Friday, November 2, 2018 1:00 PM – 1:30 PM Location: The Department of Health Care Policy & Financing, 303 East 17 th Avenue, Denver, CO 80203. 7 th Floor Rooms B&C. Conference Line: 1-877-820-7831 Passcode: 294442# 1
Welcome & Introductions Thank you for participating today! • We are counting on your participation to • make these meetings successful 2
• WE WILL BE RECORDING THIS WEBINAR. • ALL LINES ARE MUTED. PRESS *6 IF YOU WISH TO UNMUTE. PARTICIPANTS CAN ALSO UTILIZE THE WEBINAR CHAT WINDOW • If background noise and/or inappropriate language occurs all lines will be hard muted. • Please speak clearly when asking a question and give your name and hospital 3
New Implementation Date State Rule and State Plan Amendment were scheduled to be in place, however, system changes could not be implemented by January 1, 2019. The decision to return to our original implementation date of July 1, 2019 was made to prevent mass adjustments that may result in negative impact for a few Providers. The delay in system changes was a result of other large projects and system corrections 4
State Plan Amendment (SPA) and State Rule • State Plan Amendment was edited to reflect correct implementation date of July 1, 2019. Public notice was provided October 25, 2018 and documentation will be submitted by the end of November to CMS. • State Rule – Following important dates ➢ Preview of rule to the Medical Services Board (MSB) November 9 th ➢ Public Rule Reading November 19 th ➢ MSB Initial Approval December 14 th ➢ MSB Final Adoption January 11 th Additional information on MSB proceedings, please visit their webpage here. 5
Future Per Diem Research With the impact to a few hospitals from the changeover from DRGs to APR-DRGs and re-weighting, the Department has already begun the process to create a permanent per diem. Potential elements to include: • Non-Budget Neutral Base Per Diem • Completion of Severity Component ➢ Measurements ➢ Cost Associated with each level • Value based payment modifier 6
Future Per Diem Research (cont.) Future Per Diem Structure Idea: Classification : Long Term Acute Care, Rehabilitation, Spine/Brain Injury Treatment Specialist Base Per Diem – based on Cost Reports and additional feedback from Providers – creates a base reimbursement amount Severity Component – three (3) levels, each level could have an associated reimbursed amount added to the base amount • Mild • Moderate • Severe Stepdown Brackets for each Severity three (3) or four (4) stepdowns 7
Questions, Comments and Suggestions 8
Elizabeth Quaife Kevin Martin Specialty Hospital Analyst and Fee For Service Manager Hospital Liaison kevin.martin@state.co.us elizabeth.quaife@state.co.us 9
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