Form CMS-10249 Semi-Annual Progress Report

Administrative Requirements for Section 6071 of the Deficit Reduction Act of 2005 (CMS-10249)

MFP_ Semi-Annual_Report Final

Administrative Requirements for Section 6071 of the DRA

OMB: 0938-1053

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MONEY FOLLOWS THE PERSON (MFP)
SEMI-ANNUAL PROGRESS REPORT
This PDF reporting form is to be used by grantees for semi-annual reporting of MFP program data. The
information provided in this report will allow CMS to monitor grantee progress and identify challenges
and improvement opportunities. For additional guidance on completing this form, please see the
associated User Guide and Help File, available from your CMS Project Officer.
Please save the file to your local PC using the following naming convention: State Initials_
Reporting Year_ Reporting Period (1 or 2) (for example, AL_2020_Period2). While completing the
reporting form, please save your work often by selecting File >>> Save in the upper left hand
corner of the PDF.

A. General Information
Organization Information
1. Full Name of Grantee Organization
2. Program's Public Name
3. Program's Website
Project Director
4. Project Director Name
5. Project Director Email
Grantee Signatory / Authorizing Official Representative (AOR)
6. Grantee Signatory Name
7. Grantee Signatory Email
8. Has the Grantee Signatory changed since last report?
Yes
No
CMS Project Officer
9. CMS Project Officer Name

1

B. Transitions
Update Section B. each period. During Period 1 reporting, leave Period 2 fields blank. During Period 2
reporting, add Period 2 data below existing Period 1 data. Red outlined cells indicate a manual calculation
is required; green outlined cells indicate the PDF will auto-calculate the field.
1. Please specify your MFP program’s “Other” target population(s) here if applicable.

2. Number of people assessed for MFP enrollment. [Refer to Help file for explanation]
Older
Adults

ID/DD

MI

PD

Other

Total

a. First period (Jan 1 – June 30)

0

b. Second period (July 1 – Dec 31)

0

c. Total (period 1 + period 2)

0

d. Cumulative number assessed
(cumulative assessments as of last
period report (Q2, row d) + new
assessments current period report (Q2,
row c))

0

e. Transition targets, all grant years
(by population and total)

0

f. Cumulative number assessed as a
percent of total transition target (total
assessed (row d) / total transition target
(row e)

0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

3. Number of institutional residents who transitioned during this reporting period and enrolled in
MFP. [Refer to Help file for explanation]
Older
Adults

ID/DD

MI

PD

Other

Total

a. First period (Jan 1 – June 30)

0

b. Second period (July 1 – Dec 31)

0

c. Total (period 1 (row a) + period 2
(row b))

0

d. Annual transition target

0

e. Percent of annual transition target
achieved

0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

2


	

4. Cumulative number of MFP transitions to date. The cumulative transition total is the sum of
the previous period’s cumulative transitions and the current period’s transitions. If you need
to adjust the cumulative MFP transitions to date, please enter the positive and/or negative
adjustment value in the corresponding cell of the table below. For example, if your records
show 5 fewer older adult transitions than the table shows, you should enter ‘-5’ in the
adjustment value row under "Older Adults". The PDF will calculate a revised total in the
“Adjusted Cumulative Total” row.
If applicable, please provide an explanation as to why your cumulative transition counts need to be
updated.

Older
Adults

ID/DD

MI

PD

Other

Total

a. Cumulative transitions

0

(previous period cumulative transitions
(Q4, Row c) + current period transitions)
b. Adjustment value for cumulative
transitions

0

c. Adjusted cumulative total

0

d. Transition targets, all grant years

0

(by population and total)

5. Total number of current MFP participants. Current MFP participants excludes individuals
whose enrollment in the MFP demonstration ended because they completed their 365 days
of MFP eligibility, died before they exhausted their 365 days of eligibility, or were
institutionalized for 30 days or more and did not subsequently re-enroll in the MFP program
[Refer to Help file for explanation]
Older
Adults

ID/DD

MI

PD

Other

Total

a. First period (Jan 1 – June 30)

0

b. Second period (July 1 – Dec 31)

