Money Follows the Person Rebalancing Demonstration Grant: Tribal Initiative

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The purpose of the Centers for Medicare & Medicaid Services (CMS) Money Follows the Person (MFP) Tribal Initiative (TI) is to offer existing MFP state grantees and tribal partners the resources to build sustainable community-based long term services and supports (CB-LTSS) specifically for Indian country. The funds are subject to all the terms and conditions of the MFP Program. The TI may be used to advance the development of an infrastructure required to implement CB-LTSS for American Indians and Alaska Natives (AI/AN) using a single, or a variety of applicable Medicaid authorities. Funding is intended to support the planning and development of: 1) An in-state Medicaid program CB-LTSS (as an alternative to institutional care) tailored for AI/AN who are presently receiving services in an institution; and 2) A service delivery structure that includes a set of administrative functions delegated by the state Medicaid agency to Tribes or Tribal organizations (T/TOs), such as enabling tribe(s) to design an effective program or package of Medicaid community- based LTSS, and operating day to day functions pertaining to the LTSS program(s). The TI may be used to cover costs necessary to plan and implement activities consistent with the objectives of this funding and within Federal grant regulations.

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