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Technical Assistance Providers and Resources

The staff in the Center for Medicaid and CHIP Services provides technical assistance to States on an ongoing basis on all Medicaid and CHIP topics. However, for several specific programs, CMCS has also contracted with outside entities to provide technical assistance to States on behalf of the Center. Below are brief descriptions of each Technical Assistance providers and links to additional information.

Money Follows the Person (MFP)

The “Money Follows the Person” Rebalancing Demonstration Program helps States rebalance their long-term care systems to transition people with Medicaid from institutions to the community.

The Money Follows the Person Technical Assistance Center provides guidance and consultation to CMS, MFP grantees, their partners, and other relevant State and local agencies/organizations to support the implementation of the MFP Demonstration program. A technical assistance team comprised of expert consultants has been developed which emphasizes a customized approach toward assisting grantees with successfully implementing their MFP Demonstration Program. The team works with each grantee to provide individualized expertise on MFP program implementation and system design issues. These plans are complemented with general technical assistance to promote best practices and to provide guidance on MFP quality improvement strategies in the areas of system performance and individual consumer outcomes. Assistance is provided through individual State consultation, teleconferences, web-based video conferences, newsletters, online resource library and informal peer-to-peer, short-term intensive and customized knowledge sharing.

National Quality Enterprise (NQE)

The Centers for Medicare and Medicaid Services (CMS) works with states to assure and improve quality across the Medicaid authorities that support long term services and supports, including the Medicaid 1915(c) HCBS waiver program — the largest single payor of long term care services in the country. Current approaches to quality have expanded to include managed care, 1115 waiver demonstrations, and state plan services. Through cross-cutting initiatives, these programs and services seek to maximize the quality of life, functional independence, health and well being of individuals served by the HCBS programs.

Direct Service Workforce Resource Center

The National Direct Service Workforce (DSW) Resource Center supports efforts to improve recruitment and retention of direct service workers who help people with disabilities and older adults to live independently and with dignity. This Resource Center provides state Medicaid agencies, researchers, policymakers, employers, consumers, direct service professionals, and other state-level government agencies and organizations easy access to information and resources they may need about the direct service workforce. The Center brings together the nation’s premier resources on the topic of the Direct Support Workforce. These resources, which include web-based clearinghouses, technical experts, training tools and more, cover the full range of DSW consumer populations.

Housing Capacity Building Initiative for Community Living

The Vision of this project is to create sustainable, collaborative relationships among Housing and Human Service Agencies. It aims to assist older adults and those with chronic conditions who are at risk of institutionalization or who currently receive care in institutional settings in finding appropriate housing to live more independent lives. The landmark project joins the Departments of Housing and Urban Development (HUD) and Health and Human Services (HHS), under the Centers for Medicare & Medicaid Services (CMS) Money Follows the Person (MFP) Rebalancing Demonstration, to assist federal, state and local agencies and community partners to create a sustainable, collaborative system between housing and human services agencies.

Preadmission Screen and Resident Review (PASRR)

Preadmission Screening and Resident Review (PASRR) is a federal requirement to help ensure that individuals are not inappropriately placed in nursing homes for long term care. PASRR requires that 1) all applicants to a Medicaid-certified nursing facility be evaluated for mental illness and/or intellectual disability; 2) be offered the most appropriate setting for their needs (in the community, a nursing facility, or acute care settings); and 3) receive the services they need in those settings.

Health Homes

The Affordable Care Act of 2010, Section 2703, created an optional Medicaid State Plan benefit for states to establish Health Homes to coordinate care for people with Medicaid who have chronic conditions by adding Section 2703 of the Social Security Act. CMS expects states health home providers to operate under a “whole-person” philosophy. Health Homes providers will integrate and coordinate all primary, acute, behavioral health, and long-term services and supports to treat the whole person.

Home and Community Based Services

Home and community-based services (HCBS) provide opportunities for Medicaid beneficiaries to receive services in their own home or community. These programs serve a variety of targeted populations groups, such as people with mental illnesses, intellectual disabilities, and/or physical disabilities.  States have several options including State Plan Amendments and Waivers to provide home and community based services.

National Balancing Indicator Program

The Balancing Incentive Program, created by the Affordable Care Act of 2010 (Section 10202), authorizes grants to States to increase access to non-institutional long-term services and supports (LTSS) as of October 1, 2011.  Additionally, the Balancing Incentive Program requires States to implement structural changes, including a no wrong door/single entry point system, conflict-free case management services, and a core standardized assessment instrument.