0

3

6. Number of MFP participants re-institutionalized. [Refer to Help file for explanation]
Older
Adults

ID/DD

MI

PD

Other

Total

a. For less than or equal to 30 days

0

b. For more than 30 days

0

c. Length of stay as yet unknown

0

d. Total re-institutionalized for any length of
time (total of row a + row b + row c))

0

0

0

0

0

0

e. Number of MFP participants reinstitutionalized as a percent of all current
MFP participants
(Total re-institutionalized (Q6, row d)/ total
current (Q5))*100)
f. Number of MFP participants reinstitutionalized as a percent of cumulative
transitions

0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

Please indicate any factors that contributed to re-institutionalization.
Deterioration in physical or mental health status
Events that led to a hospitalization (for example, acute medical events, falls, or
accidents)
The existence of a complex or chronic condition requiring more care than could be
received at home
Inadequate community or family member support
Requests by either the family or the participant to return to an institutional setting
Loss of caregiver
Loss of housing
Lack of sufficient home care services in area
Other

4

7. Number of MFP participants re-institutionalized for longer than 30 days, who were reenrolled in the MFP program during the reporting period. [Refer to Help file for explanation]
Older
Adults

ID/DD

MI

PD

Other

Total

a. First period (Jan 1 – June 30)

0

b. Second period (July 1 – Dec 31)

0

c. Total (period 1 (row a) + period 2 (row
b))

0

8. Number of MFP participants -who ever transitioned -who completed the 365-day transition
period during the reporting period. [Refer to Help file for explanation]
Older
Adults

ID/DD

MI

PD

Other

Total

a. First period (Jan 1 – June 30)

0

b. Second period (July 1 – Dec 31)

0

c. Total (period 1 (row a) + period 2 (row
b))

0

Please indicate any factors that contributed to participants not completing the 365-day transition
period.

9. Please specify the total number of participant deaths that occurred during the reporting
period:
Older Adults

ID/DD

MI

PD

Other

Total

0

5

10. Did your program have difficulty transitioning the projected number of persons it proposed to transition in
the Operational Protocol? If yes, please check the target populations that apply.
Yes
(If Yes) Please select the populations affected:
Older Adults,

ID/IDD,

MI,

PD,

Other.

No
Please describe your difficulties for each target population.

11. Do you intend to seek CMS approval to amend your annual or total Demonstration period transition
benchmarks in your approved Operational Protocol?
Yes
No
(If Yes) Please explain the proposed changes to your transition benchmarks.

6

C. Total Expenditures for Home & Community-Based Services
Completed during the second reporting period (July-December) and for close-out.
1. Do you require modifying the Actual Level of Spending for last period?
Yes
(If Yes) Please describe why the changes were necessary and update in the table
below.

No
On the next page, grantees should report total Medicaid HCBS Expenditures (federal and state funds)
for all Medicaid recipients (not just MFP participants), including: expenditures for all 1915c waiver
programs, home health services, and personal care if provided as a State Plan optional service. It
should also include HCBS spending on MFP participants (qualified, demonstration and supplemental
services), and HCBS capitated rate programs to the extent that HCBS spending can be separated
from the total capitated rate.
HCBS Expenditures: Actual level of spending for each Calendar Year (CY) or State Fiscal Year (SFY)
(column 4) is the sum of:
1) HCBS expenditures for all 1915c waivers and state plan HCBS services -- from CMS 64
data and
2) MFP expenditures -- from MFP Financial Reporting Forms A and B.
Grantees should enter total annual spending once each year. When making updates or corrections to
actual spending amounts reported for the previous year, please check the 'yes' box at the top of this
page to flag such changes.

7

2. Please enter data for the relevant reporting period and year. Cells outlined in red indicate
a calculation is needed.

Year

Target Level
of Spending

% Annual
Growth
Projected

Total Spending
for the Calendar
Year

% Annual
Change (From
Previous Year)

% of Target
Reached

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

Please explain year end rate of progress for each year filled out in the table.

