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Consumer Advocacy and Financial Alignment Demonstrations Health Action 2014 Krystal Knight New York State Policy Director
© 2013 Medicare Rights Center Medicare Rights Center The Medicare Rights Center is a national, not- for-profit consumer service organization that works to ensure access to affordable health care for older adults and people with disabilities through: Counseling and advocacy Educational programs Public policy initiatives
© 2013 Medicare Rights Center The Coalition Coalition to Protect the Rights of New York’s Dually Eligible (CPRNYDE) Made up of over 45 consumer advocacy organizations Steering Committee: Medicare Rights Center Empire Justice Center New York Legal Assistance Group Center for Independence of the Disabled, New York Legal Aid Society New York Association of Independent Living Community Service Society Consumer Directed Personal Assistance Association of New York State
© 2013 Medicare Rights Center Fully Integrated Dual Advantage (FIDA) 170,000 duals receiving 120 days or more of long term care in the community or SNF Capitated model Geographic area: New York City, Long Island, Westchester Phased enrollment: Voluntary beginning October 1st 2014, Passive beginning January 1 st 2015 MOU signed August 2014 Readiness Review began October 2014
© 2013 Medicare Rights Center Policy Priorities Core Areas of Focus Enrollment Network adequacy Plan payment and performance measures Stakeholder and beneficiary engagement Appeals and grievance procedures Monitoring and oversight Participant Ombudsman ADA compliance
© 2013 Medicare Rights Center Advocacy “WINS” Integrated Appeals Aid Continuing / Aid Paid Pending Readiness Review Interdisciplinary Team
© 2013 Medicare Rights Center Krystal Knight firstname.lastname@example.org 212-204-6219
Michigan’s Voices for Better Health Project ▪ RoAnne Chaney, Michigan Disability Rights Coalition ▪ Ayesha Ghazi, Michigan Consumers for Healthcare ▪ Alison.
Open Public Meeting July 27, am – 12 pm State Transportation Building, Boston MassHealth Demonstration to Integrate Care for Dual Eligibles.
Protecting the Rights of Low-Income Older Adults.
Demonstration Proposal to Integrate Care for Dual Eligible Individuals: FIDA Update Mark Kissinger, Director Division of Long Term Care March 13, 2013.
California’s Coordinated Care Initiative Beneficiary Presentation November 2014.
1 Cal MediConnect Martha Smith Chief Program Officer, Dual Eligible Demonstration Health Net, Inc. Paul Van Duine Senior Director of Provider Network Operations.
Open Public Meeting February 28, pm – 5 pm 1 Ashburton Place, Boston MassHealth Demonstration to Integrate Care for Dual Eligibles.
FLORIDA SENIOR CARE Improving Medicaid Services for Florida’s Seniors Beth Kidder Chief, Bureau of Medicaid Services Agency for Health Care Administration.
“Reaching across Arizona to provide comprehensive quality health care for those in need” Our first care is your health care Arizona Health Care Cost Containment.
Federal Updates Presented by Becky A. Kurtz Director, Office of LTC Ombudsman Programs NALLTCO Member Meeting – November 16, 2014.
Managed Long Term Care Plans Mandatory Enrollment Linda Gowdy Home Care Association May 31,
Mandatory Managed Long Term Care Enrollment Plan February 16, 2012.
Medicaid Division of Medicaid and Long-Term Care Department of Health and Human Services Managed Long-Term Services and Supports.
Suzanne S. Gore Director, Policy and Research Virginia Department of Medical Assistance Services SNP Alliance Meeting October 10, 2013 Commonwealth Coordinated.
Improving Care for Medicare-Medicaid Enrollees Medicare-Medicaid Coordination Office Centers for Medicare & Medicaid Services August 19, 2015.
Coordinated Care Initiative (CCI) BASICS: Preparing for Changes Amber Cutler, Staff Attorney National Senior Citizens Law Center Silvia Yee, Senior Attorney.
Special Delivery: Getting Care to Vulnerable Populations Renée Markus Hodin Community Catalyst Families USA Health Action 2009 January 29, 2009 Washington,
June 4, Systems Change Grants: 2001 Real Choice & 2003 Independence Plus Presenters: Keith Jones, RCCPIG Co-Chair & Erin Barrett, Project Director.
