Office for People With Developmental Disabilities

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MFP Overview

Revised March 1, 2018
05/02/14

Download the MFP Overview Fact Sheet

 

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 90 or more 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.
  •  OPWDD reports its data to DOH; DOH does the reporting to CMS. Voluntary providers are important partners in gathering the needed data. MFP reporting guidance for voluntary providers is available at  https://opwdd.ny.gov/transformation-agreement/mfp/mfp-reporting-guidance
  • The New York Association on Independent Living (NYAIL), operating as Open Doors, was contracted to perform MFP activities throughout the state. Working through local Independent Living Centers (ILCs), Open Doors will provide outreach to all populations in nursing homes and to individuals in OPWDD ICFs.
  • OPWDD and DOH have worked closely with Open Doors to coordinate the Transition Center Project and Peer Outreach and Referral Program as part of State's MFP program. Open Doors will assist in transition planning, follow- up on referrals, conduct Quality of Life (QOL) surveys, offer peer support during transition, and collect CMS-required 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 Open Doors 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. 

Qualifying Information:

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 or the FIDA-IDD Managed Care Plan upon moving into the community;
  • 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.

Tracking Process:

  • Please notify your Money Follows the Person Regional 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 (group home – 4 persons or smaller, Family Care home, private home/apartment)
    • Date of planned move
    • If person will live with family or not
    • MSC Agency and contact person (if known)
    • Facility contact person and contact information (phone and email address) for QoL survey scheduling purposes
  • The Open Doors 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 QoL survey and guidance for completing the survey are available here .

MFP Achievements and Goals

  • 780 individuals with ID/DD are anticipated to transition into qualifying MFP settings.
  • Since 2013, OPWDD assisted 547 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 https://ilny.us/programs/mfp 
  • 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 on OPWDD's website. A copy of the video can be requested by sending an e-mail to [email protected].   

In 2017:

  • OPWDD transitioned 72 individuals from Developmental Centers, ICFs and Skilled Nursing Facilities to MFP-qualifying settings in the community, nearly achieving the 2017 goal of 75 transitions.
  • As of December 31, 2017, OPWDD transitioned over 4,000 individuals from institutional settings to community-based settings. Of these, 547 were enrolled in the MFP Demonstration.

In 2018:

  • In this last year of participation in the MFP Demonstration, OPWDD again plans to transition 75 individuals from Developmental Centers, ICFs and Skilled Nursing Facilities to MFP-qualifying settings in the community.
  • There will be no new MFP enrollments after December 31, 2018. However, Open Doors will continue to obtain 11-month QoL surveys as needed.
  • OPWDD will continue to monitor and track transitions from all remaining institutional facilities.

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 Open Doors outreach visits, using language provided by OPWDD.
  • OPWDD will refer individuals to Open Doors 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.
  • Open Doors Transition Specialists will obtain signed MFP Informed Consent forms when they meet with individuals who desire to move to an MFP setting.

For More Information, Contact:

[email protected]

Money Follows the Person Regional Leads