MSC Presentation
AGENDA o Background of Care Coordination Organization o Transition Plans for Individuals, MSCs and MSC Supervisors, and MSC Agencies o Career Opportunities o Q/A
BACKGROUND How we got here… o Federal Criteria requires that OPWDD move Service Coordination to a Conflict Free model by 7/1/2018. o As 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. o The 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.
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.
ABOUT US o LIFEPlan CCO is a For-Profit LLC with over 60 other Partnering MSC Provider Agencies across our region including: Liberty Resources Cerebral Palsy Association Of The North Access CNY Madison Cortland Chapter NYSARC Country NNY Cerebral Palsy Association Achieve Disabled Persons Action Org. NYSARC Inc, Onondaga County Chapter Advocates Inc. E. John Gavras Center Onondaga Community Living, Inc. (OCL) ARC Delaware Exceptional Family Resource Oswego County Opportunities ARC Herkimer Family Advocacy Center Oswego Industries ARC Oneida Lewis Family's Choice of the North Country Pathfinder Village ARC Oswego County Franziska Racker Center, Inc Residential Resources Handicapped Childrens Association of ARC Otsego Spaulding P.R.A.Y Residence Corp Southern NY (HCA) St. Lawrence Chapter of NYSARC Arise Child And Family Service Heritage Farm, Inc Toomey Residential & Community Cayuga Counseling Services, Inc. Jefferson Rehabilitation Center Services Center for Disability Services Kelberman Center Inc. United Helpers/Mosaic Central New York Services, Inc. L'Arche Syracuse Unity House Of Cayuga County Inc. LAUNCH Upstate Cerebral Palsy
TERRITORY LIFEPlan’s Geographic coverage is all of OPWDD Regions 2 & 3, which includes 38 counties Approximately 10,000 members in Region 2 6
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.
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.
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: Care CCOs begin CCO CCO Coordinator Care Designations Application (MSC) Staff Coordination by 2/28/18, Fully Due Readiness July 2018, transitioned Activities MSC ends 11/30/17 to CCO by 3/1 ‐ 6/30/18 6/30/18 July 2019 9
MSC NOW and FUTURE • Strong emphasis on •Use Health Information NOW advocacy-actively Technology to link services supporting and/or and enhance communication negotiating on behalf between individuals, families, of individuals •Coordinate and arrange and providers provision of services •Complete a Comprehensive •Professional •Support adherence to Health Risk Assessment development— treatment training to enhance •Coordinate, facilitate and recommendations ability to support record access to chronic •Monitor and evaluate individuals with I/DD disease support, mental individual’s needs health, and substance use •Assist with Transitions support services •Identify community • Conduct Transitional based resources planning • Collect and report on data that permits an evaluation of FUTURE increased coordination of care 10
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
MSC AGENCY INFORMATION Other Questions Hiring, Salary, Work Location, Hours/ Flexibility, Benefits, Time Off, Seniority, Training, Caseload Sizes,….? 12
We Want You To Be A Part of MSC AGENCY INFORMATION LIFEPlan! 13
CONTACT US o Website o LIFEPlanCCONY.com o Contacts Lori Kearsing Carleen Stewart Vice President of Operations VP of Network Development (O) 518-944-2106 (O) 315-507-2018 ext. 230 (C) 518-281-0741 (C) 315-368-7390 Alan Krafchin, Chairperson Lou Tehan, Vice Chair
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