Background: Mississippi Bridge to Independence (B2I) was Mississippi’s Money Follows the Person (MFP) program seeking to rebalance the state’s long-term care system by transitioning Medicaid beneficiaries from institutional living to home- and community-based settings (HCBS). Success of initial transitions has been documented in state cost-savings and participants’ quality of life increases. However, reinstitutionalization poses a challenge to sustaining a positive outcome for the initiative. Purpose: Therefore, the purpose of this research is to identify the underlying causes of participants’ reinstitutionalization. Methods: The Quality of Life (QoL) survey designed by Mathematica Policy Research was used to measure variables in 7 categories. Data was collected from 399 participants in face-to-face interviews over a 4-year period (2012– 2016). Results: Among participants, 71.9% (n = 287) completed the B2I program successfully, whereas 8.27% (n = 33) were reinstitutionalized. Utilizing the logistic regression model, results determined elderly people were 15 times and those with physical disabilities were 5 times more likely to be reinstitutionalized than those with intellectual disabilities. Among 7 QoL variables, 2 were found to be significant: “Happiness” and “Choice and Control.” Conclusion: Implications from this study can be important to sustaining the project, developing new policies, and advancing community-supportive infrastructure in Mississippi.


To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.