Implications of State Program Features for Attaining MFP Transition Goals.

In 2007, the federal government funded programs in 30 states and the District of Columbia under the Money Follows the Person demonstration to support the transition of Medicaid beneficiaries in long-term institutional care to home and community-based settings. This report describes variation in the design of state transition programs and discusses how differences in key features affect the pace and degree of implementation, as well as the likelihood of meeting transition goals. While some states are on track to meet their goals, others have been slow to start programs because of delays in finalizing operational plans or Medicaid home and community-based program changes, problems finding or contracting with transition agencies, and other setbacks.