1. (Community HealthChoices Logo) MLTSS Sub-Committee Monthly Reports April 6, 2016

2. (Community HealthChoices Logo) 2 WORKGROUP MEMBERS Clinical Eligibility Determination Workgroup Lead: Wilmarie Gonzalez Noreen Allison, Union/Snyder Counties AAA Pam Auer, CIL Cheryl Bolias. SouthWestern PA AAA Brook Bower, Cameron/Elk/McKean Cnties AAA Joan Bradbury, PALPA **Terry Brennan Frank Byrne, Aging Well **Brenda Dare Thomas Earle, CIL Member Vicki Eicher, Quality Council Stephanie Frey, York County AAA Joann Gago, PALPA Janel Gleeson, PA Homecare Association Wendy Goodyear, Centre Cty Ofc of Aging Beth Greenberg, LeadingAge PA Stephanie Hnatkovich, Clearfield Cty AAA Vicki Hoak, PA Homecare Association Stan Holbrook, PA Council on CILS **Cathleen Holdsworth Bridget Lowery, Mainline Rehabilitation Assoc Jim Pezzuti, Consultant Doris Magee, Luzerne/Wyoming Cnties AAA **Drew Nagele, Neuro Rehab Matt Perkins, Srv Coordination Unlimited Betty Jo Robinson, Phila Cty Corp for Aging Lois Tobin, Bucks Cty AAA Monica Vaccaro, Brain Injury Association Melissa Weakland, Blair Senior Services Gail Weidman, PHCA Office of Long-Term Living Staff PA Department of Aging Staff University of Pittsburgh Staff Communication Workgroup Lead: Shannon Baker Lester Bennett, Casey Ball Supports Coordinator Quintonia Dunn-Hicks, Cedar Woods Care Mgmt Beth Greenberg, Leading Age **Fred Hess, Disability Options Network **Estella Hyde, AARP **Jack Kane, Kelley & Murphy **Pam Mammarella, NewCourtland Services Diane Menio, CARIE German Parodi, Liberty Resources **Tanya Teglo Office of Long-Term Living Staff Participant Notices SubGroup Workgroup Lead: Ginny Rogers Beth Greenberg, LeadingAge **Pam Mammarella, NewCourtland Srvs German Parodi, Liberty Resources Brian Flacco, KPMG Jean Bechtel, KPMG Office of Long-Term Living Staff Office of Income Maintenance Staff Office of Medical Assistance Programs Staff Office of Mental Health and Substance Abuse Services Staff PA Department of Aging Staff Representatives from Deloitte Consulting Training Workgroup Lead: Greg Neff **Theo Braddy, CIL of Central PA **Fred Hess, Disability Options Network Jennifer Haggerty, PA Homecare Association Alan Holdsworth, ADAPT **Jennifer Howell **Estella Hyde, AARP Bridget Lowery, Mainline Rehab Diana Marquez, SEIU Healthcare **Drew Nagele, Neuro Rehab **Barb Polzer, LCC Office of Long-Term Living Staff PA Department of Aging Staff Grievance & Appeals SubGroup Workgroup Lead: Ginny Rogers Lester Bennett, Casey Ball Supports Coordinator **Fred Hess, Disability Options Network **Jack Kane, Kelley & Murphy Office of Long-Term Living Staff Office of Income Maintenance Staff Office of Medical Assistance Programs Staff Office of Mental Health and Substance Abuse Services Staff PA Department of Aging Staff **denotes LTCC SubMAAC member MLTSS Sub-Committee Reports (April 6, 2016)

3. (Community HealthChoices Logo) 3 Clinical Eligibility Determination (CED) Workgroup Date of Meeting(s)/Location: 3/2/2016 333 Market St, Harrisburg Next Meeting Date : 4/6/2016 333 Market St, Harrisburg Group Facilitator: Paul Saucier, Truven Agenda Topics covered: Purpose of the CED Review of stakeholder comments Reviewed updated version of draft CED Attending Workgroup Members: Noreen Allison, Pam Auer, Cheryl Bolias, Brook Bower, Joan Bradbury, Terry Brennan, Frank Byrne, Brenda Dare, Thomas Earle, Vicki Eicher, Stephanie Frey, Joann Gago, Janel Gleeson, Wendy Goodyear, Beth Greenberg, Stephanie Hnatkovich, Vicki Hoak, Stan Holbrook, Cathleen Holdsworth, Bridget Lowery, Doris Magee, Matt Perkins, Betty Jo Robinson, Lois Tobin, Monica Vaccaro, Melissa Weakland, Gail Weidman, Office of Long-Term Living Staff PA Department of Aging Staff, Consultants, Dr. Albert (Un. of Pitt) Decisions/Tasks covered: Overview of stakeholder comments: Assessment of assistive devices and environment – concerns about the lack of questions relating to the use of assistive devices to perform tasks. Algorithms- general concern regarding if there will be algorithms and how they will be implemented. Cognition – use of the SLUMS and general concerns about the limited cognition questions. ADL/Eating – general comments on the level of assistance that an individual requires to each. IADLs – general concern about there not being any IADLs. Medical information/diagnosis Decisions/Tasks next meeting: Review updated draft CED; provide comments by 3/14/16 University of Pittsburgh update draft CED according to comments Next meeting will be April 6, 2016 MLTSS Sub-Committee Reports (April 6, 2016)

