Presentation on theme: "State of Kansas Veterans Benefit Enhancement Project"— Presentation transcript:
1State of Kansas Veterans Benefit Enhancement Project Department of Social & Rehabilitation Services Kristi Scheve, Data Exchange ManagerMarch 2012
2Public Assistance Participation Average Monthly Caseloads (Based on First 6 Months of SFY2012) TANF13,841 households35,871 personsSNAP141,356 households302,700 personsChild Care9,671 households18,237 childrenMedical379,630 individuals (includes 46,130 CHIP children)
3Kansas’ PARIS Veteran Match Numbers MATCH EXPECTATIONSExpectations based on…Number of Vets in the StateNumber of Individuals with VA Income coded on the Eligibility SystemNumber of past PARIS matches (in better times) and taking into consideration caseload growth rates
4PARIS Veterans Match Numbers Historically, Kansas VA match returns are 60% veteran & 40% spouse/otherEven with first VETSNET match being within the “Expectation Range”, approximately 270 individuals with VA income are on the eligibility system not being matched thru PARIS
5VBE Project - Working the Match You have the data, so now what?Aid and AttendanceLiving arrangement compared to amount of A&A being receivedNot receiving any, but needing long term care (NF or HCBS)Third Party LiabilityVeteran, the Spouse, & the familyService-connected Disability RatingLiving arrangement is long term careDo they have health coverage on TPL?Medicaid Veteran, but no VA incomeDo they need help with their review?Claims Diagnosis/Era of Service
6Kansas’ Veterans Benefit Enhancement Project (VBE) Project is a Multi-State Agency EffortKansas Department of Social and Rehabilitation ServicesAgency that administers TANF, SNAP, Child Care, LIEAP, and whose staff determines eligibility for Medical programsSends, Receives, & Filters PARIS filesProduces reports for the VBE project & eligibility staff2. Kansas Department on AgingAgency that is responsible for the Nursing Facility and Home & Community Based Services (HCBS) for Frail Elderly budgetAgency with staff resources and commitment to build database to track VBE project resultsAgency “unofficially” spearheading the VBE project team
74. State Commission on Veterans Affairs 3. Kansas Dept. of Health and Environment, Division of Health Care Finance (formerly the Kansas Health Policy Authority )Single State Agency for Medicaid PolicyOperates the HealthWave Clearinghouse (determines eligibility for Medical programs for children and families)Medicaid claims systemThird Party Liability Interests4. State Commission on Veterans AffairsAgency responsible for outreach to veteransAgency that selected VBE pilot countiesVBE project implementation with mobile vehicles and dedicated staff to travel the state assisting veterans and their families
8VBE Project - Coming Together Memorandum of AgreementEach agency’s legal and program staff involvedCompeting Agency PrioritiesDifferent Levels of Understanding TermsAgency JargonOnly one agency, SRS, had touched the PARIS data
9Kansas’ VBE Project Goals Outreach to veterans and their familiesWhat family couldn’t use more household income?What family wouldn’t want more health coverage options?Reduced Medicaid expendituresPrescriptionsDurable Medical EquipmentLong Term Care (Nursing Facilities & HCBS)Reduced expenditures in other program areas
10Kansas’ Veterans Benefit Enhancement Project (VBE) Kansas Veteran FactsSource: Veteran Population Model, VetPop2007, US Department of Veterans Affairs,Office of the Assistant Secretary for Policy & Planning, Office of Policy (008A2),Document Released in January 2008.
