Minnesota Department of Human Services 1 10/29/2015

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

Introduction: Pilot Team NameRole Rolf Hage Project Tom GossettProject Rick Bagley DHS Technical Architect Greg Linden Contractor Resource PHR Community Collaborative Provider/Payer/Ben eficiary stakeholders Others as appropriate

Introduction: Organization Who we are: MN Department of Human Services, TEFT Grantee What we do: Serve as payer for Medical Assistance (Medicaid) funded services in MN How involved in services and support: We oversee County and Managed Care Organizations who provide certified assessment and case management services to beneficiaries of MA and MA Waiver services Current process: Certified Assessors conduct MnCHOICES assessment, Counties work with the state to determine financial eligibility. Registered providers bill the state for services covered under MA. Collaborative: MN DHS is in final negotiations with a Collaborative made up of County Public Health and Human Services, primary, acute, post-acute and long term service and support providers. We’re unable to provide further details about the Collaborative until the contract is finalized. The Collaborative has agreed to participate in piloting the eLTSS plan.

Pilot Introduction: Business Drivers Business Drivers: –Comprehensive assessment and re-assessment of beneficiaries –Person-centered services provided to beneficiaries Business Use Case: –Create and prototype new means of sharing LTSS data electronically with Beneficiaries and an array of LTSS Service Providers and stakeholders, and evaluate the value of the data and methods of exchange. 5

Goal of the Pilot Our pilot will be using User Story 2: Sharing a Person- Centered eLTSS Plan

Pilot Workflow 7 Case Manager Community Collaborative Services Provider LTSS Data eLTSS Pilot

Which Tier are you piloting? We will be piloting Tier 1 - Basic non-Electronic Information Exchange in Round One We will be piloting Tier 2 in Round 2

What are you intending to pilot Pick which one(s) apply – Access, View, Review Plan – Update Plan Have you identified a Service provider with which to work, if so who? – Yes, or PHR Collaborative Grantee – we cannot disclose until we have a finalized contract in place Do you know if they have an electronic system? – We cannot disclose until we have a finalized contract in place Do you know which sub-domains from the FR document will you pilot: – This will be determined with the members of the Collaborative once the contract is in place

What role do you play in the pilot MN DHS Role - Payer: Our role will be to work with the PHR Community Collaborative to: Identify and recruit providers in the CB-LTSS continuum Train/educate providers on the pilot and objectives Inventory existing Provider technology Assess readiness of Provider to work with eLTSS data Map data elements in plan to the eLTSS dataset Share data elements among partners Develop Use cases of mutual interest Document and implement changes to provider workflow Test secure exchange of data

Standards Under Consideration: Tier 1 – Non-Electronic – paper documents – Electronic –.pdf or export files such as CCDs Tier 2 – eHealth secure exchange methods (HISPs, HIEs, etc.)

Pilot Logistics: Timeline – – Tentative – actual dates will be determined with the Collaborative after Pilot Kick off in November Kick off: November 2015 Identification of Partners/Providers- December 2016 Completion of Partner Data Use/Sharing Agreements – January 2016 Inventory and Characterize participating Provider technology and readiness – January 2016 Develop methods to produce eLTSS data appropriate for sharing – February 2016 Exchange eLTSS data via paper, fax or other secure method – March 2016 Completion of Pilots: April 2016 Challenges: – Identification of common data elements across providers

Pilot Ecosystem Partners: –MN DHS is in final negotiations with a Collaborative made up of County Public Health and Human Services, primary, acute, post-acute and long term service and support providers. We’re unable to provide further details about the Collaborative until the contract is finalized. Systems: –Partner systems cannot be disclosed until our contract is in place –DHS systems include MMIS and MAXIS (financial eligibility determination), as well as the MnCHOICES comprehensive assessment system and Social Services Information System (SSIS) for Case Management.

How do you define success We will develop specific success criteria linked to the Goals and objectives outlined on previous slides These success criteria will be developed in collaboration with the Community, early in the Pilot

Helpful References PHR for LTSS Demo Web Site: