JUNE 11 , 2015

MFP Monthly Webinar

Goals of our monthly webinars

Our goals for our MFP monthly webinars are:

To provide training on key topics

To better the lines of communication between you and us, the MFP staff

To seek feedback on how to better the processes of MFP/waiver services for our participants

To provide the opportunity to share successes and challenges as RTC’s and MFP transitions

MFP Transition Numbers

As of today June 11, 2015

119 referrals have been received

31 participants have transitioned to date(15 in 2014 and 16 thus far in 2015)4-6 transitions set to go in the next 4 weeks

Waiver Wait Lists

In our May webinar we were asked “How long should we keep MFP referrals on the wait list?

Since MFP partners with 4 different waivers we discussed the topic of “wait lists” at our May 27th MFP steering committee.

Per direction from the MFP partners, length of time MFP referrals will be on a wait list will be determined on a case-by-case basis.

MFP Demonstration Services

MFP Demonstration Services are part of Montana’s MFP grant.

The services are:

Regional Transition Coordinator Transition Services (Goods and Services) Peer Support Services Companion Services Information Technology Modifying Existing Vehicle for Accessibility Overnight Supports Substance Use Disorder Treatment Services**this service is not defined or ready for billing by providers

Transition Services

1). MFP Demonstration Services

Transition Services (Goods and Services) – H2016/UA

Community Transition Services are non-recurring set up expenses for individuals who are transitioning from an institutional setting to qualified housing in a private residence or residential setting meeting MFP requirements.

DPHHS will support MFP participants in their transitions by paying one-time costs assessed as needed to support transitions. These cost may include security deposits (including 1st month’s rent), moving expenses, payment toward past bills affecting ability to meet rental qualifications, set up fees or deposits for utilities or service access, furniture, other

(continued)

MFP Transition Services (cont’d)

household goods, services needed for health and safety, and home accessibility adaptations. The MFP State Transition Coordinator or MFP Project Director can prior authorize payment for up to $4,000 of goods and services. Transition services costs can exceed this amount with prior approval of the Department.

RTC’s can identify appropriate one-time costs to support transitions. This will be determined through the person centered planning process. These service is limited to 30 days post moving day. If transition services are required after that, use the core services available in the qualified waiver.

MFP Quality Measures

Quality Improvement

StrategyCritical Incident Reporting and Management

24-hr Backup Strategy

Risk Assessment

and Mitigation

MFP Participan

t

Risk Assessment and Mitigation

A proactive process whereby the MFP transition coordinator and/or case manager works with the participant to identify and address risks.

The risk assessment and mitigation plan (or risk plan) is a written document for the individual that:

Initially identifies risks in transitioning to the community

Outlines how these risks will be addressed/mitigated, and

Is periodically reviewed and modified once the person has transitioned to the community, so that it is responsive to changing risks over time.

Customized and person-centered

Elements of a Risk Assessment &Mitigation Strategy

Identifies and documents all risks an individual might encounter when transitioning to, and living in, the community

Includes the individual and designated representative, as appropriate, in the process

Honors individuals’ preferences and appreciates their values

• Allows individuals the right to assume risk

• Conducted in the spirit of facilitating the individual to live successfully in the community, not as a way to prevent/discourage community living

• Provides an opportunity for the individual and his/her designated representative, as applicable, to review and provide feedback

24-Hour Backup

Each participant must have an individualized backup plan in place to respond to and address any lapse in essential services, as well as other circumstances that could have a negative effect on a participant’s health or welfare.

24 hour backup plans may include:

Provider(s) that agree to respond 24/7

Informal supports available to respond 24/7

On-call case managers/coordinators

Personal Emergency Response System (PERS)

Other agreed-upon resources

Critical Incident Reporting

The MFP program defines critical incidents as alleged, suspected or actual occurrences of abuse, neglect; exploitation; serious injury; death other than by natural causes; other events that cause harm to an individual; hospitalizations and medical errors.

Type of critical incidents that the need to be reported are:Abuse, neglect, exploitationHospitalizationsEmergency Room visitsDeaths due to abuse, neglect or exploitation; breakdown

in 24-hour backup systemMedication errors

Successful Transition Story

Gary Nowell with Spectrum Medical – Great Falls Medicaid Waiver served as the RTC.

Participant transitioned from a nursing home to her Great Falls subsidized housing apartment in December 2014.

Other Items

Would really like a picture of participant on moving day. Send to me at hnooonan@mt.gov

Social Media release on MFP website.

CMS site review scheduled for Monday July 20th through Wednesday the 22nd.

RTC Planning Meeting mileage reimbursement and lodging must be submitted by June 17, 2015.

Next Call …

Suggestions for topics that could be discussed in our future webinars?

Our next MFP webinar will beThursday July 9th from 1:30-2:30 p.m.