Promoting and protecting the health and safety of all Idahoans

Idaho Home Choice

The Money Follows the Person (MFP) Rebalancing Demonstration is a Centers for Medicare and Medicaid Services (CMS) Demonstration designed to help states try new ways of delivering Medicaid services. The Demonstration is designed to help people to move, also called transition, from an institution into home- and community-based living settings, such as a home or an apartment. In Idaho, the Money Follows the Person Rebalancing Demonstration is known as Idaho Home Choice. The goals of the demonstration are: 
  • Increase the use of Home and Community-Based Services (HCBS) and reduce the use of institutionally-based services;
  • 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;
  • Strengthen the ability of Medicaid programs to assure continued provision of HCBS to those individuals who choose to transition from institutions; and,
  • Ensure that procedures are in place to provide quality assurance and continuous quality improvement of HCBS. 
Idaho Home Choice Money Follows the Person Demonstration Grant will help people transition from an institution (skilled nursing facility, intermediate care facilities or institutions for mental diseases) to community living in an apartment, private home or community setting such as a certified family home. MFP initiatives increase outreach to individuals in institutions and decrease barriers to transition.
To participate in the MFP project, you must:
  • Have lived for at least ninety consecutive days in a nursing facility, an intermediate care facility for individuals with mental retardation/intellectual disabilities, or an institution for mental diseases
  • Be a resident of Idaho
  • Be Medicaid eligible at the time of discharge
  • Qualify for either the Aged and Disabled or Developmental Disability waivers
  • Move to a “qualified residence” 

Idaho Home Choice: Darrell's Story

Important Dates

The Department hosted a negotiated rulemaking session for Idaho Home Choice Sustainability on June 14, 2018. The presentation materials are available under the “Sustainability” header to the right. Public comments may be submitted until Friday, June 29, 2018.

Proposed Aged & Disabled Waiver Amendments pertaining to Idaho Home Choice Sustainability amendments are now available. Public comments may be submitted until Tuesday, September 4, 2018.

Department of Health and Welfare
Division of Medicaid
Attn: Katie Davis
P.O. Box 83720
Boise, ID 83720-0036
In Person:
Department of Health and Welfare
Division of Medicaid
Attn: Katie Davis
3232 Elder St.
Boise, ID 83705


Draft rules will be public September 5, 2018 in the Administrative Bulletin. The Department will hold three public hearing across the state concerning these rules. All meetings will be held in person.  

Tuesday, September 11, 2018 at 1:00 p.m. (PDT)
Lewiston State Office Building
1118 F Strett
3rd Floor Conference Room
Lewiston, ID 83501
Tuesday, September 11, 2018 at 2:00 p.m. (MDT)
Idaho Falls State Office Building
150 Shoup Avenue
2nd Floor Large Conference Room
Idaho Falls, ID 83402


Thursday, September 13, 2018 at 2:00 p.m. (MDT)
Medicaid Central Office
3232 Elder Street
Conference Room D West/East
Boise, ID 83705


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