Appropriations Act of 2021
On December 27,
2020, the President signed the Consolidated Appropriations Act, 2021 into law.
The Act authorized an extension of the Money Follows the Person (MFP)
Demonstration (known as CCT) and appropriated additional funding for 2021
through 2023. As a result, CCT transitions have been authorized to continue
through at least December 31, 2023, and potentially through 2027 if federal
grant funding remains available.
the Act reduces the number of days a person must be in an institution before
they become eligible to enroll in the MFP/CCT Demonstration, from 90 to 60
days. The new eligibility criteria begins on January 26, 2021. Please continue
to use existing program forms while DHCS works to update materials available on
the CCT webpage.
The Act also
extended Spousal Impoverishment protections to beneficiaries with a level of
care that would require institutionalization, when they receive those services
in a community setting instead of in an institution.
Act added new program evaluation and sustainability requirements to states’
obligations under the grant; CMS is currently developing guidance on the new
requirements and will provide more information as it becomes available.
Money Follows the
Person Rebalancing Demonstration Supplemental Funding Opportunity
On September 23, 2020, the Centers for Medicare & Medicaid Services (CMS) announced supplemental funding of up to $165 million for states currently operating Money Follows the Person (MFP) Demonstration programs*. Each state is eligible to receive up to $5 million in supplemental funding for planning and capacity building activities to accelerate long-term care system transformation design and implementation, and to expand Home and Community-Based Services (HCBS) capacity. To receive the funding award, state grantees were required to submit a proposal that includes a project narrative by June 30, 2021.
On July 27, 2021, CMS approved DHCS' MFP Supplemental Funding application. CMS approved DHCS' request for $5 million in supplemental funding to conduct a statewide Gap Analysis and Multiyear Roadmap of its Home and Community-Based Services (HCBS) and Managed Medi-Cal Long-Term Supports and Services (MLTSS) programs and networks. DHCS' project narrative identified how the funding will be used for planning and capacity building activities to accelerate long-term care system transformation design and implementation, and to expand HCBS capacity. More information on the Supplemental Funding Opportunity, stakeholder input, and the CMS-approved application is available on the MFP Supplemental Funding Opportunity page.
*California’s MFP Program is known as California Community
California Community Transitions Project
In January 2007, the California Department of Health Care Services (DHCS) was awarded special federal grant number 1LICMS30149 to implement a Money Follows the Person (MFP) Rebalancing Demonstration, known as “California Community Transitions" (CCT). In 2019, the federal government extended the term of the MFP grant and appropriated additional funding for allocation to state grantees.
CCT transition services are currently available through December 31, 2021.
DHCS works with designated CCT Lead Organizations to identify eligible Medi-Cal beneficiaries who have continuously resided in state-licensed health care facilities for a period of 90 consecutive days or longer. *Facility stays for short-term rehabilitation services reimbursed by Medicare are not counted toward the 90-day required period.
CCT Lead Organizations employ or contract with transition coordinators who work directly with willing and eligible individuals, support networks, and providers to facilitate and monitor beneficiaries' transitions from facilities to the community settings of their choice. Eligible individuals of all ages with physical and mental disabilities have an opportunity to participate in CCT. Refer to the following link for information on specific CCT Lead Organizations and their service areas.
Upon transitioning to the community, the transition coordinator follows the participant for 365 days, this is known as the demonstration period. The demonstration period allows participants and transition coordinators to respond to needs that are identified post-transition., CCT participants live in their own homes, apartments, or in approved community care facilities, and receive long-term services and supports included in their individual comprehensive service plans. At the end of the demonstration period, individuals who remain eligible for Medi-Cal continue to receive Medi-Cal and other home and community-based services (HCBS) where they live.
For more information, contact the Integrated Systems of Care Division at (833) 388-4551, or e-mail: California.CommunityTransitions@dhcs.ca.gov
*See Consolidated Appropriations Act information at top of page. The Act reduces the number of days a person must be in an institution before they become eligible to enroll in the MFP/CCT Demonstration, from 90 to 60 days.
COVID-19 CCT Flexibilities to Service Delivery Methods
In response to the COVID-19 pandemic, California submitted and received approval of, a request to the Centers for Medicare & Medicaid Services (CMS) for authorization to implement temporary operational flexibilities needed to ensure the health and safety of California Community Transitions (CCT) enrollees, participants, and HCBS providers.
CMS approved California's request for CCT flexibilities on March 26. The temporary modifications to CCT service delivery methods have been extended from June 30, 2020, to February 28, 2021, or the end of the pandemic. Click on the following link to view the request for flexibilities approved by CMS:
CA Request for MFP Flexibilities in Response to COVID-19