NJ DSRIP May 2020 Office of Healthcare Financing Robin Ford, MS Today’s Speakers: Executive Director Emma Trucks, PCG Michael D. Conca, MSPH Health Care Consultant Alison Shippy, MPH Prepared by Public Consulting Group
Agenda and Objectives DSRIP Program Updates • DY8 Reporting Extension • DY8 Payment Timeline and Mechanics • DY8 Appeals Process 2 Prepared by Public Consulting Group
DY8 Reporting Extension • CMS approved an extension for remaining DY8 reporting. • The following materials are now due on June 30 th , 2020: • Standard Reporting Workbooks (SRW); • Measure Validation Templates (MVT); and • DY8 Semi-Annual 2 Progress Reports. • Materials will be accepted on a rolling basis until the June 30 th deadline. • Submit all materials via NJ SFTP Outbound folder. 3 Prepared by Public Consulting Group
DY8 Payment Timeline & Mechanics DY8 Payment Estimated Distribution Mechanics Interim July / August 2020 MMIS Performance 4 Prepared by Public Consulting Group
DY8 Payment Timeline & Mechanics DY8 Payment Estimated Distribution Mechanics Interim July / August 2020 MMIS Performance Approx. 51% – 79% of potential Does not include any amount payment in Stages 1, 2, 3 and from UPP remainder UPP Carveout 5 Prepared by Public Consulting Group
DY8 Payment Timeline & Mechanics DY8 Payment Estimated Distribution Mechanics Interim July / August 2020 MMIS Performance Chart Based Performance DY7 post-appeals adjustments Final December 2020 DY8 post-appeals adjustments UPP Remainder • Revised and CMS approved Funding and Mechanics Protocol has been posted on the DSRIP website 6 Prepared by Public Consulting Group
DY8 Appeals Process DY8’s new two -part payment structure will prompt two separate appeals cycles. Appeal Cycle 1 – Post Interim Payment: Occurs after hospitals receive their DY8 claims-based (MMIS) measure results and interim payment (estimated end of July). Appeal Cycle 2 - Prior to Final Payment: Occurs after hospitals receive their DY8 non-claims-based (chart-based) measure results, prior to the final payment. All appeals adjustments will be reconciled in the DY8 final payment. 7 Prepared by Public Consulting Group
DY8 Payment Overview DY8 Estimated Start of Estimated Payment Payment Payment Appeal Cycle Distribution Mechanics Interim July / August 2020 July / August 2020 MMIS Performance Chart Based Performance September / DY7 post-appeals adjustments Final December 2020 October 2020 DY8 post-appeals adjustments UPP Remainder • Email njdsrip@pcgus.com with questions 8 Prepared by Public Consulting Group
Announcements Rutgers to begin key informant interviews in May and June Rutgers Center for State Health Policy will begin stakeholder interviews for the qualitative component of the DSRIP evaluation. Rutgers staff will email invitations to individuals to schedule telephone interviews. Interviews will be about 60-90 minutes in length and are voluntary. Questions cover various aspects of interviewees' perceptions of DSRIP. No identifying information on interview subjects will be included in report of findings. If you have any questions, please reach out to: Sujoy Chakravarty, Associate Research Professor- schakravarty@ifh.rutgers.edu Kristen Lloyd, Senior Research Scientist - klloyd@ifh.rutgers.edu Oliver Lontok, Research Project Manager - olontok@ifh.rutgers.edu 9 Prepared by Public Consulting Group
Announcements SFY21 Program Update DOH and DHS are actively working with CMS on plans for SFY21 and will provide an update to NJ hospitals as soon as possible. For updates about Covid19 from DOH, check these websites: https://covid19.nj.gov/ https://www.nj.gov/health/cd/topics/ncov.shtml 10 Prepared by Public Consulting Group
Glossary • DY = Demonstration Year • MVT = Measure Validation Template • SA = Semi-Annual • SRW = Standard Reporting Workbook 11 Prepared by Public Consulting Group
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