Money Follows the Person is a state wide demonstration project that assists Medicaid-eligible North Carolinians who live in inpatient facilities to move into their own homes and communities with supports.




  • MFP is a state wide demonstration project that assists people who live in inpatient facilities to move into their own communities with supports.


  • The Project’s intent is to support North Carolinians to have greater choice about where they receive their long-term supports.


  • The Project also helps identify and address barriers to receiving quality, community-based, long-term care and supports.


  • The Project is funded by Medicaid dollars through a partnership between North Carolina’s Division of Medical Assistance and the federal agency, the Centers for Medicare and Medicaid Services.


Our four objectives are to:


  1. Increase the use of home and community based services (HCBS) and reduce the use of institutionally based services;

  2. Eliminate barriers and mechanisms in state law, state Medicaid plans, or state budgets that prevent or restrict the flexible use of Medicaid funds to enable Medicaid-eligible individuals to receive long-term care in the settings of their choice;

  3. Strengthen the ability of Medicaid programs to assure continued provision of HCBS to those individuals who choose to transition from institutions; and,

  4. Ensure that procedures are in place to provide quality assurance and continuous quality improvement of HCBS.




  • Community-Based Funding for Supports


  • MFP participants receive personal supports and other services through Medicaid’s Community Alternatives Program (CAP) or the PACE Program.  


  • Transition “Start Up” Funding


  • Each participant may be eligible for up to $3,000 in order to secure items and services needed to transition.  These include: security deposits, utility startup expenses, furniture, accessibility modifications or other one-time items and services that may be required to transition.


  • More Options in Long-Term Support


  • Participation in this Project is completely voluntary.  The Project simply provides eligible residents of inpatient facilities an option to receive supports and services in their communities.




In order for a person to qualify for the Project, the person must:


  1. Have lived in a hospital, skilled nursing facility or an intermediate care facility for people with developmental disabilities for at least three months and

  2. Meet the CAP or the PACE Program eligibility requirements; and

  3. Be receiving Medicaid services before the transition; and

  4. Choose to move to a “qualified residence.”  


A “qualified residence” is:


  1. a person’s own home

  2. a person’s family’s home

  3. a person’s own apartment

  4. a group home with four or fewer people*.
    *in North Carolina this option is only available under CAP MR/DD




The Project is not active in every part of the state and certain restrictions apply

to the three month timeframe and what constitutes a “qualified residence.”


For more information and application contact:


(855) 761-9030 or www2.ncdhhs.gov/dma/moneyfollows


Local Contact Agency



Lumber River Council of Governments-Area Agency on Aging

(910) 618-5533