Intellectual Disability Partnership Structure

ID Partnership Fiscal Transition Subcommittee Commissioner-level leadership. Oversight and direction-setting. Fiscal Transition Subcommittee Issues: rates, contracts, billing, reporting. Long-Term Strategies Subcommittee Issues: continuum of services, ASO options, wait list strategies. Waiver Development Subcommittee Issues: amendment, private pay options, technical assistance. Provider Transition Subcommittee Issues: payments, billing, training needs, IT requirements. Planning Committee Senior staff-level supervision. Project management and synthesis of work. ID Partnership Advisory Committee Providers, families, advocates. Recommendations and review of reports/outcomes.

Planning Committee Subcommittee information sharing Project Management Communications Process for information flow between subcommittees Issue areas: Rates Medicaid eligibility issues Billing/payment issues Waiver language Priority setting Set milestones Set timetables Monitor progress Eliminate obstacles Communications to: ID Partnership members Agency Partners Preparation of materials

Fiscal Transition Subcommittee Cross-Agency Logistics Billing/Payment Issues Rate Setting Cost-based, inflation & Level of Need (LON) factors Transportation to/from day programs Portability Allowance for vacation & hospital stays Emergency enhanced supports Utilization Resource Review (URR) approved annualized rates Cross-agency budget & accounting structure Memorandum of Agreement (MOAs) DSS/DDS transfer invoice process Determining DSS payment to DDS for other residential services Reporting formats IT requirements Contractual agreements Provider cash flow Billing for non-waivered supports Process for individuals funded through Money Follows the Person (MFP) Process for individuals living in a public setting converted to private provider supports

Long-Term Strategies Subcommittee Services Administration Continuum of Services between in-home supports and group home placements Supportive housing models tailored to individuals with ID Strategies to address and fund the DDS waiting list Medicaid options to support continuum of services Exploration of Administrative Services Organization (ASO) use Healthy provider network Examination of fire code requirements influencing room and board costs

Waiver Development Subcommittee Technical Assistance Waiver Options Develop amendment language: New rate methodology New continuum of service options Medicaid eligibility issues Explore options for private pay/third party payments

Provider Transition Subcommittee Payments/Billing Contracting Information Sharing New contract language Reporting requirements Qualifications Cash flow Billing systems IT requirements Medicaid eligibility issues Process for billing discrepancies Rate components Communications Training Rate structure How emergency enhanced funding needs will be handled