Hand in Hand: Enhancing the Synergy between Money Follows the Person and Managed Long-Term Services and Supports

The Money Follows the Person (MFP) Demonstration and Managed Long Term Services and Supports (MLTSS) both aim to increase the opportunities for Medicaid enrollees needing long-term services and supports (LTSS) to live in the community rather than in an institution. However, these two programs can enroll different populations, cover different services, and operate under different financial incentives and management structures. As an increasing number of states operate both programs, it is important to understand how states are integrating the features of MFP and MLTSS to maximize the ability of people with disabilities to live in the community.

In this report, we describe the interaction between MFP and MLTSS in seven states: Hawaii, Massachusetts, Minnesota, New Jersey, Tennessee, Texas, and Wisconsin. The report updates information on enrolled populations, covered services, and transition coordination featured in a 2013 report (Lipson and Valenzano 2013). It also provides new details on the payment strategies and performance and quality measures used to align incentives for achieving common goals of MFP and MLTSS, and identifies opportunities for further alignment.