family education and training, intensive behavioral services, pathway to employment, and vehicle modification services to individuals with autism, intellectual disabilities, or developmental disabilities ages 0 or older who meet an ICF/IID level of care. This waiver operates with a concurrent 1915(a)(1)(a) and 1915(b)(4) authority.”

Links:

New York OPWDD Comprehensive Medicaid Waiver

Rhode Island Money Follows the Person Grant: The Rhode to Home

“Rhode Island’s ‘The Rhode to Home’ is a new program that will align with other State efforts to re-balance RI’s long-term care system. The Rhode to Home will provide support to transition eligible individuals who are in a qualified institutional setting for 90 days or more to home and community-based settings. It’s also referred to as Money Follows the Person or MFP. This demonstration project will assist individuals transition to and successfully remain in the community, with appropriate supports, so that they can experience more independence and a better quality of life. Participation is voluntary.”

Links:

Rhode Island Money Follows the Person Grant: The Rhode to Home

Oklahoma Living Choice/ Money Follows the Person

“Oklahoma’s Living Choice program gives eligible Oklahomans the opportunity to live in their own homes in a community setting while receiving the necessary services and support to meet their needs. The Medicaid program is designed to transform the current long-term care system by promoting home and community-based care instead of institutional care.

With the right support, many individuals can regain their independence as active, engaged community members. Living Choice offers various community-based services to help make the move successful.

Living Choice has transitioned approximately 1,000 Oklahomans and saved the state over $9 million.”

Links:

Oklahoma Living Choice/ Money Follows the Person

PA OBRA Medicaid Waiver (0235.R05.00)

~~“Provides adult daily living, employment skills development, job coaching (intensive and extended follow-along), personal assistance services, residential habilitation services, respite, service coordination, structured day habilitation services, behavior therapy services, nursing services, occupational therapy, physical therapy services, specialized medical equipment and supplies, speech and language therapy services, assistive technology, benefits counseling, career assessment, cognitive rehabilitation therapy services, community integration, community transition services, counseling services, home adaptations, job finding, non-medical transportation, nutritional consultation, personal emergency response system, prevocational services, supported employment, vehicle modifications for individuals w/DD ages 18-59”

Links:

PA OBRA Medicaid Waiver (0235.R05.00)

PA Independence Medicaid Waiver (0319.R04.00)

~~“Provides adult daily living, employment skills development, job coaching, personal assistance services, residential habilitation, respite, service coordination, structured day habilitation, supported employment, behavior  therapy services, counseling services, home health, nursing services, occupational therapy services, physical therapy services, specialized medical equipment and supplies, speech and language therapy services, assistive technology, benefits counseling, career assessment, cognitive rehabilitation therapy services, community integration, community transition services, home adaptations, job finding, non-medical transportation, nutritional consultation services, personal emergency response (PERS), therapeutic and counseling services, vehicle modifications for individuals with physical disabilities ages 18 – 59”

Links:

PA Independence Medicaid Waiver (0319.R04.00)

North Dakota Medicaid Money Follows the Person Grant

“North Dakota Health and Human Services administers a Money Follows the Person Grant program to enable Medicaid members with disabilities to transition from institutions to community living.”

Links:

North Dakota Medicaid Money Follows the Person Grant

South Dakota Money Follows the Person

“Money Follows the Person (MFP) helps people living in nursing homes, hospitals, or intermediate care facilities for those with intellectual and development disabilities successfully return to their communities.

MFP helps people find a place to live that meets their needs and wants and helps them find the services they need to keep living there.”

Links:

South Dakota Money Follows the Person (PDF)

New Hampshire Medicare Beneficiaries Savings Program (MBSP)

“The Medicare Beneficiaries Savings Program assists low-income elderly or disabled individuals who are eligible for Medicare (available through the Social Security Administration) by paying for some or all of the associated costs of Medicare, specifically the Medicare Insurance Premiums and deductibles. The Medicare Beneficiaries Savings Program is also referred to as the Buy-In program…

The Qualified Disabled and Working Individuals (QDWI) program provides payment of Medicare Part A premiums for eligible working individuals with disabilities who are entitled to enroll in Medicare Part A, but who have lost Medicare Part A coverage due to earnings. Individuals eligible for QDWI may not otherwise be eligible for Medicaid.”

Links:

New Hampshire Medicare Beneficiaries Savings Program (MBSP)
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