The Money Follows the Person (MFP) rebalancing demonstration was designed to provide Medicaid beneficiaries in long-term nursing homes and other types of facilities with more choice about where they receive long-term services and supports (LTSS). Of the 1.4 million people who spent any time in a nursing home in 2014, about 15 percent were adults under age 65 (Centers for Medicare & Medicaid Services 2016). The data suggest that nursing home residents under age 65 have disproportionately benefited from the MFP demonstration. For example, in 2014, demonstration grantees transitioned adult Medicaid beneficiaries under age 65 eligible for MFP at twice the rate of older adults. Although adults under age 65 comprise less than 20 percent of the total nursing home population, they have accounted for 40 percent of the 63,000 MFP transitions that have occurred through 2015.
