Money Follows The Person (MFP)
There's good news for Nevada residents currently living in nursing homes or in other institutional settings who want to move back home. Through the Money Follows the Person (MFP) Transitioning Home program, a new offering from the State of Nevada, eligible participants will be provided with the services, support, and assistance necessary to move back into a community setting, such as an apartment or family home.
In order to help eligible participants with the transition process, the program can pay for goods and services, such as furniture, appliances, moving expenses, and housing deposits. See the SERVICES tab for a full list of program benefits.
MFP also gives most participants the option of self-direction, allowing them to decide where they want to live and who will assist them upon returning to the community.
The Money Follows the Person (MFP) program is a state-wide program operated by the Division of Health Care Financing and Policy (DHCFP) that gives Nevadans currently residing in nursing homes or other institutions the opportunity to transition back into their respective communities.
The program provides eligible participants with community-based services and the support needed to remain independent. An important component of MFP is that participants have the choice to self-direct their own services — decide where they live and who will assist them in the community.
More than 35,000 people with chronic conditions and disabilities have transitioned from institutions back into the community through MFP programs as of June 2013, according to a semi-annual progress report.
Currently, 41 states have active MFP programs.
Money Follows the Person aims to increase the use of qualified home- and community-based services and reduce the use of institutionally-based services, and ensure that Nevadans receive care in the community, which helps fulfill the state's commitment to making sure residents who need services can live as independently as possible.
Most people who need long-term services would prefer to receive care in their community, rather than having to move into a nursing facility or institution. Expanding home- and community-based services gives more Nevadans care in the setting they prefer and provides support for informal caregivers.
And it turns out that in Nevada, providing home- and community-based services is the cost effective option. Investing in home- and community-based care has been shown to save states money. Average Medicaid spending on non-institutional care for seniors and people with physical disabilities can be as much as 85% less per person than nursing home care, according to findings in several reports.1
To qualify for the MFP program, the following criteria must be met:
- Individuals must be eligible for Medicaid
- Individuals must have lived in a nursing facility or qualified institution for at least 90 consecutive days (excluding short-term rehab)
- Medicaid must pay for at least one inpatient day in the qualified institution
- Individuals must have medical needs that can be met by services available in the community
There are no age-based restrictions.
If you don't meet the eligibility for Transitioning Home, Nevada's FOCIS unit may still be able to assist you transition back into the community. See MORE INFO tab.
Qualified Residence requirement
In order for an eligible transition through MFP, a participant must be transferred from a nursing facility or institution to a qualified residence, which is defined as:
- A home owned or leased by the individual or a family member
- An apartment with:
- an individual lease
- living, sleeping, bathing, and cooking areas that the resident has domain and control over
- lockable access and egress
- A residence in a community-based residential setting in which no more than four unrelated individuals reside
Group homes and assisted living facilities are NOT qualified residences, UNLESS it is an assisted living facility in which:
- occupancy is governed by an individual lease
- the unit has living, sleeping, bathing, and cooking areas
- the unit has lockable access and egress
- occupancy does not require that services be provided as a condition of the lease
The services offered through Money Follows the Person (MFP) Transitioning Home aim to provide the supports necessary for participants to successfully move back into the community and remain healthy and independent following the transition. Available services include:
Most participants will have access to community-based services, including, but not limited to:
Personal care service — Provided to eligible recipients whose chronic health problems cause them to be functionally limited in performing activities of daily living. Personal care services include but are not limited to: assistance with eating, bathing, dressing hygiene, shopping, laundry, meal preparation, chores, etc.
Home health services — May be provided on an intermittent basis to eligible recipients based on medical necessity and physician authorization. Services include: Skilled nursing, physical therapy, occupational therapy, speech therapy, and home health aides.
Durable Medical Equipment (DME) — Equipment and supportive devices used to serve a medical purpose; this includes prosthetics and orthotics.
Adult Day Health Care (ADHC ) — ADHC facilities provide a daytime care environment where eligible participants (who meet the Level of Care criteria) will receive medical services and oversight, in addition to social, health and nutrition services.
Personal Emergency Response System (PERS); also known as Medical Emergency Response Systems — An electronic device that allows you to call for help in an emergency by pushing a button. PERS will be provided to all MFP participants to serve as a 24-hour back-up system.
Non-emergency medical transportation — Transportation to medical appointments.
Community Transition Services
One of the truly unique benefits of the MFP program is the offering of Community Transition Services. Funding will be made available for goods and services necessary for a participant's transition back to the community and to establish a household. These services are provided on a one-time basis and are only available within the first year following transition. Community Transition Services include, but are not limited to:
- Housing deposits
- Set-up fees for essential services and utilities
- Household furniture and appliances
- Bank set-up fees and deposit
- Moving expenses
- Cleaning costs
- Essential groceries
All participants transitioning to the community will have access to a state Health Care Coordinator, who will manage the transition process. The coordinators will identify participants' needs and work to assist them in realizing their goals of moving back into the community.
Coordinators will also help participants develop a transition plan with their families and the nursing facility staff, find benefits, assist with housing resources, and link with community services. Coordinators will continue to provide assistance for up to one year following a participants' transition.
Home Modifications & Adaptations
To ensure the health, welfare and safety of participants following transition, modifications and adaptations can be done to a participants dwelling. Examples include, but are not limited to:
- Modifications to bathroom facilities
- Hoyer lifts
- Grab bars
Leaky ceiling small bother for MFP participant
For a little more than a week, the ceiling above Paula’s bathtub in her apartment was leaking. It was nothing major, but a leak nonetheless. And it took her apartment maintenance crew a few visits to get it completely fixed. But it didn’t bother Paula much.
Sure, she would have preferred not to have the leak, but it was a fairly minor nuisance. In a sense, it was almost a welcomed nuisance – as much as a leaky ceiling can be, anyways – because it was a leak in Paula’s ceiling. Above Paula’s bathtub. In Paula’s apartment. An apartment in which she is free to come and go, and decorate, and cook.
MFP provides fresh start for long-time Vegas resident
When Abbie Bland was first admitted to a nursing facility in Henderson, Nevada in December 2012, she was told she would probably be there for the rest of her life. For Abbie, who was 76 at the time, that was not an option.
“That place was not my cup of tea,” she said. “I didn’t belong there.”
But after several months, it began to look as though she wouldn’t have any other options. While in the facility, Abbie lost possession of nearly all of her belongings, including her vehicle and the mobile home she had been living in.
To get more information about Nevada's Money Follows the Person (MFP) program or community-based services offered in the state, contact one of Nevada's Care Connection sites. Click here for a listing of sites statewide.
For detailed program information, watch these trainings.
- LAS VEGAS area: (702) 668-4200
- CARSON CITY area: (775) 684-3651
- RENO area: (775) 687-1900
- ELKO area: (775) 753-1191
Nevada Medicaid's FOCIS unit (Facility Outreach and Community Integration Services) aims to assist individuals either at risk of long-term facility placement, or who are currently residing in a facility to live in community settings by accessing Medicaid services and resources.
Studies & Reports
- Kaiser Commission on Medicaid and the Uninsured - "Medicaid's Long-Term Care Users: Spending Patterns Across Institutional and Community-based Settings"
- Families USA - "Health Reform: New Opportunities for Nevada to Invest in Home- and Community-based Services"