Medicaid/LTSS: MFP Reauthorization Reintroduced in Senate and House

On February 25, Senators Rob Portman (R-OH) and Maria Cantwell (D-WA) and Representatives Brett Guthrie (R-KY) and Debbie Dingell (D-MI) introduced the EMPOWER Care Act (S.548, H.R.1342), which extends the Money Follows the Person Program (MFP) through 2023. The MFP program has helped more than 88,000 seniors and individuals with disabilities move out of nursing homes and institutions. Independent evaluations have proven that MFP improves the quality of life for individuals and has reduced Medicaid and Medicare expenditures by approximately 23%. The Arc strongly supports reauthorization of MFP. See the action alert.

Medicaid/LTSS: Short-Term MFP Extension Signed Into Law

On January 24, 2019, the President signed into law H.R. 259, the “Medicaid Extenders Act of 2019,” which extends the Money Follows the Person (MFP) program. The measure provides 3 months of funding for the MFP program, which states have until September 30, 2019 to spend. MFP has helped more than 88,000 seniors and individuals with disabilities move out of nursing homes and institutions. Independent evaluations have proven that MFP improves the quality of life for individuals and has reduced Medicaid and Medicare expenditures by approximately 23%. The Arc strongly supports reauthorization of MFP. Additionally, the bill extends Medicaid’s spousal impoverishment protections for home and community-based services beneficiaries until March 31. The spousal impoverishment protection allows the spouse of a Medicaid long term services and supports (LTSS) beneficiary to maintain a modest amount of income and resources for food, rent, and medication. The Arc would like to thank advocates who contacted their Members of Congress on this important issue.

Medicaid/LTSS: Senate Approves MFP Extension

On January 17, the Senate approved H.R.259, which extends the Money Follows the Person (MFP) Program until September 30. The MFP program has helped more than 88,000 seniors and individuals with disabilities move out of nursing homes and institutions. Independent evaluations have proven that MFP improves the quality of life for individuals and has reduced Medicaid and Medicare expenditures by approximately 23%. The Arc strongly supports reauthorization of MFP. Additionally, the bill extends Medicaid’s spousal impoverishment protections for home and community-based services beneficiaries until March 31. The spousal impoverishment protection allows the spouse of a Medicaid long term services and supports (LTSS) beneficiary to maintain a modest amount of income and resources for food, rent, and medication. The bill now awaits President Trump’s signature. The Arc would like to thank advocates who contacted their Members of Congress on this important issue.

Medicaid/LTSS: House Approves MFP Extension

On January 8, the House of Representatives approved H.R.259, which extends the Money Follows the Person (MFP) Program until September 30. The MFP program has helped more than 88,000 seniors and individuals with disabilities move out of nursing homes and institutions. Independent evaluations have proven that MFP improves the quality of life for individuals and has reduced Medicaid and Medicare expenditures by approximately 23%. The Arc strongly supports reauthorization of MFP. Additionally, the bill extends Medicaid’s spousal impoverishment protection for home and community-based services beneficiaries until March 31. The spousal impoverishment protection allows the spouse of a Medicaid long term services and supports (LTSS) beneficiary to maintain a modest amount of income and resources for food, rent, and medication. The bill must now receive Senate approval. Contact your Senators using our action alert.

Medicaid/LTSS: House Approves Three-Month MFP Extension

Last week, the House both passed the Improving Medicaid Programs and Opportunities for Eligible Beneficiaries (IMPROVE) Act (H.R.7217). This bill includes reauthorization of the Money Follows the Person (MFP) program for three months. MFP provides grants to states to transition people from institutions to community-based settings. According to a report from the U.S. Department of Health and Human Services, this program has helped over 63,000 people transition into the community and has saved Medicare and Medicaid almost $1 billion as of 2013. The Arc strongly supports reauthorization of MFP. Additionally, the bill extends Medicaid’s spousal impoverishment protections for Home and Community Based Services beneficiaries for three months. The spousal impoverishment protection allows the spouse of a Medicaid Long Term Services and Supports (LTSS) beneficiary to maintain a modest amount of income and resources for food, rent, and medication.

Correction: The original version of this article incorrectly stated that the IMPROVE Act extended MFP for three years and that it had passed both chambers.

