1. 2017 NYSACRA/NYSRA Leadership Conference November 30, 2017

2. Good Afternoon!

3. Our History
New York State became a national model over time thanks to the dedication of many working toward a shared vision with government
The past forty years leave a legacy of community integration in favor of institutions
Community services have expanded to serve over 130,000 individuals with developmental disabilities

4. Multi Year Housing Strategy
Development of new certified residential opportunities
Geared to meet the needs of those living at home
Developing additional non-certified options through the Integrated Supported Housing program

5. Integrated and Supportive Employment
28,000 people receive supports to help them work and find employment as well as gain employment skills
Person-centered approach to determine individual interests and options for employment
Alternatives to sheltered workshops include Pathway to Employment, day habilitation, community pre-voc, or other employment services

6. People First Care Coordination
The New York State Office for People With Developmental Disabilities is moving forward with plans for a comprehensive and holistic approach to coordinating care called People First Care Coordination, supported by enhanced information technology.
People First Care Coordination will be provided through Care Coordination Organizations – also known as Health Homes - that are tailored to people with intellectual and developmental disabilities.

7. Benefits of People First Care Coordination
Enhanced person-centered planning
Cross-systems service coordination
Families can obtain more help managing services while still taking on as much of a role as they have in the past
Improved information technology
A greater focus on performance measurement and incentives

8. CCO/HH Application Public Outreach
OPWDD and DOH incorporated several changes suggested through the application public comment period:
Clarifying individual protections
Aligning PCP model with regulation
Individual & Family advisory councils
Twelve public forums are being held throughout the state to share information and answer questions across the state. Three next week: Queens, Thiells, Tupper Lake

9. Managed Care Transition
OPWDD is developing a specialized managed care model to serve people with developmental disabilities
People First Care Coordination will be the foundation of this system

10. Five-Year Transition to Managed Care
Implementation of People First Care Coordination
Develop specialized Medicaid Managed Care Organizations (MCOs)
Voluntary enrollment in specialized MCOs until such time as two or more MCOs are available in each region of the State, and quality & satisfaction have been assessed
Mandatory enrollment into MCOs

11. CCO / HH Implementation Timeline
10/10//17
Draft Application Published
June 2017
Submitted State Plan Amendment and 1115 Waiver Application
Summer 2017
Final Application Published
October 6, 2017
Applications due
December 1, 2017
State Review of Applications, Approvals
December – February 2018
CCO/HH Readiness Activities
February 2018 to
June 2018
CCO/HHs Provide People First Care Coordination
July 1, 2018   

12. State Plan Amendment and 1115 Transition
OPWDD has submitted a SPA to CMS to amend New York State’s existing Health Home spa to establish DD as a single qualifying condition for DD- specialized CCO/HHs
OPWDD is seeking approval to transition authority for services from 1915(c) waiver to the MRT 1115 waiver
Public comment period was conducted

13. CCO/HH: What’s Next for Providers?
Affiliating with a CCO/HH if you have not already
Medicaid Service Coordination Transition
Get ahead of the curve:
Learn about health and behavioral health sectors
Disability Network Business Acumen Learning Collaborative efforts will support community-based organizations involved in the switch to CCOs and managed care

14. Thank you – Questions?