New Delivery Systems for Long Term Services and Supports: How States are Diving into Affordable Care Act Opportunities

Size: px
Start display at page:

Download "New Delivery Systems for Long Term Services and Supports: How States are Diving into Affordable Care Act Opportunities"

Transcription

1 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, MHS, Senior Program Officer

2 Agenda I. Welcome and Introductions II. III. IV. High Level Overview of the Duals Demonstration Improving Care for Medicare-Medicaid Enrollees: Virginia Financial Alignment Demonstration LTSS-related ACA Initiatives V. Maryland s Long Term Care Reform VI. Questions 2

3 Welcome and Introductions Sarah Barth, JD Director, Long-Term Services CHCS Michelle Herman Soper, MHS Senior Program Officer CHCS Suzanne Gore, JD, MSW Director, Policy and Research Virginia Department of Medical Assistance Services Lorraine Nawara, MS Deputy Director for Community Integration, State of Maryland, Department of Health and Mental Hygiene 3

4 A non-profit health policy resource center dedicated to improving services for Americans receiving publicly financed care Priorities: (1) enhancing access to coverage and services; (2) advancing quality and delivery system reform; (3) integrating care for people with complex needs; and (4) building Medicaid leadership and capacity. Provides: technical assistance for stakeholders of publicly financed care, including states, health plans, providers, and consumer groups; and informs federal and state policymakers regarding payment and delivery system improvement. Funding: philanthropy and the U.S. Department of Health and Human Services. 4

5 Long-Term Services and Supports: Person-Centered Care I decide where and with whom I live. I make decisions regarding my supports and services. I work or do other activities that are important to me. I have relationships with family and friends I care about. I decide how I spend my day. I am involved in my community. My life is stable. I am respected and treated fairly. I have privacy. I have the best possible health. I feel safe. I am free from abuse and neglect. 5 5

6 Agenda I. Welcome and Introductions II. III. IV. High Level Overview of the Dual Demonstration Improving Care for Medicare-Medicaid Enrollees: Virginia Financial Alignment Demonstration LTSS-related ACA Initiatives V. Maryland s Long Term Care Reform VI. Questions 6

7 What are the Goals of Integrated Care? Creates one accountable entity that delivers primary/ preventive, acute, behavioral, and long-term services and supports Aligns Medicaid & Medicare services and financing to streamline care, reduce inefficiencies, and eliminate cost shifting Promotes the use of home- and community-based services and improvements in quality of life and health outcomes Provides high-quality, person-centered care Section 2602 of the Affordable Care Act created the Medicare-Medicaid Coordination Office and new opportunities to advance integration 7 7

8 Testing Innovative Integrated Financing and Delivery Models* 15 states awarded demonstration design contracts, April states submitted financial alignment proposals, May 2012** 6 states exploring alternative approaches to improve integration MOU signed? No Yes 7 states move to readiness reviews and contracting 14 states continue to work toward an MOU*** * As of September 2013 ** Includes all 15 states awarded a demonstration design contract ***WA is counted twice: signed MFFS MOU; pending capitated MOU 8

9 Financial Alignment Demonstration Models Capitated CA, ID, IL, MA, MI, NY, OH, RI, SC, TX, VT, VA, WA* Joint procurement of highperforming health plans Three-way contract: CMS, state, health plan Single set of rules for marketing, appeals, etc. Blended payment, built-in savings Voluntary, passive enrollment with opt-out provisions Managed Fee-for- Service (MFFS) CO, CT, IA, MO, NC, OK, WA* FFS providers, including Medicaid health homes or accountable care organizations Seamless access to necessary services Quality thresholds and savings targets * As of September

10 Examples of State Innovation Approach Developing nuanced payment and financing methodologies Designing targeted interventions to identify high-risk individuals through linked data systems Offer additional Medicaid benefits Requires plans to contract with community supports Actively engage key stakeholders throughout design and implementation processes Developed readiness review standards that address a continuum of acute, BH and LTSS needs State* All WA MA MA, OH CA, VA CA, MA *NOTE: Several states have developed many approaches listed above; this list provides examples of a few in each. 10

11 Next Steps for Demonstration States Seven states have signed a Memorandum of Understanding (MOU) with CMS: MA, WA, OH, IL, CA, VA, NY Key decision points in MOU development: Rates, benefits, performance measures, enrollment Procurement and readiness reviews Final step before going live Capitated: CMS/state/plan 3-way contract (MA: July 11, 2013) MFFS: CMS/state final agreement (WA: June 28, 2013) Enrollment of Medicare-Medicaid beneficiaries Late 2013 and 2014 Generally phased in Voluntary opt-in period Passive enrollment with monthly opt-out option 11

12 States and CMS are Working Together to: Engage stakeholders at every level in design and implementation Build on existing relationships between state Medicaid agencies, providers, and beneficiaries Ensure beneficiary protections under Medicare Include quality standards and rigorous evaluations Establish payment strategies that encourage provider participation and create potential state and federal savings The Integrated Care Resource Center (ICRC): Established by CMS to help states advance integrated care delivery for dual eligibles. CHCS, with Mathematica Policy Research, coordinates state technical assistance and online resources. Visit 12

13 Agenda I. Welcome and Introductions II. III. IV. High Level Overview of the Dual Demonstration Improving Care for Medicare-Medicaid Enrollees: Virginia Financial Alignment Demonstration LTSS-related ACA Initiatives V. Maryland s Long Term Care Reform VI. Questions 13

14 Department of Medical Assistance Services Improving Care for Medicare-Medicaid Enrollees: Virginia Financial Alignment Demonstration Suzanne S. Gore, JD, MSW, Director, Policy and Research Virginia Department of Medical Assistance Services NASUAD September 10,

15 Overview A little background We ve Been at this a Long Time The Big Disappointment Silos and Stressed Out Staff Shaking Things Up Full Steam Ahead 15

16 Virginia is Ready to Improve Care One program to coordinate primary, preventive, acute, behavioral, and long-term services and supports. Blend Medicare and Medicaid services to improve access and streamline care. Offer high quality, person centered services. 16

17 Quick Overview: Financial Alignment Models Opportunity to create one accountable entity to coordinate delivery of primary/preventive, acute, behavioral, and longterm services and supports CMS provided states with two paths (aka Financial Alignment Models ) Financial Alignment Models CAPITATED MANAGED FEE-FOR-SERVICE 23 states are pursuing financial alignment or alternative demonstration models to improve integration between Medicare and Medicaid 17