Medicaid/LTSS – House Committee Holds Hearing Addressing MFP; Advocates Hold Briefing

On September 5, the House Energy and Commerce Committee held a hearing on several bipartisan health initiatives, including reauthorization of the Money Follows the Person (MFP) Demonstration Program. Witnesses testifying on MFP were Curtis Cunningham, Vice President, National Association of States United for Aging and Disabilities; and Matt Salo, Executive Director, National Association of Medicaid Directors. Visit the Committee web site for more information or to view archived video of the hearing.

On September 6, The Arc and other advocacy organizations held a briefing for Congressional staff on reauthorization of MFP. Nicole Jorwic, Director of Rights Policy at The Arc was the moderator of the briefing. Speakers were John McCarthy, Founding Partner at Speire Healthcare Strategies, Former Medicaid Director in Ohio and DC; Margaret Gartlgruber, Vice President at RHA Health Services; Mike Oxford, Executive Director for Policy, Topeka Independent Living Resource Center; and Tyree Brown, a person who transitioned back home in Maryland. MFP provides grants to states to transition people from institutions to community based settings. According to a report from the U.S. Department of Health and Human Services, this program has helped over 63,000 people transition into the community and saved Medicare and Medicaid almost $1 billion as of 2013. The Arc strongly supports reauthorization of MFP.

Medicaid/LTSS – House Committee to Hold Hearing Addressing MFP; Advocates to Hold Briefing

On September 5, the House Energy and Commerce Committee will hold a hearing on several bipartisan initiatives, including reauthorization of the Money Follows the Person (MFP) Demonstration Program. On September 6, The Arc and other advocacy organizations will hold a briefing for Congressional staff on reauthorization of MFP. MFP provides grants to states to transition people from institutions to community-based settings. According to a report from the U.S. Department of Health and Human Services, this program has helped over 63,000 people transition into the community and saved Medicare and Medicaid almost $1 billion as of 2013. The Arc strongly supports reauthorization of MFP.

Medicaid/LTSS – Money Follows the Person Reauthorization Bill Introduced in House

On March 15, Representatives Debbie Dingell (D-MI) and Brett Guthrie (R-KY) introduced the Ensuring Medicaid Provides Opportunities for Widespread Equity, Resources, and Care (EMPOWER Care) Act (H.R. 5306). This bipartisan bill reauthorizes the Money Follows the Person Demonstration Program, which provides grants to states to transition people from institutions to community based settings. According to a report from the U.S. Department of Health and Human Services, this program has helped over 63,000 people transition into the community and saved almost $1 billion for Medicare and Medicaid as of 2013. The Arc strongly supports this legislation.

New Report Released by the Centers for Medicare and Medicaid Services

Last week, the Centers for Medicare and Medicaid Services (CMS) released a report titled “The Right Supports at the Right Time: How Money Follows the Person (MFP) Programs Are Supporting Diverse Populations in the Community.” This report examines how six MFP grantees are serving populations with diverse needs in the community and the factors that have contributed to their performance on key outcome measures. The report is available here.

HHS announces MFP funding for states and seeks public comment on CFC regulations

States will see significant new federal support in their efforts to help move Medicaid beneficiaries out of institutions and into their own homes or other community settings, Health and Human Services (HHS) Secretary Kathleen Sebelius announced yesterday.  The Affordable Care Act provides additional funding for two programs supporting that goal:

Money Follows the Person (MFP):  The Affordable Care Act (ACA) extended the MFP demonstration program (which was set to expire in fiscal year 2011) for an additional five years.  The 13 States receiving awards today (CO, FL, ID, ME, MA, MN, MS, NV, NM, RI, TN, VT, and WV) join the 29 States and the District of Columbia already operating MFP programs. Together, these States will receive more than $45 million in the first year of the awards, and more than $621 million through 2016. The MFP program provides individuals living in a nursing home or other institution new opportunities to live in the community with the services and supports they need.

Community First Choice (CFC) Option:  The ACA created the CFC Option, which will give States additional resources to make community living a first choice, and leave nursing homes and institutions as a fall back option.  Starting in October, this option will allow States to receive a six percent increase in federal matching funds for providing community-based attendant services and supports to people with Medicaid. Over the next three years—through 2014—States could see a total of $3.7 billion in new funds to provide these services.  The CFC proposed rule, posted today, describes the details of this program and solicits public comment.   See the HHS press release at http://www.hhs.gov/news/press/2011pres/02/20110222b.html