Waiver Implementation Council Improving Home and Communit y-Based S - PowerPoint PPT Presentation

Waiver Implementation Council Improving Home and Communit y-Based S ervices for Adult s wit h Int ellect ual & Development al Disabilit ies May 22, 2017 1

Our Mission Improving health care access and outcomes for the people we serve while demonstrating sound stewardship of financial resources 2

Department Values • Person-Centeredness • Accountability • Continuous Improvement • Employee Engagement • Integrity • Transparency 3

Waiver Implementation Council Role • Consultation and advice  Examine redesign concepts  Improve through new ideas and perspectives  Provide solution-oriented feedback • S takeholder ambassadors  Represent your constituency  Identify other stakeholder groups/ experts  Create partnerships  Disseminate and collect information  Communicate with a broader audience 4

Working Agreements • Treat each other with respect and honor one another as whole individuals • Value diversity in experiences and perspectives  Robust examination and discourse improves our work • Engage with each other as partners  Direct communication  S olution-oriented collaboration 5

Agenda 6

CFCM Presentation Brittani Trujillo Conflict Free Case Management 7

Draft Waiver Implementation Timeline: January 1, 2018 (Not all Inclusive) May 22, Waiver 2017: WIC Approval June 30, 2017: data collection is Quarterly and complete Meeting September Implementa • Financial Impact Analysis 1, - October tion December • Service • State Budget Process 31, 2017: Process: 1, 2017: and • Reimbursement Methodology Delivery • Waiver • Administra • Response • Data Analysis begins System Drafting tive and Provider Design • Service and Delivery System Changes • Departme Incorporat Training Design e Public • Data nt Internal • Regulatory and Collection • Begin Rule Promulgation Clearance Comment Changes Enrollment June August 22, 2017: WIC via the November 1, Information Waiver January 2017: online forum 2017: CMS Systems Implementa 1, 2018: WIC Public Changes: tion Pilot: Waiver • Completing Service and Subcomm Comment Delivery System Design Submissio • Benefit plan • Testing ittee n to CMS • Presented Creation and • Begin Drafting Waiver Meetings to broader Acceptanc Application • Service and • CMS • Service stakeholder e procedure • Town hall Review and audiences Code ID and • Public comment notice goes Delivery statewide Approval • Prior out System • Public Process Authorization • Tribal consultation notice goes Design Comment Development out • Data • Utilization • Financial Impact Analysis Collectio Managemen • State Budget Process n and t Units Finishing • Reimbursement Methodology Projects • Data Analysis • Service Coverage Standard Waiver Drafting, serving as foundation for waiver application and regulations • Share with WIC via the online forum • Revisions/input Considered 8

Rates Presentation Randie DeHerrera & Scott Nelson 9

Draft Service Coverage Standards (SCS) for Review: 1. Community and Personal Engagement 2. Health and Wellness Professional Services 10

Wrap Up 11

Thank you! 12