4. (Community HealthChoices Logo) 4 Communication Workgroup Date of Meeting(s)/Location: 3/2/2016 (first meeting) Executive Conference Room, Forum Place Building, 6 th Floor Next Meeting Date : 5/4/2016 Agenda Topics covered: Welcome & Introductions Group Logistics Brainstorming: 1.Key Information: Beneficiaries 2.Methods of Dissemination 3.How to Test Materials Attending Workgroup Members: Lester Bennett, Pam Mammarella, Tanya Teglo, Kathy Cubit (substituting for Diane Menio) Decisions/Tasks covered: Defined group purpose: review and provide feedback on the development of stakeholder communications including participant notices, grievance and appeals notices and other correspondence related to the CHC program. Logistics of group explained in that the participant eligibility notices group and the grievance and appeals group will become subgroups of communication. Subgroup members will consist of other internal DHS stakeholders and individuals from this group who showed an interest. Group made goal to create different awareness pieces targeting participants and professionals. Decisions/Tasks next meeting: Discuss CHC communication strategy and how this group fits into the overall strategy Review work completed by the participant eligibility sub-group MLTSS Sub-Committee Reports (April 6, 2016)

5. (Community HealthChoices Logo) 5 Participant Notices Workgroup (subgroup of Communications Workgroup) Date of Meeting(s)/Location (meets twice a month): 3/30/2016 (also met 3/7/2016) 555 Walnut St, Harrisburg Next Meeting Date : To be scheduled Agenda Topics covered: Draft Notices/letters: IEE enrollment notices/letters HC notices with CHC edits Attending Workgroup Members: Beth Greenberg, Margo Wright, Michael Hagarty for Pam Mammarella, representatives from OLTL, OIM, OMAP, Department of Aging, and Commonwealth Information Technology vendors Decisions/Tasks covered: Created draft enrollment letters, welcome letters, and follow-up drafts Workgroup provided feedback on initial drafts, and drafts submitted to OLTL operations and project teams for next steps. Reviewed and revised Healthchoices notices (revised with CHC language) Feedback from the group was to re- write introductory paragraphs to make them less bureaucratic (will do focus groups) Decisions/Tasks next month: Review of sample letters/notices Convening a Senior Focus group MLTSS Sub-Committee Reports (April 6, 2016)

6. (Community HealthChoices Logo) 6 Training Workgroup Date of Meeting(s)/Location: 3/2/2016 Sellers Dorsey Office Next Meeting Date : 4/6/2016 Sellers Dorsey Office Agenda Topics covered: Discussion on pre-existing OLTL trainings (Risk Mitigation) Discussion on any additional training ideas Review of the Independent Living Philosophy training materials Discussion on next steps for the committee Attending Workgroup Members: Alan Holdsworth, Fred Hess, Barb Polzer, Kelly O’Donnell, Diana Marquez, Elaine Smith Decisions/Tasks covered: Narrowed the scope of the group to specifically focus on trainings valuable to MCOs and reviewing training material produced by OLTL relating to CHC. Performed a training exercise regarding participant choice and participant rights. Discussed what key points need to be present in each training such as an individual’s right to risk. Decisions/Tasks next meeting: Combine and edit the Independent Living Philosophy materials and put into webinar format. Begin reviewing and revising material for an upcoming OLTL training. MLTSS Sub-Committee Reports (April 6, 2016)

7. (Community HealthChoices Logo) 7 Evaluation Workgroup Date of Meeting(s)/Location: 3/17/2016 Forum Place, 6 th floor Next Meeting Date : 4/14/2016 Forum Place, 5 th floor Agenda Topics covered: Executive Summary Revisions Nursing Home Sampling Discussion Review drafts: Key Informant Interview Guide Participant & Caregiver Focus Group Guide Evaluation Plan Communication Strategy FYI – Independent Assessment mandated for 1915 (b) waivers Attending Workgroup Members: Richard Kovalesky Decisions/Tasks covered: As requested by sub-MAAC, evaluation plan now includes interviews with nursing home residents. Plan had already included interviews with waiver service participants. Provided initial feedback to University of Pittsburgh on several discussion guides developed for use in interviews and focus groups. University of Pittsburgh will begin focus groups and interviews later this year, before CHC starts which will ensure a baseline before CHC starts. These efforts will be coordinated with DHS and DOH to ensure that participants do not become confused by multiple outreach efforts that may also be occurring related to other CHC communication and quality monitoring efforts. Workgroup developed a plan for sharing evaluation updates with stakeholders. Plan includes regular updates at the sub- MAAC and posting of upcoming evaluation reports on the CHC website. Decisions/Tasks next meeting: Workgroup will provide feedback to University of Pittsburgh on discussion guides developed for use in interviews and focus groups and then review revisions at upcoming meeting. Workgroup will provide feedback to the Evaluation Plan Communication Strategy and then review revisions at upcoming meeting. MLTSS Sub-Committee Reports (April 6, 2016)