Adult Care and Support Commissioning Strategies Sarah Mc Bride - Head of Commissioning, Performance and Improvement Ann Hughes – Acting Senior.
Michigan Association of COMMUNITY MENTAL HEALTH Boards Report Card and Advocacy Plan for Michigan’s Integrated Care for People who are Medicare-Medicaid.
California’s Coordinated Care Initiative Advocate Presentation February 2014.
MassHealth Managed Care for Older Members and Members with Disabilities Lori Cavanaugh Director of Purchasing Strategy NASHP Annual Conference October.
PACE: A Foundation for Serving People with Intellectual Disabilities? Peter Fitzgerald National PACE Association Alexandria, VA
The Moving Parts of Medicaid Reform CDPAANYS Annual Conference October 24, 2012 Presenter: Cathy Roberts, Senior Paralegal Empire Justice Center, Albany,
Healthy Lifestyles Forum August 26, 2011 Gretchen Kunkel, President KC Healthy Kids.
HHS HUD Housing Capacity Building Initiative for Community Living Programs of the Administration on Aging Department of Health and Human Services.
The Challenges of the Medicaid Modernization Mandate – Part 1 Joel L. Olah, Ph.D., LNHA Executive Director Aging Resources of Central Iowa Iowa Assisted.
December 20, A Brief Overview: Real Choice and Independence Plus Systems Change Grants Connect the Dots Meeting December 20, 2004.
1 Guidance for Organizations Interested in Offering Capitated Financial Alignment Demonstration Plans Medicare-Medicaid Coordination Office Vanessa Duran,
Section 1115 Waiver Implementation Plan Stakeholder Advisory Committee May 13, 2010.
Michigan Long Term Care Conference March 23, 2006 Choosing from the Array of Long- Term Care Supports and Services.
Effective Advocacy: Knowledge, Tools & Attitude Presented by Carol Neidenberg January 25, 2012.
Kristin Burhop Director, Office of Coordinated Care Virginia Department of Medical Assistance Services Adult Services Committee September 18 th, 2013
SB 468 Self-Determination Gabriel Rogin Executive Director, Area Board 5 State Council on Developmental Disabilities
Consumer Assistance Programs: A Vital Piece of the Health Care Reform Puzzle Priya Mendon, Director, NYC Managed Care Consumer Assistance.
MANAGED LONG TERM SERVICES AND SUPPORTS (MLTSS) James David Toews.
C ALIFORNIA ’ S C OORDINATED C ARE I NITIATIVE : M ANDATORY M EDI -C AL M ANAGED C ARE E NROLLMENT AND THE D UAL D EMONSTRATION P ROJECT Presented by the.
California’s Coordinated Care Initiative Department of Health Care Services 5/2/
Connecting SNPs with State Medicaid Programs October 18, 2007 Charles J. Milligan, Jr. Executive Director.
Commonwealth Coordinated Care Virginia’s Dual Eligible Financial Alignment Demonstration Kristin Burhop and Emily Carr Virginia Department of Medical Assistance.
Pamela Mokler, Vice President, LTSS, Care 1 st Vicki Macedo, Program Specialist, HHSA AIS Mark Sellers, Asst. Deputy Director, HHSA AIS.
Medi-Cal 1115 Demonstration Waiver 14 th Annual ITUP Conference February 10, 2010.
Health Reform and Medicare: Overview of Key Provisions Tricia Neuman Vice President and Director, Medicare Policy Project Kaiser Family Foundation For.
Michigan’s Journey to Integrated Care for Dual Eligibles Alison Hirschel Michigan Poverty Law Program & Michigan Voices for Better Health.
Michigan Department of Community Health Director Olga Dazzo Michigan’s Plan for Integrated Care National Academy for State Health Policy Kansas City, Missouri.
Managed Long Term Care is Coming; What Can WE Do? June 19 th, 2013 National Participant Network
Affordable Care Act Aging Network Opportunities Judy Baker Regional Director Health and Human Services October 18, 2010.
Helping your Patients Understand the Fully Integrated Duals Advantage (FIDA) Program.
San Diego Long Term Care Integration Project LTCIP Planning Committee October 11, 2006.
A personal health care plan that’s centered on you. One plan that brings together the resources of Medicare and Medicaid. A plan that gives you all the.
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