Manhattan DD Council December 10 2015 MANAGED CARE and NYS State and Federal Government Policy MRT Mandate All Medicaid in Managed Care Except IDD National Track Record for IDD Implications for Individuals and Families ID: 808101
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MANAGED CARE/FIDA-IDD UPDATE
Manhattan DD Council
December
10, 2015
Slide2MANAGED CARE and NYS
State and Federal Government Policy
MRT Mandate
All Medicaid in Managed Care, Except I/DDNational Track Record for I/DDImplications for Individuals and FamiliesFunding and Care Coordination
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Slide3Managed Care/FIDA-IDD UPDATE
OPTIONS FOR I/DD MANAGED CARE in NYS
FIDA-IDD
MCO/ACO/DISCO/12% SavingsValue Based Payments
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Slide4Managed Care/FIDA-IDD UPDATE
PHP Governed by Metro ARCs
I/DD Centric Model of Care
Money and License Controlled by Family Governed AgenciesCare Coordination Governed by Family Governed Agencies
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Slide5FIDA-I/DD Update & Timing
April, 2016 Start with March Enrollment
Maximus Letters and Eligibility
Readiness Review/Network DevelopmentVoluntary EnrollmentCare Coordination Pilot
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Slide6FIDA-I/DD Model of Care
Services/Benefits- DD/Habilitation, MLTC, Medical, prescription and over-the-counter drugs
Inter Disciplinary Teams (IDT)
AssessmentPOMsLifeplan
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Slide7FIDA-IDD UPDATE/Medicaid MCOs
POTENTIAL TIMELINE For Medicaid-I/DD MCOs???
-2015-2016 Develop Framework Statutory/Regulatory Changes
Implement Care Coordination
Develop Networks
Select Managed Care Plans
Finalize Networks and MCO Partners
-2017 Begin Voluntary Enrollment
??? Mandatory Enrollment
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Slide8Managed Care/FIDA-IDD UPDATE
QUESTIONS?
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