MFP Evaluation

Reports to Congress

The Deficit Reduction Act of 2005 (P.L. 109-171) first authorizing the Money Follows the Person (MFP) Demonstration required that the Secretary of the Department of Health and Human Services provide for a national MFP evaluation and submit a final report to the president and Congress that presents the findings and conclusions of the evaluation. The first MFP national evaluation assessed how state long-term care systems changed to support the transition of people from institutions to the community, whether the changes were successful and sustainable, and to what extent MFP helped balance state long-term care spending. The evaluation also analyzed the effects of MFP on Medicaid beneficiaries’ health and quality of life, as well as identifying characteristics of individuals and state programs strongly associated with success. The Report to Congress on the first national evaluation of the MFP Demonstration was finalized in 2017.

• Money Follows the Person Rebalancing Report to Congress – June 2017 

The Consolidated Appropriations Act (CAA) of 2021 further directed the Secretary to conduct a second national MFP Demonstration evaluation to assess the effectiveness of the participating states in meeting the statutory objectives of the MFP program and produce two additional reports to Congress. These reports summarize findings and conclusions on: (1) best practices from MFP Demonstration projects in eight areas, and (2) a second national evaluation of how states and territories implemented MFP, and MFP’s impact on Medicaid beneficiaries’ transitions from long-term care institutions to the community and state rebalancing of long-term services and supports (LTSS) systems.

• Money Follows the Person Best Practices Report to Congress – February 2024
• Appendices
• Money Follows the Person - Second National Evaluation – Forthcoming

Additional Evaluation Reports & Products

• Money Follows the Person: Updated State Transitions as of December 31, 2021
• Technical Assistance Brief: Using Data to Improve Money Follows the Person Program Performance
• Money Follows the Person: Updated State Transitions as of December 31, 2020
• Money Follows the Person: State Transitions as of December 31, 2019
• CMS Guidance: Reporting Money Follows the Person (MFP) in T-MSIS
• Health Care Expenditures Two Years Post Transition
• Does Early Use of Community-Based Long-Term Services and Supports Lead to Less Use of Institutional Care?
• The Overview of State Grantee Progress from January through December 2016
• The MFP 2015 Annual Report
• Pathways to Independence: Transitioning Adults Under Age 65 from Nursing Homes to Community Living
• Tipping the Balance:  The Balancing Incentive Program and State Progress on Rebalancing Their Long-Term Services and Supports
• Hand in Hand: Enhancing the Synergy between Money Follows the Person and Managed Long-Term Services and Supports
• The Right Supports at the Right Time: How Money Follows the Person Programs Are Supporting Diverse Populations in the Community
• The Changing Medical and Long-Term Care Expenditures of People Who Transition from Institutional Care to Home- and Community-Based Services
• Innovations in Home- and Community-Based Services: Highlights from a Review of Services Available to Money Follows the Person Participants
• The Real Choice Systems Change Grant: Building Sustainable Partnerships for Housing