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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 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).
Since 2001, when Texas first pioneered MFP as a state initiative, thousands of 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 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. The BHP will continue until December 2017. Texas is currently working on ideas to help sustain and spread successful BHP practices throughout its Medicaid-funded long-term services and supports system.
For additional information on the BHP, please use the "Videos" and "BHP Resources" links at the top of this page.
For more information, please contact: Jessie Aric, MFP Program Manager.