Money Follows the Person Demonstration Expansion

The Money Follows the Person (MFP) demonstration supports state strategies to rebalance LTSS systems from institutional to community-based care.

The goals of the demonstration are to:

  • Increase the use of home and community-based services (HCBS) and reduce the use of institutional services;
  • Eliminate barriers in state law, state Medicaid plans, and state budgets that restrict the use of Medicaid funds to enable Medicaid-eligible individuals to receive support for appropriate and necessary long-term services and supports in the settings of their choice;
  • Strengthen the ability of Medicaid programs to provide HCBS to people who choose to transition out of institutions; and
  • Put procedures in place to provide quality assurance and improve HCBS.

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New Hampshire’s MFP Demonstration Expansion Overview

Welcome Home: Expanding Home and Community Based Care for Older Adults in New Hampshire

In 2019, New Hampshire (NH)'s median age was 42.9, making it the third-oldest state in the country. NH has one of the fastest-growing populations of older adults nationally (18.5%), yet is far behind others in offering a balanced system of care. NH's spending on home and community-based services (HCBS) as a percent of spending on Long-Term Supports and Services (LTSS) for older people and adults with physical disabilities in 2019 was 14%, far below the national average of 45%.  In calendar year 2021, among 10,223 adults (age 18 and older) who received LTSS funded by Medicaid in nursing facilities (NFs) or at home through HCBS, 47% received them at home. 

Over the past two decades, the New Hampshire Department of Health and Human Services (NH DHHS) has leveraged multiple federal funding opportunities to advance LTSS system reform, including earlier rounds of Money Follows the Person (MFP) funding to establish the NH Community Passport Program (CPP) in 2007. CPP helped nearly 300 individuals transition from nursing homes to community settings between 2007-2015.

Today, the Choices for Independence (CFI) waiver program, which helps older adults and adults with chronic illnesses to continue living independently, continues CPP's mission of transitioning individuals from institutional settings to home and community-based settings. With new MFP Demonstration funding, NH's Bureau of Elderly and Adult Services (BEAS) will accelerate progress, use lessons learned from prior MFP efforts, and build on the momentum created towards home and community-based services by the pandemic.


NH MFP Demonstration Expansion Consultative Group

The Bureau of Elderly and Adult Services will convene and facilitate an MFP Stakeholder Consultative Group to support the design and development of an MFP Demonstration that supports and strengthens the home and community based system of care for New Hampshire’s older adults and adults with chronic illnesses.



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