Michigan Money Follows the Person


State Policies & Initiatives: 
Systems-Change Funding

“The Money Follows the Person (MFP) Rebalancing Demonstration Grant helps states rebalance their Medicaid long-term care systems. Over 40,500 people with chronic conditions and disabilities have transitioned from institutions back into the community through MFP programs as of December 2013.  The Affordable Care Act of 2010 strengthened and expanded the MFP program allowing more states to apply.”


  • Give consumers and families a central role in defining and implementing the systems changes necessary to realize the principle that money follows the person.
  • Develop and establish within pilot sites a model for an integrated long-term care (LTC) system that supports money follows the person.
  • Develop strategies within the State Plan and the current MI Choice waiver that support the principle of money follows the person.
  • Develop alternatives to traditional models for nursing home care.
  • Establish a Community Consortium for Advocacy and Technical Assistance to provide advocacy for LTC system change.
  • Establish an LTC Community Roundtable to facilitate stakeholder involvement in planning.
  • Analyze barriers to "money follows the person" and devise solutions, including waivers and State policy changes.
  • Develop alternative uses for nursing facilities.
  • Provide and support alternatives to traditional nursing care.
  • Develop a model for nursing home transition and development of community support.
  • Establish and implement the model at three pilot sites.
  • Medicaid Agencies
  • Home and Community Based Services (HCBS)