Maryland Department of Health and Mental Hygiene 1 Thursday, November 5, 2015

Agenda Introduction Goal of Pilot Tier Piloting Activity to Pilot Role of DHMH in the pilot Standards and Technologies Under Consideration Logistics Ecosystem Defining Success Resources/References

Introduction: Pilot Team NameRole Kale SweeneyCo-Project David WertheimerCo-Project Whitney MoyerChief, ISAS Division Lorraine NawaraDeputy Director, Community Integration Programs (Long Term Care) Christin WhitakerChief, COA Division (Long Term Care)

Introduction: Organization Maryland Department of Health and Mental Hygiene (DHMH), aka Maryland Medicaid We are the state Medicaid agency for the State of Maryland and one of the main payers for Maryland beneficiaries The state plan for Maryland Medicaid includes providing Long Term Supports and Services for Maryland beneficiaries Maryland launched its electronic LTSS system (LTSSMaryland) using funds from the Balancing Incentive Program (BIP). LTSS currently includes the beneficiary groups of Community Options Waiver, Money Follows the Person, Community First Choice (State Plan), Community Personal Assistance Services (State Plan), Increased Community Services, and Brain Injury, with Community Pathways (DD Waiver) and Medical Day Care planned for the future. We also have the In-home Supports Assurance System (ISAS) to ensure that service providers are in the beneficiaries homes caring for them when they say they are.

Pilot Introduction: Business Drivers Long Term Care (CFC, CO Waiver Programs, Brain Injury Waiver) Business use case: A platform where service plan information can be stored and service providers can be tracked. Use case is provider-based. 5

Goal of the Pilot User Story 2

Pilot Workflow The current workflow is all user-initiated The desired workflow is that we want to have the users to – View their plan – Trigger specific events where a supports planner would be able to assist them in the modification of their plan 7

Which Tier are you piloting? Round 1: Tier 1 Round 2: Tier 2

What are you intending to pilot? Pick which one(s) apply Access, View, Review Plan Have you identified a Service provider with which to work, if so who? In Progress Do you know if they have an electronic system? To Be Determined Do you know which sub-domains from the FR document will you pilot: – Work, Community, Choice & Decision Making, Relationships, Self-Direction, Demographics, Person-Centered Profile, Medication, ADLs/IADLs, Safety, Behavioral Needs, Restrictions, Service, Financial/Payer Information, Service Information, Family Information, Community Connections, Access & Support Delivery, Information & Planning, and Health

What role do you play in the pilot? Beneficiary System LTSS/Case Management Information LTSS/Service Provider System Payer Please describe the role you intend to play in the pilot: – Identify population – Give access to plan – Monitoring compliance, user behavior, user feedback

Standards Under Consideration: Tier 1 – Non Electronic – paper documents Tier 2 – Electronic –.pdf or export files such as CCDs Tier 3 (future phase) – Secure exchange methods (HIE)

Pilot Logistics: Timeline – (April 2016 is end date for round one pilots) Kick off: November 2015 Identify Partners/Providers/Beneficiary Pilot Population – December 2015 Complete Partner Data Use/Sharing Agreements – January 2016 Develop methods for producing and sharing eLTSS data – February 2016 Exchange eLTSS data via paper, fax, or other secure method – Early to Mid March 2016 Receive Pilot Population Feedback – Mid to Late March 2016 Complete Pilot: April 2016 Challenges: Beneficiary access to technology Beneficiary education and training Setting baselines to monitor performance standards and improvement Building incentives for beneficiary participation, both for pilot and beyond Assessing business needs and modification of workflow within DHMH

Pilot Ecosystem Current or Potential Partners/Providers: – DHMH Long term care staff, supports planners, agency providers, beneficiaries and their guardians/caretakers What electronic systems/what vendor(s) do they use to support their work: – Maryland LTSS/ISAS What electronic systems/what vendor(s) do you use to support your work: – Maryland LTSS/ISAS

How do you define success? Tier 1 – Whether or not we can get beneficiary/participant buy-in – User behavior and engagement with their supports planners should be higher – Beneficiary Survey (before and after pilot)? Tier 2 – System-level metrics – User behavior within client profile and/or service plan

Helpful References Maryland Medical Assistance Programs: Maryland Money Follows the Person (MFP): ney%20Follows%20the%20Person.aspx ney%20Follows%20the%20Person.aspx Maryland Home and Community-Based Services (HCBS):