8

3. Please specify (CY or SFY) and the dates of your SFY here.
4. Use this box to explain missing, incomplete, or other qualifications to the data reported in this
section (C).

9

D. Additional Benchmarks
•

This section requests information and data on progress made towards achieving the state’s
additional MFP benchmarks, at least one of which reflects the state’s reinvestment of savings
generated under MFP to rebalance the state’s long-term care system. The information below
reflects your state’s additional benchmarks as described in the CMS-approved Operational
Protocol. If your state has not achieved the benchmark measure for this reporting period, please
use the text box below to explain the barriers or challenges that have hindered progress, and
plans to address them.

•

Benchmarks for grantees participating in the Tribal Initiative can be added here.

•

Please enter data for the relevant reporting period and year. Green outlined cells indicate the
PDF will auto-calculate the field.

Benchmark #1: [Please describe as specified in Operational Protocol]

Measure #1 [Please describe as specified in Operational Protocol]

Year

Measure
Target

Measure
First Period
(Jan 1 June 30)

Measure
Second
Period (July
1 - Dec 31)

Please explain your Year End rate of progress:

10

Measure
Entire
Year

% Achieved
First Period

%
Achieved
Second
Period

%
Achieved
Entire
Year

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

Measure #2 (If applicable) [Please describe as specified in Operational Protocol]

Year

Measure
Target

Measure
First Period
(Jan 1 June 30)

Measure
Second
Period (July
1 - Dec 31)

Measure
Entire
Year

% Achieved
First Period

%
Achieved
Second
Period

%
Achieved
Entire
Year

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

Please explain your Year End rate of progress:

Measure #3 (if applicable) [Please describe as specified in Operational Protocol]

Year

Measure
Target

Measure
First Period
(Jan 1 June 30)

Measure
Second
Period (July
1 - Dec 31)

Please explain your Year End rate of progress:

11

Measure
Entire
Year

% Achieved
First Period

%
Achieved
Second
Period

%
Achieved
Entire
Year

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

Benchmark #2: [Please describe as specified in Operational Protocol]

Measure #1: [Please describe as specified in Operational Protocol]

Year

Measure
Target

Measure
First Period
(Jan 1 June 30)

Measure
Second
Period (July
1 - Dec 31)

Please explain your Year End rate of progress:

12

Measure
Entire
Year

% Achieved
First Period

%
Achieved
Second
Period

%
Achieved
Entire
Year

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

Measure #2 (if applicable) [Please describe as specified in Operational Protocol]

Year

Measure
Target

Measure
First Period
(Jan 1 June 30)

Measure
Second
Period (July
1 - Dec 31)

Measure
Entire
Year

%
Achieved
Second
Period

% Achieved
First Period

%
Achieved
Entire
Year

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

Please explain your Year End rate of progress:

Measure #3 (if applicable) [Please describe as specified in Operational Protocol]

Year

Measure
Target

Measure
First Period
(Jan 1 June 30)

Measure
Second
Period (July
1 - Dec 31)

Please explain your Year End rate of progress:

13

Measure
Entire
Year

% Achieved
First Period

%
Achieved
Second
Period

%
Achieved
Entire
Year

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

Benchmark #3: [Please describe as specified in Operational Protocol]

Measure #1: [Please describe as specified in Operational Protocol]

Year

Measure
Target

Measure
First Period
(Jan 1 June 30)

Measure
Second
Period (July
1 - Dec 31)

Measure
Entire
Year

% Achieved
First Period

%
Achieved
Second
Period

%
Achieved
Entire
Year

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

Please explain your Year End rate of progress:

Measure #2 (if applicable) [Please describe as specified in Operational Protocol]

Year

Measure
Target

Measure
First Period
(Jan 1 June 30)

Measure
Second
Period (July
1 - Dec 31)

14

Measure
Entire
Year

% Achieved
First Period

%
Achieved
Second
Period

%
Achieved
Entire
Year

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

Please explain your Year End rate of progress:

Measure #3 (if applicable) [Please describe as specified in Operational Protocol]

Year

Measure
Target

Measure
First Period
(Jan 1 June 30)

Measure
Second
Period (July
1 - Dec 31)

