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Tennessee’s Money Follows the Person Demonstration: Supporting Rebalancing in a Managed Long-Term Services and Supports Model

Introduction
  1. Molly O’Malley Watts, Money Follows the Person: A 2013 Survey of Transitions, Services, and Costs, Kaiser Family Foundation’s Kaiser Commission on Medicaid and the Uninsured, April 2014, available at: http://kff.org/other/report/money-follows-the-person-a-2013-survey-of-transitions-services-and-costs.

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Issue Brief
  1. CMS Waiver Documents, Fact Sheet: TennCare II-WAI, available at: http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/tn/tn-tenncare-ii-fs.pdf.

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  2. CMS, Technical Assistance Training Series, “State Approaches to Medicaid Long-Term Services and Supports: Advanced State Training,” July 11, 2013, available at: http://www.chcs.org/usr_doc/State_Approaches_to_Medicaid_MLTSS_Foundational_webinar_07_11_13.pdf.

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  3. Section Q of the MDS 3.0 focuses on resident participation in assessment and goal setting, and is designed to identify the resident’s goals and expectations relating to where the individual lives and receives services.  If a resident indicates that he or she desires to transition out of the nursing facility (NF) to a community-based setting, the NF must initiate care planning and may make a referral to a local contact agency, which will respond by providing information to the resident about community–based services and supports.  The revised federal Minimum Data Set (MDS) assessment tool for NF residents, MDS 3.0, went into effect on October 1, 2010.

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  4. As of January 1, 2014, eligibility determinations are made by the Medicaid Agency- in a new Member Services unit.

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  5. CMS, Technical Assistance Training Series, “State Approaches to Medicaid Long-Term Services and Supports: Advanced State Training,” July 11, 2013, available at:  http://www.chcs.org/usr_doc/State_Approaches_to_Medicaid_MLTSS_Foundational_webinar_07_11_13.pdf.

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  6. Molly O’Malley Watts, Money Follows the Person: A 2013 Survey of Transitions, Services, and Costs, Kaiser Family Foundation’s Kaiser Commission on Medicaid and the Uninsured, April 2014, available at: http://kff.org/other/report/money-follows-the-person-a-2013-survey-of-transitions-services-and-costs.

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  7. This average includes just the CHOICES/MFP participants and therefore excludes the ID population whose average per capita costs are $10,298.

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  8. Molly O’Malley Watts, Money Follows the Person: A 2013 Survey of Transitions, Services, and Costs, Kaiser Family Foundation’s Kaiser Commission on Medicaid and the Uninsured, April 2014, available at: http://kff.org/other/report/money-follows-the-person-a-2013-survey-of-transitions-services-and-costs.

     

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