18 We Have Been at This a Long Time Long history of PACE Mandatory Uniform Assessment Instrument since 1994 Explored integrated care in the mid-1990 s Published the Blueprint for Improving Long- Term Care Services in 2006 Developed plan for Virginia Acute and Long- Term Care (VALTC) in 2008 and completed Phase I 18

19 The Big Disappointment In 2011, Virginia applied for CMS State Demonstrations to Integrate Care for Dual Eligible Individuals Virginia did not receive a design contract 19

20 Silos and Stressed Out Staff Staff with other responsibilities pulled to work on the demonstration Limited support between divisions Staff morale was abysmal 20

21 Shaking Things Up Created a new Deputy Director of Complex Care and Services Created a new Division for Behavioral Health and Integrated Care Hired Director for the Office of Coordinated Care and Outreach Specialist Shaken, not stirred: Time for a Reorg! 21

22 Full Steam Ahead! Medicaid Programs are NOT Nimble and neither is Medicare Amazing staff working on the program now Top Priority for the Secretariat and Agency You are Here

23 Agenda I. Welcome and Introductions II. III. IV. High Level Overview of the Dual Demonstration Improving Care for Medicare-Medicaid Enrollees: Virginia Financial Alignment Demonstration LTSS-related ACA Initiatives V. Maryland s Long Term Care Reform VI. Questions 23

24 ACA Vehicles to Rebalance LTC Settings Historically, programs not designed to support individual choice of settings: Facility-based care is an entitlement HCBS often has waiting lists Limited coordination for HCBS participants across all service areas The ACA provides states with opportunities to move individuals to or support them in the community through: Money Follows the Person Demonstration Balancing Incentive Payment Program Community First Choice Options Program With the support of The SCAN Foundation, CHCS provided technical assistance to 10 states in their efforts to rebalance LTSS and migrate to MLTSS delivery systems. 24

25 Money Follows the Person Supporting Transitions Assists states to rebalance their long-term care systems by providing enhanced federal funds for services needed to transition Medicaid enrollees from institutions to the community Goals: increase the use of HCBS decrease the use of institutional care eliminate barriers that restrict flexible use of Medicaid funds ensure quality assurance and quality improvement 45 states and DC currently have MFP programs 25

26 Balancing Incentive Program Supporting Community Living Provides enhanced federal financing to states to rebalance LTSS expenditures toward HCBS services Must establish three structural changes No wrong door/single entry point system Conflict-free case management A core standardized assessment instrument There are currently 16 states with approved programs 26

27 Community First Choice Options (CFCO) Supporting Community Living New state plan option for providing communitybased attendant services and supports 6 percent enhanced FMAP for an indefinite period Limitations: Must be statewide No waiting lists As of July 2013, California and Oregon have approved CFCO programs 27

28 List of States Participating in these Initiatives States participating in MFP are: AL, AR, CA CO, CT, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, VA, VT, WA, WI, WV and the District of Columbia. States Participating in the Balancing Incentive Program are: AK, CT, GA, IA, ID, IL, LA, ME, MD, MI, MS, NH, NJ, NY, OH, TX States Participating in Community First Choice Option are: CA and OR 28

29 Opportunities for States ACA contains numerous program opportunities for states to support individuals with disabilities and intense medical needs in the community Innovative states look to use the enhanced federal financial funding to strengthen HCBS delivery systems MD is an example of a state using all of these initiatives to reform LTSS systems of care 29

30 Agenda I. Welcome and Introductions II. III. IV. High Level Overview of the Dual Demonstration Improving Care for Medicare-Medicaid Enrollees: Virginia Financial Alignment Demonstration LTSS-related ACA Initiatives V. Maryland s Long Term Care Reform VI. Questions 30

31 Maryland Department of Health and Mental Hygiene

32 Maryland s population is changing. An aging population and increased demand from younger adults with disabilities means Maryland will see a dramatic increase in people needing LTSS in the near future. We need to find more effective ways of providing services. People making their own decisions about when, where and how to receive those services restores dignity to a very personal process. We need to simplify the process both administratively and functionally. Clear pathways to find services and enter programs. Clear expectations and responsibilities of all of our partners and providers. 32

33 Aging and Disability Resource Centers (ADRCs) Maryland launched its ADRC effort in 2003 Now have statewide coverage by 20 Maryland Access Point (MAP) sites Money Follows The Person (MFP) Demonstration Maryland has participated since 2007 with over 1,500 transitions Key initiatives include peer outreach and mentoring, options counseling, funding for ADRC expansion, and enhanced transition assistance Balancing Incentive Program (BIP) Maryland was the second state to be awarded in February of 2012 with a projected award of $106 million Current procurement for pilot projects Implementing the interrai-hc tool as the standardized assessment Utilizing MAP sites as the single-entry point/no Wrong Door Community First Choice Maryland submitted a SPA on September 6, 2013 Merging 2 existing 1915(c) waivers, moving allowable services to the State Plan 33

34 Maryland Access Point (MAP) Sites MAP initiative led by Maryland Department of Aging Formalized partnerships between Area Agencies on Aging, Local Health Departments, and Departments of Social Services BIP/MFP Expansion of MAP sites MAP Partnership Development accelerated with MFP funding Required partnerships with the Brain injury Association of Maryland, local mental health authorities, and Centers for Independent Living (CILs) Funded expansion of the MAP resource website and development of the1-800 number MAP sites will: Complete the Medicaid interrai phone screen prior to referrals for a full assessment Maintain the Medicaid registry for waiver services 34

35 The MFP/BIP-funded expansion of the Maryland Access Point (MAP) sites creates a No Wrong Door system of entry into streamlined service system Number MAP Site Information and referral Level 1 screening Waiver registry Options counseling 35

36 DHMH conducted a review of instruments with stakeholder participation Chose the interrai-hc for the nursing facility level of care population Has been tested for reliability and validity Meets the BIP requirements with little modification DDA is exploring the Supports Intensity Scale with modifications for individuals with IDD MHA is exploring the Daily Living Activities (DLA-20) Assessment for individuals with mental illness Pilot of instruments Main purpose is to ensure Level of Care/medical eligibility determinations are consistent with current regulations 36

37 Create new or expanded community supports identified through an RFP process Enhanced technology and home modifications Remote monitoring Emergency back-up services Shared attendant care Blended somatic and behavioral health services Start-up costs and pilot projects Rate increases Additional waiver slots Expansion related to implementation of Community First Choice 37

38 The In-Home Supports and Assurance System will track personal care time, and improve quality and efficiency It will ensure services are delivered to beneficiaries and support the transition to incremental (15 minute or hourly) rates Implementation to begin in 2013 The new LTSSMaryland client-centered tracking system will help coordinate services, eliminate duplicate work and unnecessary paperwork All assessments and nurse monitoring forms will be automated and accessible on a laptop or tablet Maryland has grant money through the Balancing Incentive Program to pay for tablets and/or laptops purchased for use within the tracking system 38

