FEDERAL LTSS 1915(c) Home and Community Based Services Waivers WAIVERS AND Money Follows the Person Demonstration OPTIONS DEPLOYED Duals Financial Alignment Initiative Demonstration Risk Based Capitated Model – and Managed FFS Model Section 2703 Health Home State Plan Amendment Effective in 2015 - 1915(k) Community First Choice State Plan Amendment CONTRACTING For Managed FFS model, procurement for Qualified Health Homes for all qualified applicants For Risk Based Capitated model, procurement for limited number of plans; 2 MCOs selected WISCONSIN STATE RESPONSIBLE Department of Health Services: AGENCIES Division of Long Term Care and Division of Health Care Access & Accountability NATIONAL AARP scorecard: Overall Rank = 8 (Ranked #5 in 2011) RANKINGS 2011 Medicaid Home and Community Based Services Percentage Rank: 8 2012 Medicaid Home and Community Based Services Percentage Rank: 8 RELATED LTSS Family Care Options for Long-Term Care VISION, VALUES, PRINCIPLES Goals: CHOICE Give people better choices about the services and supports – available to meet their needs. ACCESS Improve people's access to services. – QUALITY Improve the overall quality of the long-term care system by – focusing on achieving people's health and social outcomes. COST-EFFECTIVENESS Create a cost-effective long-term care system for – the future. LTSS MODELS Family Care - managed LTSS model using a capitated payment model DEPLOYED Aging and Disability Resource Centers (ADRCs) serve as single point of – entry for information and advice; most level of care assessments completed by ADRC; if no ADRC in area, then MCO completes
FEDERAL LTSS WAIVERS AND OPTIONS DEPLOYED 1915(c) Home and Community Based Services Waivers Money Follows the Person Demonstration Duals Financial Alignment Initiative Demonstration – Risk Based Capitated Model and Managed FFS Model Section 2703 Health Home State Plan Amendment Effective in 2015 - 1915(k) Community First Choice State Plan Amendment CONTRACTING For Managed FFS model, procurement for Qualified Health Homes for all qualified applicants For Risk Based Capitated model, procurement for limited number of plans; 2 MCOs selected STATE WISCONSIN RESPONSIBLE AGENCIES Department of Health Services: Division of Long Term Care and Division of Health Care Access & Accountability NATIONAL RANKINGS AARP scorecard: Overall Rank = 8 (Ranked #5 in 2011) 2011 Medicaid Home and Community Based Services Percentage Rank: 8 2012 Medicaid Home and Community Based Services Percentage Rank: 8 RELATED LTSS VISION, VALUES, PRINCIPLES Family Care Options for Long-Term Care Goals: CHOICE – Give people better choices about the services and supports available to meet their needs. ACCESS – Improve people's access to services. QUALITY – Improve the overall quality of the long-term care system by focusing on achieving people's health and social outcomes. COST-EFFECTIVENESS – Create a cost-effective long-term care system for the future. LTSS MODELS DEPLOYED – Family Care - managed LTSS model using a capitated payment model Aging and Disability Resource Centers (ADRCs) serve as single point of entry for information and advice; most level of care assessments completed by ADRC; if no ADRC in area, then MCO completes
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