1. Department of Health and Social Services Division of Medicaid & Medical Assistance Joint Finance Committee Hearing Fiscal Year 2016 Stephen Groff Division Director Wednesday, February 25, 2015

2. Delaware Health and Social Services Overview Medicaid Delaware Healthy Children Program (CHIP) Delaware Prescription Assistance Program (DPAP) Chronic Renal Disease Program (CRDP)

3. Delaware Health and Social Services

5. Medicaid Transformation Implementing Health Affordability Provisions of the Affordable Care Act Leveraging Managed Care to Promote Better Health Outcomes

6. Delaware Health and Social Services Medicaid Transformation Enhancing Information Technology Strengthening Partnerships to Support System Delivery Reform

7. Delaware Health and Social Services Moving Forward Quality Improvement and Value Based Purchasing

8. Delaware Health and Social Services Moving Forward Managed Care Delivery of Long Term Services and Supports

9. Delaware Health and Social Services Moving Forward Health Information Technology/ Data Analytics

10. Delaware Health and Social Services Moving Forward Program Integrity –Eligibility and Enrollment –Provider Enrollment –Information Systems to Identify and Prevent Fraud, Waste, and Abuse

11. Delaware Health and Social Services Moving Forward Program Integrity –Enforcement –Legislative Pilot Program

12. Delaware Health and Social Services FY 16 Governor’s Recommended Budget Medicaid($4,500.0) Data Warehouse/Decision $ 275.0 Support System-Maintenance & Operations

13. Delaware Health and Social Services FY 16 Governor’s Recommended Budget Tobacco Funds Delaware Healthy Children Program ($2,310.9) Breast and Cervical Cancer Program ($ 220.0) Medicaid Program ($ 400.0) Delaware Prescription Assistance Program $ 154.0 Medical Assistance Transition Program$ 131.3 Money Follows the Person Program $ 376.5

14. Delaware Health and Social Services Thank You