Managed Care for Foster Children MaryAnne Lindeblad BSN MPH Medicaid Director Washington State Health Care Authority NAMD Fall Conference November 13 2018 Background HCA contracted with a single statewide Managed Care Organization MCO based on ID: 733045
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Apple Health Core ConnectionsManaged Care for Foster Children
MaryAnne Lindeblad, BSN, MPH
Medicaid Director
Washington State Health Care Authority
NAMD Fall Conference - November
13, 2018Slide2
Background
HCA contracted with a single statewide Managed Care Organization (MCO) based on:
Unsuccessful past experience with enrolling to multiple MCOs – difficult for child welfare and foster parents to navigate multiple systems
Child Welfare staff and Foster Parent desire for a single plan to work withSingle MCO provides continuity of care across placements and provider changes
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Contracting
Apple Health Core Connections (AHCC)
2014 Legislative mandate directed the Health Care Authority (HCA) to issue a competitive procurement for a managed care program for foster children
Coordinated Care of Washington (CCW) was the single Managed Care Organization awarded a statewide contract for this program
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Populations Served
Voluntary
Program for:
Children in Foster Care (enrolled as wards of the state)Children in Adoption Support Foster Care “Alumni” - Young Adults aged 18-26 who have aged out of the foster care system, but remain eligible for services under the Affordable Care Act
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Program Challenges
Ensuring network adequacy – some providers decline to contract with CCW
Child
Welfare staff turnover presents training challengesCCW provides ongoing web-based and in-person training and updates.
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Program Opportunities
Single statewide MCO provides continuity for children who change placements:
Provider Portal - Electronic Health Record enables new PCP to review what previous PCP did
Reduces duplication of services such as immunizationsEnsures greater coordination and fewer delays in getting needed services in a new placement (especially if placement is in another service area)
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Program Opportunities
Single statewide MCO provides continuity for children who change placements:
Provider Portal - Electronic Health Record enables new PCP to review what previous PCP did
Reduces duplication of services such as immunizationsEnsures greater coordination and fewer delays in getting needed services in a new placement (especially if placement is in another service area)
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Questions?
More Information:
http://www.hca.wa.gov
MaryAnne Lindeblad, BSN, MPHMedicaid DirectorMaryAnne.Lindeblad@hca.wa.gov
Tel: 360-725-1863
Questions about any
Washington
State Medicaid Managed Care Program:
mcprograms@hca.wa.gov
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