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CCO Presentation MSCs 3 - lifeplanccony.com

MSC PresentationoBackground of Care Coordination OrganizationoTransition Plans for Individuals, MSCs and MSC Supervisors, and MSC AgenciesoCareer OpportunitiesoQ/AAGENDAHow we got Criteria requires that OPWDD move Service Coordination to a Conflict Free model by 7/1 with other states, NY is moving to a Medicaid Managed Care model within the next few years. People with IDD are the last group to move to managed care. oThe Care Coordination model will allow providers of developmental disability services to maintain control of the services and ensure the funding will be preserved for this CCO was founded by The Center for Disability Services in Albany & Upstate Cerebral Palsy in Utica Have been working together for 5 years, first on the DISCO/FIDA Managed Care Initiative, and second on the Care Coordination Organization (CCO). Upstate CP is an experienced NYS Health Home in 7 Counties in Central NY & North Country for Adults and 10 Counties for Children and has an established network of healthcare providers.

LIFEPlan CCO was founded by The Center for Disability Services in Albany & Upstate Cerebral Palsy in Utica Have been working together for 5 years, first on the DISCO/FIDA Managed Care Initiative, and second on the Care Coordination

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Transcription of CCO Presentation MSCs 3 - lifeplanccony.com

1 MSC PresentationoBackground of Care Coordination OrganizationoTransition Plans for Individuals, MSCs and MSC Supervisors, and MSC AgenciesoCareer OpportunitiesoQ/AAGENDAHow we got Criteria requires that OPWDD move Service Coordination to a Conflict Free model by 7/1 with other states, NY is moving to a Medicaid Managed Care model within the next few years. People with IDD are the last group to move to managed care. oThe Care Coordination model will allow providers of developmental disability services to maintain control of the services and ensure the funding will be preserved for this CCO was founded by The Center for Disability Services in Albany & Upstate Cerebral Palsy in Utica Have been working together for 5 years, first on the DISCO/FIDA Managed Care Initiative, and second on the Care Coordination Organization (CCO). Upstate CP is an experienced NYS Health Home in 7 Counties in Central NY & North Country for Adults and 10 Counties for Children and has an established network of healthcare providers.

2 LIFEPlan CCOoLIFEPlan CCO is a For-Profit LLC with over 60 other Partnering MSC Provider Agencies across our region including:ABOUT USLiberty Resources Madison Cortland Chapter NYSARCNNY Cerebral Palsy AssociationNYSARC Inc, Onondaga County ChapterOnondaga Community Living, Inc. (OCL) Oswego County OpportunitiesOswego IndustriesPathfinder VillageResidential ResourcesSpaulding Residence CorpSt. Lawrence Chapter of NYSARCT oomey Residential & Community Services United Helpers/MosaicUnity House Of Cayuga County Cerebral Palsy Access CNY AchieveAdvocates Inc. ARC DelawareARC Herkimer ARC Oneida Lewis ARC Oswego CountyARC OtsegoArise Child And Family ServiceCayuga Counseling Services, for Disability ServicesCentral New York Services, Palsy Association Of The North CountryDisabled Persons Action John Gavras CenterExceptional Family Resource Family Advocacy CenterFamily's Choice of the North CountryFranziska Racker Center, IncHandicapped Childrens Association of Southern NY (HCA) Heritage Farm, IncJefferson Rehabilitation CenterKelberman Center Inc.

3 L'Arche Syracuse LAUNCH LIFEPlan s Geographic coverage is all of OPWDD Regions 2 & 3, which includes 38 countiesTERRITORY6 Approximately 10,000 members in Region 2oWe currently have commitments with MSC provider agencies totaling over 17,000 includes partnering with agencies in Central, Northern, Capital Region, Southern Tier and the Hudson anticipate establishing Local Hubs and Offices to help manage the CCO and account for regional , Syracuse, Albany, North Country, Hudson Valley and the Southern Tier are planned Regional PROGRESSoMSC Agencies--LIFEPlan is offering a choice of options to your home agencies who have aligned with us: Transition MSC Services into LIFEPlan CCO on July 1, 2018 Subcontract Services for 6 or 12 month options, the limit set by OPWDDoPeople receiving MSC services MSC ends 6/30/18. Individuals will be auto-enrolled into CCOs by OPWDD based on MSC provider agency alignment.

4 Individuals will then be given choices of CCOs, as well as to opt out of enhanced care management CCO anticipates needing all qualified MSC staff to help create our PLANMSC AGENCY INFORMATIONoIt is LIFEPlan CCO s hope that individuals/families and their MSCs will choose to transition together to the new CCO-HH enhanced care management :TRANSITION PLANCCO Application Due 11/30/17 CCO Designations by 2/28/18, Readiness Activities 3/1 6/30/18 CCOs begin Care Coordination July 2018, MSC ends 6/30/18 Care Coordinator(MSC) Staff Fully transitioned to CCO by July 20199 MSC NOW and FUTURE10 Strong emphasis on advocacy-actively supporting and/or negotiating on behalf of individuals Professional development training to enhance ability to support individuals with I/DD Use Health Information Technology to link services and enhance communication between individuals, families, and providers Complete a Comprehensive Health Risk Assessment Coordinate, facilitate and record access to chronic disease support, mental health.

5 And substance use support services Conduct Transitional planning Collect and report on data that permits an evaluation of increased coordination of care Coordinate and arrange provision of services Support adherence to treatment recommendations Monitor and evaluate individual s needs Assist with Transitions Identify community based resourcesNOWFUTUREMSC AGENCY INFORMATIONMay include:oSupervisory Roles--- team leaders, seniors that recognize experience and expertise, and regional leads oManagement and administration--- for those interested in the operational aspects of providing care, including QA, compliance, training, for those that have expertise in nursing, social work, or wellnessoFamily Advisory RolesoSpecial Populations---focus on Sub-populations such as Dementia/ Alzheimer's, Geriatrics, OPPORTUNITIES FOR MSCs11 MSC AGENCY INFORMATIONO ther Questions12 Hiring, Salary,Work Location,Hours/ Flexibility,Benefits,Time Off, Seniority,Training,Caseload Sizes.

6 ?MSC AGENCY INFORMATIONWe Want You To Be A Part of LIFEPlan! KearsingCarleen StewartVice President of Operations VP of Network Development(O) 518-944-2106(O) 315-507-2018 ext. 230(C) 518-281-0741(C) 315-368-7390 Alan Krafchin, Chairperson Lou Tehan, Vice ChairCONTACT US