Location of Meeting: Central Illinois Service Access, Lincoln IL
Team 1 Handout: CMS Final Rule on Medicaid HBS Services
Reviewed the minutes from 3-13-14 with 2 minor corrections (minutes on DHS web site are correct)
Providers are having questions around what the role of their QIDP is going to be with the changes. How is that going to affect service faciliators? How will funding decisions be made regarding choices? Providers are worried about how decisions will be made with the new service coordination role.
Discussion regarding Service Faciliatation for Home Based Services:
Currently service faciliatation is done through provider agencies since it has become a medicaid program. Previously the "service facilitation" was completed through the service coordination agency until home based services became a waiver program. It is difficult to find agencies to provide service faciliatation because the payment is so low (they are only able to bill 3-5 hours per month for service facilitation). Some agencies will also only provide the service if the individual attends their day program. The role also is confusing for families as to who does what role (is it a service faciliatation role or a service coordinator role?) Would it make sense for service facilitation to be clarified and/or possibly handled by Service Coordination agencies as we look to streamline this process? What would be the benefits and drawbacks?
Discussion regarding innovation/creativity/change: We've got to be able to question without people feeling defensive.
CMS Final Rule on Medicaid Home and Community Based Services was passed January 10, 2014 and is effective as of March 17, 2014. The rule itself is 87 pages long.
See attached 3 page handout titled "CMS Final Rule on Medicaid Home and Community Based Services".
1915c is the waiver that Illinois is under for DD services. It allows that for the first time that a medicaid office can combine multiple populations under one waiver (aging, mental health, DD). At the state level it is difficult to administer multiple waivers so this will make the process easier for states but the rule will be a big change for providers. Just because they can combine does not mean they will combine these groups into one waiver. Questions and Comments in Regard to the new CMS rule:
Assessments: ICAP/SIB, Psychological, Psychosocial, Physical/Medical History. Review assessments to determine if: 1. Person has a developmental disability, 2. Does the Person require skilled nursing care? 3. Does the person require active treatment?
What do we do that is meaningful? We don't want to necessarily be defined only by the programs that we offer? Agency names in other states: Resource Coordination, Service and Support Administrators, Supports Coordinator, Service Coordinator. Discussion was held around how the agencies should be identified in an easy to remember fashion that encompasses all of the programs.
This team's recommendation is that we be called Independent Service Coordination Agencies. We will discontinue the reference to PAS/ISC/ISSA and strictly be referred to as Independent Service Coordination (ISC).
Our name: we are called to many different names. This team's recommendation is that we be called Independent Service Coordination Agencies.
What are your top 2-3 issues?
Minutes Prepared By: Denise Oligney-Estill
Illinois Department of Human ServicesJB Pritzker, Governor · Grace B. Hou, Secretary
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