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This qualitative study examines mechanisms driving disparities for older adults living with dementia (PLWD) in access, utilization, and quality of MFP in Connecticut. Thematic analysis draws on interviews and focus groups with MFP-involved professionals, family caregivers, and older adults across distinct participation and relocation pathways. Key themes include misalignment between care needs and MFP resources and the need for self/family advocacy. Recommendations cover upstream planning, re-designing inflexible HCBS services, leveraging remote monitoring and assistive technologies, and supportive housing to better integrate PLWD into communities.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/disparities-in-access-and-utilization-of-services-for-older-adults-in-connecticuts-mfp-program-abstract-research-findings/427281/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/disparities-in-access-and-utilization-of-services-for-older-adults-in-connecticuts-mfp-program-abstract-research-findings/427281.png","ImageObject",300,407,{"name":92,"@type":93},"Emma Wilson","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-14","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":24},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What problem does the study investigate about the MFP program in Connecticut?","Question",{"text":112,"@type":113},"It examines mechanisms that contribute to disparities for older adults living with dementia in access to, utilization of, and quality of the MFP program in Connecticut.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What are the main themes identified in the interviews and focus groups?",{"text":117,"@type":113},"The study highlights a mismatch between PLWD care needs and MFP program resources, and the importance of self and family advocacy to navigate applications, moves, and informal support.",{"name":119,"@type":110,"acceptedAnswer":120},"What recommendations are proposed to improve community living for PLWD?",{"text":121,"@type":113},"Recommendations include upstream planning after nursing home admission, redesigning siloed and inflexible HCBS programs, using remote monitoring/supports and assistive technologies, and developing supportive housing to integrate PLWD into communities.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},427281,1791137304,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":24,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24},3848291630094,"https://eur-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","100 Innovation in Aging, 2025, Vol. 9, No. S2  \nAbstract citation ID: igaf122.331  \nDISPARITIES IN ACCESS AND UTILIZATION OF SERVICES FOR OLDER ADULTS IN CONNECTICUT’SMFP PROGRAM  \nAsmita Aasaavari, Ellis Dillon, Kathy Kellett, Christine Bailey, Amal Alsamawi, Richard Fortinsky, Lisa Barry, and  \nJulie Robison, University of Connecticut, Farmington, Connecticut, United States  \nMoney Follows the Person (MFP) is a Medicaid program that helps older adults move from Long-Term Care institutions to the community. In this study, we examine the mechanisms that contribute to disparities for older persons living with dementia (PLWD) in access to, utilization of, and quality of the MFP program in Connecticut. This qualitative study thematically analyzesin-depth interviews and focus groups with MFP-involved professionals (n = 23), family caregivers (n = 14), and older adults (n = 24) who (1) never applied to MFP, (2) applied but never moved,(3) applied, moved, and sustained community-living, and  \n(4) moved but were reinstitutionalized. Dominant themes include: (1) Mismatch between many PLWDs’ care needs and  \nMFP program resources: participants described how MFP budgets, services, and training were not designed to address the multiple supports many PLWDs need. (2) Importance of self/ family-advocacy: Learning about the MFP program, completing the application, and arranging a move required advocacy to make calls, assemble paperwork, find housing, and have family members provide informal support. Despite Connecticut’s longstanding MFP program, interviews and focus groups underscored how program procedures pose additional obstacles for PLWD and their families. Recommendations for innovative solutions include upstream planning upon nursing home admission, re-designing siloed and inflexible HCBS programs, leveraging new  \nInnovation in Aging, 2025, Vol. 9, No. S2 101  \ntechnologies (e.g., remote monitoring/supports), expanding assistive technology, and developing supportive housing to better integrate PLWD into communities. Identifying better solutions for community living and improving concordance between the design of MFPandHCBS programs are paramount in meeting the unique needs of PLWD who are transitioning to the community.","cbCaibXqUFuHS022","https://ap.wps.com/l/cbCaibXqUFuHS022","pdf",236802,"English","# Abstract\n## Purpose and study design\n## Participant groups and comparison pathways\n## Dominant themes\n## Recommendations and implications","[{\"question\":\"What problem does the study investigate about the MFP program in Connecticut?\",\"answer\":\"It examines mechanisms that contribute to disparities for older adults living with dementia in access to, utilization of, and quality of the MFP program in Connecticut.\"},{\"question\":\"What are the main themes identified in the interviews and focus groups?\",\"answer\":\"The study highlights a mismatch between PLWD care needs and MFP program resources, and the importance of self and family advocacy to navigate applications, moves, and informal support.\"},{\"question\":\"What recommendations are proposed to improve community living for PLWD?\",\"answer\":\"Recommendations include upstream planning after nursing home admission, redesigning siloed and inflexible HCBS programs, using remote monitoring/supports and assistive technologies, and developing supportive housing to integrate PLWD into communities.\"}]","DISPARITIES IN ACCESS AND UTILIZATION OF SERVICES FOR OLDER ADULTS IN CONNECTICUT'S MFP PROGRAM - Abstract - Research Findings | PDF",1790643377]