MFP Program Overview

Money Follows the Person (MFP) Demonstration

The Money Follows the Person (MFP) Rebalancing Demonstration Grant was authorized by the Deficit Reduction Act of 2005 to help states rebalance their long-term care systems from institutional to home and community-based settings. In 2010, the authorization was re-issued under the Patient Protection and Affordable Care Act (ACA). Currently, 41 States and the District of Columbia are implementing MFP Demonstration programs, including Massachusetts, which was awarded a demonstration grant in April 2011.

MFP allows Massachusetts to expand its existing commitment to support community living for elders and people with disabilities. The MFP Demonstration builds upon the Commonwealth’s substantial commitment to support individuals living in community settings, provides Massachusetts with federal funding to increase the use of home and community based services (HCBS), and works to address barriers that prevent individuals from transitioning from facility settings to the community.

MFP is overseen by the Executive Office of Health and Human Services (EOHHS) in collaboration with MassHealth, the Mass Rehabilitation Commission, the Executive Office of Elder Affairs, the Department of Developmental Services, the Department of Mental Health, partnerships with Aging Services Access Points (ASAPs), Independent Living Centers (ILCs) and Aging and Disability Resource Consortia (ADRCs), and other community-based organizations throughout Massachusetts. Through this alliance, EOHHS seeks to assist more than 2,000 qualified MassHealth members needing long-term care and supports and prefer to receive them in community based settings.

MFP Program Goals

  • Increase the use of home and community-based services (HCBS) and reduce the use of facility-based services.
  • Eliminate barriers that restrict the use of Medicaid funds for people receiving long-term care in the settings of their choice.
  • Strengthen the ability of Medicaid programs to provide HCBS to people who choose to transition out of institutions


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