39 8 HCBS waivers: 2 IDD Waivers: Community Pathways and New Directions Model Waiver for children with complex medical needs Autism Waiver The Traumatic Brain Injury (TBI) waiver Medical Day Care The Older Adults Waiver (OAW) serves adults age 50 and older who meet NF LOC The Living at Home (LAH) waiver serves adults with physical disabilities between 18 and 64 who meet NF LOC State Plan Personal Care option called Medical Assistance Personal Care (MAPC) 39

40 CFC services currently offered under two 1915(c) waiver programs for individuals who meet NF level of care will no longer be offered as waiver services but offered through CFC Maximize the enhanced Federal match Offers a full menu of services to all waiver participants Resolve inconsistent rates and policies across programs Reduces duplicate applications Simplifies administration Other waivers may be phased in later if we can unbundle service packages so that the services are allowable under CFC (Medical Day Care, TBI services) The Medical Assistance Personal Care (MAPC) State Plan program will remain for individuals who do not meet nursing facility level of care 40

41 To implement CFC 1915(k) preprint 1915(b)(4) to limit providers of supports planning, transition services, and nurse monitoring To merge existing 1915(c) waivers Two amendments, 1 for the new merged waiver and 1 to terminate the other waiver 1915(b)(4) to limit providers of case management Formal transition plan to explain changes/impact in coverage for participants and providers To modify the State Plan personal care option to mirror CFC State Plan amendment and 1915(j) to add self-direction and 1915(b)(4) to limit providers of supports planning and nurse monitoring Additionally, State regulation changes are required for all 4 programs 41

42 Waiver Participants Community First Choice Participants Dietitian and Nutritionist Case Management Family Training Voluntary Self- Direction Training Personal Care Personal Emergency Response Systems MAPC Participants All other State Plan services Supports Planning Items that Substitute for Human Assistance Transition Services Home-delivered meals Senior Center Plus Assisted Living Behavioral Health Consultation 42

43 Personal Assistant Services Case Management Consumer Training Personal Emergency Back-up Systems Transition Services Home Delivered Meals Assistive Technology Accessibility Adaptations Environmental Assessments Medical Day Care Nutritionist/Dietician Family Training Behavioral Consultation Assisted Living Senior Center Plus MAPC LAH OAW 43

44 Personal Assistant Services Case Management/Supports Planning Consumer Training Personal Emergency Back-up Systems Transition Services Home Delivered Meals 1 Assistive Technology 1 Accessibility Adaptations 1 Environmental Assessments Medical Day Care Nutritionist/Dietician Family Training Behavioral Consultation Assisted Living Senior Center Plus MAPC CFC Waiver *CFC services will be available to all waiver participants 1 Items that Substitute for Human Assistance 44

45 Existing LAH and WOA providers of services that will covered under CFC will be automatically enrolled as CFC providers Waiver participants will have access to more providers: LAH providers + WOA providers + MAPC providers = CFC provider pool The Department is working with the Maryland Department of Aging (MDoA) to develop a provider registry on the MAP website The registry will be a searchable, online database where providers can enter their availability and qualifications. The registry will be in development in

46 The separate waiver registry lists will need to be combined The registries will be prioritized based on risk for institutionalization rather than solely based on date of interest A validated tool developed in partnership with interrai will used to screen registry candidates This prioritization will assure that the individuals at highest risk for institutionalization have access to services first so that limited resources can be targeted to prevent institutionalization The timeline for implementation of the prioritizing of the registry is some time in

47 All participants will have access to: increased self-direction opportunities, a larger provider pool, and choice of case management providers. LAH participants will gain access to increased services currently only offered through the WOA. MAPC will be improved by moving to an improved rate structure and increased self direction options. More people in the community will have access to waiver-like services. 47

48 ADRC Single Entry Point The Exchange MAP Sites Level I Screen Core Standardized Assessment BIP Conflict-free Case Management Services Self-Direction Provider Registry Community First Choice Consumer Surveys In-home Supports Assurance Quality Provider Training Emergency Back-up System MFP

49 Questions? Contact Information: Sarah Barth: Michelle Herman Soper: Suzanne Gore: Lorraine Nawara: 49

50 Resources Building State Capacity to Implement Integrated Care Programs for Medicare-Medicaid Enrollees. M. Herman Soper, Center for Health Care Strategies, July Innovations in Integration: State Approaches to Improving Care for Medicare-Medicaid Enrollees. M. Herman Soper, B. Ensslin, Center for Health Care Strategies, February Long-Term Services and Supports: Opportunities in the Affordable Care Act. S. Barth, J. Klebonis, N. Archibald, Center for Health Care Strategies, December Balancing Incentive Program: Strengthening Medicaid Community-Based Long-Term Services and Supports. S. Barth, A. Lind, Center for Health Care Strategies, September nd-uk 50

A 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 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 information

Welcome and Introductions

Welcome and Introductions Integrating Care for Dual Eligible Beneficiaries National Conference of State Legislatures Fall Forum: Changing Roles of States in Long Term Services and Supports December 3, 2013 Sarah Barth, JD www.chcs.org

More information

The Next Wave in Balancing Long- Term Care Services and Supports:

The 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 information

National Perspective No Wrong Door System. Administration for Community Living Center for Medicare and Medicaid Veterans Health Administration

National Perspective No Wrong Door System. Administration for Community Living Center for Medicare and Medicaid Veterans Health Administration National Perspective No Wrong Door System Administration for Community Living Center for Medicare and Medicaid Veterans Health Administration Agenda National Perspective No Wrong Door System What is a

More information

Role of State Legislators

Role of State Legislators Title text here NCSL Fall Forum Preconference Session: Quality & Consumer Issues in Medicaid Managed LTSS December 3, 2013 Wendy Fox-Grage Senior Strategic Policy Advisor AARP Public Policy Institute Role

More information

NC TIDE SPRING CONFERENCE April 26, NC Department of Health and Human Services Medicaid Transformation and the 1115 Waiver

NC TIDE SPRING CONFERENCE April 26, NC Department of Health and Human Services Medicaid Transformation and the 1115 Waiver NC TIDE SPRING CONFERENCE April 26, 2017 NC Department of Health and Human Services Medicaid Transformation and the 1115 Waiver Agenda Medicaid Landscape NC Medicaid Transformation Supporting Legislation

