Target Population Changes Serving Durham, Wake, Cumberland and - PowerPoint PPT Presentation

O Target Population Changes Serving Durham, Wake, Cumberland and Johnston Counties

Important Changes • Reduces Number of Target Populations to ten • Allows for automation/auto-assignment of certain target populations (GAP, AMI, ASTER, CMSED, CSSAD) • Generic Assessment Payment target population replaces or collapses the six AO target populations • All important information regarding Target Population changes can be found under NC Tracks on the NC DHHS website. Serving Durham, Wake, Cumberland and Johnston Counties

Important Changes Serving Durham, Wake, Cumberland and Johnston Counties

Target Population Links • http://www.ncdhhs.gov/mhddsas/communicationbulletins/2 014/commbulletin142/6-20- 14%20Latest/cb142benefitplanstreamlining6-11-14-3.pdf • http://www.ncdhhs.gov/mhddsas/communicationbulletins/2 014/commbulletin142/6-20- 14%20Latest/benefitplaneligibilitycriteria06-17-14-3.pdf • http://www.ncdhhs.gov/mhddsas/communicationbulletins/2 014/commbulletin142/6-20- 14%20Latest/benefitplanstreamliningovrview6-11-14-3.pdf Serving Durham, Wake, Cumberland and Johnston Counties

Implementation Plan  Alliance is working with Alpha to update all target populations based on State provided crosswalk.  Alliance is not requiring the submission of diagnostic updates in Alpha on 8/1/2014 related to DSM 5 for existing consumers.  When enrolling new consumers in Alpha, begin using DSM 5 diagnoses on and after 8/1/2014 Serving Durham, Wake, Cumberland and Johnston Counties

Reminders  Adult Target Populations can be open ended  Child Target Populations must have an end date prior to an individuals 18 th birthday  GAP Target Population can be open for 60 consecutive days  Prior to receiving state funded IDD services, individuals most be deemed eligible through the Alliance Eligibility Committee Serving Durham, Wake, Cumberland and Johnston Counties

IDD Eligibility Developmental disability" means a severe, chronic disability of a person which: a. Is attributable to a mental or physical impairment or combination of mental and physical impairments; b. Is manifested before the person attains age 22, unless the disability is caused by a traumatic head injury and is manifested after age 22; c. Is likely to continue indefinitely; d. Results in substantial functional limitations in three or more of the following areas of major life activity: self-care, receptive and expressive language, capacity for independent living, learning, mobility, self- direction and economic self-sufficiency; and e. Reflects the person's need for a combination and sequence of special interdisciplinary, or generic care, treatment, or other services which are of a lifelong or extended duration and are individually planned and coordinated; or f. When applied to children from birth through four years of age, may be evidenced as a developmental delay Serving Durham, Wake, Cumberland and Johnston Counties