oBackground of Care Coordination Organization
oTransition Plans for Individuals, MSCs and MSC Supervisors, and MSC Agencies
oCareer OpportunitiesoQ/A
AGENDA
How we got here…o Federal Criteria requires that OPWDD move Service
Coordination to a Conflict Free model by 7/1/2018.
oAs 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.
oThe 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
o LIFEPlan CCO is a For-Profit LLC with over 60 other Partnering MSC Provider Agencies across our region including:
ABOUT US
Liberty Resources Madison Cortland Chapter NYSARCNNY Cerebral Palsy AssociationNYSARC Inc, Onondaga County ChapterOnondaga Community Living, Inc. (OCL) Oswego County OpportunitiesOswego IndustriesPathfinder VillageResidential ResourcesSpaulding P.R.A.Y Residence CorpSt. Lawrence Chapter of NYSARCToomey Residential & Community Services United Helpers/MosaicUnity House Of Cayuga County Inc.Upstate Cerebral Palsy
Access CNY AchieveAdvocates Inc. ARC DelawareARC Herkimer ARC Oneida Lewis ARC Oswego CountyARC OtsegoArise Child And Family ServiceCayuga Counseling Services, Inc.Center for Disability ServicesCentral New York Services, Inc.
Cerebral Palsy Association Of The North CountryDisabled Persons Action Org.E. John Gavras CenterExceptional Family Resource Family Advocacy CenterFamily's Choice of the North CountryFranziska Racker Center, IncHandicapped Childrens Association of Southern NY (HCA) Heritage Farm, IncJefferson Rehabilitation CenterKelberman Center Inc. L'Arche Syracuse LAUNCH
LIFEPlan’s Geographic coverage is all of OPWDD Regions 2 & 3, which includes 38 counties
TERRITORY
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Approximately 10,000 members
in Region 2
o We currently have commitments with MSC provider agencies totaling over 17,000 lives.
o This includes partnering with agencies in Central, Northern, Capital Region, Southern Tier and the Hudson Valley.
o We anticipate establishing Local Hubs and Offices to help manage the CCO and account for regional differences.
o Utica, Syracuse, Albany, North Country, Hudson Valley and the Southern Tier are planned Regional Offices.
OUR PROGRESS
o 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, 2018Subcontract Services for 6 or 12 month options, the limit set by OPWDD
o 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 out of enhanced care management services.
o MSCs--LIFEPlan CCO anticipates needing all qualified MSC staff to help create our CCO.
TRANSITION PLAN
MSC AGENCY INFORMATION
o 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
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MSC NOW and FUTURE
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•Strong emphasis on advocacy-actively supporting and/or negotiating on behalf of 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:o Supervisory Roles--- team leaders, seniors that recognize
experience and expertise, and regional leads o Management and administration--- for those interested in
the operational aspects of providing care, including QA, compliance, training, etc.
o Clinical--- for those that have expertise in nursing, social work, or wellness
o Family Advisory Roleso Special Populations---focus on Sub-populations such as
Dementia/ Alzheimer's, Geriatrics, Willowbrook.
CAREER OPPORTUNITIES FOR MSCs
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MSC AGENCY INFORMATIONOther Questions
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Hiring, Salary,Work Location,Hours/ Flexibility,Benefits,Time Off, Seniority,Training,Caseload Sizes,….?
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