BACKGROUND. Coordination to a Conflict Free model by 7/1/2018.

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1 MSC Presentation

2 AGENDA obackground of Care Coordination Organization otransition Plans for Individuals, MSCs and MSC Supervisors, and MSC Agencies ocareer Opportunities oq/a

3 BACKGROUND How we got here o Federal Criteria requires that OPWDD move Service Coordination to a Conflict Free model by 7/1/2018. oas with other states, NY is moving to a Medicaid Managed Care model within the next few years. People with IDD are the last group to move to managed care. othe Care Coordination model will allow providers of developmental disability services to maintain control of the services and ensure the funding will be preserved for this population.

4 LIFEPlan CCO LIFEPlan CCO was founded by The Center for Disability Services in Albany & Upstate Cerebral Palsy in Utica Have been working together for 5 years, first on the DISCO/FIDA Managed Care Initiative, and second on the Care Coordination Organization (CCO). Upstate CP is an experienced NYS Health Home in 7 Counties in Central NY & North Country for Adults and 10 Counties for Children and has an established network of healthcare providers.

5 ABOUT US o LIFEPlan CCO is a For-Profit LLC with over 60 other Partnering MSC Provider Agencies across our region including: Access CNY Achieve Advocates Inc. ARC Delaware ARC Herkimer ARC Oneida Lewis ARC Oswego County ARC Otsego Arise Child And Family Service Cayuga Counseling Services, Inc. Center for Disability Services Central New York Services, Inc. Cerebral Palsy Association Of The North Country Disabled Persons Action Org. E. John Gavras Center Exceptional Family Resource Family Advocacy Center Family's Choice of the North Country Franziska Racker Center, Inc Handicapped Childrens Association of Southern NY (HCA) Heritage Farm, Inc Jefferson Rehabilitation Center Kelberman Center Inc. L'Arche Syracuse LAUNCH Liberty Resources Madison Cortland Chapter NYSARC NNY Cerebral Palsy Association NYSARC Inc, Onondaga County Chapter Onondaga Community Living, Inc. (OCL) Oswego County Opportunities Oswego Industries Pathfinder Village Residential Resources Spaulding P.R.A.Y Residence Corp St. Lawrence Chapter of NYSARC Toomey Residential & Community Services United Helpers/Mosaic Unity House Of Cayuga County Inc. Upstate Cerebral Palsy

6 TERRITORY LIFEPlan s Geographic coverage is all of OPWDD Regions 2 & 3, which includes 38 counties Approximately 10,000 members in Region 2 6

7 OUR PROGRESS o We currently have commitments with MSC provider agencies totaling over 17,000 lives. o This includes partnering with agencies in Central, Northern, Capital Region, Southern Tier and the Hudson Valley. o We anticipate establishing Local Hubs and Offices to help manage the CCO and account for regional differences. o Utica, Syracuse, Albany, North Country, Hudson Valley and the Southern Tier are planned Regional Offices.

8 TRANSITION PLAN o MSC Agencies--LIFEPlan is offering a choice of options to your home agencies who have aligned with us: Transition MSC Services into LIFEPlan CCO on July 1, 2018 Subcontract Services for 6 or 12 month options, the limit set by OPWDD o People receiving MSC services MSC ends 6/30/18. Individuals will be auto-enrolled into CCOs by OPWDD based on MSC provider agency alignment; Individuals will then be given choices of CCOs, as well as to opt out of enhanced care management services. o MSCs--LIFEPlan CCO anticipates needing all qualified MSC staff to help create our CCO.

9 MSC AGENCY INFORMATION TRANSITION PLAN o It is LIFEPlan CCO s hope that individuals/families and their MSCs will choose to transition together to the new CCO-HH enhanced care management model. Timeline: CCO Application Due 11/30/17 CCO Designations by 2/28/18, Readiness Activities 3/1 6/30/18 CCOs begin Care Coordination July 2018, MSC ends 6/30/18 Care Coordinator (MSC) Staff Fully transitioned to CCO by July

10 MSC NOW and FUTURE Strong emphasis on advocacy-actively supporting and/or negotiating on behalf of individuals Professional development training to enhance ability to support individuals with I/DD NOW Coordinate and arrange provision of services Support adherence to treatment recommendations Monitor and evaluate individual s needs Assist with Transitions Identify community based resources FUTURE Use Health Information Technology to link services and enhance communication between individuals, families, and providers Complete a Comprehensive Health Risk Assessment Coordinate, facilitate and record access to chronic disease support, mental health, and substance use support services Conduct Transitional planning Collect and report on data that permits an evaluation of increased coordination of care 10

11 CAREER OPPORTUNITIES MSC AGENCY INFORMATION FOR MSCs May include: o Supervisory Roles--- team leaders, seniors that recognize experience and expertise, and regional leads o Management and administration--- for those interested in the operational aspects of providing care, including QA, compliance, training, etc. o Clinical--- for those that have expertise in nursing, social work, or wellness o Family Advisory Roles o Special Populations---focus on Sub-populations such as Dementia/ Alzheimer's, Geriatrics, Willowbrook. 11

12 MSC AGENCY INFORMATION Other Questions Hiring, Salary, Work Location, Hours/ Flexibility, Benefits, Time Off, Seniority, Training, Caseload Sizes,.? 12

13 MSC We AGENCY Want INFORMATION You To Be A Part of LIFEPlan! 13

14 CONTACT US o Website o LIFEPlanCCONY.com o Contacts Lori Kearsing Carleen Stewart Vice President of Operations VP of Network Development (O) (O) ext. 230 (C) (C) Alan Krafchin, Chairperson Lou Tehan, Vice Chair