Medicaid Administrative Claiming for NWD/ADRC

Transcript:Medicaid Administrative Claiming for NWD/ADRC:
Medicaid Administrative Claiming for NWD/ADRC Presentation for Stakeholders About this Tool This PowerPoint presentation targets stakeholders and participants of the NWD system, such as lead directors and fiscal officers from the local operating agencies. The NWD lead agency can present this tool as an introduction for local agencies and partners that may participate in Medicaid Administrative claiming. States should adapt these presentations to reflect their own circumstances and desired content. Red text needs to change to reflect state-specific information. Refer to the Medicaid Claiming Workbook for further guidance Agenda Provide an overview of Administrative Claiming Make the case for pursing Administrative Claiming for NWD/ADRC functions and why it should be pursued Review the Administrative Claiming infrastructure and development process Review the methodology for documenting staff time Discuss the mechanisms for documenting the staff costs Roles and responsibilities of State and local agencies Questions Overview of Administrative Claiming Slide 3 Medicaid Administrative Claiming Overview Administrative Claiming provides federal financial participation (FFP), generally 50%, to cover activities that contribute to the efficient and effective administration of the Medicaid program Many local agency functions potentially eligible for matching Medicaid administrative funds Administrative claiming can provide an ongoing, sustainable source of funding for enhanced local agency activities Note: It is likely other agencies in your state are already conducting Administrative Claiming and they may be able to provide technical support Medicaid Administrative Claiming for NWD/ADRCs Endorsed by ACL and CMS See: https://www.medicaid.gov/medicaid/financing-and-reimbursement/admin-claiming/no-wrong-door/index.html As of March 2017, in place in a number of states - for an updated list, please visit nwd.acl.gov/resources.html Activities Reimbursed Under Administrative Claiming Potential Medicaid related activities include: Outreach and enrollment Case management Provider monitoring Planning and development Training Reporting/program management Network development Auditing Quality improvement Person-Centered Counseling Why Should States Pursue Administrative Claiming? Ongoing source of funding: Once approved, funding will continue Wisconsin claims 38-40% federal dollars* Strengthens the case for State and local funding: Local funding can present challenges if not consistently provided or if state funds are not used to cover parts of the state where local funding is unavailable or insufficient Reinforces local agencies as a core infrastructure supporting the Medicaid program This funding becomes the backbone for securing additional revenue sources: Medicaid Choice Counseling, health plans, private pay, etc. Does not require major changes to regular operations Staff already do the work! *Comments from Julie Schroeder, Wisconsin Department of Health Services, No Wrong Door Learning Session,