INTRODUCTION TO THE LEVEL ONE SCREEN OCTOBER Department of Health and Mental Hygiene Devon Mayer Department of Aging Teja Rau
|
|
- Clinton Mitchell
- 6 years ago
- Views:
Transcription
1 INTRODUCTION TO THE LEVEL ONE SCREEN OCTOBER 2014 Department of Health and Mental Hygiene Devon Mayer Department of Aging Teja Rau
2 Overview 1. Background 2. About the Screen 3. Pilot testing in Maryland 4. Administering the Screen 5. Policy Considerations 6. Implementation and Follow up
3 1. BACKGROUND
4 Balancing Incentive Program Shifting priority from nursing facilities to community-based services Balancing Incentive Program States must increase spending on community-based long term services and supports to at least 50% Funding States get time-limited increased federal match on communitybased LTSS and Increased federal match must be reinvested into services Required structural changes under BIP 1. No Wrong Door/Single Entry Point Maryland Access Point 2. Core Standardized Assessment Level One Screen and interrai 3. Conflict-Free Case Management
5 Why are MAP sites performing the Screen? MAP is the Single Entry Point to community Medicaid services in Maryland s No Wrong Door System. Built on the strength of existing, community-level agencies that are known and trusted to populations served. MAP is the only local agency authorized to complete the Screen. Money Follows the Person and BIP have funded: Statewide MAP toll-free number Staffing support at MDoA MAP website MAP expansion grants Marketing and outreach Level One screen-pilot and tracking system development
6 What is interrai? International non-profit organization whose members are professionals and researchers from 30 different countries. Developed a suite of evidence-based instruments and tools that are tested for reliability and validity. Maryland is using the interrai: Level 1 Screen to be performed by MAP staff Home Care Assessment performed by AERS
7 Core Standardized Assessment Valid, reliable tool used in 23 states and numerous countries including Canada, most of Western Europe, and Australia interrai collects and analyzes the data from the assessments in order to conduct continuous quality improvement interrai has developed a screen and its corresponding algorithm as part of their research
8 2. About the Screen
9 What does the Screen do? The screen helps determine: Service Needs Likelihood of meeting a nursing facility level of care Risk of institutionalization Referral recommendations
10 How was the Screen Developed? Subset of questions from the interrai-home Care Based on a scientifically derived algorithm Used interrai s algorithm that determines risk of institutionalization and overlaid it with Maryland-specific level of care criteria Maryland materials include: South Dakota s Item by Item Guide New Jersey s Item Definitions and Coding
11 Where will the Screen live? Online LTSSMaryland Tracking System MAP staff will use the LTSS Maryland Tracking System to administer the Level One Screen Web-based tracking system with a daily exchange of information with MMIS. The tracking system coordinates the eligibility process for: Community Options Waiver Community First Choice Medical Assistance Personal Care Brain Injury Waiver Money Follows the Person-Peer Outreach, Options Counseling, Developmental Disabilities
12 LTSSMaryland Tracking System, cont. User access is limited by agency, jurisdiction, client assignment. Administrator ideal for supervisors and managers Intake ideal for I&A staff, MAP-OC Staff ideal for staff only administering Screen as referred The system is HIPAA and 508 Compliant It was built on a platform that allows for additional modules to be added on in the future Next steps are under way to add Medical Day Care Waiver
13 Screen Logistics 31 questions Average time to complete is between minutes May take longer if a translator is required. Can be administered over the phone or in-person Can be used with family caregivers, although it is preferred that the individual participate as well.
14 Screen Structure 14 Usually 3 day look back ( In the past three days, have you ) Consider this when administering screen on persons newly discharged from a hospital or rehab setting. Four types of items: Ability could person have done task? Performance did person do task? Conditions/symptoms did person have or display? Other environment, supervision
15 Screen Logic All Persons Yes No Yes No Yes No Yes No High Risk Moderate Risk Low Risk Assist & Referral Interest and Info
16 3. Pilot Testing in Maryland
17 Pilot Testing in Maryland 2 pilots held in 2013 Current participants New callers to AAAs Anne Arundel Baltimore City Baltimore County Calvert Carroll Cecil Charles Harford Howard MAC Queen Anne s USA Washington Worcester
18 Pilot Summary 250 Total screens completed by MAP staff 184/250 80/250 66/250 50/250 33/250 21/250 People who received a Screen and went on to a AERSadministered interrai Home Care Assessment (replaced STEPS) Level 4 moderate risk level 32%. Level 5 high risk level 26.4% Level 3 low risk level 20% Level 1 interest and information. 13.2% Level 2 assistance or referral 8.4%
19 Screen Categories and Level of Care Total Level 1 - Interest and Information Level 2 - Assistance or Referral Level 3 - Low Risk Level 4 - Moderate Risk Level 5 - High Risk n % n % n % n % n % n % Total Number of People Nursing Facility Level of Care Determination* Yes No Clinical Review
20 Pilot Summary, cont. Hilltop Institute analyzed the results Each of the respondents had both the telephone screen and an interrai in order to analyze the results across both tools Each telephone screen respondent was grouped into one of five levels Each interrai assessment respondent was assessed for nursing facility level of care (NF LOC)
21 Pilot Results The average length of call was 23 minutes Reasons MAP staff gave for administering the screen: Sense the need for long term services and supports Need help with ADLs Recent diagnosis of disease/illness Bringing a family member home from hospital or NF Crisis situation Nearly half of respondents with a full interrai assessment met Nursing Facility Level of Care criteria Nursing Facility Level of Care tracked predictably across the telephone screen risk levels, with over 75 percent of individuals in Level 5 meeting Nursing Facility Level of Care criteria The average number of activities of daily living (ADLs) and instrumental activities of daily living (IADLs) needing more than supervisory assistance tracked predictably across levels, with individuals in Level 5 needing the most assistance