Measure
Entire
Year

% Achieved
First Period

%
Achieved
Second
Period

%
Achieved
Entire
Year

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

Please explain your Year End rate of progress:

Do you intend to seek CMS approval to amend your additional benchmarks in your approved
Operational Protocol?
Yes
(If Yes)

No

15

E. Rebalancing Efforts
Completed only during the first period (January – June) of each year and for close-out.
•

Complete this section during the first period to report on the cumulative amount spent to date on
state rebalancing efforts resulting from participating in the MFP program

•

Rebalancing funds being used for specific Tribal Initiatives can be added here by participating
grantees.

In the table below, enter information on expenditures and activities, whether continuing from prior
reporting periods or initiated during this current reporting period, for each current, new, or expanded
rebalancing initiative resulting from state savings from MFP program participation. If there are more
than 6 rebalancing initiatives, please combine related programs and initiatives so that there are no
more than 6.
If you have not implemented rebalancing initiatives to date, enter "$0.00" in the Total Actual
Expenditures box, and in the text box, describe your state's planned rebalancing initiatives and
projected expenditures for each.

16

Rebalancing Initiative Name

Total Actual
Expenditures for this
initiative (cumulative
spending from start of
MFP grant program
through end of last
calendar year).

Explain any missing or incomplete data.

1.

2.

3.

4.

5.

6.

----

Total

0.00

17

Rebalancing Initiative
Name

Brief Description of Initiative

1.

2.

3.

4.

5.

6.

18

F. Recruitment & Enrollment
1. Number and percent of MFP participants transitioned during this period whose length of
time from assessment to actual transition took:
Number

Percent

Less than 2 months

0.00%

2 to 6 months

0.00%

6 to 12 months

0.00%

12 to 18 months

0.00%

18 to 24 months

0.00%

24 months or more

0.00%

[.………………………………………………………….]
Please
indicate the average length of time required from assessment to actual transition.

2. Total number of individuals who were referred to the MFP program through MDS 3.0 Section
Q referrals during the reporting period. Please report an unduplicated count.
Total
3. Of the MDS 3.0 Section Q referrals ever received by the MFP program, number of
individuals who subsequently enrolled in MFP and transitioned to the community during this
reporting period.
Total

□
□
□
□
□
□
[…………..
………………………………………………………………………..……………………….]
□

19

G. Self-Direction
Did your state have any self-direction programs in effect during this reporting period?
Yes
No
1. If YES, how many MFP participants were in a self-direction program as of the last day of
the reporting period?
Older Adults

ID/DD

MI

PD

Other

Total

2. Of those MFP participants in a self-direction program how many:
Older
Adults

ID/DD

MI

PD

Other

Total

Hired or supervised their own
personal assistants
Managed their allowance or budget

Use this box to explain missing, incomplete, or other qualifications to the data reported
in this section (G).

20

H. MFP Quality Requirements
□

For every service and program that serves MFP individuals, the state must have a quality
management strategy consistent with the section 1915(c) waiver requirements including the use
of 	performance measures, remediation strategies, trending and analysis, and the implementation
of quality improvement initiatives. In addition, the state must also have the following three quality
requirements in place in order to assure the health and welfare of MFP participants upon
discharge to a community setting:
□
1. A critical incident reporting and management system and a process to ensure that the
system is working as planned;
2. A risk assessment and mitigation protocol and a process to ensure that the protocol is
working as planned; and

□

□

□

□

□

□

□

□

□

□

3. A backup strategy in place that includes access to a 24 hour back up service to address a
lapse in the provision of essential health and support services or other circumstances that
could have a negative effect on participant health or welfare, and a process to ensure that
[.
the strategy
is working as planned.
……………………………………………………………………………………………………
………………………………………………………………………………………………..….]
Section H. will ask about the work that your state is doing related to each of these
requirements.
□

[.
……………………………………………………………………………………………………
………………………………………………………………………………………………..….]
□

□

□

□

□

□

[.
……………………………………………………………………………………………………
………………………………………………………………………………………………..….]