More information

Medicaid Managed Care 2012 Fiscal Analysts Seminar August 30, 2012

Medicaid Managed Care 2012 Fiscal Analysts Seminar August 30, 2012 Medicaid Managed Care 2012 Fiscal Analysts Seminar August 30, 2012 National Conference of State Legislatures Neva Kaye Managing Director for Health System Performance National Academy for State Health

More information

Report to Congressional Defense Committees

Report to Congressional Defense Committees Report to Congressional Defense Committees The Department of Defense Comprehensive Autism Care Demonstration December 2016 Quarterly Report to Congress In Response to: Senate Report 114-255, page 205,

More information

Medicaid Innovation Accelerator Project

Medicaid Innovation Accelerator Project Medicaid Innovation Accelerator Project 2016-2017 Technical Expert Panel In-Person Meeting Community Integration Community-Based Long-Term Services and Supports Breakout Session April 18-19, 2017 Community

More information

Medicaid Innovation Accelerator Program (IAP)

Medicaid Innovation Accelerator Program (IAP) Medicaid Innovation Accelerator Program (IAP) HCBS Conference IAP Session: Where We ve Been and Where We re Going September 2, 2015 Karen LLanos, David Shillcutt, & Michael Smith Center for Medicaid and

More information

Medicaid Reform: The Opportunities for Home and Community Based Providers. All Rights Reserved

Medicaid Reform: The Opportunities for Home and Community Based Providers.     All Rights Reserved Medicaid Reform: The Opportunities for Home and Community Based Providers ILS Background & Experience Care Management Company founded in 2001 Focuses on Duals, Medicaid ABD and Managing Medicaid Long term

More information

States Roles in Rebalancing Long-Term Care: Findings from the Aging Strategic Alignment Project

States Roles in Rebalancing Long-Term Care: Findings from the Aging Strategic Alignment Project States Roles in Rebalancing Long-Term Care: Findings from the Aging Strategic Alignment Project Linda S. Noelker, PhD Katz Policy Institute Benjamin Rose Institute on Aging 11900 Fairhill Road, Suite 300

More information

Diversifying 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 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 information

National Committee for Quality Assurance

National Committee for Quality Assurance National Committee for Quality Assurance (NCQA) Private, independent non-profit health care quality oversight organization founded in 1990 MISSION To improve the quality of health care. VISION To transform

More information

Options Counseling in and NWD/ADRC System National, State & Local Perspectives

Options Counseling in and NWD/ADRC System National, State & Local Perspectives Options Counseling in and NWD/ADRC System National, State & Local Perspectives Introductions Joseph Lugo, Administration on Community Living Sara Tribe, NASUAD Maurine Strickland, Wisconsin Barbara Diehl,

More information

Understanding Medicaid: A Primer for State Legislators

Understanding Medicaid: A Primer for State Legislators Understanding Medicaid: A Primer for State Legislators Introduction This booklet summarizes key elements of the Medicaid program, including basic answers to questions about the design and cost of the

More information

BEST PRACTICES IN LIFESPAN RESPITE SYSTEMS: LESSONS LEARNED & FUTURE DIRECTIONS

BEST PRACTICES IN LIFESPAN RESPITE SYSTEMS: LESSONS LEARNED & FUTURE DIRECTIONS BEST PRACTICES IN LIFESPAN RESPITE SYSTEMS: LESSONS LEARNED & FUTURE DIRECTIONS September 12, 2012 PRESENTERS: Greg Link, MA Program Officer Administration for Community Living U.S. Administration on Aging

More information

State Innovations in Value-Based Care: ACOs and Beyond

State Innovations in Value-Based Care: ACOs and Beyond Advancing innovations in health care delivery for low-income Americans State Innovations in Value-Based Care: ACOs and Beyond Rachael Matulis, Senior Program Officer National Academy of Medicine Value

More information

Medicaid Managed Care. Long-term Services and Supports Trends

Medicaid Managed Care. Long-term Services and Supports Trends Medicaid Managed Care Long-term Services and Supports Trends Medicaid Managed Care Statistics As of 2011, 74.2% of Medicaid Enrollees were enrolled in a Medicaid Managed Care system As of 2011, California,

More information

Policies for TANF Families Served Under the CCDF Child Care Subsidy Program

Policies for TANF Families Served Under the CCDF Child Care Subsidy Program Policies for TANF Families Served Under the CCDF Child Care Subsidy Program Sarah Minton, Christin Durham, Erika Huber, Linda Giannarelli Presentation for NAWRS/NASTA 2012 Context Many TANF families receive

More information

Value based care: A system overhaul

Value based care: A system overhaul Value based care: A system overhaul Lee A. Fleisher, M.D. Robert D. Dripps Professor and Chair of Anesthesiology Perelman School of Medicine at the University of Pennsylvania Email: lee.fleisher@uphs.upenn.edu

More information

Medicaid: Current Challenges and Future Prospects

Medicaid: Current Challenges and Future Prospects Medicaid: Current Challenges and Future Prospects Diane Rowland, Sc.D. Executive Vice President, Henry J. Kaiser Family Foundation Executive Director, Kaiser Commission on Medicaid and the Uninsured The

More information

Upgrading Voter Registration in Florida

Upgrading Voter Registration in Florida Upgrading Voter Registration in Florida David Becker Director, Election Initiatives 1 2012: Florida Snapshot Below National Average of 71.2% 2 Change in Voting Age Population (VAP), 2008-2012 U.S. Census

More information

Building Blocks to Health Workforce Planning: Data Collection and Analysis

Building Blocks to Health Workforce Planning: Data Collection and Analysis Building Blocks to Health Workforce Planning: Data Collection and Analysis Presented by: Jean Moore, DRPH Director October 22, 2015 Center for Health Workforce Studies School of Public Health University

More information

Long-Term Services and Supports (LTSS): Medicaid s Role and Options for States

Long-Term Services and Supports (LTSS): Medicaid s Role and Options for States Long-Term Services and Supports (LTSS): Medicaid s Role and Options for States Erica L. Reaves, Policy Analyst State Variation in Long-Term Services and Supports: Location, Location, Location National

More information

Strengthening Long Term Services and Supports (LTSS): Reform Strategies for States

Strengthening 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 information

Advanced Nurse Practitioner Supervision Policy

Advanced Nurse Practitioner Supervision Policy Advanced Nurse Practitioner Supervision Policy Supervision requirements for nurse practitioners (NP) fall into two basic categories: Full practice and collaborative practice, which requires a Collaborative