22 4. Screen Administration GOAL: By marketing and strengthening the MAP single-entry point system, we can triage people into programs and target use of public resources more effectively
23 Where does the Screen fit in? 1. CONTACT: Individuals contact the MAP or are referred from another agency/organization 2. TRIAGE: MAP staff triage for those seeking LTSS information 3. MAP staff person conducts Level One Screen 4. OPTIONS COUNSELING: Identify person s goals, formal and informal supports and resources, and educates consumer on various programs a) Provide Options Counseling and use information from Screen to guide individual in identifying and setting goals, planning, and referrals 5. MEDICAID PROGRAMS: a) Waiver Registry: Add individual to registry by submitting completed Screen. b) Financial questions on Screen will provide high-level eligibility determination for Medicaid services. c) Submitting a completed Screen for those eligible for Medicaid programs and scoring at a high risk for institutionalization may prompt a referral to an AERS interrai assessment and starts the CFC/MAPC eligibility determination process d) MAP staff provides support planning agency (SPA) information packets for those eligible for CFC/MAPC 6. NON-MEDICAID PROGRAMS a) May be part of Options Counseling planning and assistance with accessing programs b) Pending MDoA Workgroup: Use information from Level 1 Screen to determine eligibility and gather data. 7. Additional OC may be provided thereafter, as appropriate, if person is ineligible for Medicaid programs. 8. FOLLOW UP, as needed
24 Person contacts MAP and asks a question or tells their story. Answer brief questions Provide MAP Options Counseling and develop Action Plan Trigger responses: The person needs personal assistance, has stated he/she has functional deficiencies, or may move because of physical needs. Make initial referrals (e.g., behavioral health, VA, traumatic brain injury) MAP Staff completes the Level One Screen Once the screen is completed, the person can be added to the registry. Registry to be maintained by date screened and risk of institutionalization. MA-eligible individuals can be referred to CFC/MAPC When a Medicaid program is able to provide a service, the person will receive an interrai-home Care assessment MAP staff has access to LTSSMaryland to follow the process and provide updates to the person if they call back.
25 Before you begin: Considerations when using the Screen Become familiar with the subject areas and questions The screen is to be administered as a conversation, not a scripted series of questions Set a welcoming tone and convey openness The Screen may come up after an initial opening conversation with the person where he or she has already related some of their concerns, goals, and needs.
26 Introduce the Screen Sample Introduction I d like to have a conversation with you to find out how you do everyday tasks and to learn more about your health. This will take about fifteen minutes. It s important that you tell me how things really are going for you, as accurately as possible, so I can make sure you get the kind of assistance that will best meet your needs. Would you like to have other family members participate in this conversation? We can have this conversation inperson or over the phone. Which do you prefer?
27 Considerations when using the Screen (cont d) Ask if the person would like to conduct the screen face-toface or with family/others present Let the person tell their story and prompt them in Screen areas they don t cover Listen for underlying issues and concerns Example: Example: Caller requests information about meals at local senior center and during conversation staff believes person may need assistance with ADLs. If the person has communication challenges or cognitive issues, it is appropriate to administer the screen to their main helper. When using the screen with the main helper, it is preferable to include both in the conversation.
28 When to administer the screen? The caller needs assistance performing ADLs Multiple or complex needs The caller indicates they may need to move from their current living situation because of increased need The caller requests it The caller wants to be added to the registry The caller may benefit from Medicaid community programs (CFC, MAPC, waiver) As part of MAP Options Counseling, to gather information to explore formal and informal supports and services. The MAP staff believes it would benefit the caller
29 What about non-medicaid clients? Part of the Screen results includes a high-level determination of financial eligibility for Medicaid community long term care programs. The Screen may be administered on people accessing non- Medicaid programs. Part of Options Counseling to gather more information to develop a plan Determine referrals MDoA workgroup development: Triage and determine eligibility for Senior Care, SALGHS, Congregate Housing MAP staff should contact AERS separately to request assessments for non-ma clients.
30 Adding Individuals to the Registry 1. The complete screen will calculate a result from High Risk priority to apply for waiver slots when available 4- Moderate Risk 3- Low Risk 2- Assistance and Referral 1- Interest and Info default score for incomplete submitted Screens 2. Individuals can be added to the registry without completing the screen, but they will be placed in the lowest priority category (1) 3. The registry will be ranked first on priority category, then date order will be followed: An person calling today who is screened as a Category 5 will have priority over individuals in other categories who were already on the registry
31 Multiple Screen Scores The Tracking System keeps a record of all Screen scores that are administered and submitted. The Screen may be administered multiple times on the same person. There is a pop-up notice if the Screen has been administered more than once in 90-days. You can still administer the Screen if appropriate.
32 Bypassing the Screen? What if a person goes directly to the health department for an assessment? 1. Cannot be placed on the waiver registry 2. Misses out on understanding about Medicaid programs, potential eligibility. 3. Does not get Options Counseling/assistance planning and navigating
33 5. Policy and Other Considerations
34 Limits to Screen The Screen will never be perfect People may over/underestimate their ability to perform ADLs, IADLs which could result in: Individuals that are referred on for the interrai assessment that won t meet NF LOC Individuals that are not referred for the assessment, but do meet LOC People may disagree with the results of the screen People may request to repeat the screen until they get the results they want.