21

H.1 Critical incident reporting
1. MFP programs are required to have a critical incident (CI) and management system and a
process to ensure that the system is working as planned. A critical incident (e.g., abuse, neglect
and exploitation) is an event that could bring harm, or create potential harm, to a participant.
Please complete the table below to report on each type of critical incident related to the MFP
program and MFP participants.

Critical
Incident Area

Please specify
the number of
times this type
of critical
incident
occurred

Did the state make any changes,
either for the consumer(s) or its
system, as a result of the analysis
of critical incidents?

Abuse

Neglect

Exploitation

Involvement with
Criminal Justice
System

Medication
Administration
Errors
Deaths reported
to state CI
system

22

What is the
current status of
the issue?

If resolved or
abandoned, please
explain

2. Please summarize any additional information on progress, challenges, or solutions related to your
critical incident reporting and management system.

H.2 Risk assessment and mitigation
1. What notable improvements did your program make to your HCBS quality
management systems that affect MFP participants? These improvements may include
improvements to quality management systems for your state's waiver programs.
Improved intra/inter departmental coordination
Implemented/Enhanced data collection instruments
Implemented/Enhanced information technology applications
Implemented/Enhanced consumer complaint processes
Implemented/Enhanced quality monitoring protocols DURING the one-year transition
period (that is, methods to track quality-related outcomes using identified benchmarks
or identifying participants at risk of poor outcomes and triggering further review at a later
point in time))
Enhanced a critical incident reporting and tracking system
Enhanced a risk management process
None
Other, specify below
Please describe the improvement.

23

□
2. Please
summarize any additional information on progress, challenges, or solutions related to your
risk assessment and mitigation protocol.

□

□

□

□

□

[.
……………………………………………………………………………………………………
………………………………………………………………………………………………..….]
□

□

□

□

□

□

[.
……………………………………………………………………………………………………
………………………………………………………………………………………………..….]
□
H.3 24 hour back up services
1. How many calls did your program receive from MFP participants for emergency back-up
assistance during the reporting period by type of assistance needed? Emergency refers to
situations that could endanger the health or well-being of a participant and may lead to a critical
incident if not addressed. (Please note this question only captures calls that were considered to
be emergencies and not those that are informational or complaints.)
Older
Adults

ID/DD

MI

PD

Other

Total

Transportation to get to medical
appointments

0

Life-support equipment
repair/replacement

0

Critical health services

0

Direct service/support workers not
showing up

0

Other, Please Specify [.
………….]

0

Total

0

0

24

0

0

0

0

2. For what number of the calls received were you able to provide the assistance that was
needed when it was needed?
Older Adults

ID/DD

MI

PD

Other

Total

0
3. Did your program have to change back-up services or quality management systems due to
an identified problem or challenge in the operation of your back-up systems?

□

Yes

No
[………………..
(If Yes) Please Describe
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
…………………………………………………………………………………………]

□
□

□

□

□

□

□

[.
……………………………………………………………………………………………………
………………………………………………………………………………………………..….]
[.
……………………………………………………………………………………………………
………………………………………………………………………………………………...….]
□

□

□

[.
………………………………………………………………………………………………………
……………………………………………………………………………………………………...]

25

4. Did your program experience any challenges in:
Developing adequate and appropriate service plans for participants, i.e., developing service
plans that address the participant’s assessed needs and personal goals
Assessing participants' risk
Developing, implementing, or adjusting risk mitigation strategies
Addressing emergent risks in a timely fashion
Delivering all the services and supports specified in the service plan
Modifying the service plan to accommodate participants' changing needs or circumstances,
i.e., increasing units of a service, adding a different type of service, changing time of day
when services are delivered, etc.
Identifying threats to participants' health or welfare
Addressing threats to participants' health or welfare
None
Other, describe below.

5. Please summarize any additional information on progress, challenges, or solutions
related to your 24 hour back up services and systems.