More information

Developmental screening, referral and linkage to services: Lessons from ABCD

Developmental screening, referral and linkage to services: Lessons from ABCD Developmental screening, referral and linkage to services: Lessons from ABCD J I L L R O S E N T H A L S E N I O R P R O G R A M D I R E C T O R N A T I O N A L A C A D E M Y F O R S T A T E H E A L T

More information

The Legacy of Sidney Katz: Setting the Stage for Systematic Research in Long Term Care. Vincent Mor, Ph.D. Brown University

The Legacy of Sidney Katz: Setting the Stage for Systematic Research in Long Term Care. Vincent Mor, Ph.D. Brown University The Legacy of Sidney Katz: Setting the Stage for Systematic Research in Long Term Care Vincent Mor, Ph.D. Brown University A Half Century of Ideas Most Scientists don t have a single field changing idea

More information

Practice Advancement Initiative (PAI) Using the ASHP PAI Ambulatory Care Self-Assessment Survey

Practice Advancement Initiative (PAI) Using the ASHP PAI Ambulatory Care Self-Assessment Survey Practice Advancement Initiative (PAI) Using the ASHP PAI Ambulatory Care Self-Assessment Survey Jodie Elder, PharmD, BCPS September 14, 2017 Objectives List the key components of the Practice Advancement

More information

Driving Change with the Health Care Spending Benchmark

Driving Change with the Health Care Spending Benchmark Driving Change with the Health Care Spending Benchmark Delaware s Road to Value Kara Odom Walker, MD, MPH, MSHS Cabinet Secretary LIFE Conference, January 24, 2018 1 Join us on Twitter: @Delaware_DHSS

More information

Engaging Medicare Medicaid Enrollees: Insights from Three Financial Alignment Demonstration States

Engaging Medicare Medicaid Enrollees: Insights from Three Financial Alignment Demonstration States Engaging Medicare Medicaid Enrollees: Insights from Three Financial Alignment Demonstration States August 27, 2014 Implementing New Systems of Integration for Dual Eligibles (INSIDE) is supported by The

More information

State roles & responsibilities in Medicaid managed long-term care

State roles & responsibilities in Medicaid managed long-term care State roles & responsibilities in Medicaid managed long-term care Andrea Maresca Director of Federal Policy and Strategy April 24, 2012 Agenda Core State Managed Care Design Considerations Plan Payment

More information

SEASON FINAL REGISTRATION REPORTS

SEASON FINAL REGISTRATION REPORTS Materials Included: 2012-2013 SEASON FINAL REGISTRATION REPORTS 2011-12 & 2012-13 Comparison by Group 2 2012-13 USA Hockey Member Counts 3 2012-13 Non-Participant Membership Information 4 2012-13 8 and

More information

2016 Edition. Upper Payment Limits and Medicaid Capitation Rates for Programs of All-Inclusive Care for the Elderly (PACE )

2016 Edition. Upper Payment Limits and Medicaid Capitation Rates for Programs of All-Inclusive Care for the Elderly (PACE ) 2016 Edition Upper Payment Limits and Medicaid Capitation Rates for Programs of All-Inclusive Care for the Elderly (PACE ) R ABSTRACT The Program of All-Inclusive Care for the Elderly (PACE ) is a federal

More information

Advancing Self-Direction for People with Head Injuries

Advancing Self-Direction for People with Head Injuries Vermont Department of Disabilities, Aging and Independent Living Advancing Self-Direction for People with Head Injuries NASHIA SOS Conference Des Moines, IA September 27, 2018 Sara Lane Vermont Department

More information

Managed Long-Term Services and Supports: Landscape from Readiness Review to Ongoing Oversight

Managed Long-Term Services and Supports: Landscape from Readiness Review to Ongoing Oversight Managed Long-Term Services and Supports: Landscape from Readiness Review to Ongoing Oversight NASUAD HCBS Conference 2014 Michelle Herman Soper, Senior Program Officer, CHCS Lynda Flowers, Senior Strategic

More information

Patient-Centered Specialty Practice Readiness Assessment

Patient-Centered Specialty Practice Readiness Assessment Patient-Centered Specialty Practice Readiness Assessment Daryn Eikner Vice President, Health Care Delivery National Family Planning & Reproductive Health Association Melissa Kleder Manager, Health Care

More information

Assuring Better Child Health and Development Initiative (ABCD)

Assuring Better Child Health and Development Initiative (ABCD) Assuring Better Child Health and Development Initiative (ABCD) Presented by Jennifer May National Academy for State Health Policy Act Early Region X Summit Feb 4-5, 2010 Seattle, Washingon Supported by

More information

Medicare & Medicaid EHR Incentive Programs Robert Tagalicod, Robert Anthony, and Jessica Kahn HIT Policy Committee January 10, 2012

Medicare & Medicaid EHR Incentive Programs Robert Tagalicod, Robert Anthony, and Jessica Kahn HIT Policy Committee January 10, 2012 Medicare & Medicaid EHR Incentive Programs Robert Tagalicod, Robert Anthony, and Jessica Kahn HIT Policy Committee January 10, 2012 Medica re Active Registrations December 2011 December-11 YTD Eligible

More information

How Technology-Based-Startups Support U.S. Economic Growth

How Technology-Based-Startups Support U.S. Economic Growth How Technology-Based-Startups Support U.S. Economic Growth November 28th, 2017 Join the Conversation: #ITIFtechstartups @ITIFdc About ITIF Independent, nonpartisan research and education institute focusing

More information

Improving Care for Dual Eligibles Opportunities for Medicare Managed Care Plans

Improving Care for Dual Eligibles Opportunities for Medicare Managed Care Plans Improving Care for Dual Eligibles Opportunities for Medicare Managed Care Plans Prepared by James M. Verdier Mathematica Policy Research for the World Congress Leadership Summit on Medicare Falls Church,

More information

Medicaid Experts 11/10/2015. Alphabet Soup. Medicaid: Overview and Innovations PPO HMO CMS CDC ACO ICF/MR MR/DD JCAHO LTC PPACA HRSA MRSA FQHC AMA AHA

Medicaid Experts 11/10/2015. Alphabet Soup. Medicaid: Overview and Innovations PPO HMO CMS CDC ACO ICF/MR MR/DD JCAHO LTC PPACA HRSA MRSA FQHC AMA AHA Medicaid Experts DEVELOPING NEW STATE LEGISLATIVE HEALTH LEADERS Medicaid: Overview and Innovations While I can explain the meaning of life, I don t dare try to explain how the Medicaid system works. CMS

More information

Long-Term Care Improvements under the Affordable Care Act (ACA)