35 Benefit to Caller Medicaid-eligible individuals can be directly referred to CFC or MAPC through the tracking system Includes referrals for a Supports Planner and AERS referral Individuals can request to be added to the registry in date order, based on risk of institutionalization The results will trigger referral recommendations Callers can receive information on the services they may be eligible for Callers will have a better idea of likelihood of receiving services, including time frames. This information can help in the Options Counseling process to help plan for the future based on their current available resources.
36 Benefit to MAP Staff Staff will be able to see if caller has previously been screened in another county Staff will be able to view current Medicaid program enrollment, including coverage groups, and supports planner, if assigned Results can be used during Options Counseling MAP staff will have a clearer sense of when to refer someone for an AERS assessment
37 Benefit to State Community-Medicaid eligible individuals can be directly referred to HCBS from MAP sites, decentralizing the referral process. State staff will be freed up to focus on technical assistance, training, and monitoring for the enrollment process. Target scarce resources (waiver slots) to those most at risk of institutionalization MDoA is exploring the use of the screen to prioritize for state-funded programs, alleviating the Health Departments from full assessments Data collection can be analyzed to determine costeffectiveness of NF diversion, proving impact of statefunded programs Makes the case for increased future funding.
38 IMPLEMENTATION
39 Development and User Testing MAP site pilots Fine tune screen in tracking system Targeted user testing Webinar Trainings Online training for background and policy information Offer multiple times In-Person Trainings To include follow-up policy discussion and role-plays 6 total trainings-3 in central region, one each in southern, western, and the eastern regions Tracking system test site for practice On-going Support Regular phone calls for feedback and guidance In-person support? Technical support
40 Follow up from MAP Staff We welcome constructive feedback on the training and materials to be used with the Screen As with any new process, we expect the need to make changes based on your experiences after implementation FYI-Current tracking system contract ends in October, new contract starts November 1. No system changes are likely to be made until after the new contract begins. MAP sites can request follow up training from DHMH/MDoA
41 FFP Time Study 1 FTE or 20% of your staff, whichever is more Only staff who manage and/or provide I&A services, MAP Options Counseling, and MAP website directory maintenance can participate in the FFP time study. Please do not include staff who provide-or spend time on case management, supports planning, and MFP-nursing facility Options Counseling.
42 FFP Time Study Trainings Work load and time frame: Pilot dates: October 27th to November 14th minutes per day depending on the activities performed and how familiar the individual is with the coding system. Participants will receive an twice per day containing a link to a quick survey.
43 FFP Time Study: How to Sign Up 1. Attend at least one of the following trainings: In Person: Monday, October 20th, 11:00 AM to 1:00 PM Anne Arundel County, Independence Room 2664 Riva Road, Suite 170, Annapolis, MD In Person: Tuesday, October 21st, 1:00 PM to 3:00 PM Havre de Grace Activity Center 351 Lewis Lane, Havre de Grace, MD Webinar: Wednesday, October 22nd, 1:00 PM to 3:00 PM Call In: 1-(571) , Access Code: Webinar: Thursday, October 23nd, 10:00 AM to 12:00 PM Call In: 1-(408) , Access Code: Sign-up for training by Monday, October 6th using the following link:
44 Questions??? Additional training requests Ami Vyas, MDoA Rebecca Oliver, DHMH-Medicaid Future training topic suggestions Emily Miller, MDoA Tiffani Nibbs, DHMH-Medicaid General questions or concerns about policy or the Screen Teja Rau, MDoA Tiffani Nibbs, DHMH-Medicaid LTSS Tracking System Rebecca Oliver, DHMH-Medicaid
New Delivery Systems for Long Term Services and Supports: How States are Diving into Affordable Care Act Opportunities
New Delivery Systems for Long Term Services and Supports: How States are Diving into Affordable Care Act Opportunities September 2013 Sarah Barth, JD, Director of Coverage and Access Michelle Herman Soper,
More informationJoseph Lugo. Administration for Community Living. Slide 2
Obtaining and Implementing Medicaid Administrative Federal Financial Participation (FFP) for Aging and Disability Resource Centers (ADRCs) in Hawaii and Maryland Hawaii Executive Office on Aging- Caroline
More informationMaryland Department of Health and Mental Hygiene FY 2012 Memorandum of Understanding Annual Report of Activities and Accomplishments Highlights
Maryland Department of Health and Mental Hygiene FY 2012 Memorandum of Understanding Annual Report of Activities and Accomplishments Highlights A Nationally Recognized Partnership Hilltop was founded on
More information3/8/2016. Partners and Sponsors New York State Department of Health. NY Connects: A Valuable Resource for Discharge Planners
NY Connects: A Valuable Resource for Discharge Planners Michael Gunn, Supervisor Division of Policy, Planning, Programs and Outcomes New York State Office for the Aging March 8, 2016 March 8, 2016 2 Housekeeping
