Medicaid Functional Eligibility Instrument (2014 - Current)
The Kansas Department for Aging and Disability Services (KDADS) has contracted with CRADO to develop a Medicaid Functional Eligibility Instrument (MFEI). The MFEI will be used to determine eligibility and support needs for Medicaid Long-Term Services and Supports (LTSS) for customers who have physical disabilities (PD), traumatic brain injury (TBI), or who are frail elders (FE). The nursing home population will also be included. CRADO is partnering with Research and Training Center on Independent Living (RTC/IL) and staff from the University of Kansas Medical Center (KUMC) to complete this project.
Focus groups were held around the state at the beginning of the project to gather community input and the MFEI Advisory Workgroup provides ongoing feedback and support. A draft MFEI has been developed and is currently being tested in different regions of the state. Revisions are being made as needed. Our team will also provide in-depth training to Aging and Disability Resource Center (ADRC) assessors statewide on the final MFEI.
This work has recently been expanded to develop an instrument to determine the need for LTSS for people with intellectual and developmental disabilities (I/DD). CRADO is continuing to partner with RTCI/IL and KUMC. The MFEI-I/DD will be used to determine eligibility for I/DD services, including intermediate care facilities (ICF-I/DD) and home and community based services (HCBS-I/DD) programs.
Focus groups will be conducted and an Advisory Workgroup has been convened. Upon selection of a base assessment instrument, the MFEI-I/DD will be developed and tested throughout the state.
Fact Sheet Available:
The Kansas Department for Aging and Disability Services (KDADS) contracted with the Center for Research on Aging and Disability Options (CRADO) for a multi-year project to develop the Medicaid Functional Eligibility Instrument (MFEI). The MFEI will be used to determine functional eligibility across several Medicaid funded long term services and supports programs (LTSS), including HCBS-FE, HCBS-PD, HCBS-BI, HCBS-IDD, PACE, nursing facilities, and TBI rehabilitation facilities. CRADO has collaborated with colleagues in the School of Social Welfare, School of Education, Department of Sociology, Research and Training Center on Independent Living, and KU Medical Center on this project. Aging and Disability Resources Centers (ADRCs) and Community Developmental Disability Organizations (CDDOs) will administer the MFEI to clients seeking services through these programs. A companion careplanning instrument is also in development for use by KanCARE Managed Care Organizations (MCOs) who serve clients on these programs.
The MFEI is based on the interRAI suite of instruments, which are a suite of instruments developed for LTSS and health care settings and are in use by several other states and internationally. CRADO is working closely with stakeholders to adapt and customize interRAI instruments for use in Kansas. MFEI drafts are undergoing extensive field-testing to refine the instrument and develop eligibility algorithms. CRADO will develop and provide training for the MFEI, as well as implementation support for the MFEI. Stakeholders are closely involved through field-testing and MFEI Advisory Workgroup activities, and include state program staff, ADRCs, CDDOs, MCOs, providers, advocates, and consumers.
The MFEI is expected to improve functional eligibility assessment in Kansas by using more valid and reliable measures and its universal format will help ensure more equitable assessment and provide comparable data across different programs. The MFEI is being developed through a careful, research-based process and in close collaboration with stakeholders. This process of collaboration is producing an instrument that will fulfill the state’s obligation to assess the needs of Kansas Medicaid LTSS applicants and recipients fairly and responsibly for many years to come.