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An individual requesting MFP services must submit an application to the MFP State Project Regional Transition Coordinator. When the applicant/beneficiary (a/b) requests MFP services and the: North Carolina Department of Health and Human Services North Carolina Medicaid Division of Health Benefits AGED, BLIND AND DISABLED MEDICAID MANUAL MA-2284

MONEY FOLLOWS THE PERSON

REVISED 02/16/22 – CHANGE NO. 03-22

I. INTRODUCTION

Money Follows the Person (MFP) is a state project for individuals that are authorized in the Community Alternative Program (CAP), Innovations, Traumatic Brain Injury (TBI) or Program of All-Inclusive Care for the Elderly (PACE) who:

A. Have lived in a hospital, skilled nursing facility or an immediate care facility for people with intellectual disabilities (ICF/IID) at least three months, AND

B. Choose to move to a “qualified residence”:

1. A participant’s own home or apartment,

2. A family member’s home or apartment, OR

3. A group home with four or fewer people (only available in NC under the Innovations waiver)

Money Follows the person is time-limited for a period of 365 days.

II. REQUESTING MFP SERVICES

A. Individual is currently not Medicaid eligible

1. A Medicaid application must be submitted

2. Determine Medicaid eligibility under CAP, Innovations or PACE as appropriate

B. Individual is currently Medicaid eligible

1. Process as a change in circumstances

2. Evaluate the change for eligibility under CAP, Innovations or PACE