State Team Members
- New York Office of People with Developmental Disabilities
- New York Department of Health
- New York Office for the Aging
- Advance Care Alliance
- Care Design NY
- LIFEPlan CCO NY
- Mid-Hudson Care Network
- Person Centered Services of WNY
- Prime Care Coordination
- Tri-County Care
- Abilities First, Inc.
- Adults & Children with Learning Disabilities (ACLD)
- The Block Institute
- CDS Life Transitions, Inc.
- Cerebral Palsy of Ulster County
- Hamaspik Choice, Inc.
- iCircle Services
Achievements & Successes, as of August 2018
Transition to Integrated Care Management for the NYS I/DD System:
- Launched Care Coordination Organizations (CCOs, effective July 1, 2018) and successfully transitions over 100,000 individuals previously enrolled in Medicaid Service Coordination (MSC) to a Health Home (HH) CCO. https://opwdd.ny.gov/news_and_publications/news/new-york-state-launches-innovative-care-management-program-people
- In order to launch CCO/HHs New York had to carry out all the extensive legal, financial and operational requirements including negotiations with CMS, publicizing documents for public comment, specified organizational requirements, reviewed CCO / HH applications, prepared organizations for extensive Health Home readiness reviews, secured initial funding, etc.
- Designed a “virtual university” for stakeholders by compiling existing national Business Acumen Learning Collaborative resources and publishing them in one place. This “virtual university” is on OPWDD’s website: https://opwdd.ny.gov/providers_staff/business_acumen. New York has updated content each month and, in many forums, have marketed its availability. We have emphasized the importance of first completing the specified Environmental Scan and Needs Assessment as a learning exercise and sound place to begin skill-building among boards of directors and senior managers of community-based provider agencies.
- New York has benefitted from the Learning Collaborative’s encouragement to reach out directly to individuals they serve, such as self-advocates. They spoke with Self Advocates of NYS (SANYS) Board of Directors and are keynote speakers at three upcoming regional meetings. Self-advocates appear to embrace the idea of “more better” care management. OPWDD also prepared brochure in simple language that is being distributed to self-advocates.
- The Business Acumen Learning Collaborative team has been invited to speak at many different statewide association meetings, including NYSACRA Leadership Institute (now the NY Alliance for Inclusion and Innovation), Provider Association, and others. Our purpose has been to paint a picture of how the I/DD environment is changing and highlight areas of culture change and business acumen skill building that are required if the field is to flourish in years ahead. New York has helped their partners to see that they are not starting from scratch as they face this new environment, that there are materials that have been developed for other organizations facing similar challenges. They have spent a good deal of time sharing and building upon these resources.
- As of Summer 2018, New York has partnered with the Alliance for Inclusion and Innovation on a Managed Care Community of Practice which will provide managed care readiness information and technical assistance opportunities for all I/DD providers in New York State free of charge. OPWDD is part of the advisory committee and will be integral to helping to facilitate some of the ongoing learning opportunities. They will also be cross fertilizing by bringing back the business acumen learning collaborative resources and lessons learned to this initiative. To launch the Managed Care Community of Practice, the Alliance is hosting a series of learning webinars beginning on August 27, 2018.
Lessons Learned, as of August 2018
- Challenge of addressing workforce transitions, specifically training & supporting Medicaid Service Coordinators as they moved to CCOs /HHs, was a high priority the past year; this training need primarily met internally and by CCO / HHs.
- Much anxiety on the part of State officials and provider agencies about building IT infrastructure to support care management; this challenge was addressed by MediSked, LLC, the IT company that developed a platform for care management focused on the I/DD population. All CCO / HHs will be using this platform; the company has provided extensive training.
- Despite big dreams for all New York would accomplish this year, it became clear that:
- Activities take longer than anticipated; and
- All key project participants had many other day-to-day responsibilities that challenged their ability to focus.
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