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Issues Impacting OMH HCBS Waiver Programs NYS Coalition for Children’s Mental Health Services Full Coalition Meeting Thursday, April 3, 2014.

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Presentation on theme: "Issues Impacting OMH HCBS Waiver Programs NYS Coalition for Children’s Mental Health Services Full Coalition Meeting Thursday, April 3, 2014."— Presentation transcript:

1 Issues Impacting OMH HCBS Waiver Programs NYS Coalition for Children’s Mental Health Services Full Coalition Meeting Thursday, April 3, 2014

2 Key Change Factors  OMH Regional Center of Excellence (RCE) Plan lead to Waiver Expansion to ease bed-downsizing – used BIP funds  Waiver anticipated under Medicaid Managed Care to provide both existing 1915c and 1915i services  New CMS Rule – must comply with new rule within 5 years; transition plan from NY to be submitted by August 1  NYS’s Renewal Application to CMS –going for short term renewals so they can address CMS concerns (provider choice, incident reporting and performance measures were mentioned)  Health Home – care coordination for all; does this force unbundling?  BIP – conflict free care coordination – SPOA being referral source and provider mentioned as issue because the firewall between Level of Care determination and provision of service doesn’t meet federal test

3 OMH Plans to Work with the Field  A communications plan is under development and will include:  Real-time communication about changes  Listserv  Regularly scheduled webinars (May 2 notification coming soon)  Opportunities for open dialogue and shared experiences  Regional meetings, if needed, to address local issues  County and/or program specific supports for regional impact response  Access to technical assistance and support through the Clinic Technical Assistance Center (CTAC) for compliance and operational change

4 Coalition Next Steps 1. RCE/Expansion of Waiver Slots (150 total slots)  Streamlining referral process  Reducing Wait Lists  Adjustments to LOS 2. CMS Application (Renewal)  Recommendations to OMH need to be developed and tied to #4 3. New CMS Rule  Involvement of QA staff on OMH listserve and calls imperative to shape transition/compliance proposal 4. Health Homes and Medicaid Managed Care Transition


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