Policy/Initiative Type: Medicaid

Michigan Money Follows the Person

“The Money Follows the Person (MFP) Rebalancing Demonstration Grant helps states rebalance their Medicaid long-term care systems. Over 40,500 people with chronic conditions and disabilities have transitioned from institutions back into the community through MFP programs as of December 2013.  The Affordable Care Act of 2010 strengthened and expanded the MFP program allowing more states to apply.”

Goals
  • Give consumers and families a central role in defining and implementing the systems changes necessary to realize the principle that money follows the person.
  • Develop and establish within pilot sites a model for an integrated long-term care (LTC) system that supports money follows the person.
  • Develop strategies within the State Plan and the current MI Choice waiver that support the principle of money follows the person.
  • Develop alternatives to traditional models for nursing home care.
Activities
  • Establish a Community Consortium for Advocacy and Technical Assistance to provide advocacy for LTC system change.
  • Establish an LTC Community Roundtable to facilitate stakeholder involvement in planning.
  • Analyze barriers to “money follows the person” and devise solutions, including waivers and State policy changes.
  • Develop alternative uses for nursing facilities.
  • Provide and support alternatives to traditional nursing care.
  • Develop a model for nursing home transition and development of community support.
  • Establish and implement the model at three pilot sites.

Links:

Michigan Money Follows the Person (PDF)

Ohio Community Life Guide: How Does Work Impact My Benefits?

“If you are receiving benefits from the government (money, services, staff, medical care), you may be worried that if you work, you will not get those services. This page can help you learn what will change as you start to make your own money. You will also learn about some special benefits for workers!”

Links:

Ohio Community Life Guide: How Does Work Impact My Benefits?

Oklahoma Medicaid State Plan

Title XIX State Plan
The State Plan is the officially recognized statement describing the nature and scope of any state’s Medicaid program. As required under Section 1902 of the Social Security Act (the Act) the State Plan is developed by the state and approved by DHHS/CMS. Without a State Plan, OHCA would not be eligible for federal funding for providing SoonerCare services. Essentially, the State Plan is our state’s agreement that it will conform to the requirements of the Act and the official issuances of DHHS/CMS. The State Plan includes the many provisions required by the Act.

Links:

Oklahoma Medicaid State Plan (2024, PDF)

Oklahoma HCBS Transition Plan

The purpose of this Transition Plan is to ensure the individuals receiving Home and Community-Based Services (HCBS) are integrated in and have access to supports in the community, including opportunities to seek employment, work in competitive integrated settings, engage in community life, and control personal resources.  The State has prepared a revised transition plan in order to comply with federal regulations for community-based settings. Overall, the Transition Plan provides assurance that the individuals receiving HCBS have the same degree of access as individuals not receiving Medicaid HCBS. This updated Transition Plan outlines the proposed process that Oklahoma will be utilizing to ensure implementation of the new HCBS requirements.

Links:

Oklahoma HCBS Transition Plan

Oregon Medicaid Buy-in: Employed Persons with Disabilities (EPD)

“EPD is a Medicaid program administered by the Oregon Department of Human services. EPD provides medical coverage and long-term services to people with disabilities who are employed. If you are eligible to participate, you will be charged a nominal fee based on your income.”

Links:

Oregon Medicaid Buy-in: Employed Persons with Disabilities (EPD) (2019, PDF)

Utah Statewide Transition Plan (HCBS)

This website will provide access to the latest updates on the HCBS Transition Plan for the State of Utah as well as provide a means to sign-up for list-servs, and provide feedback on the Transition Plan, and its associated tools and publications.

Links:

Utah Statewide Transition Plan (HCBS)
Utah HCBS Rule Overview (2018, PDF)

UT Community Supports Waiver

This waiver is designed to provide services statewide to help persons with intellectual disabilities or persons with conditions related to intellectual disabilities remain in their homes or other community based settings.  Individuals are able to live as independently as possible with supportive services provided through this waiver program.

Services include “Supported Employment.”

Links:

UT Community Supports Waiver

South Carolina Statewide Transition Plan (HCBS)

The South Carolina Department of Health and Human Services (SCDHHS) gives notice that the revised South Carolina Home and Community-Based Services (HCBS) Statewide Transition Plan, required per Centers for Medicare and Medicaid Services (CMS) HCBS Rule (42 CFR 441.301(c)(6)), was submitted to CMS for review. It will become effective upon CMS approval.

Links:

South Carolina Statewide Transition Plan (HCBS)
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