1. Staten Island Family Forum
Kate Bishop and Amanda Harper
NYS Office for People With Developmental Disabilities
7/19/17

2. System Change Care Coordination Organizations
11/23/2018
System Change Care Coordination Organizations
Builds from the experience and expertise in the field of developmental disabilities today
Stronger coordination structures to support community based supports
Strong person-centered practices with holistic view of person

3. 5/19/17
What is a CCO?
Care Coordination Organizations (CCO), a new organization to be approved by OPWDD
To provide enhanced care coordination services
Level of service tailored to individuals’ needs
Regionally based / community resources expertise
Personal choice
Build on traditional MSC role
IT enabled
Conflict free
Foster HCBS Rule attainment

4. Care Coordination Organizations (CCOs)
5/19/17
Care Coordination Organizations (CCOs)
CCOs will be designed as specialized Health Homes, with their focus on coordinating care for people with developmental disabilities.
CCOs will operate under the 1115 waiver.
CCOs may subcontract with existing IDD MSC provider agencies for a period of time

5. Why Focus on Care Coordination?
Provide services with a holistic view of the person– health, wellness, behavioral health and LTSS
Community living has many moving parts
Increased attention to a person’s life goals
Offer improved career path for current service coordinators
Build on strengths of current structure
A path to managed care and Value Based Payments (VBP)
Community- as we have more and more people exploring self directions and non certified living situations coordination needs increase
Career path- with focus on health, wellness behavioral health there are more areas of specialty that can allow for advancement that isn’t currently available with in our typical MSC administrative structure.
VBP- focused on outcomes vs dotting of I’s crossing of T’s. Our system has focused a lot on compliance vs quality and the outcomes of the people we support. Recognize that the system needs to move forward and to pay greater attend to goals and personal outcomes of the person served and the value in this. Rewarding providers for their hard work and doing well.

6. Benefits of Care Coordination
Increased individual satisfaction and choice through person-centered planning
Service authorization, activation and monitoring improved (more seamless, reduced paperwork)
Improved access to services and providers and reduction of unnecessary delays
Enhanced integrated opportunities for independence to the extent possible
Support of meaningful outcomes and value-based performance metrics
IT enabled communication & data sharing
Increased accountability
- Intention of care coronation to better streamline our system and get out of the way of the PCP process and increasing the independence of the people we support.
Show of hands-providing services to someone who isn’t happy where they are, is getting more of less supports than they require. Still using paper to share plans and make changes?
-through enhanced IT systems we can improve communication and efficiency while decrease deficiencies and compliance issues due to preventable systems issues that can be addressed using technology.

7. Health Care Transitions for People With Developmental Disabilities
Disability is a lifelong condition
Differences in individual abilities
Co-morbidities and co-occurring conditions
Over time, people’s health status & support needs change
Someone with I/DD is more than twice as likely to be admitted when they present in hospital emergency departments
People with I/DD in inpatient settings can be stable but not have appropriate long term supports and services identified

8. Underutilized Preventative Health Care Services
11/23/2018
Underutilized Preventative Health Care Services
Preventive screenings
Health promotion
Dental
Chronic care management
Health optimization
Maximize use of preventative services to maximize good health for optimum community life and independence

9. Care Coordination is a Comprehensive Model
Care Coordination Functions
Linkage and Referral
Advocacy
Care Planning
Assess-ment
Monitoring
Record Keeping
Coordina-tion with providers
Cost Mgmt.
Eligibility & Benefits Maint.
Central Point of Contract

10. Comprehensive Care Management Includes
Use of care teams comprised of individuals receiving support and services and their representative/circle of support, developmental disability service providers, and medical, behavioral health providers, social workers, nurses and other care providers, as appropriate
Conflict-free care management services must be person-centered and person-driven
Comprehensive care coordination that addresses the individual’s needs holistically, including better access to physical, behavioral health services, and wellness
Support and care is detailed and monitored through the use of the OPWDD defined Life Plan that is integrated and electronic

11. Person-Centered Life Plan
11/23/2018
Person-Centered Life Plan
Supports and services are detailed and monitored through the use of OPWDD’s Life Plan, an integrated and person-centered electronic service plan
Care Coordination Organizations (CCO/HHs) will be responsible for the development of the Life Plan
The Life Plan must include specific domain areas and be accessible electronically to all authorized members of the care team

12. 11/23/2018
Timeline & Next Steps
Now until August 4: Comments on the draft Application will be accepted—applications are not being accepted at this time.
September 30, 2017: The final Application will be released and applications begin to be accepted.
November 30, 2017: Last day for CCOs to apply.
December 2017 – February 2018: Review and approval of Applications, Start-up Grant Awards.
March-June 2018: Readiness activities.
July 2018: Transition to CCO/HH.

13. 11/23/2018
What Do I Need To Do?
Attend upcoming Webinars offering additional details.
Read the draft application to learn more about CCOs.
Connect with potential CCOs in your geographic region.
Reach out to OPWDD with questions.
Check OPWDD’s website frequently for updates and new materials.

14. Questions/Discussion

15. 11/23/2018
Kate Bishop Division of Person Centered Supports OPWDD Care.