Money Follows the Person Demonstration: Overview of State Grantee Progress, January to December 2014

Money Follows the Person Demonstration: Overview of State Grantee Progress, January to December 2014

Published: Jun 10, 2015
Publisher: Cambridge, MA: Mathematica Policy Research
Associated Project

Research and Evaluation of the Money Follows the Person (MFP) Demonstration Grants

Time frame: 2007-2017

Prepared for:

U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services


Melissa Medeiros

Bailey G. Orshan

Rebecca Coughlin

Rebecca Sweetland Lester

Susan R. Williams

Brynn Hagen

Key Findings

Key Findings:

  • Forty-four MFP states transitioned 10,658 new participants during 2014, which represents a 4 percent increase over the number of new participants transitioned during 2013 (10,243).
  • From January 2008 to December 2014, the cumulative number of individuals that ever transitioned to the community through MFP totaled 51,676, which represents a growth of 27 percent over the cumulative number transitioned as of December 2013 (40,693).
  • In the aggregate, grantees achieved 85 percent of the total transition goal for the year, having transitioned 10,658 new participants of the 12,521 planned for 2014.
  • Forty-three MFP grantee states reported their total qualified HCBS expenditures (total federal and state funds spent on HCBS for all Medicaid beneficiaries, including but not limited to MFP participants) for 2014 totaled approximately $70.3 billion, an increase of 3 percent from 2013 ($68 billion).

This report summarizes progress in 2014 by the 44 Money Follows the Person (MFP) grantee states (including the District of Columbia) that are actively transitioning MFP participants. MFP grants support state efforts to help individuals living in institutions move to home and community-based settings if that is where they wish to receive long-term services and supports.  During 2014, 44 MFP grantee states transitioned 10,658 new enrollees, bringing the total number of people that had ever transitioned to the community through MFP to 51,676 at the close of 2014. This report also examines the types of employment supports and services that MFP grantee states offer to participants and how states are using MFP funds to support participants’ employment goals. Finally, the report provides an overview of state grantee progress on key indicators such as reinstitutionalization rates and how states are spending their MFP rebalancing funds.

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