MONTANA COMMUNITY CHOICE PARTNERSHIPMONEY FOLLOWS THE PERSON (MFP)DEMONSTRATION GRANT

Demonstration ServicesWorkshop

MONTANA WILL CREATE A SUSTAINABLE SYSTEM THAT SUPPORTS COMMUNITY OPTIONS AS A FIRST CHOICE FOR INDIVIDUALS NEEDING LONG TERM CARE SERVICES.

MFP VISION

MFP ELIGIBILITY REQUIREMENTS

PARTICIPANTS MUST:Be 90 consecutive days in an

inpatient facilityBe Medicaid eligible at least one day

prior to transitionEnroll in HCBS waiver or 1915 (i)

State Plan HCBS programTransition into MFP qualified housing

WHAT SERVICES ARE PROVIDED TO AN MFP PARTICIPANT?

0208 (Comprehensive) Waiver Services

Big Sky Waiver Services

Severe Disabling Mental Illness (SDMI) Waiver

Children’s Mental Health Bureau (CMHB) 1915(i) State Plan

MFP Demonstration Services are available to participants who entered the waivers or CMHB 1915(i).

Are in addition to the core services in partner programs.

Note: Demonstration Services could be duplicative.

Waiver or 1915(i) State Plan Services

MFP Demonstration Services

MFP DEMONSTRATION SERVICES MFP Transition Services MFP Regional Transition Coordinator MFP Peer Support Services MFP Companion Services MFP Information Technology MFP Overnight Supports MFP Modify Existing Vehicle for

Accessibility MFP Transportation Supports MFP Geographic Factor for Travel MFP Substance Use Disorder Treatment

Services

PROVIDER BILLING FOR MFP DEMONSTRATION SERVICES All providers must be enrolled Medicaid HCBS

providers. http://medicaidprovider.hhs.mt.gov/index.sht

ml All billing for MFP Demonstration Services will

be done on a claim form 1500 in the Xerox/MMIS system DD providers – bill AWACS for waiver services DD providers – bill MMIS for MFP demonstration

services MFP Demonstration Services

Require prior authorization from the MFP Program Must be supported by the Person Centered Plan

MFP Demonstration Services will be paid at actual cost

MFP TRANSITION SERVICES Review definition, policy, and fee

structure MFP Transition Services vs. other

Transition Services:Bill MFP Transition Services instead of

program’s Transition Services when possible

Higher per unit costCovers 1st month’s rent and depositsLimited to 30 days post moving day

Home Modification Guidance Policy regarding pre-payment

MFP REGIONAL TRANSITION (RTC) COORDINATOR Review definition, policy, and fee structure Can only be billed by case managers who are

not employees of the State of Montana Service begins with:

Signed “Regional Transition Coordinator Acceptance Form” and

Signed “Informed Consent” Service ends:

The day the participant moves to the community; or

Upon failure to move (death, decline) Review “failed” transition vs. “successful”

transition No “double billing”

PAYMENT FOR FAILED TRANSITIONS Pre-payment for

MFP Transition Services

Participant does not move – administrative cost to MFP

Participant does move – billed as service and garners enhanced FMAP for State

Payment for failed MFP Regional Transition Coordinator Service

Review tiered structure for reimbursement if a participant does not move to the community.

TO RECEIVE PAYMENT FOR FAILED TRANSITION

Submit MFP Withdrawal form Submit invoice Submit W-9 Mail to:

MFP-SLTCPO Box 4210Helena, MT 59604

MFP PEER SUPPORT SERVICES Review definition, policy, and fee

structure Review provider qualification and

training requirements MT Peer Task Force

MFP COMPANION SERVICES Review definition, policy, and fee

structure This service is distinctly different than

MFP Peer Mentor/Advocate Services

MFP INFORMATION TECHNOLOGY Review definition, policy, and fee

structure Fee structure:

Capped per specific unit of service Maximum for all is $5000 Not able to separate different kinds of

service – all will be one billing code

MFP OVERNIGHT SUPPORTS Review definition, policy, and fee

structure 6-12 consecutive, nighttime hours

during a 24-hour period Focus is to offer support to a new

participant for a time-limited period upon moving into the community

MFP MODIFY EXISTING VEHICLE FOR ACCESSIBILITY Review definition, policy, and fee

structure This service does not include the

purchase or lease of a new vehicle

MFP TRANSPORTAION SUPPORTS Review definition and fee structure Policy not completed Request feedback May not be necessary due to all

partners have a service for this already

MFP GEOGRAPHIC FACTOR FOR TRAVEL Review definition and fee structure Policy not completed Request feedback

MFP SUBSTANCE USE DISORDER TREATMENT SERVICES Review definition and fee structure Policy not completed Request feedback Suggest workgroup partners

MFP Demonstration Services MMIS BillingCode/Modifier

MFP Transition Services H2016/UA

MFP Regional Transition Coordinator H0043/UA

MFP Peer Support Services T2012/UA

MFP Companion Services S5136/UA

MFP Information Technology T1014/UA

MFP Overnight Supports S5116/UJ

MFP Modify Existing Vehicle for Accessibility

T2039/UA

MFP Transportation Supports T2002/UA*

MFP Geographic Factor for Travel A0425/UA*

MFP Substance Use Disorder Treatment Services*not complete-not able to bill

H0026/UA*

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.