Federal Medicaid officials say the Money Follows the Person (MFP) Demonstration has helped 144,651 people leave institutions for community living since transitions began in calendar year 2008, according to a Sept. 17 CMS bulletin covering data through Dec. 31, 2025.
The brief report, CMS said, tracks how grant recipients move eligible Medicaid beneficiaries into community settings and expand support for community-based long-term services and supports. National transition counts rose 8.4% in calendar year 2024 compared with 2023, continuing an upward trend since 2022, then held nearly steady in 2025 with a −0.1% change from 2024.
Older adults and people with physical disabilities accounted for more than three-quarters of all MFP transitions in calendar years 2024 and 2025, CMS reported. The agency directed readers to Medicaid.gov for the full brief and to the MFP home page for program context. ADvancing States also summarized the release the same day.
Why this matters
MFP remains one of the main federal tools for turning Olmstead-style community living into funded transitions—not only for older adults, but for people with disabilities who still leave ICF/IID and nursing facilities into HCBS. Flat 2025 volume after a strong 2024 year is a signal for states and provider agencies watching transition pipelines, housing, and frontline staffing. For DSPs, every successful move depends on stable community supports once institutional discharge happens.