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Money Follows the Person - Tribal Initiative Grant

LTSS Models Graphic

The Money Follows the Person Rebalancing Demonstration Grant through CMS moves eligible people from nursing facilities back into the community, which helps states rebalance the long-term care systems of their Medicaid programs. The Money Follows the Person-Tribal Initiative (MFP-TI) is a special initiative under this program that is currently available in five states. It helps tribes in those states more easily provide home- and community-based services and move members from facilities back to their communities.

MFP-TI Program Goals

  • Increase the use of home- and community-based services (HCBS) and reduce the use of institution-based services providing LTSS
  • Eliminate barriers in state law, state Medicaid plans, and state budgets which previously made it difficult to use Medicaid funds to offer patients 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
  • Provide quality assurance and improvement of HCBS

MFP-Tribal Initiative for HCBS

CMS has awarded funding for the MFP-TI to five state grantees:

  • Minnesota
  • Oklahoma
  • North Dakota
  • Washington
  • Wisconsin

The MFP-TI offers state grantees and tribal partners the resources to build sustainable HCBS specifically for Indian Country.

Under the MFP-TI, tribal members with functional limitations or cognitive impairments who live in an institutional setting for over 90 days in a row can get assistance with daily living tasks such as bathing, dressing, or eating. These services are intended to help these individuals move back into the community.

The MFP-TI may also be used to develop HCBS infrastructure for AI/ANs using applicable Medicaid authorities. Funding is intended to support the planning and development of:

  • An in-state HCBS Medicaid program tailored to AI/ANs presently in an institution
  • A service delivery structure with administration delegated by the state Medicaid agency so tribes or tribal organizations can:
    • design an effective program or package of Medicaid community-based LTSS
    • operate day-to-day functions pertaining to LTSS program(s)

The MFP-TI may be used to cover costs for planning and implementing activities consistent with these funding objectives and within federal grant regulations. MFP-TI funds are subject to all the terms and conditions of the MFP program.

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See an overview of the program (including MFP-TI) on For states participating in MFP-TI, you can also find your state point of contact.