Direct Service Purchase (DSP) Restructure Vendor Council Meeting - - PowerPoint PPT Presentation
Direct Service Purchase (DSP) Restructure Vendor Council Meeting March 30, 2011 Current DSP model Vendors sign bid agreement to participate Agree to rate and service area Referrals or authorizations not guaranteed More than 200
Vendor Council Meeting March 30, 2011
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Agree to rate and service area Referrals or authorizations not guaranteed
mostly MI-Choice waiver
1201 Medicaid Waiver vs. 434 Community care management in 2010
13,226 authorized services in 2010; nearly 8000 in FY 2011
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Italicized also contracted services
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High quantity of vendors exceeds actual need for service,
Some providers high quality – others low Vendors still do not actively serve some areas of region
Many vendors currently get little to no referrals T
Smaller pool = potential increase in number of referrals
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AAA 1-B Strategic Plan CARF Accreditation (preliminary exploration)
Commission on the Accreditation of Rehabilitation Facilities Signifies a higher standard of quality Pursuing two standards: Aging Service Network, Home & Community
Difficult to monitor quality (i.e. long periods between
Need to improve satisfaction, person-centeredness, self
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Recommend personal care services to family or friend?
Does the worker arrive late? ~13%
Agency notifies me if worker will be late or can’t come?
Timeliness of first service delivery Variance between planned and delivered service Communicating status changes, inpatient stays, other Critical Incident reporting
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Purchase agreement will define full serving area and bid rates DSP will not guarantee a number of clients/units 3 year agreement cycle
Exceptions may be made for SD clients
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Exception criteria may apply for services in assisted settings
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Estimating 40-50
Consists of board members, advisory council members
Applications will be kept on file if a selected agency drops out
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In business 3+ years Accreditations (where appropriate) Service flexibility i.e. 24 hour service, intermittent or short
Bilingual workers Will work with AWC or SD clients Provide service in hard to serve areas
May need to designate/mandate service area
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No subcontracting of direct service workers Demonstrate internal satisfaction/quality assurance procedures Private pay process (for non Mi-Choice participants) Hire CNA’s Demonstrate excellent training protocols Non-profit status priority CARF criteria adherence, i.e.:
Risk management plan Demonstrate collaboration with participant family/support system Demonstrate ability to respond to diversity of participants
i.e. cultural competency training
Demonstrate vendor alliance with AAA 1-B mission
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Issue RFP October Applications Due December 1 Select Candidates January/Feb Notify selected vendors March Vendor Appeals April Client transitions May- September Implement RFP October
FY 2011 FY 2012
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1st opportunity today Focus group in May
Approval from Office of Services to the Aging & AAA 1-B
AAA 1-B website
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