The Arkansas Provider-Led Model and You · • IDD Attribution Has egun … ontinues Through...
Transcript of The Arkansas Provider-Led Model and You · • IDD Attribution Has egun … ontinues Through...
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The Arkansas Provider-Led Model and You
The Arkansas PASSE and You…
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For Starters
I am Not DHS
I Do Not Have All the Answers
We Are Still Building the Model
Change Can Be Good…
Change Can Still Maintain Value
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For Starters
COMPANY CONFIDENTIAL | FOR INTERNAL USE ONLY | DO NOT COPY 3
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Who is Summit Community Care?
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Department of Human Services
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Phases
• As of Today,
• There are four (4) PASSE Entities Accepting Members (Attribution)
• Most Attribution is Focused on Behavioral Health Through July 1st
• IDD Attribution Has Begun … Continues Through November
• Care Coordination is Underway for All Attributed Member of a PASSE
• Development of Networks, Rates, Contracts, etc. (Phase II) in Process
• Full-Risk “Go Live” is Still January 1, 2019
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Phases• Deliverables from DHS…
• Rates/Payments to PASSEs (July 31st)
• PASSE Manual Final Updates (July/August)
• PASSE Contracts (Segments Rolling Out in July and Beyond)
• From the PASSE…• Readiness Reviews to DHS – July and September
• Network Development/Contracting/Credentialing – On-Going
• Provider Manuals / Trainings / Meetings – TBD
• Member Communication / Provider Communication
• Care Coordination
• Full-Risk “Go Live” is Still January 1, 20198
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Care Coordination• SUMMIT
• To Reach Every Member
• To Hire Qualified & Compassionate Care Coordinators
• To Achieve Highest Metrics / Quality for an Efficiently Managed System
• To Train Well, Adapting to Changes as Needed
• COMMUNITY• To Work With Providers to Meet Member Needs
• To Use the Resources Within APC to Develop a Continued System of Care
• To Cover Every Area of the State, Using Resources in All Areas
• CARE• Put Members FIRST…Respect the Families/Guardians/Care-Givers
• Use Our Expertise to Challenge the Status Quo
• Spend the Time…9
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