Department of Human Services Office of Long-Term Living Pennsylvania Coalition of Affiliated Healthcare & Living Communities (PACAH) Fiscal Officers Group Meeting December 17, 2015 Presented by Peggy Morningstar, Chief Financial Officer PMorningst@pa.gov And Judith Patrick, Policy Manager JudPatrick@pa.gov 9/17/15

Budget FY 2015/16 Budget Update Budget Pending

FY 2015-2016 NF Rates Status County Nursing Facility (NF) Rates General Appropriations Act of 2015 Publish final notice Nonpublic NF Rates CMS approval of BAF formula Rates - http://www.dhs.pa.gov/provider/longtermcarecasemixinformation/rates/index.htm

FY 2015-2016 BAF Status County NF Budget Adjustment Factor (BAF) General Appropriations Act of 2015 Nonpublic NF BAF CMS approval of BAF formula Note: BAF formula used in FYs 2013-2014 & 2014-2015 was submitted for FY 2015-2016.

FY 15-16 Supplemental Payments County Medical Assistance Day One Incentive (MDOI) State Plan Amendment (SPA) submitted 7/13/15 Notice published 8/01/15 CMS approved 9/29/15 Payments for quarters 1 & 2 – RA 12/14/15 County Supplementation Pending fiscal code Nonpublic MDOI HAI Payments – 12/31/14 filers – Pending General Appropriations Act of 2015

NF Assessment Program Status Final notice published – 12/05/15 Deadline for submission of resident days for quarters 1 & 2 – 12/7/15 Submit supplemental/county MDOI for processing – 12/11/15 Supplemental payment/county MDOI/RA processing date – 12/14/15 Supplemental payment/county MDOI check released – 12/23/15 Payment due for assessments – 1/04/16

Preadmission Screening Resident Review PASRR Preadmission Screening Resident Review PASRR Level I & Level II forms have been amended based on recommendations from CMS. New forms will be effective January 1, 2016. Multiple training webinars have been held over the last two months. Three webinars remain – 1/06/16, 1/11/16, 1/13/16 Most recent global email dated 12/15/15

Preadmission Screening Resident Review PASRR Preadmission Screening Resident Review Failure to timely complete (prior to admission) the PASRR process will result in forfeiture of Medicaid reimbursement to the NF during the period of non-compliance in accordance with federal PASRR regulations (42 CFR §483.122(b)). OLTL Bulletins issued 12/15/15 http://www.dhs.pa.gov/publications/bulletinsearch/index.htm Questions – Contact Ruth Anne Barnard rbarnard@pa.gov

Miscellaneous Items Revalidation reminder New DHS website – http://www.dhs.pa.gov/ Cost reports – Submission of supporting documents County nursing home IGT/CPE status update

Community Health Choices (CHC) What is the status of moving to Managed Long-Term Services and Supports (MLTSS)? Feb. 2015 – Announced the plan June 2015 – Discussion document September 2015 – Concept paper November 2015 – Draft requirements December 2015 – Draft agreement January 2016 – RFP January 2017 – Phase 1 – SW Region January 2018 – Phase 2 – SE Region January 2019 – Phase 3 – Central, NW, and NE Regions

Information can be found at: Further Information Information can be found at: http://www.dhs.pa.gov/citizens/communityhealthchoices/index.htm. Fact sheets Email address: RA-MLTSS@pa.gov Also, the Office of Long-Term Living holds webinars on the third Thursday of each month to provide stakeholders with updates on progress we are making. To sign up: http://listserv.dpw.state.pa.us http://www.dhs.pa.gov/citizens/communityhealthchoices/index

Questions? 11/14/2018