26

I. Housing for Participants
1. What notable achievements in improving housing options for MFP participants did your program
accomplish during the reporting period? Choose from the list below and describe by target
population for each checked box.
Developed inventory of affordable and accessible housing
Developed local or state coalitions of housing and human service organizations to identify
needs and/or create housing-related initiatives
Developed statewide housing registry
Improved funding or resources for developing assistive technology related to housing
Improved information systems about affordable and accessible housing
Partnered with local public housing authority or state housing agency to create preferences
for MFP participants and/or increase rental assistance opportunities
Increased affordable/accessible housing opportunities for MFP participants
Increased opportunities for apartments in MFP qualified assisted living settings
Increased group home opportunities qualifying for MFP
Increased/Improved funding for home modifications
Other, specify below
None
Populations Affected
Older Adults

ID/DD

MI

PD

Please describe the achievements

27

Other

2. How many MFP participants who transitioned to the community during the reporting period moved
to each type of qualified residence? The sum total reported below should equal the number of
individuals who transitioned to the community this period, reported in Question B.3. (Transitions).
Older
Adults

ID/DD

MI

PD

Other

Total

Home (owned or leased by individual or
family)

0

Apartment (individual lease, lockable
access, etc)

0

Group home or other residence in
which 4 or fewer unrelated individuals
live

0

Apartment in qualified assisted living

0

3. Describe specific housing efforts associated with this initiative and housing challenges
□ during this reporting period.

□

□

□

□

□

□

□

□

□

□

□

□


	

□

□

□

□

□

□

□

□

□

□

□

28

J. Organization & Administration
1. 	 Were there any changes in the organization or administration of the MFP program during
this reporting period? For example, did your Medicaid agency undergo a reorganization that
altered the reporting relationship of the MFP Project Director?

□ Yes
No
[. (If Yes) Please describe the changes below.
………………………………………………………………………………………………………
………………………………………………………………………………………………………
…………………………………………………………………]

□
□

[.
…………………………………………………………………………………………………………
…………………………………………………………………………..]
□

[.
…………………………………………………………………………………………………………
…………………………………………………………………………..]
□

[.
…………………………………………………………………………………………………………
…………………………………………………………………………..]
□

	
[.
…………………………………………………………………………………………………………
…………………………………………………………………………..]

29

K. Challenges & Developments
Please use this section to describe any challenges, achievements, or major changes to your MFP
program during the reporting period. Updates may focus on, but are not limited to the following:
□
recruitment and enrollment, informed consent and guardianship, outreach, marketing, and education,
stakeholder involvement, benefits and services, participant access to services, self-direction, housing for
participants, employment supports and services, organization and administration, and independent
evaluation. [.
1. What…………………………………………………………………………………………………………
types of overall challenges have affected almost all aspects of the program?
…………………………………………………………………………………………………………]
□

[.
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………]
□

[.
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………]
□

[.
…………………………………………………………………………………………………………
2. Did your
program report any notable achievements during the reporting period?
…………………………………………………………………………………………………………]
□

[.
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………]
□

[.
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………]
□

30

3. Were there any major changes to your program during the reporting period?

□

[.
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………]
□

[.
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………]
□

[.
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………]
□

[.
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………]
□

[.
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………]
□

[.
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………]
□

31

L. Sustainability
Completed during the second reporting period (July-December) only and at close-out.
1. Please indicate any MFP staff positions that will be sustained at the end of the
demonstration. Check all that apply.
Administrative staff
Data analyst
Housing coordinator
Outreach staff
Quality and monitoring staff
Social workers
Transition coordinator
Other. Please describe below:

32

2. Please indicate any MFP demonstration or supplemental services that will be sustained at
the end of the demonstration, the target population, and under what Medicaid authority the
service will be sustained.

MFP Service

Target Population
(check all that apply)

1.

Older Adults
ID/DD
MI
PD
Other

2.

Older Adults
ID/DD
MI
PD
Other

3.

Older Adults
ID/DD
MI
PD
Other

4.

Older Adults
ID/DD
MI
PD
Other

5.

6.

Older Adults
ID/DD
MI
PD
Other
Older Adults
ID/DD
MI
PD
Other

33

Medicaid authority
(for example Section 1915(c)

3. Please describe any additional detail on MFP services that will be sustained in the text box
below.

34

4. Please indicate what demonstration or supplemental services will not be sustained, and why.
Reason (select all that apply)

MFP services that will not be sustained

1.

