The Montana Community Choice Partnership Money Follows the Person (MFP) demonstration project will further the State’s goal of rebalancing its long term services and supports (LTSS) system toward increased use of home and community based care and decreased use of facility-based care. Under MFP, Montana will expand the State’s existing transition efforts to individuals with more complex needs. Montana is targeting the full spectrum of LTSS consumers, including Montana’s elders, individuals with a developmental disability, people with physical disabilities, adults with severe disabling mental illness, and youth with serious emotional disturbances.
Montana’s vision for its Community Choice Partnership MFP demonstration project is to create a sustainable system that supports community options as a first choice for individuals needing long term care services. The State’s goals supporting this vision are to: ensure individuals are supported in making informed choices; consumers can transition seamlessly without waiting for annual enrollment periods or slots to become available; individuals in the community have a high quality of life with adequate services and supports; consumers are in control of the process; Montana has a strong and well trained provider and caregiver workforce; additional affordable, accessible housing opportunities exist; overall public perception of the targeted groups improves; and the rebalancing work continues beyond the end of the demonstration.
Montana is requesting $14,843,807 to implement the Community Choice Partnership MFP demonstration project from 2012 – 2016. The State is planning to transition 235 consumers during this timeframe.
These funds will be used to strengthen the infrastructure for LTSS consumers. Montana will have transition coordinators working in communities to ensure that appropriate services and supports are available for those who need them; building capacity wherever possible; forging partnerships; supporting existing efforts; offering education and training; while working closely with consumers, families, and a transition team to support successful transitions. The State will use a housing coordinator to collaborate efforts between DPHHS and the Department of Commerce, Housing Division, local housing authorities, and private industry to increase affordable, accessible housing options for all Montanans.
The State will provide existing HCBS 1915c waiver and 1915i State Plan services as demonstration services to consumers, with additional demonstration and supplemental services augmenting these core benefits. These additional benefits and services will ensure consumers with more complex needs are able to have their needs met in the community, allowing them to experience more independence and a higher quality of life. The Community Choice Partnership MFP demonstration is designed to be consumer-centered, involving consumers and family members in all stages of the process.
Montana will invest the savings garnered through the enhanced Federal Medical Assistance Percentage (FMAP) into increased HCBS services and supports, including diversion activities, waiver expansion, housing supports, transportation services, and provider training or capacity building.