Department of Health and Human Services MaineCare Redesign Task Force Minutes 10/9/12 Attendance: Mary C. Mayhew, Commissioner, DHHS Nick Adolphsen, DHHS staff Mary Lou Dyer, Member of the MaineCare Advisory Committee representing MaineCare Members Kevin Flanigan, DHHS/MaineCare staff Jim Clair, Member of the public who has expertise in public health financing Jim Leonard, DHHS/MaineCare staff Ryan Low, Member of the public who has expertise in economic policy Denise E. Gilbert, DHHS staff David Winslow, Member of MaineCare Advisory Committee representing providers of MaineCare Services Seema Verma, SVC, Consultant Ana Hicks, Member of the MaineCare Advisory Committee representing MaineCare Members Rob Dalmer, Milliman, Consultant Frank Johnson, Member of the public who has expertise in public health care financing Rose Strout, Member of the MaineCare Advisory Committee representing MaineCare Members Scott E. Kemmerer, Member of the public who has expertise in public health care policy Agenda Discussion Next Welcome and Introductions Introductions were made. Commissioner opened the floor for suggestions/ additions to the agenda. Suggestions/Comments: Keep in mind the need for dental/oral health MaineCare/DHHS will develop a matrix Interested in more information regarding any high cost management programs of Maine initiatives defining their Additional guidance needed to focus ideas and initiatives connectivity. Need background/historical perspective of priorities Discuss Global Waiver How the initiative fit/connectivity meetings are an opportunity for task force to out specifics” “flesh Re-Cap/Status of Prior Jim Leonard provided an update on outstanding items/questions/data requests: Requests Information regarding pharmacies and pharmaceuticals will be – presented Care Management versus Case Management care management is a – technique to manage cost and case management is support staff managing Medicaid covered services Re-Cap/Status of Measuring client stability MaineCare measures stability over an 11 – Requests cont. month period
Department of Health and Human Services MaineCare Redesign Task Force Minutes 10/9/12 Attendance: Mary C. Mayhew, Commissioner, DHHS Nick Adolphsen, DHHS staff Mary Lou Dyer, Member of the MaineCare Advisory Committee representing MaineCare Members Kevin Flanigan, DHHS/MaineCare staff Jim Clair, Member of the public who has expertise in public health financing Jim Leonard, DHHS/MaineCare staff Ryan Low, Member of the public who has expertise in economic policy Denise E. Gilbert, DHHS staff David Winslow, Member of MaineCare Advisory Committee representing providers of MaineCare Services Seema Verma, SVC, Consultant Ana Hicks, Member of the MaineCare Advisory Committee representing MaineCare Members Rob Dalmer, Milliman, Consultant Frank Johnson, Member of the public who has expertise in public health care financing Rose Strout, Member of the MaineCare Advisory Committee representing MaineCare Members Scott E. Kemmerer, Member of the public who has expertise in public health care policy Agenda Discussion Next Welcome and Introductions Introductions were made. Commissioner opened the floor for suggestions/ additions to the agenda. Suggestions/Comments: Keep in mind the need for dental/oral health Interested in more information regarding any high cost management programs Additional guidance needed to focus ideas and initiatives Need background/historical perspective of priorities Discuss Global Waiver How the initiative fit/connectivity meetings are an opportunity for task force to “flesh out specifics” MaineCare/DHHS will develop a matrix of Maine initiatives defining their connectivity. Re-Cap/Status of Prior Requests Re-Cap/Status of Requests cont. Jim Leonard provided an update on outstanding items/questions/data requests: Information regarding pharmacies and pharmaceuticals – will be presented Care Management versus Case Management – care management is a technique to manage cost and case management is support staff managing Medicaid covered services Measuring client stability – MaineCare measures stability over an 11 month period