Purpose of MFP
- The purpose of the New York State MFP Demonstration is to enable New York State to transform long-term care (LTC) systems to ensure that seniors and individuals with physical and developmental disabilities have access to community-based services.
- The MFP Demonstration was created by the federal Deficit Reduction Act of 2005 and extended through 2016 by the Affordable Care Act. New York State’s MFP grant will run through 2020.
- The Demonstration provides an enhanced Federal Medicaid funding match for 365 days of community-based services provided to persons who transition to community-based care after having been in an institutional setting for more than 90 consecutive days.
- New York State (NYS) continues to promote community-based, long-term care by shifting the focus from institutional-based care to person-centered home- and community-based care.
- The MFP Demonstration is a state-level initiative to support rebalancing long-term care in this way. OPWDD is just one participant in New York’s MFP Demonstration.
- OPWDD’s participation in MFP is one part of OPWDD’s larger system transformation and ICF transition plan. Only some of the individuals who leave ICFs will move to MFP-qualifying settings.
Partnership with DOH and Providers
- The NYS Department of Health (DOH) is the lead agency on the NYS MFP Demonstration. DOH has participated in MFP since 2007.
- OPWDD officially began participating in MFP on April 1, 2013.
- MFP requires extensive monthly, quarterly, semi-annual, and annual reporting to CMS.
- DOH does the reporting to CMS; OPWDD reports its data to DOH.
- Voluntary providers will be important partners in gathering the needed data. A guidance document for voluntary providers is available at /transformation-agreement/mfp/mfp-reporting-guidance
- An outreach contractor, the New York Association for Independent Living (NYAIL), working through Independent Living Centers (ILCs) around the state, will provide outreach to all populations in nursing homes and to individuals in OPWDD ICFs.
- OPWDD and DOH have worked closely with the NYAIL to develop regional Transition Centers that will assist in transition planning, follow-up on referrals, conduct Quality of Life (QOL) surveys, offer peer support during transition, and collect data for all NYS MFP participants.
Reporting MFP Participation and Quality of Life Improvements
To receive the appropriate federal funding match, OPWDD must track MFP participant eligibility, participation dates and experience in the community. Up to 90 days prior to or up to two weeks after an individual transitions to a qualifying setting, an ILC Transition Specialist must administer a baseline Quality of Life survey to the individual planning to move. A follow-up survey is completed 11-months after an individual has transitioned to the community.
Eligibility for MFP Participation - The individual moving must:
- Have resided in a qualified institution (hospital, nursing home, or ICF/IID) for not less than 90 consecutive days minus Medicare covered rehabilitative days immediately prior to transition;
- Be in receipt of Medicaid for at least one day prior to transition from the institutional setting;
- Be enrolled in the OPWDD HCBS waiver;
- Continue to meet ICF/IID (formerly ICF/MR) level of care requirement; and
- Transition into a qualified residence.
Definition of a Qualified Residence – Defined by Section 6071(b)(6) of the Deficit Reduction Act:
- Home owned or leased by the individual or his/her family member; or
- An apartment with an individual lease, with lockable access and egress, which includes living, sleeping, bathing, and cooking areas over which the individual or the individual’s family has domain and control; or
- A community-based residence in which no more than four unrelated individuals reside.
- Please notify your regional MFP Lead that a qualifying individual who receives services from your agency is planning to move to an MFP-qualifying setting. Please include:
- Individual’s name
- TABS ID Number
- Type of residence the person will move to (IRA – 4 person or smaller, Family Care, private home)
- Date of planned move
- If person will live with family or not
- MSC Agency and Contact Person (if known)
- Facility contact name and contact information (phone and email address) for survey scheduling purposes
- The ILC Transition Specialist will arrange to obtain the signature of the individual or his/her family member/guardian on the MFP Informed Consent form and to conduct the Baseline Qol survey.
- The MFP Informed Consent form, QoL survey, and guidance for completing the survey can be found at /transformation-agreement/mfp/overview.
MFP Achievements and Goals
- 780 individuals with ID/DD are anticipated to transition into qualifying MFP settings.
- Since 2013, OPWDD assisted 475 people to leave ICFs and Developmental Centers and move into MFP qualifying settings in the community.
- Self-Advocacy Association of New York State (SANYS) representatives visited and spoke with 1583 residents of ICFs and Developmental Centers about the possibility of moving into their communities.
- NYAIL has continued outreach to individuals in ICFs, Developmental Centers and Skilled Nursing Facilities under the project name “Open Doors”. NYAIL representatives have developed an Open Doors video which can be found on their website at http://www.ilny.org/
- OPWDD has developed a video showcasing the lives of individuals who moved from institutional settings to community-based settings. The video, titled “Communities in Transition,” can be viewed at the OPWDD home page, and a copy of the video can be requested by sending an e-mail to firstname.lastname@example.org.
- OPWDD is anticipating that an additional 75 individuals will transition from ICFs and Developmental Centers to move into MFP qualifying settings in the community.
Intersection with OPWDD’s On-going De-institutionalization
- OPWDD’s MFP participation occurs during an ongoing OPWDD initiative of de-institutionalization.
- The annual MFP goals are a part of OPWDD’s overall deinstitutionalization plans. Not every individual who leaves an ICF must move into an MFP-qualifying residence.
- OPWDD has transformation goals related to deinstitutionalization progress and MFP progress.
Notification of and Follow-up to Referrals
- Providers are requested to notify an individual’s advocates, guardians and family members of the dates and times of ILC outreach visits, using language provided by OPWDD.
- OPWDD will refer individuals to the ILCs for transition assistance as Developmental Centers close, ICFs convert to IRAs, and as individuals age out of Children’s Residential Projects or request to move out of nursing homes. Individuals who expressed an interest in moving to a more integrated community setting when SANYS representatives met with them will also generate an "MFP referral."
- Providers will be asked to meet with individuals who express interest in moving to a more integrated community setting to discuss person-centered planning and determine the next steps toward an appropriate community placement.
- ILC Transition Specialists will obtain signed MFP Informed Consent forms when they meet with individuals who desire to move to a more integrated community setting.