This report summarizes the progress of Money Follows the Person (MFP) grant programs in 33 states and the District of Columbia. It examines numbers of people who transitioned, reinstitutionalization rates, achievement of spending goals on Medicaid home and community-based services, and major accomplishments and implementation challenges. MFP grants support state efforts to help individuals living in institutions move to home and community settings if that is where they wish to receive long-term services and supports. Enrollment in MFP by people transitioning to the community continued to grow throughout 2011, the fourth full year of program operations, although new enrollment growth leveled off during the second half of 2011. Overall, states reported nearly 4,000 new transitions from July through December 2011, 6 percent more than the number transitioned in the previous six-month period.