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MA Moving Forward Plan Waivers

Published on
July 21, 2023
Last updated
February 29, 2024
Written by
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Katie Wilkinson
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The Moving Forward Plan (MFP) Waivers are home and community-based services (HCBS) programs designed to assist MassHealth-eligible individuals in transitioning from nursing facilities or institutional settings back to their communities, while empowering caregivers and providing comprehensive support.
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The Moving Forward Plan (MFP) Waivers are a crucial initiative within the healthcare system to aid MassHealth-eligible individuals in transitioning from nursing facilities or chronic disease, rehabilitation, or psychiatric hospitals back to their communities. By providing home- and community-based services (HCBS) waivers, the MFP aims to ease the move from facilities to the community, enabling individuals to receive the support and care they need while embracing community living.

Overview of Moving Forward Plan (MFP) Waivers

The Moving Forward Plan (MFP) Waivers represent a critical component of MassHealth's efforts to enhance the lives of eligible individuals and empower caregivers within the healthcare system. The program's core purpose is to facilitate the transition of MassHealth-eligible persons from nursing facilities or institutional settings, such as chronic disease, rehabilitation, or psychiatric hospitals, back to their communities.

Through these home and community-based services (HCBS) waivers, the MFP seeks to achieve two primary objectives:

  1. Community Reintegration: The MFP aims to support eligible individuals in reintegrating into their communities, allowing them to lead more independent and fulfilling lives. The program fosters an environment that encourages autonomy and self-sufficiency by offering access to community-based services.
  2. Support for Caregivers: Recognizing the invaluable role of caregivers, the MFP waivers strive to provide adequate assistance and compensation to family members and other caregivers who play a vital role in helping eligible individuals transition to community living successfully.

These waivers are tailored to two distinct target populations, each with different needs:

  1. MFP Residential Supports (MFP-RS) Waiver: This waiver is for individuals who require supervision and staffing 24/7 in a provider-operated residence. It offers comprehensive support for those with significant care needs, ensuring they receive the necessary assistance while living in a residential setting.
  2. MFP Community Living (MFP-CL) Waiver: The MFP-CL waiver caters to individuals who can move to their own home, apartment, or the home of someone else and receive the required services within the community. This option provides more independence and flexibility for those with less intensive care needs.

By offering tailored support and services, the Moving Forward Plan (MFP) Waivers strive to foster a compassionate and inclusive healthcare system where caregivers are rightfully recognized and empowered, and individuals can embrace community living with dignity and support.

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Eligibility Requirements

To be eligible for the Moving Forward Plan (MFP) Waivers in Massachusetts, individuals must meet specific criteria by MassHealth. The program aims to support those currently residing in nursing facilities or chronic disease, rehabilitation, or psychiatric hospitals and help them transition back to their communities with necessary resources and ongoing services.

To qualify for one of the MFP waivers, an individual must fulfill the following requirements:

  • Length of Stay: The applicant must have been living in a nursing facility or one of the specified institutional settings (chronic disease, rehabilitation, or psychiatric hospital) for a minimum of 90 days.
  • Age and Disability Status: The individual should be either 18 or older with a disability or 65 or older.
  • Clinical Requirements: The applicant must meet the clinical requirements to reside in one of the specified facilities.
  • Need for MFP Services: The individual should require the specific services offered by the MFP waivers to transition successfully into community living.
  • Safety in the Community: The individual must be deemed safe to be served in the community according to the terms and conditions outlined by the MFP waivers.
  • Financial Eligibility: The applicant should meet the financial requirements to qualify for MassHealth Standard in the community. Note that special financial rules exist for waiver applicants and participants.

For individuals seeking the MFP Residential Supports (MFP-RS) waiver, an additional criterion applies:

  • Residential Support Needs: The person must require residential support services with staff supervision 24 hours a day, seven days a week.

By adhering to these eligibility requirements, eligible individuals can access the appropriate MFP waiver, receive the necessary support, and embark on their journey toward community living with the assistance they need.

Services and supports

Under the Moving Forward Plan (MFP) Waivers, care recipients can access comprehensive services and supports tailored to their individual needs to facilitate their transition to community living. The waiver services are provided based on the participant's goals and requirements, as outlined in their individual service plan, developed in collaboration with a dedicated case manager or service coordinator.

The services and supports available under the MFP waivers include, but are not limited to:

  • Community-Based Day Supports
  • Community Support and Navigation
  • Day Services
  • Family Training
  • Home Accessibility Adaptations
  • Individual Support and Community Habilitation
  • Occupational Therapy
  • Orientation and Mobility Services
  • Peer Support
  • Physical Therapy
  • Prevocational Services
  • Residential Habilitation (group home) - MFP-RS only
  • Shared Living – 24-Hour Supports - MFP-CL only
  • Skilled Nursing
  • Specialized Medical Equipment
  • Speech Therapy
  • Supported Employment
  • Transitional Assistance Services
  • Transportation
  • Vehicle Modification - MFP-CL only

These services address various needs, including personal care, therapeutic support, vocational training, and assistance with activities, enabling waiver participants to thrive in their communities while receiving the necessary care and assistance. Certain services are specific to the MFP-RS or MFP-CL waiver, and not all services are available for every participant.

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Compensation for Family Caregivers

Under the Moving Forward Plan (MFP) Waivers, compensation for unpaid family caregivers is possible through the self-directed option. The self-directed option allows eligible individuals to choose their caregivers, including family members, and pay them for the caregiving services provided. This empowers families to actively participate in their loved one's care while receiving financial support for their efforts.

By compensating unpaid family caregivers through the self-directed option, the MFP program recognizes these caregivers' invaluable role in supporting the transition to community living. This approach promotes better outcomes for the individual receiving care and acknowledges the importance of fair compensation for family caregivers, who are often an underpaid workforce in the United States.

Learn more about Medicaid self-directed care >>

A Note from Givers

You may apply to participate in the MFP waiver at any time.

Send your completed MFP Waiver application to:

UMass MFP Waiver Unit
333 South Street
Shrewsbury, MA 01545

If you care for someone in Massachusetts, we invite you to take the first step in exploring your eligibility for caregiver compensation. Fill out this form to see if you qualify for the self-directed option.

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