The Money Follows the Person Demonstration (MFP) "Finding A Way Home" Program, is a special project funded by
the Federal Government and the Delaware Department of Health and Social Services (DHSS) Division of Medicaid and Medical Assistance
The MFP Program is available to assist eligible individuals that choose to participate in moving from an eligible Long Term Care
(LTC) facility, (nursing home, Intermediate Care Facility for Developmental Disabilities ICF/DD or state hospital) to an eligible
residence in the community with available community services and supports.
- A home owned or leased by you or your family
- An apartment with an individual lease that includes living, sleeping, bathing, and cooking areas
- A residence in which 4 or less unrelated individuals reside (such as Adult Foster Care, Shared Apartment or small group home)
- A person that resides or has resided, for a period of not less than 90 consecutive days in an inpatient facility.
- Inpatient stay cannot be for the sole purpose of receiving short-term rehabilitative services
- Medicaid eligible at least 1 (one) day prior to discharge
- Have health needs that can be met through services available in the community
- Voluntarily consent to participation
- Be eligible for available Home and Community Based Services (HCBS) as of the first day of your transition
Elderly, age 65+ or Person with a disability Age 18-64, meeting a nursing facility level of care (LOC) and
Medicaid eligibility requirements. Or
Developmental Disabilities (DD) waiver services: Individuals meeting Medicaid eligibility and medical requirements
and receiving an ICF/DD level of care and are eligible to access Delaware's DD waiver ( DD waiver provides residential and
The MFP Program provides assistance to eligible individuals that choose to transition from a LTC
facility to the community, by providing:
Information to help make informed choices regarding transition and participation in the MFP Program.
Access to transition services and Post-discharge follow-up by an MFP Transition Coordinator to ensure your move is
satisfactory and your community-based needs are being met.
Assistance with locating a place to live, arranging for medical, rehabilitative, home health or other services
needed in the community.
Assistance for the person to develop their own plan of care
Funding for Supplemental MFP Transition Services
The MFP Program will pay for Transition services to the community for the first 365 days of program participation.
Initial household setup expenses (e.g. security and utility deposits, basic necessities etc.)
Counseling for basic living skills such as budgeting, nutrition and transit travel, etc.
Education and Training on Community Services and Medical Care such as informational workshops about services that can
be accessed in the community.
Assistive Technology that provides necessary assistive devices for individuals to function within the community.
Personal Assistance Services provides assistance with any instrumental daily living activities. (e.g. grooming, meal
preparation and recreation, etc.)
Home Accessibility Modifications can provide necessary accessibility needs in the home such as ramps or bathroom
Respite Care offers short term care assistance when your regular care provider is not available.
Home Delivered Meals (part of the DHSP Plus package )
After 365 days of MFP Transition services, Medicaid and other HCBS services will be available to continue to help
support eligible individuals to remain in the community. Including, Case Management, Personal Care services, Medical and Social day care,
orthotics and prostheses, adult day services, assisted living, cognitive services, specialized medical equipment and supplies and more.
For those accessing the Developmental Disabilities (DD) waiver, the following waiver services will continue; case management,
habilitation services, prevocational services, supported employment, day habilitation and respite services and residential services.
If you, or someone you know, would like to receive more information or make a referral to DHSS, Division of Medicaid and Medical
Assistance, Money Follows the Person Program. Please contact:
By email: Ronnette Anderson
Voice: 1-800-372-2022 ext 59590
Fax: 1- 302 255-4481
To request an MFP presentation for you or your organization, please contact: Ronnette Anderson (email@example.com)
The MFP Operational Protocol as of, July, 2012.