The Centers for Medicare & Medicaid Services (CMS) awarded 31 grants to States to participate in the Money Follows the Person Rebalancing Demonstration (MFP) from January 1, 2007 through September 30, 2011. This demonstration, created by section 6071 of the Deficit Reduction Act of 2005 (P.L. 109-171), supports State efforts to "rebalance" their long-term support systems by offering $1.75 billion over 5 years in competitive grants to States. Specifically, the demonstration will support State efforts to: a) Rebalance their long-term support system so that individuals have a choice of where they live and receive services; b) Transition individuals from institutions who want to live in the community; and c) Promote a strategic approach to implement a system that provides person centered, appropriate, needs based, quality of care and quality of life services and a quality management strategy that ensures the provision of, and improvement of such services in both home and community-based settings and institutions. The demonstration provides enhanced federal medical assistance percentage (FMAP) for 12 months for qualified home and community-based services for each person transitioned from an institution to the community during the demonstration period.
As of December 2014, CMS had awarded 45 MFP grants. In 2012, CMS awarded 3 MFP Grants, however, one grantee withdrew in 2013, thus, burden estimates are for 45 states and the District of Columbia instead of 47 states used in the last submission.
Costs have been adjusted to account for the most recent BLS hourly wage figures.
Additional adjustments that represent increased burden were made from the previous package for annual financial reporting forms that were inadvertently left out of the previous calculations and a reduction of burden associated with reporting multi-year numbers for Quality of Life surveys instead of annual numbers. There was also a reduction in burden associated with the reporting of nation evaluation data when adjustments for one time documents were addressed.
There have not been any program changes. Other than minor adjustments to calculations financial reporting forms to address the formula changes, all requirements, forms, instructions, respondent response times and response frequency, etc. are unchanged from the 2012 PRA package.
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Form CMS-10249 Administrative Requirements for Section 6071 of the DRA (CMS-10249)
2 CMS-10249 - Supporting Statement part B MFP 2014 - 11.26.14.pdf
1. CMS-10249 - Supporting Statement A [rev 04-01-2015 by OSORA PRA].doc
Administrative Requirements for Section 6071 of the DRA (CMS-10249)