Money Follows the Person Transition Briefs
Updated data on transitions from institutions to community living under the MFP Demonstration covering 2021 through 2025
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Associated Project
Money Follows the Person Demonstration: Second National Evaluation
Prepared for:
U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Center for Medicaid and CHIP Services
Key Findings
- From the time MFP transitions began in 2008 through the end of 2025, MFP grant recipients transitioned 144,651 people from institutional care to community living.
- MFP transitions increased substantially over the period covered by the briefs, from 5,755 in 2021 to 8,728 in 2025. Transitions increased to 6,242 in 2022, 8,059 in 2023, and 8,739 in 2024 before remaining relatively stable in 2025.
- Older adults and people with physical disabilities represented more than three-quarters of MFP transitions each year from 2021 through 2025. MFP grant recipients also transitioned people with intellectual or developmental disabilities, people with mental health or substance use disorders, and people with other conditions.
- Trends varied across states and territories, reflecting differences in the populations served and the scale of MFP programs.
The Money Follows the Person (MFP) Demonstration enables state and territory Medicaid programs to help eligible Medicaid beneficiaries living in certain institutions transition to the community and gives participants greater choice in where they live and receive long-term services and supports (LTSS).
This series of research briefs provides updated data on MFP transitions through 2025. The briefs summarize progress under the Demonstration in transitioning eligible people to the community and increasing Medicaid support for community-based LTSS. The briefs present national trends and transition data by MFP grant recipient and target population.
Appendices available on Medicaid.gov.
Other publications in the series:
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