About the Money Follows the Person Behavioral Health Pilot
Money Follows the Person (MFP) is a federally-funded national demonstration program that seeks to help Medicaid clients transition from institutions, such as nursing facilities, to home and community-based services (See MFP program information page at Medicaid.gov for additional information). In addition to offering more independence and a potentially better quality of life for individuals who participate, the program shifts spending from more costly institutional care to potentially less costly Home and Community-Based Services (HCBS) (See HCBS program information page at Medicaid.gov for additional information).
Since 2001, when Texas first pioneered MFP as a state initiative, more than 40,000 Texans have returned to the community; however, people with serious mental illness and substance use disorders experienced more barriers to relocation. In 2008, the Texas Department of State Health Services partnered with the Department of Aging and Disability Services and the Health and Human Services Commission to create a Behavioral Health Pilot that integrates mental health and substance abuse services with HCBS. The Pilot targets adults who have lived in nursing facilities for at least three months, meet nursing facility medical criteria and have mental illness and/or substance use disorders.
The Pilot began in Bexar County (San Antonio) and expanded to adjacent counties and to Travis County (Austin). Behavioral health services offered include Cognitive Adaptation Training (CAT) and enhanced substance abuse services, which helps empower people to take charge of their lives and reach their full potential. CAT is a rehabilitative service that provides assistance and environmental modifications to help people establish daily routines, organize their home, and hone their community living skills. Pilot substance abuse services include individual counseling, group therapy, connection to other community programs, such as Alcoholics Anonymous or Narcotics Anonymous, and peer support. Both CAT and substance abuse services are available to participants for up to six months before nursing facility discharge and up to one year after relocation to the community. Participants also receive ongoing home and community-based services (HCBS) through their Medicaid Managed Care Organization (MCO) while enrolled in the program and after Pilot services end. Over 70% of those who left nursing facilities under the Pilot have successfully maintained independence in the community.
For additional information, please see "Money Follows the Whole Person in Texas" from Generations: Journal of the American Society on Aging for more informaiton [PDF] and visit the Department of Aging and Disability Services (DADS) Money Follows the Person Pilot Web Page.
A series of videos regarding the Pilot have been produced. They include:
The Pilot will continue until December 2016 and, if successful, Texas may consider statewide implementation through its Medicaid-funded long-term services and supports system.
For more information, please contact: Jessie Aric, MFP Program Manager.