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

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May 22, 2017

Our Mission

Improving health care access and

• utcomes for the people we serve

while demonstrating sound stewardship of financial resources

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Department Values

• Person-Centeredness
• Accountability
• Continuous Improvement
• Employee Engagement
• Integrity
• Transparency

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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

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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
• lution-oriented collaboration

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Agenda

CFCM Presentation

Brittani Trujillo Conflict Free Case Management

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Draft Waiver Implementation Timeline: January 1, 2018

(Not all Inclusive)

May 22, 2017: WIC Quarterly Meeting

• Service

and Delivery System Design

• Data

Collection June 2017: WIC Subcomm ittee Meetings

• Service

and Delivery System Design

• Data

Collectio n and Finishing Projects June 30, 2017: data collection is complete

• Financial Impact Analysis
• State Budget Process
• Reimbursement Methodology
• Data Analysis begins
• Service and Delivery System

Design

• Begin Rule Promulgation

August 22, 2017: WIC via the

• nline forum
• Completing Service and

Delivery System Design

• Begin Drafting Waiver

Application

• Town hall
• Public comment notice goes
• ut
• Tribal consultation notice goes
• ut
• Financial Impact Analysis
• State Budget Process
• Reimbursement Methodology
• 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

September 1, - October 31, 2017:

• Waiver

Drafting

• Departme

nt Internal Clearance November 1, 2017: CMS Public Comment

• Presented

to broader stakeholder audiences statewide

• Public

Comment December 1, 2017:

• Response

and Incorporat e Public Comment

January 1, 2018:

Waiver Submissio n to CMS

• CMS

Review and Approval Process Waiver Approval and Implementa tion Process:

• Administra

tive Changes

• Regulatory

Changes Information Systems Changes:

• Benefit plan

Creation

• Service and

procedure Code ID

• Prior

Authorization Development

• Utilization

Managemen t Units Provider Training and Enrollment Waiver Implementa tion Pilot:

• Testing

and Acceptanc e

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Rates Presentation

Randie DeHerrera & Scott Nelson

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Draft Service Coverage Standards (SCS) for Review:

• 1. Community and Personal Engagement
• 2. Health and Wellness Professional Services

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Wrap Up

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Thank you!

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