More informationMaryland Medicaid Program. Aaron Larrimore Medicaid Department of Health and Mental Hygiene May 31, 2012
Maryland Medicaid Program Aaron Larrimore Medicaid Department of Health and Mental Hygiene May 31, 2012 1 Maryland Medicaid In Maryland, Medicaid is also called Medical Assistance or MA. MA is a joint
More informationStandardizing LTSS Assessments for State Initiatives
Standardizing LTSS Assessments for State Initiatives Barbara Gage, Ph.D. Elizabeth Blair G. Lawrence Atkins, Ph.D. April 30, 2014 Supported by a grant from The SCAN Foundation advancing a coordinated and
More informationInvoluntary Discharges and Transfers from
Nursing Home Residents Involuntary Discharges and Transfers from Nursing Homes: Know Your Rights Equal Access to Justice: Legal Aid Equal Justice for Maryland Since 1911 Your Rights as a Nursing Home Resident
More informationNew Opportunities in Long Term Services and Supports
Profiles of State Innovation: Long -Term Supports and Services CHCS Webinar November 22, 1010 New Opportunities in Long Term Services and Supports Mary Sowers Director, Division of Community and Institutional
More informationProvider Application Packet Respite Care Providers 1915(i) Intensive Behavioral Health Services for Children, Youth, and Families
Provider Application Packet Respite Care Providers 1915(i) Intensive Behavioral Health Services for Children, Youth, and Families To: From: Re: 1915(i) Program Applicants Maryland Department of Health
More informationLTSS INNOVATIONS IN THE CURRENT ENVIRONMENT
NASDDDS National Association of State Directors of Developmental Disabilities Services LTSS INNOVATIONS IN THE CURRENT ENVIRONMENT March 8, 2018 INTRODUCTIONS Barbara Selter Sharon Lewis Camille Dobson
More informationIncluded in this packet are: 1915(i) Program Applicants. Maryland Department of Health
Provider Application Packet Intensive In-Home Service Mobile Crisis Response 1915(i) Intensive Behavioral Health Services for Children, Youth, and Families To: From: Re: 1915(i) Program Applicants Maryland
More informationAn Analysis of Medicaid Costs for Persons with Traumatic Brain Injury While Residing in Maryland Nursing Facilities
An Analysis of Medicaid for Persons with Traumatic Brain Injury While Residing in Maryland Nursing Facilities December 19, 2008 Table of Contents An Analysis of Medicaid for Persons with Traumatic Brain
More informationLong-Term Care Improvements under the Affordable Care Act (ACA)
Long-Term Care Improvements under the Affordable Care Act (ACA) South Carolina Health Care Implementation Coalition September 17, 2010 JoAnn Lamphere, DrPH Director, State Government Relations Health &
More informationSingle Point of Access-SPOA
Single Point of Access-SPOA New York State Office of Mental Health Division of Integrated Community Services for Children and Families Children s Mental Health Services Staff Development Training Tuesday,
More informationThe Balancing Incentive Program and Caregivers
The Balancing Incentive Program and Caregivers Balancing Incentive The Affordable Care Act created the Balancing Incentive Program (BIP), which helps states provide quality care in the most appropriate,
More informationDesigning a Medicare Help at Home Benefit: Lessons from Maryland s Community First Choice Program
ISSUE BRIEF JUNE 2018 Designing a Medicare Help at Home Benefit: Lessons from Maryland s Community First Choice Program Karen Davis, Amber Willink, Ian Stockwell, Kaitlyn Whiton, Julia Burgdorf, and Cynthia
More informationStrengthening Long Term Services and Supports (LTSS): Reform Strategies for States
Advancing innovations in health care delivery for low-income Americans Strengthening Long Term Services and Supports (LTSS): Reform Strategies for States March 6, 2018 Michelle Herman Soper and Alexandra
More informationA Snapshot of the Connecticut LTSS Rebalancing Agenda
A Snapshot of the Connecticut LTSS Rebalancing Agenda Agenda Medicaid context and vision State Rebalancing Plan Major elements of rebalancing agenda Money Follows the Person, Nursing Home Rightsizing,
More informationSummary of States Core Standardized Assessment (CSA) Instruments
Summary of States Core Standardized (CSA) Instruments March 2015 The Balancing Incentive Program requires states to use a Core Standardized (CSA) instrument(s) to 1) determine eligibility for Medicaid-funded
More informationMaryland Department of Health and Mental Hygiene FY 2012 Memorandum of Understanding Annual Report of Activities and Accomplishments
Maryland Department of Health and Mental Hygiene FY 2012 Memorandum of Understanding Annual Report of Activities and Accomplishments November 2012 Table of Contents Executive Summary: Highlights... i A
More informationLow-Cost, Low-Administrative Burden Ways to Better Integrate Care for Medicare-Medicaid Enrollees
TECHNICAL ASSISTANCE BRIEF J UNE 2 0 1 2 Low-Cost, Low-Administrative Burden Ways to Better Integrate Care for Medicare-Medicaid Enrollees I ndividuals eligible for both Medicare and Medicaid (Medicare-Medicaid
More informationTransition Overview & PASRR Level I System Demo Nancy Shanley, VP of Consulting and Policy Analysis Ascend Management Innovations LLC
INDIANA PAS/PASRR REDESIGN Transition Overview & PASRR Level I System Demo Nancy Shanley, VP of Consulting and Policy Analysis Ascend Management Innovations LLC 2015 ASCEND MANAGEMENT INNOVATIONS LLC.