Long-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 information

Care Provider Demographic Information Update

Care Provider Demographic Information Update Care Provider Demographic Information Update Please use this form for a single care provider practitioner update. Incomplete forms will not be processed. Fields with an asterisk (*) are required for practitioners

More information

NC TIDE 2016 Fall Conference November 14, Department of Health and Human Services NC Medicaid Reform Update

NC TIDE 2016 Fall Conference November 14, Department of Health and Human Services NC Medicaid Reform Update NC TIDE 2016 Fall Conference November 14, 2016 Department of Health and Human Services NC Medicaid Reform Update Agenda National Medicaid Landscape Medicaid Transformation in NC 1115 Waiver Process NC

More information

Coordinating Care for Dual Eligibles: California s Demonstration Project

Coordinating Care for Dual Eligibles: California s Demonstration Project Coordinating Care for Dual Eligibles: California s Demonstration Project Sarah Arnquist, Harbage Consulting Alameda County Board of Supervisors Health Committee January 30, 2012 Presentation Outline Misaligned

More information

NCQA s Patient-Centered Medical Home Recognition and Beyond. Tricia Marine Barrett, VP Product Development

NCQA s Patient-Centered Medical Home Recognition and Beyond. Tricia Marine Barrett, VP Product Development NCQA s Patient-Centered Medical Home Recognition and Beyond Tricia Marine Barrett, VP Product Development National Committee for Quality Assurance (NCQA) Private, independent non-profit health care quality

More information

National Provider Identifier (NPI)

National Provider Identifier (NPI) National Provider Identifier (NPI) Importance to the Athletic Training Profession? By Clark E. Simpson, MBA, MED, LAT, ATC National Manager, Strategic Business Development National Athletic Trainers Association

More information

Patient-Centered Primary Care

Patient-Centered Primary Care Patient-Centered Primary Care Greg Moody, Director Office of Health Transformation July 30, 2014 www.healthtransformation.ohio.gov Agenda 1. Health System Challenges 2. Health System Trends in Primary

More information

Home Health Agency (HHA) Medicare Margins: 2007 to 2011 Issue Brief July 7, 2009

Home Health Agency (HHA) Medicare Margins: 2007 to 2011 Issue Brief July 7, 2009 Home Health Agency (HHA) Medicare Margins: 2007 to 2011 Issue Brief July 7, 2009 Dobson DaVanzo & Associates, LLC (www.dobsondavanzo.com) was commissioned by the LHC Group to conduct a margin study for

More information

2012 Federation of State Medical Boards

2012 Federation of State Medical Boards Maintenance of Licensure: An Overview and Update Humayun Chaudhry, DO, MS, MACP, FACOI President and CEO, Federation of State Medical Boards Osteopathic International Alliance Annual Meeting Austin, Texas

More information

MANAGING CHANGE PART II: SERVICE DELIVERY TRENDS

MANAGING CHANGE PART II: SERVICE DELIVERY TRENDS STRENGTHENING THE AGING NETWORK Building Leadership in the Long-Term Services and Supports Network MANAGING CHANGE PART II: SERVICE DELIVERY TRENDS Thursday, April 14, 2011 3:00 4:00 PM EDT Funded by 1

More information

MEDICAID & MEDICARE Government Funding for Senior Care U.S. EDITION

MEDICAID & MEDICARE Government Funding for Senior Care U.S. EDITION MEDICAID & MEDICARE Government Funding for Senior Care U.S. EDITION TABLE OF CONTENTS INTRODUCTION How to Use This Guide CHAPTER 1: Understanding Medicare & Medicaid CHAPTER 2: Medicare, Medicaid & Nursing

More information

NCHIP and NICS Act Grants Overview and Current Status

NCHIP and NICS Act Grants Overview and Current Status BUREAU OF JUSTICE STATISTICS NCHIP and NICS Act Grants Overview and Current Status Devon B. Adams Criminal Justice Data Improvement Program SEARCH Membership Group Meeting Nashville, TN - February, 2010

More information

Comprehensive Care for Joint Replacement (CJR) Readiness Kit

Comprehensive Care for Joint Replacement (CJR) Readiness Kit Comprehensive Care for Joint Replacement (CJR) Readiness Kit Contents CMS Announces Shift From Volume To Value...2 Top Things To Know About CJR Final Rule...3 Proposed Timeline For CJR...4 Who Is Impacted?...5

More information

Poverty and Health. Frank Belmonte, D.O., MPH Vice President Pediatric Population Health and Care Modeling

Poverty and Health. Frank Belmonte, D.O., MPH Vice President Pediatric Population Health and Care Modeling Poverty and Health Frank Belmonte, D.O., MPH Vice President Pediatric Population Health and Care Modeling An iconic image of child poverty Children Living in Poverty 4 Healthcare Services Account for $19.2

More information

Framework for Post-Acute Care: Current and Future Issues for Providers

Framework for Post-Acute Care: Current and Future Issues for Providers Framework for Post-Acute Care: Current and Future Issues for Providers Alan G. Rosenbloom Alliance for Quality Nursing Home Care March 2012 Overview of Presentation Post-Acute Care: Background and Trends

More information

Connecting Value-Based Services to Whole Person Care

Connecting Value-Based Services to Whole Person Care Advancing innovations in health care delivery for low-income Americans Connecting Value-Based Services to Whole Person Care Caitlin Thomas-Henkel, Senior Program Officer The National Council December 6,

More information

Center for Clinical Standards and Quality /Survey & Certification

Center for Clinical Standards and Quality /Survey & Certification TO DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop C2-21-16 Baltimore, Maryland 21244-1850 Center for Clinical Standards and Quality /Survey

More information

A Snapshot of the Connecticut LTSS Rebalancing Agenda

A 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 information

Adult Day Health Services Across States: Results from a 50-State Survey of State Health Policies

Adult Day Health Services Across States: Results from a 50-State Survey of State Health Policies Adult Day Health Services Across States: Results from a 50-State Survey of State Health Policies Sandra Howell-White, Ph.D. Nancy Scotto Rosato, M.A. Judith A. Lucas, APRN, BC, Ed.D. Funded by The Robert

More information

CONNECTICUT: ECONOMIC FUTURE WITH EDUCATIONAL REFORM

CONNECTICUT: ECONOMIC FUTURE WITH EDUCATIONAL REFORM CONNECTICUT: ECONOMIC FUTURE WITH EDUCATIONAL REFORM This file contains detailed projections and information from the article: Eric A. Hanushek, Jens Ruhose, and Ludger Woessmann, It pays to improve school

More information

Governor s Office of Electronic Health Information (GOEHI) The National Council for Community Behavioral Healthcare

