Toward a More Perfect Union: Creating Synergy between the Money Follows the Person and Managed Long-Term Services and Supports Programs

EXECUTIVE SUMMARY Money Follows the Person (MFP) Demonstration grants and Managed Long-Term Services and Support (MLTSS) programs use different strategies to shift the balance of LTSS from institutional care to homeand community-based settings. MFP helps people living in institutions to relocate to the community, while MLTSS programs use risk-based capitation payment to give health plans a financial incentive to keep people out of institutions. The relationship between the two, particularly when they serve the same population groups, determines whether or not they work in concert. As increasing numbers of state Medicaid agencies implement both programs, it is important to understand how the programs can work together to achieve their common goal.