More informationMaryland s Public Behavioral Health System (PBHS) Emergency Petition Billing Manual
Maryland s Public Behavioral Health System (PBHS) Emergency Petition Billing Manual TABLE OF CONTENTS Introduction... 1 Claims from a Facility for Emergency Room Services... 1 Claims from a Physician for
More informationArPath: Advancing Electronic LTSS Systems in Arkansas
ArPath: Advancing Electronic LTSS Systems in Arkansas Suzanne Bierman Arkansas Division of Aging & Adult Services (DAAS) Hilltop Institute Symposium June 14, 2012 Arkansas Department of Human Services
More informationDiversifying AAA/ADRCs Funding Streams: How states and their local partners can draw down federal Medicaid Administrative Match for ADRC/NWD Systems
Diversifying AAA/ADRCs Funding Streams: How states and their local partners can draw down federal Medicaid Administrative Match for ADRC/NWD Systems July 30, 2017 n4a Conference Agenda What is the value
More informationMLTSS PROGRAMS: SHARING DESIGN AND IMPLEMENTATION EXPERIENCES AUGUST 29, 2017
MLTSS PROGRAMS: SHARING DESIGN AND IMPLEMENTATION EXPERIENCES AUGUST 29, 2017 Deidra B. Abbott, MPH Kim Donica, Principal Bob Karsten, ASA, MAAA Mercer Angela Medrano New Mexico Human Services Department
More informationApplying Integrated Data Analytics to Improve LTSS: Experience from the Massachusetts LTSS Policy Lab
Applying Integrated Data Analytics to Improve LTSS: Experience from the LTSS Policy Lab University of Medical School HCBS Conference August 30, 2016 HCBS Conference August 30, 2016 l 1 Presentation Overview
More informationMedicaid and You Yesterday and Tomorrow: How Medicaid and Payment Reforms Impact Assisted Living Providers
Medicaid and You Yesterday and Tomorrow: How Medicaid and Payment Reforms Impact Assisted Living Providers Ohio Assisted Living Association November 5, 2012 Suzanne J. Scrutton Vorys, Sater, Seymour and
More informationSection Q. Participation in Assessment and Goal Setting
Section Q Participation in Assessment and Goal Setting Changes to Section Q MDS 2.0 MDS 3.0 Discharge Potential item asked the assessor if the resident expressed a preference to return to the community
More informationA Snapshot of Uniform Assessment Practices in Managed Long Term Services and Supports
A Snapshot of Uniform Assessment Practices in Managed Long Term Services and Supports California Department of Health Care Services, Home and Community Based Services Universal Assessment Workgroup February
More informationArkansas Independent Assessment. Provider Information Sessions October, 2017
Arkansas Independent Assessment Provider Information Sessions October, 2017 Purpose: Provide an Overview of: 1 Independent Assessment 2 3 4 Optum s Role, Tool and Process Assignment of Tiers Transformation
More informationSTATE OF MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE
STATE OF MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE John M. Colmers Chairman Herbert S. Wong, Ph.D. Vice-Chairman George H. Bone, M.D. Stephen F. Jencks, M. D., M.P.H. Jack C. Keane Bernadette C.
More informationThe Next Wave in Balancing Long- Term Care Services and Supports:
The Next Wave in Balancing Long- Term Care Services and Supports: Top Trends Agency restructuring is common States use of variety of resources to fund the programs Loss of historical knowledge is nationwide
More informationMaryland Workers Compensation Rehabilitation Service Practitioner Application Instructions
APPLICATION Maryland Workers Compensation Rehabilitation Service Practitioner Application Instructions 1. Applications are to be typed or printed legibly. All questions on the application must be answered.
More informationNew York Children s Health and Behavioral Health Benefits
New York Children s Health and Behavioral Health Benefits DRAFT Transition Plan for the Children s Medicaid System Transformation August 15, 2017 DRAFT Transition Plan for the Children s Medicaid System
More informationThe Future of Growth & Land Use in Maryland
The Future of Growth & Land Use in Maryland (Part 2) Maryland Municipal League 2012 Annual Convention Maryland Department of Planning June 27, 2012 So what has changed in land planning since last year?
More informationPutting the Pieces Together: Medicaid Redesign and Long Term Care
Putting the Pieces Together: Medicaid Redesign and Long Term Care Mark Kissinger, Director Division of Long Term Care Office of Health Insurance Programs New York State Department of Health NYAIL September
More informationThe Power and Possibility of PASRR Webinar Series Webinar Assistance
The Power and Possibility of PASRR Webinar Series Webinar Assistance http://www.pasrrassist.org/resources/webinar-assistance-and-faqs Call-in through one of two ways listed below: Telephone: 1. Locate
More informationSelect Topics in Implementing an Integrated Medicaid Managed Long-Term Care Program
Select Topics in Implementing an Integrated Medicaid Managed Long-Term Care Program TennCare Overview Tennessee s Medicaid Agency Tennessee s Medicaid Program Managed care demonstration implemented in
More informationLetters in the Medicaid Alphabet:
Letters in the Medicaid Alphabet: OPTIONS FOR FINANCING HOME AND COMMUNITY- BASED SERVICES P R E S E N T E D B Y : R O B I N E. C O O P E R D I R E C T O R O F T E C H N I C A L A S S I S T A N C E N A
More informationNovember 14, Chief Clinical Operating Officer Division of Medical Assistance Department of Health and Human Services
Department of Health and Human Services Division of Medical Assistance Response To Questions from the Adult Care Home Transition Subcommittee of the Blue Ribbon Commission November 14, 2012 Presenter:
More informationIn Tune With Respite. One State s Experience Integrating Respite Into. Health Care Reform
In Tune With Respite One State s Experience Integrating Respite Into Health Care Reform National Respite Conference Nashville, TN October 8, 2014 Purpose To share South Carolina s experience in building
More informationOpportunities to Advance Lifespan Respite: Managed Long-Term Services and Supports and Affordable Care Act Options
Opportunities to Advance Lifespan Respite: Managed Long-Term Services and Supports and Affordable Care Act Options October 18, 2013 Joe Caldwell Director of Long-Term Services and Supports Policy 1 Overview
More informationRate-Setting Strategies to Advance Medicaid Managed Long-Term Services and Supports Goals: State Insights
Rate-Setting Strategies to Advance Medicaid Managed Long-Term Services and Supports Goals: State Insights Tuesday, August 16, 2016 1:00-2:30 pm ET Made possible by the West Health Policy Center www.chcs.org
More informationDisability Rights California
Disability Rights California California s protection and advocacy system BAY AREA REGIONAL OFFICE 1330 Broadway, Suite 500 Oakland, CA 94612 Tel: (510) 267-1200 TTY: (800) 719-5798 Toll Free: (800) 776-5746
More informationand Supports in Maryland: Volume 3
Medicaid Long Term Services and Supports in Maryland: FY 2011 to FY 2014 Volume 3 The Model Waiver A Chart Book January 24, 2017 Prepared for Maryland Department of Health and Mental Hygiene TABLE OF CONTENTS
More informationNJ Department of Human Services. FREQUENTLY ASKED QUESTIONS (FAQs) FOR PROVIDERS NJ FamilyCare MANAGED LONG TERM SERVICES AND SUPPORTS (MLTSS)
NJ Department of Human Services FREQUENTLY ASKED QUESTIONS (FAQs) FOR PROVIDERS NJ FamilyCare MANAGED LONG TERM SERVICES AND SUPPORTS (MLTSS) Assisted Living Billing Process when Member is Pending Enrollment
More informationDECISIONS ON SERVICE CASES MANDATORY WEBINAR Q & A 5/9/18
Questions? With new intakes that are just having their CAPS done this month, should we also wait to service plan until the hours are adjusted? We still have not received our list of closure cases that
More informationHome Care for Cancer Patients. Key Points. Cancer patients often feel more comfortable and secure being cared for at home. Many
CANCER FACTS N a t i o n a l C a n c e r I n s t i t u t e N a t i o n a l I n s t i t u t e s o f H e a l t h D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s Home Care for Cancer Patients
More informationTennessee s Money Follows the Person Demonstration: Supporting Rebalancing in a Managed Long-Term Services and Supports Model
Tennessee s Money Follows the Person Demonstration: Supporting Rebalancing in a Managed Long-Term Services and Supports Model In 2011, Tennessee was awarded a federal Money Follows the Person (MFP) grant,
More informationCoordinated Care Initiative DRAFT Assessment and Care Coordination Standards November 20, 2012
Coordinated Care Initiative DRAFT Assessment and Care Coordination Standards November 20, 2012 Table of Contents CARE COORDINATION GENERAL REQUIREMENTS...4 RISK STRATIFICATION AND HEALTH ASSESSMENT PROCESS...6
More informationPublic Policy Forum Impact of Emergency Department Use on the Health Care System in Maryland
Public Policy Forum Impact of Emergency Department Use on the Health Care System in Maryland Pamela W. Barclay Director, Center for Hospital Services Maryland Health Care Commission University of Maryland
More informationEstimated Decrease in Expenditure by Service Category
Public Notice for June 2009 Release PUBLIC NOTICE COLORADO MEDICAID Department of Health Care Policy and Financing Fee-for-Service Provider Payments Effective July 1, 2009, in an effort to reduce expenditures
More informationNORTH DAKOTA LEVEL OF CARE FORM INSTRUCTIONS TO BE USED WITH LOC FORM ND
For this section, select which type of LOC screen is to be reviewed Requested Screen Type NORTH DAKOTA LEVEL OF CARE FORM INSTRUCTIONS Nursing Facility Swingbed CMFN PACE MFP Provisional MFP Final Tech.
More information-Health Update. Encounter Notification System (ENS) Celebrates Five Years! Welcome
www.crisphealth.org e -Health Update ISSUE 8 Summer 2017 Welcome The e-health Update is a resource that shares current CRISP initiatives as well as pertinent health care related information for our region.
More informationNew Level of Care (LOC) Rule Webinar Frequently Asked Questions (FAQ)
During the month of March, 2012, ODJFS conducted a series of training Webinars called "New Medicaid Level of Care Rule Changes." Because hundreds of individuals participated in each Webinar session, taking
More informationFriday Morning Collaborative Webinar
Friday Morning Collaborative Webinar Community First Choice Option: State Consideration and Implementation Friday May 16, 2014 A non-profit service and advocacy organization 2011 National Council on Aging
More informationOneCare Model of Care
OneCare Model of Care Note: Content of this course was current at the time it was published. As Medicare policy changes frequently, check with your immediate supervisor regarding recent updates. 2018 Learning
More informationCAL MEDICONNECT: Understanding the Health Risk Assessment. Physician Webinar Series
CAL MEDICONNECT: Understanding the Health Risk Assessment Physician Webinar Series Today s Webinar This webinar is part of a series designed specifically for CAPG members. For a general overview of the
More informationSTATE OF MARYLAND DHMH Maryland Department of Health and Mental Hygiene
STATE OF MARYLAND DHMH Maryland Department of Health and Mental Hygiene l.an:y Hogan. Governor - Boyd R11the1ford. Lt. Governor - Dennis R. Schrader. Secretwy February 24, 2017 The Honorable Thomas M.
