Medicaid Functional Eligibility Instrument (MFEI)
The RTC/IL is partnering with KU's Center for Research on Aging and Disability Options (CRADO) to develop a Medicaid Functional Eligibility Instrument for the state of Kansas, along with a training program for assessors.
The Kansas Department for Aging and Disability Services (KDADS) contracted with CRADO to develop a Medicaid Functional Eligibility Instrument. 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. Staff from the KU Medical Center are also partnering on this project.
A universal, standardized assessment is a critical tool for streamlining access to care for people seeking services. A well-designed assessment instrument can be used to not only determine eligibility for public programs, but may also provide other functions such as care planning, data collection, rate setting and quality assurance. A universal assessment can also: promote choice for customers when the assessment determines eligibility for multiple programs; reduce administrative burdens by decreasing the need for staff to perform multiple assessments; promote equity by using the same assessment criteria for all individuals in need of services; and capture standardized data that will help policymakers analyze program effectiveness.
The project began by reviewing universal LTC assessments used in other states and gathering stakeholder input in order to make recommendations for the MFEI. Focus groups were conducted with Medicaid LTSS customers as well as human service professionals who have experience administering the current assessments. An MFEI Advisory Workgroup, consisting of KDADS staff, ADRC staff, LTSS providers, MCO staff, and other stakeholders provides ongoing input. A draft MFEI will be developed, drawing on stakeholder input and best practices in assessment. The draft MFEI will be tested throughout the state for reliability and validity, and revised as needed.
CRADO and the RTC/IL will develop and provide in-depth training to Aging and Disability Resource Center (ADRC) assessors statewide on the final MFEI. Ongoing collaboration with KDADS, providers, and customers will help us develop a robust MFEI that is responsive to diverse Medicaid customer needs.