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Published byMeghan Murfin Modified over 10 years ago
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Issues Impacting OMH HCBS Waiver Programs NYS Coalition for Children’s Mental Health Services Full Coalition Meeting Thursday, April 3, 2014
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Key Change Factors OMH Regional Center of Excellence (RCE) Plan lead to Waiver Expansion to ease bed-downsizing – used BIP funds Waiver anticipated under Medicaid Managed Care to provide both existing 1915c and 1915i services New CMS Rule – must comply with new rule within 5 years; transition plan from NY to be submitted by August 1 NYS’s Renewal Application to CMS –going for short term renewals so they can address CMS concerns (provider choice, incident reporting and performance measures were mentioned) Health Home – care coordination for all; does this force unbundling? BIP – conflict free care coordination – SPOA being referral source and provider mentioned as issue because the firewall between Level of Care determination and provision of service doesn’t meet federal test
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OMH Plans to Work with the Field A communications plan is under development and will include: Real-time communication about changes Listserv Regularly scheduled webinars (May 2 notification coming soon) Opportunities for open dialogue and shared experiences Regional meetings, if needed, to address local issues County and/or program specific supports for regional impact response Access to technical assistance and support through the Clinic Technical Assistance Center (CTAC) for compliance and operational change
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Coalition Next Steps 1. RCE/Expansion of Waiver Slots (150 total slots) 2013-2014 Streamlining referral process Reducing Wait Lists Adjustments to LOS 2. CMS Application (Renewal) Recommendations to OMH need to be developed and tied to #4 3. New CMS Rule Involvement of QA staff on OMH listserve and calls imperative to shape transition/compliance proposal 4. Health Homes and Medicaid Managed Care Transition
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