More informationHome and Community-Based Waivers: Opportunities for Community Living for ABI Survivors
Home and Community-Based Waivers: Opportunities for Community Living for ABI Survivors BIA-MA Brain Injury Conference March 30, 2017 Amy Bernstein Director, Community Based Waivers MassHealth Dorothée
More informationCenter for Medicaid and CHIP Services August, 2017
Section 12006 of the 21 st Century CURES Act Electronic Visit Verification Systems Requirements, Implementation, Considerations, and Preliminary State Survey Results Disabled and Elderly Health Programs
More informationNJ Department of Human Services NJ Ombudsman for the Institutionalized Elderly
NJ Department of Human Services NJ Ombudsman for the Institutionalized Elderly 1 Agenda What is MFP/ I Choose Home NJ? Outreach and Marketing Transition Process CMS Requirements for Quality Management
More informationUSING PSYCKES TO SUPPORT CARE COORDINATION IN NEW YORK STATE
USING PSYCKES TO SUPPORT CARE COORDINATION IN NEW YORK STATE NYS Office of Mental Health Edith Kealey, PhD Deputy Director, PSYCKES OVERVIEW Introduction to PSYCKES: The Psychiatric Services and Clinical
More informationThe TBI Waiver: the North Carolina Brain Injury Advisory Council Recommendations to the Legislative Oversight Committee on Health and Human Services
The TBI Waiver: the North Carolina Brain Injury Advisory Council Recommendations to the Legislative Oversight Committee on Health and Human Services On behalf of the North Carolina Brain Injury Advisory
More informationSummer 2018 Internship Program Position Packet. Our Mission
Summer 2018 Internship Program Position Packet Our Mission Urban Ministries of Wake County engages our community to serve and advocate on behalf of those affected by poverty by providing food and nutrition,
More informationNew HCBS Regulations: Transition Plan Requirements. Background Final HCBS Regulations
New HCBS Regulations: Transition Plan Requirements Presentation by: Background Final HCBS Regulations Regulations published in the Federal Register on January 16, 2014 The Final Rule combined responses
More informationCase Management Out. Support Coordination In.
Case Management Out. Support Coordination In. How to Choose & Use a Support Coordinator That s Right for You Linda Lucas Chief Executive Officer The Arc of Essex County Melissa Soules Director of Business
More informationPURPOSE CONTACT. DHS Financial Operations Division (651) or or fax (651) SIGNED
Bulletin NUMBER #17-32-08 DATE March 20, 2017 OF INTEREST TO County Directors SSTS Coordinators Social Services Supervisors and Staff Fiscal Supervisors ACTION/DUE DATE Please read information and prepare
More informationSunflower Health Plan
Key Components for Successful LTSS Integration: Case Studies of Ten Exemplar Programs Sunflower Health Plan Jennifer Windh September 2016 Long- term services and supports (LTSS) integration is the integration
More informationSERVICE CUTS IN MEDICAID WAIVER PROGRAMS WHO WILL BE AFFECTED, HOW WILL CUTS BE IMPLEMENTED
SERVICE CUTS IN MEDICAID WAIVER PROGRAMS WHO WILL BE AFFECTED, HOW WILL CUTS BE IMPLEMENTED AND WHAT ARE YOUR RIGHTS? Materials Developed by: The Arc of Texas, Coalition of Texans with Disabilities, EveryChild,
More informationWheel of Fortune. Developmental Disabilities
Wheel of Fortune 1 (Individual Data System) IDS 2 Individual Data System IDS replaces the old Individual Information Form system (IIF) IDS is a system that houses applications such as: AAI, DDP, and the
More informationRhode Island Real Choices Long-Term Services and Supports Resource Mapping. April 14, Ian Stockwell
Rhode Island Real Choices Long-Term Services and Supports Resource Mapping April 14, 2010 Cynthia Woodcock Ian Stockwell Aaron Tripp Overview of Presentation Resource Mapping Objectives Interviews with
More informationAuditing and Monitoring Focusing Your Resources
Auditing and Monitoring Focusing Your Resources Subscriber Webinar June 13, 2014 Today s Plan Why a hospice should devote resources to auditing and monitoring Setting priorities Guidelines for developing
More informationSERVICES. The following figures reflect total waiver numbers as of September 12, 2017: Total # Slots Allocated
Office for Citizens with Developmental Disabilities (OCDD) QUARTERLY DEVELOPMENTAL DISABILITIES (DD) COUNCIL REPORT (Submitted for 3rd Quarter 2017) September 27, 2017 SERVICES Developmental Disability
More informationEnrolling Participants into the PACE Program
Program of All-inclusive Care for the Elderly Enrolling Participants into the PACE Program Cindy Susee, APD PACE Policy Analyst February 2017 PACE Model PACE is a Medicare and Medicaid national program,
More informationAll applications should be signed and dated in all designated areas of these forms.