Governor s Office of Electronic Health Information (GOEHI) The National Council for Community Behavioral Healthcare Governor s Office of Electronic Health Information (GOEHI) The National Council for Community Behavioral Healthcare PBHCI Grantees by HHS Regions AK (2) OR WA (3) Region 10 6 Grantees ID MT Region 8 2

More information

BUFFALO S SHIPPING POST Serving Napa Valley Since 1992

BUFFALO S SHIPPING POST Serving Napa Valley Since 1992 BUFFALO S SHIPPING POST Serving Napa Valley Since 1992 2471 Solano Ave Napa, CA 94558 707-226-7942 FAX: 707-226-1510 buffship.com October 21, 2017 RE: New Pricing Hi Everyone, Because of continual fuel

More information

February 26, Dear State Health Official:

February 26, Dear State Health Official: DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12 Baltimore, MD 21244-1850 SHO #16-002 February 26, 2016 Re: Federal Funding for

More information

The Journey to Meaningful Use: Where we were, where we are, and where we may be going

The Journey to Meaningful Use: Where we were, where we are, and where we may be going The Journey to Meaningful Use: Where we were, where we are, and where we may be going June 27, 2013 Matthew Stanford, WHA Louis Wenzlow, RWHC 1 Where have we been? When HIT Adop on Meaningful Use Adoption

More information

Improving Care and Lowering Costs for Dual Eligible Beneficiaries

Improving Care and Lowering Costs for Dual Eligible Beneficiaries Improving Care and Lowering Costs for Dual Eligible Beneficiaries An Overview of Federal and State Efforts on Duals and Suggested Strategies to Position PACE National PACE Association September 13, 2011

More information

DoD-State Liaison Update NCSL August 2015

DoD-State Liaison Update NCSL August 2015 UNITED STATES DEPARTMENT OF DEFENSE DoD-State Liaison Update NCSL August 2015 Mr. Thomas Hinton On Behalf of Dr. Tom Langdon Director, State Liaison and Educational Opportunity Office of the Deputy Assistant

More information

ABC's of Managed Care and What It Might Mean for Home & Community Based Services

ABC's of Managed Care and What It Might Mean for Home & Community Based Services ABC's of Managed Care and What It Might Mean for Home & Community Based Services This project is supported by a grant from the Pennsylvania Developmental Disabilities Council. David Gates DGates@phlp.org

More information

Health Reform and The Patient-Centered Medical Home

Health Reform and The Patient-Centered Medical Home THE COMMONWEALTH FUND Health Reform and The Patient-Centered Medical Home Melinda Abrams The Commonwealth Fund November 3, 2011 Grantmakers in Health Fall Forum Primary Care Foundation At Risk: Patient

More information

RECOUNT RULES & VOTING SYSTEMS

RECOUNT RULES & VOTING SYSTEMS state s be ed nces is permitted Voter ID Required Voting Systems Manufacturer AL Not more than 1/2 of 1% No provisions for. Non-photo ID AK Tie Vote Losing cand. or 10 voters may. Non-photo ID DRE with

More information

ASA Survey Results for Commercial Fees Paid for Anesthesia Services practice management

ASA Survey Results for Commercial Fees Paid for Anesthesia Services practice management practice management ASA Survey Results for Commercial Fees Paid for Anesthesia Services 2013 Stanley W. Stead, M.D., M.B.A Sharon K. Merrick, M.S., CCS-P Thomas R. Miller, Ph.D., M.B.A. ASA is pleased

More information

Alaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO)

Alaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO) Beth Radtke 49 Included in the report: 7/22/2015 11:17:54 AM Alaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO) Connecticut (CT) Delaware (DE) District Columbia (DC) Florida (FL)

More information

MEMORANDUM Texas Department of Human Services * Long Term Care/Policy

MEMORANDUM Texas Department of Human Services * Long Term Care/Policy MEMORANDUM Texas Department of Human Services * Long Term Care/Policy TO: FROM: LTC-R Regional Directors Section/Unit Managers Marc Gold Section Manager Long Term Care Policy State Office MC: W-519 SUBJECT:

More information

Advancing Health Equity and Improving Health for All through a Systems Approach Presentation to the Public Health Association of Nebraska

Advancing Health Equity and Improving Health for All through a Systems Approach Presentation to the Public Health Association of Nebraska Advancing Health Equity and Improving Health for All through a Systems Approach Presentation to the Public Health Association of Nebraska Lisa F. Waddell, MD, MPH Chief Program Officer Association of State

More information

Transitions and Long-Term Care: The Minimum Data Set 3.0 Section Q and Money Follows the Person

Transitions and Long-Term Care: The Minimum Data Set 3.0 Section Q and Money Follows the Person Transitions and Long-Term Care: The Minimum Data Set 3.0 Section Q and Money Follows the Person 2 Agenda Housekeeping/Introductions An overview of the Minimum Data Set (MDS) 3.0 Section Q An overview of

More information

Opportunities 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 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 information

The Use of NHSN in HAI Surveillance and Prevention

The Use of NHSN in HAI Surveillance and Prevention The Use of NHSN in HAI Surveillance and Prevention Catherine A. Rebmann Division of Healthcare Quality Promotion (DHQP) Centers for Disease Control and Prevention (CDC) January 12, 2010 Objectives What

More information

Cesarean Delivery Model Meeting the challenge to reduce rates of Cesarean delivery

Cesarean Delivery Model Meeting the challenge to reduce rates of Cesarean delivery Cesarean Delivery Model Meeting the challenge to reduce rates of Cesarean delivery Alan Mills FSA MAAA ND November 13, 2014 Agenda 1. Background 2. The U.S. Cesarean delivery challenge 3. Cesarean Delivery

More information

IMPROVING THE QUALITY OF CARE IN SOUTH CAROLINA S MEDICAID PROGRAM

IMPROVING THE QUALITY OF CARE IN SOUTH CAROLINA S MEDICAID PROGRAM IMPROVING THE QUALITY OF CARE IN SOUTH CAROLINA S MEDICAID PROGRAM VICE PRESIDENT, PUBLIC POLICY & EXTERNAL RELATIONS October 16, 2008 Who is NCQA? TODAY Why measure quality? What is the state of health

More information

kaiser medicaid and the uninsured commission on O L I C Y

kaiser medicaid and the uninsured commission on O L I C Y P O L I C Y B R I E F kaiser commission on medicaid and the uninsured 1330 G S T R E E T NW, W A S H I N G T O N, DC 20005 P H O N E: (202) 347-5270, F A X: ( 202) 347-5274 W E B S I T E: W W W. K F F.

