1. Michigan’s Voices for Better Health Project ▪ RoAnne Chaney, Michigan Disability Rights Coalition ▪ Ayesha Ghazi, Michigan Consumers for Healthcare ▪ Alison Hirschel, Michigan Poverty Law Program

2. Capitated Model Four Demonstration Regions in the state affecting 104,000 dually eligible individuals Utilizes a “Care Bridge” to coordinate services between the ICOs (responsible for primary and acute care and long term supports and services) and the PIHPs (responsible for behavioral health care, supports and services). Michigan’s Integrated Care Proposal

3. RFP issued in July, 2013 Proposals received in September, 2013 Successful bidders to be announced in next month; readiness review process to start thereafter RFP submitted to CMS this month Timeline for Michigan’s Demonstration Project

4.  July 1, 2014—Opt-in begins in Upper Peninsula and Southwest Michigan.  Sept. 1, 2014—Passive enrollment begins in Upper Peninsula and Southwest Michigan  Oct. 1, 2014—Opt-in begins in Wayne and Macomb Counties  Jan. 1, 2015—Passive enrollment begins in Wayne and Macomb Counties. Timeline for Implementation of Michigan’s Demonstration Project

5. Three lead organizations: ♣M ichigan Consumers for Healthcare—responsible for project management, communications, and assistance with coalition building. ♣ Michigan Disability Rights—responsible for consumer engagement and policy advocacy; lead contact with the disability community. ♣ Michigan Poverty Law Program—responsible for consumer engagement and policy advocacy; lead contact with the aging network. Michigan Voices for Better Health Coalition

6.  Lead organizations are collaborating with two existing coalitions --Michigan Olmstead Coalition and Advocates Concerned about Dual Integration -- as well as the Center for Civil Justice  Seeking to build Advisory Councils in each of the demonstration regions and to collaborate with other advocates, providers, and plans Michigan Voices for Better Health Coalition

7.  On-going, meaningful consumer engagement & involvement throughout planning & implementation  Simplified & integrated system of care that is easy to access, culturally competent, and provides continuity  Continuous, genuine quality improvement informed by consumer experience and concerns  Person-centered planning and self-determination MVBH Policy Priorities

8.  Promotion of home and community based supports and services  Eligibility, enrollment, beneficiary rights, and appeals processes that are easier to use and produce faster, more equitable results than current systems.  Establishment of effective ombudsman program to address both individual concerns and systemic issues MVBH Priorities

9.  On-going, intensive policy advocacy with state (and, when appropriate and possible, CMS);  Building on existing ICDE advocacy efforts;  Grassroots outreach including creating Advisory Councils in each region & developing broader advocacy coalitions;  Engaging with health plans and provider networks;  Communications & social media MVBH Strategies

10.  Ayesha Ghazi, ayesha@consumersforhealthcare.orgayesha@consumersforhealthcare.org  RoAnne Chaney, roanne@mymdrc.orgroanne@mymdrc.org  Alison Hirschel, hirschel@lsscm.orghirschel@lsscm.org Questions?