Texas Money Follows The Person


State Policies & Initiatives: 
Systems-Change Funding

~~“Texas was among the first 30 states chosen to participate in the Money Follows the Person Demonstration (MFPD) in 2007. As of June 2016, 43 states participate in this federal demonstration designed to help older adults or persons who have disabilities move from institutional settings back into their communities.
MFPD provides federal grant funding as well as funding from Medicaid matching cost savings [1], as defined at the bottom of this document.> to assist states in moving individuals from institutions to the community. In fiscal year 2016, HHSC has budgeted over $16 million in federal funding to help individuals transition out of nursing facilities, State Supported Living Centers, Intermediate Care Facilities for Individuals with Intellectual Disabilities and other institutions. Funds are also used to provide behavioral health supports that help individuals remain living in the community, enhance opportunities for integrated employment for greater self-sufficiency, and increase the availability of affordable, accessible housing.
MFPD has helped Texas rebalance its long-term services and supports system by increasing the use of community-based services rather than institutional services. Early in calendar year 2008, Texas reported 51 percent of its long term services and support expenditures were used to support institution-based services. By the end of calendar year 2014, institution-based services accounted for 41.2 percent of long-term services and supports spending. Community-based services now comprise the majority of Texas long-term services and supports system.”

  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships
  • Health and Human Services Commission
Date Enacted: