In early 2003 President Bush announced a five-year program beginning in FY 2004, the
Money Follows the Person (MFP) Rebalancing Demonstration,
DDM Ascend partners with state agencies to design and manage a range of rebalancing and transition solutions
to enable people with disabilities to move from institutions to the community. The program provides 100% federal funding for HCBS programs for one year for persons leaving institutions, after which states must agree to continue to provide services for those individuals at the regular Medicaid matching rate.
Once dominated by large state-run institutions, states are now devising “rebalancing” initiatives. These efforts involve reevaluation of the way that Medicaid Long Term Care services are delivered and financed to allocate a higher proportion of dollars for community-based care. This shift from institutions to community settings requires states to devise management strategies in areas such as: matching clients with appropriate service intensity; monitoring the quality of services delivered by de-centralized provider systems; monitoring cost shifts for waiver reporting; and designing myriad other clinical and data management protocols for performance reporting required by federal funding agencies and settlement agreements.
DDM Ascend partners with state agencies to design and manage the full range of rebalancing and transition solutions.