Money Follows the Person

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5 Νοε 2013 (πριν από 3 χρόνια και 11 μήνες)

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1

Money Follows the Person
Working Group


December 20, 2010


2

2

Agenda



Update


Transition Processes


Housing



3

3

Status of development of Operational Protocol
Document (OPD) and current issues



Components of OPD include:


Participant recruitment and enrollment


Housing
-

12/20 meeting topic


Benefits and Services
-

with input from 11/12


Outreach/Marketing/Education
-

with input from 12/3


Self
-
Direction
-

with input from 12/3


Stakeholder Involvement
-

ongoing work of Standing Olmstead
Advisory Committee


Consumer Supports


Informed Consent and Guardianship


Quality


Continuity of Care Post Demonstration


Letters of endorsement needed

4

Money Follows the Person
Overview

Qualified

Individuals/

Institutions



Nursing Facilities


Rehabilitation

Hospitals


Intermediate Care

Facilities


DPH Hospitals


IMDs (age limits)



Transition

Activities


Transition Svcs


Demo HCBS Svcs


Other Community
Supplemen
-

tal
Svcs



Qualified

Residences




Individual

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猠Home


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Community
Residen
-

tial Setting (Max
4 individuals)





HCBS


Existing Waiver

DDS waivers,

Frail Elder Waiver,
TBI Waiver,


ABI waivers


New Waivers

State Plan
Services

Other Services


5

Projected MFP Participants


Assessing currently planned transition activities


Participant estimates are
very preliminary

projections


Subject to change; resources are a significant consideration

Projected

MFP Participants
SFY12
SFY13
SFY14
SFY15
SFY16
Cumulative MFP Participants
565
1,128
1,511
1,894
2,277
Cumulative New Participants in MFP Waivers
168
353
515
677
839
6

Projected MFP Capacity
Development


Comprehensive Transition Support


Two new 1915c waivers (operating agency: MRC;
administrative oversight: Masshealth)


MFP Residential Supports waiver (24/7)


MFP Community Living waiver


Comprehensive services; self
-
direction


Outreach & education


Administrative capacity development


Information & referral resources


Housing development & search


Utilization & outcome data collection


Quality Assurance & Evaluation

7

Transition Processes

7

8

Reminder of Framework for
Transition Coordination



Definition: standardized set of administrative activities that
assist a qualified individual to transition


Processes and roles and responsibilities of Transition
Coordinators (state agency staff and contracted agents)
performing the functions will evolve over the course of the
Grant (as a result of changing scope and as we evaluate our
effectiveness)


State agencies and their agents will continue to manage
Transition Coordination processes; through MFP, we will
enhance our activity to support a broader range of members
and improve our efficacy


Acknowledgment that availability of community services is
critical to assure successful community transition

8

9

Input from earlier meetings


Feedback has been sought on…


How new resources might best be applied to reach populations
not currently assisted and improve our success


How best to stage enhancements


Measurement of transition coordination effectiveness


Modifications to MassHealth processes (e.g. prior authorization)

9

10

Considerations in Designing Enhancements to
Transition Coordination


Addressing diversity of populations to be served


How best to leverage competencies of existing agents and state agency staff


How best to ensure consistency in approach across facilities and populations


How best to capture sufficient data on transition work across multiple data
systems to ensure we can:


understand successes and understand barriers, issues, and trends;


evaluate effectiveness of transition coordination processes and of
agents;


meet MFP reporting requirements


How to identify appropriate level of resources for populations to be served


How to locate transition coordination expertise in entities that will provide
needed infrastructure for future developments in long term care

10

11

Enhancing Transition Coordination
Capacity


EOHHS will competitively procure Transition Coordination
expertise


Procurement of select number (5?) of regional entities with
independent living and disability expertise


Transition Coordination entity must be able to provide behavioral
health expertise


either directly or by sub
-
contracting



Entities will resource Transition Teams and provide “consultants”
to existing Transition Teams (e.g. DMH Hospital discharge
planning teams; CSSM)


Transition Teams will have consistent requirements re:
coordination tasks (medical and non
-
medical services needs;
delivery system options; etc)


Housing locator resources would be resident in same entities

11

12

Other Transition Enhancements




Training, technical assistance, (and case consultation?) support
to be provided to all regional entities and Transition Teams



Development of standardized tools across entities performing
transition coordination work (e.g. Public Benefits check
-
lists)



Accelerated prior authorization approval processes to support
discharges across settings

12

13

13

Housing

14

MFP Housing Strategies


Over
-
arching framework:


Assure high
-
level joint planning, resource identification &
development capacity between EOHHS & DHCD


Support statewide housing capacity identification and client
linkage


Improve existing housing search / access capacity



Background


TAC report, MassHousing, DHCD, EOHHS Steering Committee
& STG documents


Inventories; supply mapping; needs assessments; search tools;


14

15

Support EOHHS / DHCD Planning &
Capacity Development


Establish EOHHS MFP State Housing Coordinator


Oversee implementation of MFP Housing Action Plan,
including regional coordination support



Build on existing DHCD / local housing authority
collaborations


Joint Housing Steering Committee


Ongoing development & administration of Home Modification
Program


Ongoing housing unit selection under CBH & FCF


Training for DHCD architects re: accessibility requirements

16

Support EOHHS / DHCD Planning &
Capacity Development


Joint development of Housing opportunities for MFP
participants


Planned ABI & DDS housing development


Pending Category 2 non
-
elder Section 8 vouchers (215)


Ongoing bond cap planning to expand CBH, FCF as resources
permit


Expanded universal design training & unit development


Determination of new opportunities regarding:


Improved affordability of MassHousing set
-
aside, FCF units;
Project
-
based & MRVP Value Vouchers


Increased preferences / improved targeting for individuals leaving
institutions for MassHousing set
-
aside, Supported Housing, Home
Modification, CBH, Rural Housing Sec 515, & Alternative &
Housing Choice Voucher programs; potential QAP inclusion



17

Support statewide housing capacity
identification and client linkage



Establish Regional Housing Opportunity Teams


11 ADRCs, 8 Regional Housing Non Profits, local PHAs, state
agency regional housing staff, local providers, housing search
entities, advocates


What is the right number of regions for planning purposes?



Purchase MFP Housing Search Assistance


Help the consumer identify appropriate housing


Assist in collection of any required documentation


Ensure housing applications are obtained and completed


Should this be a per person unit rate? Should we hire regional (3?)
housing search providers?


Who should provide this service? ILCs? ADRCs? Homeless housing
search agencies? Realtors? Others?


18

Improve existing housing search
capacity


Enhance MassAccess

(
Massachusetts Accessible Housing
Registry)


Improve the functionality to conduct housing searches for specific
groups including elderly only and family;


Improve functionality for sorting developments with open wait
lists versus developments with current vacancies;


Conduct complete review of the entire site for updates/upgrades
with current web technology (current site is now two years old);


Update the Help and Resource Section of the Registry including
fact sheets on housing search, reasonable accommodations and
fair housing laws; and


Provide support for ongoing training for property managers and
end users.


19

Next Steps


Signatures for Letter of Support Needed by
December 28


Budget & Final OPD Draft Development Still
Underway


Final Stakeholder Meeting January 5