MSC Presentation

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,….?

MSC AGENCY INFORMATIONWe Want You To Be A Part of LIFEPlan!

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o Websiteo LIFEPlanCCONY.com

o ContactsLori Kearsing Carleen StewartVice President of Operations VP of Network Development(O) 518-944-2106 (O) 315-507-2018 ext. 230(C) 518-281-0741 (C) 315-368-7390Alan Krafchin, Chairperson Lou Tehan, Vice Chair

CONTACT US