11VBE Project Pilot VBE Project Started in Pilot Counties October 2010 60 of the State’s 105 counties are in the pilot.Numbers for the PilotEstimated 43,518 veterans in pilot counties.247 on first report for VBE project outreach (August 2010 PARIS VA match – Prior to VETSNET)Coordinated effort to track results
12Progress After Pilot Start No new individuals identified on subsequent PARIS VA matches (until VETSNET)Veterans Commission Outreach Staff were still being hired and trained after first outreach listLegislative Post Audit began soon after startTo date no information has been returned to VBE team from first outreach listMedicaid agency now using file each quarter to identify TPL
13Kansas Legislative Post Audit Scope Audit to address the following questionsHas the Veterans’ Claims Assistance Program helped more veterans obtain services through staff located at the State’s three Veteran’s Affairs medical centers?Could Kansas achieve cost savings by helping veterans and their dependents user federal Veterans Affairs’ programs instead of state-funded programs such as Medicaid?
14Kansas Legislative Post Audit Information Gathering Four agencies to interviewMultiple staff members for each agency interviewedRepeated Interviews/Conflicting InformationGroup Meeting with AuditorsAuditor Contacting other StatesBesides Washington and California, most states with VA projects like this are in the same building phase as Kansas
15Kansas Legislative Post Audit Results Full Audit report is available on-lineEntitled “Kansas Commission on Veterans’ Affairs: A K-GOAL Audit Reviewing Issues Related to Veterans’ Benefits”Pages are related to question #2 in the scope of the audit and related to the Kansas Veteran’s Benefit Enhancement project
16Kansas Legislative Post Audit Results In 2009, Kansas Commission on Veterans’ Affairs own analysis estimated Kansas could save between $1.3-$1.9 millionAudit confirms Kansas could reduce State spending on Medicaid by almost $1.3 million a yearAudit estimates with VETSNET returning more matches the State’s savings could double to about $2.5 million a year
18Kansas Legislative Post Audit Results In the last year, KDHE identified 243 Medicaid beneficiaries with previously undisclosed TRICARE coverageSRS continues to identify discrepancies in matched VA income to eligibility system budgeted incomeFirst VETSNET match provided astounding monthly discrepancy numbers
19Kansas Legislative Post Audit Recommendations The State needs to reprioritize resources to achieve the estimated savingsNot Necessarily New ResourcesThe State needs to establish a structure to better coordinate efforts between several state agenciesMOU Changes SuggestedSelect a lead agencyClearly identify Roles and Responsibilities of each agencyDetermine the priority of workCreate deadlines and follow-up proceduresCapture cost savings!!!
21Questions? Kristi Scheve, Data Exchange Manager SRS-Economic & Employment SupportDocking State Office Building915 SW Harrison, Suite 580 Topeka, KS Phone: (785)Fax: (785)
22The Washington State Story Veteran’s Benefit Enhancement Program A partnership between:Washington State Health Care AuthorityWashington State Department of Veterans Affairs
23Washington State Success Story In 2002, Washington State Health Care Authority (HCA) established a partnership with Washington State Dept of Veteran’s Affairs (WDVA) to identify Vets and their dependents eligible for military related health care and the maximization of monthly cash benefitsFacilitation results in acquiring/increase in federal benefits while reducing Medicaid expenditures.Established Application Referral processHCA utilizes PARIS match data to identify Vets and spouses which warrant a referral to WDVA. WDVA then initiates the process of increasing the entitlements.
24Washington State Utilizes PARIS Federal File - Military related matches for TRICARE coverage of veteran and dependentsConfirmed by COB and third party screens codedRetroactive coverage of 12 months allowed for recoupment of Medicaid paid expensesVA File - Maximize current VA benefitAid and Attendance$90 not in NH$0 listed amounts – Need review% service connected disabilitySpouses with DIC monthly benefits/CHAMPVA
25Washington State VA Healthcare System Enrollments All Vets are potentially eligible for VA medical care, but WA focuses on Vets who are receiving A&A or service-connected disability compensation at a 50% disability rating or higher. These Vets are not required to obtain a prescription from a VA doctor to receive drugs or medicines from the VA, but can have their own doctor provide a prescription to the VA pharmacy.Project Total: 3006 enrollments
26Veteran Benefit Enhancement Program Cost Avoidance Savings