Lack of funding
Lack of staff
Lack of utilization by MFP participants
Other. Please describe.

2.

Lack of funding
Lack of staff
Lack of utilization by MFP participants
Other. Please describe.

Lack of funding
Lack of staff
Lack of utilization by MFP participants
Other. Please describe.

3.

Lack of funding
Lack of staff
Lack of utilization by MFP participants
Other. Please describe.

4.

Lack of funding
Lack of staff
Lack of utilization by MFP participants
Other. Please describe.

5.

Lack of funding
Lack of staff
Lack of utilization by MFP participants
Other. Please describe.

6.

35

5. Please enter any additional description below related to what demonstration services will not
be sustained.

6. Indicate how your program assesses participants' experience of care:
MFP participants are included in a survey through our HCBS waiver program.

MFP participants complete a unique MFP experience of care survey or standard survey.

MFP participants are not surveyed about their experience of care at this time.
Our MFP participants continue to complete the MFP Quality of Life Survey.

36

7. What are the major barriers to sustaining activities and initiatives implemented through your
current MFP program?
Lack of, or insufficient funding
Restrictions on the benefits that can be provided under existing Medicaid authorities
Staff turnover or lack of staff resource
Difficulties with referrals or lack of participation
Housing challenges
State legislative authority
Other. Please describe below.

8. What efforts have you made during the reporting period to advance sustainability of
program activities and initiatives? [Note: Programs that plan to discontinue, do not need to
complete this question.]

37

9. What activities do you have planned for the next six months to advance your sustainability of
program activities and initiatives? [Note: Programs that plan to discontinue, do not need to
complete this question.]

38

M. Tribal Initiative
This section is to be completed by Tribal Initiative grantees only.
1. Report the number of people enrolled, transitioned and re-institutionalized during the report
period by population served, i.e., Older Adults, ID/DD, MI, PD, Other. Reported numbers
are a subset of the total numbers reported in questions 2, 3, and 6 in Section B.
Older
Adults

ID/DD

MI

PD

Other

Total

a. Enrolled

0

b. Transitioned

0

c. Re-institutionalized for
more than 30 days

0

Did the Tribal Initiative have any difficulty transitioning the projected number of
individuals it proposed in the Operational Protocol during the reporting period?

Use this box to explain missing, incomplete, or other qualifications to the data reported above.

2. Identify challenges that the program had recruiting and/or enrolling individuals during this
reporting period.

39

3. Provide reasons why tribal members in the Tribal Initiative could not enroll in MFP and the
average length of time from assessment to actual transition. Identify any barriers or challenges in
implementing the activities proposed in your grant application and steps you are taking to resolve
them.

4. Describe any improvement(s) or challenge(s) related to the quality management within the Tribal
Initiative this reporting period. Include reported critical incidents as a subset of those identified in
question H.1. Describe the challenges related to the development of adequate service plans,
assessing risk implementing or assessing risk mitigation strategies, addressing emergent risks
in a timely fashion and delivering services as specified in the plans.

5. Describe as a subset of the totals reported in question B.9 and H.1, total number of participant
deaths (Question B.9), and critical incidents that occurred (Question H.1).

40

6. As a subset of the totals in Question I.2 report by population where tribal members
transitioned to as a results of the program.
Older
Adults

ID/DD

MI

PD

Other

Total

Home (owned or leased by
individual or family)

0

Apartment (individual lease,
lockable access, etc)

0

Group home or other residence in
which 4 or fewer unrelated
individuals live

0

Apartment in qualified assisted
living

0

7. If not previously discussed, describe specific developments that you want to highlight for this
program including any challenges.

41


File Typeapplication/pdf
File TitleMoney Follows the Person (MFP) Semi-Annual Progress Report
SubjectMoney Follows the Person, semi-annual report, long-term care, Medicaid, home and community based services, MFP
AuthorMathematica Policy Research
File Modified2021-07-22
File Created2017-03-06

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