MSC Presentation AGENDA o Background of Care Coordination - - PowerPoint PPT Presentation

MSC Presentation

• Background of Care Coordination

Organization

• Transition Plans for Individuals, MSCs

and MSC Supervisors, and MSC Agencies

• Career Opportunities
• Q/A

AGENDA

How we got here…

• Federal Criteria requires that OPWDD move Service

Coordination to a Conflict Free model by 7/1/2018.

• As with other states, NY is moving to a Medicaid Managed

Care model within the next few years. People with IDD are the last group to move to managed care.

• The Care Coordination model will allow providers of

developmental disability services to maintain control of the services and ensure the funding will be preserved for this population.

BACKGROUND

LIFEPlan CCO was founded by The Center for Disability Services in Albany & Upstate Cerebral Palsy in Utica

• Have been working together for 5 years, first on the DISCO/FIDA

Managed Care Initiative, and second on the Care Coordination Organization (CCO).

• Upstate CP is an experienced NYS Health Home in 7 Counties in

Central NY & North Country for Adults and 10 Counties for Children and has an established network of healthcare providers.

LIFEPlan CCO

• LIFEPlan CCO is a For-Profit LLC with over 60
• ther Partnering MSC Provider Agencies across our

region including:

ABOUT US

Liberty Resources Madison Cortland Chapter NYSARC NNY Cerebral Palsy Association NYSARC Inc, Onondaga County Chapter Onondaga Community Living, Inc. (OCL) Oswego County Opportunities Oswego Industries Pathfinder Village Residential Resources Spaulding P.R.A.Y Residence Corp

• St. Lawrence Chapter of NYSARC

Toomey Residential & Community Services United Helpers/Mosaic Unity House Of Cayuga County Inc. Upstate Cerebral Palsy

Access CNY Achieve Advocates Inc. ARC Delaware ARC Herkimer ARC Oneida Lewis ARC Oswego County ARC Otsego Arise Child And Family Service Cayuga Counseling Services, Inc. Center for Disability Services Central New York Services, Inc.

Cerebral Palsy Association Of The North Country Disabled Persons Action Org.

• E. John Gavras Center

Exceptional Family Resource Family Advocacy Center Family's Choice of the North Country Franziska Racker Center, Inc Handicapped Childrens Association of Southern NY (HCA) Heritage Farm, Inc Jefferson Rehabilitation Center Kelberman Center Inc. L'Arche Syracuse LAUNCH

LIFEPlan’s Geographic coverage is all of OPWDD Regions 2 & 3, which includes 38 counties

TERRITORY

6

Approximately 10,000 members in Region 2

• We currently have commitments with MSC provider

agencies totaling over 17,000 lives.

• This includes partnering with agencies in Central,

Northern, Capital Region, Southern Tier and the Hudson Valley.

• We anticipate establishing Local Hubs and Offices to help

manage the CCO and account for regional differences.

• Utica, Syracuse, Albany, North Country, Hudson Valley and

the Southern Tier are planned Regional Offices.

OUR PROGRESS

• MSC Agencies--LIFEPlan is offering a choice of options to your home

agencies who have aligned with us:

Transition MSC Services into LIFEPlan CCO on July 1, 2018 Subcontract Services for 6 or 12 month options, the limit set by OPWDD

• People receiving MSC services—MSC ends 6/30/18. Individuals will be

auto-enrolled into CCOs by OPWDD based on MSC provider agency alignment; Individuals will then be given choices of CCOs, as well as to opt

• ut of enhanced care management services.
• MSCs--LIFEPlan CCO anticipates needing all qualified

MSC staff to help create our CCO.

TRANSITION PLAN

MSC AGENCY INFORMATION

• It is LIFEPlan CCO’s hope that individuals/families and

their MSCs will choose to transition together to the new CCO-HH enhanced care management model. Timeline:

TRANSITION PLAN

CCO Application Due 11/30/17

CCO Designations by 2/28/18, Readiness Activities 3/1‐6/30/18

CCOs begin Care Coordination July 2018, MSC ends 6/30/18

Care Coordinator (MSC) Staff Fully transitioned to CCO by July 2019

9

MSC NOW and FUTURE

10

• Strong emphasis on

advocacy-actively supporting and/or negotiating on behalf

• f individuals
• Professional

development— training to enhance ability to support individuals with I/DD

• Use Health Information

Technology to link services and enhance communication between individuals, families, and providers

• Complete a Comprehensive

Health Risk Assessment

• Coordinate, facilitate and

record access to chronic disease support, mental health, and substance use support services

• Conduct Transitional

planning

• Collect and report on data

that permits an evaluation of increased coordination of care

• Coordinate and arrange

provision of services

• Support adherence to

treatment recommendations

• Monitor and evaluate

individual’s needs

• Assist with Transitions
• Identify community

based resources

NOW

FUTURE

MSC AGENCY INFORMATION

May include:

• Supervisory Roles--- team leaders, seniors that recognize

experience and expertise, and regional leads

• Management and administration--- for those interested in

the operational aspects of providing care, including QA, compliance, training, etc.

• Clinical--- for those that have expertise in nursing, social

work, or wellness

• Family Advisory Roles
• Special Populations---focus on Sub-populations such as

Dementia/ Alzheimer's, Geriatrics, Willowbrook.

CAREER OPPORTUNITIES FOR MSCs

11

MSC AGENCY INFORMATION

Other Questions

12

Hiring, Salary, Work Location, Hours/ Flexibility, Benefits, Time Off, Seniority, Training, Caseload Sizes,….?

MSC AGENCY INFORMATION

We Want You To Be A Part of LIFEPlan!

13

• Website
• LIFEPlanCCONY.com
• Contacts

Lori Kearsing Carleen Stewart Vice President of Operations VP of Network Development (O) 518-944-2106 (O) 315-507-2018 ext. 230 (C) 518-281-0741 (C) 315-368-7390

Alan Krafchin, Chairperson Lou Tehan, Vice Chair

CONTACT US