1. Department of Health and Social Services Division of Medicaid & Medical Assistance Joint Finance Committee Hearing Fiscal Year 2014 Stephen Groff Acting Division Director Wednesday, February 20, 2013

2. Delaware Health and Social Services Overview Medicaid Delaware Healthy Children Program (CHIP) Delaware Prescription Assistance Program (DPAP) Chronic Renal Disease Program (CRDP)

3. Delaware Health and Social Services Medicaid Enrollment

4. Delaware Health and Social Services Total Medicaid Spending

5. Delaware Health and Social Services Cost Per Member Per Month

6. Delaware Health and Social Services Care Coordination Long Term Services and Supports: Diamond State Health Plan Plus Program for All-Inclusive Care for the Elderly (PACE) Money Follows the Person Program

7. Delaware Health and Social Services Care Coordination Care Management: Emergency Department Utilization Primary Care Medical Homes Health Homes for Chronic Conditions Prescription Pain Management

8. Delaware Health and Social Services Health Information Technology Electronic Health Record (EHR) Incentive Payments Coordination with the Delaware Health Information Network (DHIN) Continued Increase in E-Prescribing Telemedicine

9. Delaware Health and Social Services Accomplishments Value Based Purchasing Partnership with UD & HealthCore, Inc. Quality Measurement Centers for Medicare and Medicaid Innovation (CMMI) Project

10. Delaware Health and Social Services Moving Forward Employment First Affordable Care Act (ACA): –Health Benefit Exchange –MAGI and Simplified, Streamlined Application –Medicaid Expansion

11. Delaware Health and Social Services FY 14 Governor’s Recommended Budget $24.6 millionProjected growth in Medicaid Eligibles $5.8 millionDelaware Healthy Children Program (moved to GF from Tobacco funds) $186.4Medicaid for Workers with Disabilities (moved to GF from Tobacco funds) $10.8 millionNursing Home Quality Assessment ASF[SB 227]

12. Delaware Health and Social Services Thank You