• Table of Contents
• Abstract
• Part 1: Systems Assessment and Gap Analysis
• Part 2: Demonstration design
• Part 3: Organizational Structure, Staffing Plan, and Budget
• Part 4: Assurances
• Part 5: Attachments and Appendices
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The Texas Money Follows the Person Demonstration Proposal

Texas Health and Human Services Commission
Texas Department of Aging and Disability Services and
Texas Department of State Health Services

November 1, 2006

Table of Contents

Abstract

Part 1: Systems Assessment and Gap Analysis

1. Current Long-Term Services and Supports System

2. Current Rebalancing Methods

3. Current Funding Mechanisms

4. Home and Community-based Services

5. Expenditures and Measures

6. Self-Directed Services

7. Current Transition and Diversion Programs

8. Gaps in the Current System

9. Collaboration

10. Quality Assurance and Improvement

11. Legislative Requirements

Part 2: Demonstration design

Introduction

1. Pre-implementation Phase

2. Implementation Phase

3. Anticipated Requests for Waivers

4. Methods to Increase HCBS Expenditures.

5. Proposed Benchmarks

6. Targeting and Recruitment of Participants

7. Cross Agency and Cross Services Delivery System Collaboration

8. Services Offered Post-grant Demonstration Period

9 and 10. Quality Assurance and Improvement

11. Barriers to Flexible Use of Medicaid Funds

12. Using IT Systems to Identify Participants

Part 3: Organizational Structure, Staffing Plan, and Budget

Part 4: Assurances

Part 5: Attachments and Appendices

Attachment 1: Notice of Intent to Apply

Attachment 2: Prohibited Use of Grant Funds

Attachment 3: Resumes

Attachment 4: Budget and Maintenance of Effort (MOE) Forms

Attachment 5: Project Profile

Appendix A: Executive Orders and Legislation

Appendix B: Descriptions of HCB Programs

Appendix C: Medicaid Program Budgets By State Fiscal Year

Appendix D: Copy of Survey and List of participants

Appendix E: Letters of Support

Appendix F: Agency and Unit Organizational Charts

Appendix G: Supporting Budget Documents

Appendix H: Sample of  Routine Scheduled Stakeholder Meetings

Appendix I: Quality Management Matrix

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Updated: April 24, 2009