Implementation Timeline: FY 2012 January 1, 2012 – Required Approvals: Regulatory Change: Yes Statutory Change: No State Plan Amendment: No Federal Waiver: Yes Proposal Description: -Review the participants and retain only the qualified seniors in this program. -Cut the funding for each qualified participant. -Charge a co-pay for participant. -Support Non-Profit organizations to provide more senior activity centers for healthy seniors. -Support more Assisted Living and group homes to provide a service to those in serious need (someone estimated it’s 20% of current day care members). It may save money and be more helpful for members. Financial Impact: -None for first recommendation, utilization reviews are currently being conducted -See Proposal #10 for reimbursement reduction analysis. Benefits of Proposal: None for first recommendation, utilization reviews are currently being conducted. Concerns with Proposal: -Utilization reviews are conducted by UCA. Only qualified participants are allowed to continue their stay. -Cutting the funding without a cost analysis determining the impact on the industry’s ability to provide the service. - Funding senior centers, assisted living facilities and homes will cost the State. Impacted Stakeholders: N/A System Implications: N/A 71c Proposal Number: Theme: Service Limits - Reduce Adult Day Care to 3 days per week Viable?: No Implementation Timeline: Long Term Required Approvals: Regulatory Change: Yes Statutory Change: Yes State Plan Amendment: Yes Federal Waiver: Yes Proposal Description: -Instead going to Adult Day Health Care Ctr 5 or 6 days a week, seniors in the program to be allowed going to the Ctr 3 days only. With their children, relatives, friends around and some
Implementation Timeline: FY 2012 – January 1, 2012 Required Approvals: Regulatory Change: Yes Statutory Change: No State Plan Amendment: No Federal Waiver: Yes Proposal Description: -Review the participants and retain only the qualified seniors in this program. -Cut the funding for each qualified participant. -Charge a co-pay for participant. -Support Non-Profit organizations to provide more senior activity centers for healthy seniors. -Support more Assisted Living and group homes to provide a service to those in serious need (someone estimated it’s 20% of current day care members). It may save money and be more helpful for members. Financial Impact: -None for first recommendation, utilization reviews are currently being conducted -See Proposal #10 for reimbursement reduction analysis. Benefits of Proposal: None for first recommendation, utilization reviews are currently being conducted. Concerns with Proposal: -Utilization reviews are conducted by UCA. Only qualified participants are allowed to continue their stay. -Cutting the funding without a cost analysis determining the impact on the industry’s ability to provide the service. - Funding senior centers, assisted living facilities and homes will cost the State. Impacted Stakeholders: N/A System Implications: N/A Proposal Number: 71c Theme: Service Limits - Reduce Adult Day Care to 3 days per week Viable?: No Implementation Timeline: Long Term Required Approvals: Regulatory Change: Yes Statutory Change: Yes State Plan Amendment: Yes Federal Waiver: Yes Proposal Description: -Instead going to Adult Day Health Care Ctr 5 or 6 days a week, seniors in the program to be allowed going to the Ctr 3 days only. With their children, relatives, friends around and some