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1
STAKEHOLDER ADVISORY
COUNCILCommunity Choice Partnership
Money Follows the Person Grant
December 17, 2015
2
Montana will create a sustainable system that supports community options
as a first choice for individuals needing long term care services.
MFP Vision
3
The Starfish Story
A young man is walking along the ocean and sees a beach on which thousands and thousands of starfish have washed ashore. Further along he sees an old man, walking slowly and stooping often, picking up one starfish after another and tossing each one gently into the ocean.“Why are you throwing starfish into the ocean?,” he asks.“Because the sun is up and the tide is going out and if I don’t throw them further in they will die.”“But, old man, don’t you realize there are miles and miles of beach and starfish all along it! You can’t possibly save them all, you can’t even save one-tenth of them. In fact, even if you work all day, your efforts won’t make any difference at all.”The old man listened calmly and then bent down to pick up another starfish and threw it into the sea. “It made a difference to that one.”
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MFP might be small numbers, but the successes are big!
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6
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Transitions – Proposed vs. Actual
Year Big SkyED
Big Sky PD
ID/DD Mentally Ill Adults
SED Youth
Total
CY2012 0 0 0 0 0 0
CY2013 0 0 0 0 0 0
CY2014 2 3 3 3 12 23
2014 Actuals
2 3 6 1 3 15
CY2015 5 10 5 3 24 47
2015 Actuals
19 19 3 8 0 49
CY2016 13 15 7 12 30 77
CY2017 15 22 5 12 34 88
Total 35 50 20 30 100 235
8
0208 Waiver
Transition from MDC
to group home.
Success Stories
9
Big Sky Waiver
Physically Disabled
Nursing home to home
Elderly
Hospital to nursing home to assisted living
Success Stories
10
SDMI Waiver
Nursing home to subsidized
apartment
Success Stories
11
Started with 2 pilot transitions in May 2014
August 2014 marked the beginning of transitions
Transitions
12
2014 Referra
ls
2015 Referr
als
2016 Referr
als
2017 Referr
als
2018 Referra
ls
Total Referr
als
DD Total 18 8 + 2 from MSH
26 +2 from MSH
MDC 0208
9 3 12
PRTF 0208
6 0 6
PRTF 1915(i)
1 2 3
NH 2 3 5SDMI 14 22 36Elderly 9 47 56Physically disabled
24 58 82
Unknown 0 1 (MC) 1Total 65 138 203
Program Referrals
13
Population Re-Institutionali
zed
Passed Away
Left by choice
Total
DSD 1 MDC 0208
1
PRTF 0208
PRTF 1915(i)
SDMI Elderly 5 2 1 8Physically disabled
3 1 3
7
Total per category:
9 3 4 16
Transitioned But No Longer In Service
14
Case Management
Program Reason Administrative Cost
Lewis & Clark SDMI Physical decline $1,000Lewis & Clark Big Sky --
ED Decided to stay in
NH$4,000
Lewis & Clark Big Sky -- PD
Left NH AMA $4,000
Spectrum Great Falls
Big Sky -- PD
Returned to family, declined waiver
services
$1,000
Spectrum Great Falls
Big Sky -- PD
Unable to find enough direct care
staff
$4,000
Helena Industries Anaconda
PRTF -- 0208
Chose housing that didn’t meet MFP
qualifications
$4,000
Spectrum Kalispell
Big Sky -- PD
No Section 8 Voucher $4,000
Spectrum Great Falls
Big Sky -- PD
Did not meet eligibility for
Medicaid
$2,000
Total $24,000
Failed to Make Moving Day
15
Population Completed 365
DSD 8 MDC 0208 5 PRTF 0208 3 PRTF 1915(i)
SDMI 1Elderly Physically disabled
1
Total Complete Transitions:
10
Completed 365 Days
16
These numbers are based on actual claims paid as of 9/30/15:
Demonstration Services
Demonstration Service
Number of
Participants
Total Paid
MFP Transition Services
27 $96,166
MFP Regional Transition Coordinator
31 $150,000
MFP Information Technology
2 $533.81
MFP Peer Support Services
MFP Companion Services
MFP Overnight Supports
MFP Modify Existing Vehicle
MFP Substance Use Disorder*
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Claims data reflects actual costs as of 9/30/15 and is very limited at this early stage
2014 – 15 participants with claims -- $239,057
2015 – 44 participants with claims -- $750, 021
Claims Data
18
Housing Placements
Category
MDC
0208
PRTF
0208
PRTF 1915
(i)
SDMI
Elderly
Physically
Disabled
Total
Group Home (4 bed or less)
2 2 4
Assisted Living
4 11 7 22
Apartment
5 6 6 10 27
Home 2 1 3 5 11
Total by Category
9 3 10 20 22 64
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Housing by Population
Project Based
Section 8
Housing
Choice Vouch
er
Public Housin
g
Housing
Bridge
LIHTC HUD 811
Total
DSD MDC 0208
1 1 2
PRTF 0208
PRTF 1915(i)
SDMI 3 1 1 5Elderly 3 1 4Physically disabled
2 3 2 1 2 1 10
Total by population
9 4 3 2 3 21
Subsidized Housing Breakdown
20
HUD 811 PRA progress and updates
ALF Guidance Housing Development Finance
Professional Certification Program (HD 410; Home Ownership Finance)
Housing Workshop for MFP Housing Specialists
Housing Updates
21
Education/Outreach/Training Continue Monthly Webinars Annual Training (spring) – 5 locations statewide
Demonstration Services; Claims; Billing Partner with AMDD staff to offer Mental Health 101
Governor’s Conference on Aging Mental Health First Aid Housing (Toolkit)
Transition, transition, transition! Pilot transitions from MSH Continue to build community partnerships to assist with
complex referrals Find a pathway to serve PRTF youth Work with OPA – give update of successes Improve processes
Focus on contractual budget items: IT/Systems analysis Self direction education Person centered planning – in collaboration with partners
2016 Efforts
22
Department update Therapeutic Foster Care
Partnership with Children’s Mental Health Bureau and
Child and Family Services Divisions are working on rules Develop a process map for CMS review/approval If approved, would use MFP grant for funding
services Summer/Fall 2016
SED Youth from PRTF
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Contact: Madeline Boehm, Apprenticeship Specialist Phone: 406-431-8708 mboehm2@mt.gov
Department of LaborHealthcare Apprenticeship Program
24
Question And
AnswerClick icon to add picture
This PowerPoint presentation is created as part of the Community Choice Partnership Money Follows the
Person Demonstration Grant awarded to the Montana Department of Public Health and Human Services
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