2666 Riva Rd., Suite 400 Annapolis, MD 21401 Phone (410)-222-4464 TTY Users call via MD Relay 711 exjord00@aacounty.org Pamela A. Jordan Director July 1, 2017 Dear Applicant: Enclosed is an application
More informationMOC Communication & ICT September 5, Training for PPGs
MOC Communication & ICT September 5, 2014 Training for PPGs Learning Objective After this training you will understand the roles of the Interdisciplinary Care Team (ICT) in the SNP & Cal MediConnect Model
More informationOhio Medicaid Update. Financial Eligibility Determinations
Ohio Medicaid Update Key Policies Affecting Payment to Skilled Nursing Centers Diane J Dietz Assistant Executive Director, OHCA Financial Eligibility Determinations Problems persist post Ohio Benefits/9401
More informationOpen Doors Transition Center Project Peer Outreach and Referral Program
Open Doors Transition Center Project Peer Outreach and Referral Program Suzanne de Beaumont, Transition Center Project Director Zach Garafalo, Peer Program Director Association on Aging in New York October
More informationDetermining Need for Medicaid Personal Care Services
Spring 2011 No. 6 Determining Need for Medicaid Personal Care Services By Susan M. Tucker and Marshall E. Kelley The Community Living Assistance Services and Supports (CLASS) Plan a groundbreaking component
More informationGeneral PASRR/LOC Questions
General PASRR/LOC Questions 1. Q: What is the purpose of PASRR? A: The purpose of PASRR is to identify nursing facility applicants with serious mental illness and/or mental retardation or a related condition
More informationkaiser medicaid and the uninsured commission on
I S S U E P A P E R kaiser commission on medicaid and the uninsured A Challenge for States: Assuring Timely Access to Optimal Long-Term Services and Supports in the Community Executive Summary February
More informationCouncil on Aging. Independence. Resources. Quality of Life. Guide to Programs and Services
Council on Aging Independence. Resources. Quality of Life Guide to Programs and Services About Council on Aging As the Area Agency on Aging for Butler, Clermont, Clinton, Hamilton and Warren counties,
More informationThe Important Role of Family Caregivers in Washington State s Long-Term Services and Supports System
The Important Role of Family Caregivers in Washington State s Long-Term Services and Supports System Bea Rector, Director The Growing and Changing Nature of Family Caregiving November 29, 2017 Washington
More informationNeighborhood Revitalization State Revitalization Programs FY2017
Maryland Departmentof Housing Neighborhood Revitalization State Revitalization Programs FY2017 Program and Application Training STATE RETIVALIZATION PROGRAMS Community Legacy CL Neighborhood Intervention
More informationnotice of public hearing
notice of public hearing Paratransit Service Changes Wednesday, October 11 at 6 p.m. Madison Central Library 201 W. Mifflin St. Room 302 Third Floor Conference Room On Wednesday, October 11, Metro Transit
More informationBased on the above prioritization, the BRF grant funding may be used for any one of the following eligible project options:
Appendix B BAY RESTORATION (SEPTIC) FUND (BRF) PROGRAM IMPLEMENTATION GUIDANCE FOR (Annotated Code of MD 9-1605.2 & COMAR 26.03.13) FOR ON-SITE SEWAGE DISPOSAL SYSTEM (OSDS) UPGRADES USING BEST AVAILABLE
More informationNew Jersey s Single Entry Program NJ EASE: A Survey of Callers
The Institute for Health, Health Care Policy and Aging Research New Jersey s Single Entry Program NJ EASE: A Survey of Callers Sandra Howell-White, Ph.D. Winifred V. Quinn, M.A. September 2005 New Jersey
More informationFor Profit Managed Care for Long Term Supports & Services Lessons Learned
For Profit Managed Care for Long Term Supports & Services Lessons Learned Mike Chittenden, The Arc Nebraska Kevin Fish, The Arc of Sedgwick County Carrie Hobbs Guiden, The Arc Tennessee John Nash, The
More informationMnCHOICES Assessment and Support Plan
MnCHOICES Assessment and Support Plan 11/01/2017 Minnesota Department of Human Services mn.gov/dhs 1 Beyond Assessment: Integration of assessment and support plan application State and federal requirements
More informationCommunity Based Adult Services (Adult Day Health Care)
4/25/2013 Adult Day Care and Community Based Adult Services (Adult Day Health Care) Snack & Learn April 30, 2013 1 Supported by the California Department of Health and Human Services Agency and U.S. Department
More informationEvidence-Based Programs for Caregivers: Vision and Strategy of RCI and the National Quality Caregiving Network
Evidence-Based Programs for Caregivers: Vision and Strategy of RCI and the National Quality Caregiving Network Copyright @ Rosalynn Carter Institute: 2009 First National Summit on EBP in Caregiving October,
More information1915(k) Community First Choice Overview
1915(k) Community First Choice Overview 1 Today s Objectives 1. Brief overview of Community First Choice (CFC) Program & Key Features Other materials available: http://www.medicaid.gov/medicaid-chip-program-information/by-topics/longterm-services-and-supports/home-and-community-based-services/communityfirst-choice-1915-k.html\
More informationImplementation and Outcomes from Connecticut s Mobile Crisis Intervention Service
Implementation and Outcomes from Connecticut s Mobile Crisis Intervention Service Jeffrey J. Vanderploeg, Ph.D. Vice President for Mental Health Child Health & Development Institute of Connecticut Tim
More informationJohn and Susie Beatty Music Scholarship Competition for Classical Guitar March 10-13, 2017
Competition Rules The International Conservatory of Music Presents the John and Susie Beatty Music Scholarship Competition for Classical Guitar March 10-13, 2017 Application Information: Application for
More informationBriefing for the Chesapeake Bay Commission Maryland s Fisheries Enforcement September 5, Deputy Secretary Frank Dawson
Briefing for the Chesapeake Bay Commission Maryland s Fisheries Enforcement September 5, 2014 Deputy Secretary Frank Dawson The Maryland Natural Resources Police The Maryland Natural Resources Police (NRP)
More informationCare Management and MI Choice Waiver Program. Policies and Procedures
Care Management and MI Choice Waiver Program Policies and Procedures February 27, 2018 Waiver / Care Management Policies Table of Contents Section Page Intro Program Goals & Objectives........... 4 1.
More informationResults of February 2012 Survey on Medicaid Funded Long Term Services and Supports. Assessments, Reassessments and Care Plans
Results of February 2012 Survey on Medicaid Funded Long Term Services and Supports Assessments, Reassessments and Care Plans Overview In response to requests for assistance by two members, the National
More informationMedicaid Home- and Community-Based Waiver Programs
INFORMATION BRIEF Research Department Minnesota House of Representatives 600 State Office Building St. Paul, MN 55155 Danyell Punelli, Legislative Analyst 651-296-5058 Updated: October 2016 Medicaid Home-
More information