More information

INTRODUCTION TO THE LEVEL ONE SCREEN OCTOBER Department of Health and Mental Hygiene Devon Mayer Department of Aging Teja Rau

INTRODUCTION TO THE LEVEL ONE SCREEN OCTOBER Department of Health and Mental Hygiene Devon Mayer Department of Aging Teja Rau INTRODUCTION TO THE LEVEL ONE SCREEN OCTOBER 2014 Department of Health and Mental Hygiene Devon Mayer Department of Aging Teja Rau Overview 1. Background 2. About the Screen 3. Pilot testing in Maryland

More information

ASA Survey Results for Commercial Fees Paid for Anesthesia Services payment and practice manaement

ASA Survey Results for Commercial Fees Paid for Anesthesia Services payment and practice manaement payment and practice manaement ASA Survey Results for Commercial Fees Paid for Anesthesia Services 2015 Stanley W. Stead, M.D., M.B.A. Sharon K. Merrick, M.S., CCS-P ASA is pleased to present the annual

More information

California s Coordinated Care Initiative

California s Coordinated Care Initiative California s Coordinated Care Initiative Sarah Arnquist Harbage Consulting Presentation on 4/22/13 2 Overview Federal and State Movement toward Coordinated Care Update on California s Coordinated Care

More information

Dashboard. Campaign for Action. Welcome to the Future of Nursing:

Dashboard. Campaign for Action. Welcome to the Future of Nursing: Welcome to the Future of Nursing: Campaign for Action Dashboard About This Dashboard: These graphs and charts show goals by which the Campaign evaluates its efforts to implement recommendations in the

More information

Rehabilitation Research and Training Center on Aging with Developmental Disabilities Department of Disability and Human Development University of Illinois at Chicago http://www.rrtcadd.org/ By 2010 Managed

More information

The Value and Use of CME in Medical Licensure

The Value and Use of CME in Medical Licensure 2011 Federation of State Medical 2011 Boards Federation of State Medical Boards The Value and Use of CME in Medical Licensure ACCME Newcomers Workshop July 31, 2013 2011 Federation of State Medical Boards

More information

New Federal Regulations for Home and Community-Based Services Program: Offers Greater Autonomy, Choice, and Independence

New Federal Regulations for Home and Community-Based Services Program: Offers Greater Autonomy, Choice, and Independence New Federal Regulations for Home and Community-Based Services Program: Offers Greater Autonomy, Choice, and Independence The Centers for Medicare and Medicaid Services (CMS) has published a Final Rule

More information

NEWS RELEASE. Air Force JROTC Distinguished Unit Award. MAXWELL AIR FORCE BASE, Ala. Unit OK at Union High School, Tulsa OK, has been

NEWS RELEASE. Air Force JROTC Distinguished Unit Award. MAXWELL AIR FORCE BASE, Ala. Unit OK at Union High School, Tulsa OK, has been Union High School 6616 S. Mingo Rd Tulsa OK 74133 NEWS RELEASE Air Force JROTC 2010-2011 Distinguished Unit Award MAXWELL AIR FORCE BASE, Ala. Unit OK-20012 at Union High School, Tulsa OK, has been selected

More information

FHWA Office of Innovative Program Delivery Mission

FHWA Office of Innovative Program Delivery Mission Idaho Asphalt Conference Moscow, Idaho October 26, 2017 Center for Accelerating Innovation FHWA Office of Innovative Program Delivery Mission Improve transportation performance by driving innovation into

More information

NCQA PCMH Recognition: 2017 Standards Preview. Tricia Barrett Vice President, Product Design and Support January 25, 2017

NCQA PCMH Recognition: 2017 Standards Preview. Tricia Barrett Vice President, Product Design and Support January 25, 2017 NCQA PCMH Recognition: 2017 Standards Preview Tricia Barrett Vice President, Product Design and Support January 25, 2017 CURRENT LANDSCAPE NCQA OVERVIEW RECOGNITION REDESIGN 2017 CONCEPTS Agenda PANEL

More information

Counterdrug(CD) Information Brief LTC TACKETT

Counterdrug(CD) Information Brief LTC TACKETT The Oklahoma Team Army National Guard Air National Guard Counterdrug JTF DRUGS Counterdrug(CD) Information Brief LTC TACKETT OUTLINE National Program Strategic Goals Oklahoma s Program Oklahoma Initiatives

More information

Healthcare Service Delivery and Purchasing Reform in Connecticut

Healthcare Service Delivery and Purchasing Reform in Connecticut Healthcare Service Delivery and Purchasing Reform in Connecticut Presentation to National Association of Medicaid Directors November 9, 2011 Mark Schaefer Director, Medical Care Administration Health Purchasing

More information

kaiser medicaid and the uninsured commission on State Options That Expand Access to Medicaid Home and Community-Based Services October 2011

kaiser medicaid and the uninsured commission on State Options That Expand Access to Medicaid Home and Community-Based Services October 2011 kaiser commission on medicaid and the uninsured State Options That Expand Access to Medicaid Home and Community-Based Services October 2011 1330 G S T R E E T NW, W A S H I N G T O N, DC 20005 P H O N

More information

The 2015 National Workforce Survey Maryland LPN Data June 17, 2016

The 2015 National Workforce Survey Maryland LPN Data June 17, 2016 1. What is your gender? n=644.9 Male 10.1% Female 89.9% The 2015 National Workforce Survey Maryland LPN Data June 17, 2016 2. What is your race/ethnicity? (Mark all that apply) n=682.4 American Indian

More information

National Association For Regulatory Administration

National Association For Regulatory Administration National Association For Regulatory Administration Annual NARA Licensing Seminar Presenters: Alfred C. Johnson Patricia Adams Agenda Introductions Incident Reports -- Assisted Living Alfred Johnson, Director,

More information

Its Effect on Public Entities. Disaster Aid Resources for Public Entities

Its Effect on Public Entities. Disaster Aid Resources for Public Entities State-by-state listing of Disaster Aid Resources for Public Entities AL Alabama Agency http://ema.alabama.gov/ Alabama Portal http://www.alabamapa.org/ AK AZ AR CA CO CT DE DC FL Alaska Division of Homeland

More information

New Opportunities in Long Term Services and Supports

New 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 information

2017 STSW Survey. Survey invitations were sent to 401 STSW members and conference registrants. 181 social workers responded.

2017 STSW Survey. Survey invitations were sent to 401 STSW members and conference registrants. 181 social workers responded. 2017 STSW Survey Survey invitations were sent to 401 STSW members and conference registrants. 181 social workers responded. Years Employed 30% As a social worker As a transplant social worker 20% 10% 0-2

More information