Saturday, June 25, 2016

Indiana Disability Rights (IPAS) Priorities Survey

PROPOSED GOALS & PRIORITIES FOR 2016-2017 
This document is being shared in an effort to obtain public input into the Proposed Goals & Priorities for Indiana Disability Rights to focus on from October 2016 – September 2017. Please send any questions, comments, or requests for accommodation to ExecutiveDirector@IndianaDisabilityRights.Org. 

You may respond to a survey regarding this proposal here: https://www.surveymonkey.com/r/IDRPublicComments2016. 

Please also like us on Facebook at https://www.surveymonkey.com/r/IDRPublicComments2016 and follow us on Twitter at https://twitter.com/INDisRts to learn about public meetings around the state where you will have another opportunity to comment. 

Public comments will be accepted from June 1, 2016 – August 15, 2016. A final draft will be posted by August 20 and a public hearing will be held at the Indiana Disability Rights office on August 27, 2016 at 9:30 a.m.

Thursday, June 23, 2016

Governor's Health Workforce Council

Meetings are open to the public.

GOVERNOR’S HEALTH WORKFORCE COUNCIL

Upcoming Meetings

  • Thursday, September 1, 2016, 10:00 AM - 12:00 PM
    Indiana Government Center South, Conference Room A
    302 W. Washington St., Indianapolis, IN 46204
  • Monday, December 5, 2016, 1:00 PM - 3:00 PMIndiana Government Center South, Conference Room 1 & 2
    302 W. Washington St., Indianapolis, IN 46204

Past Meetings

June 3, 2016
February 29, 2016

Council Taskforces

About

Governor Mike Pence created the Governor’s Health Workforce Council, which is charged with coordinating health workforce-related policies, programs, and initiatives within Indiana in order to reduce cost, improve access, and enhance quality within Indiana’s health system. The Council is also focused on developing data-driven health workforce policies to grow Indiana's well-trained health workforce.
Beginning in July 2014, the Governor’s Office worked with the Bowen Center for Health Workforce Research and Policy in the Department of Family Medicine at IU School of Medicine on a project sponsored by the National Governor’s Association (NGA) to help address health care provider shortages in Indiana. The goal of the project was to identify and develop a long-term strategy to ensure that Indiana has an accessible, well-trained, and flexible health workforce that is able to adapt to the ever-changing and growing needs of Hoosiers. At the conclusion of the NGA project, it was recommended that the state of Indiana establish an advisory council for the purpose of coordinating health workforce policy efforts in Indiana and establish a formal partnership for data exchange with the Bowen Center for Health Workforce Research and Policy.

Council Composition

The Council brings together state agencies, legislators, health care experts and industry leaders. It includes members from both the public and private sector, including representatives from the Governor’s office and designees from the Department of Workforce Development, Senate Health and Provider Services Committee, House Public Health Committee, Indiana Professional Licensing Agency, Indiana Family and Social Services Administration, Indiana State Department of Health, Indiana Department of Education, Indiana Commission on Higher Education, Bowen Center for Health Workforce Research and Policy, Anthem, Indiana Hospital Association, Indiana Rural Health Association and Indiana Primary Care Association.

CURRENT MEMBERS

  • Michael Barnes (Chair) - Indiana Department of Workforce Development
  • Lindsey Craig - Governor’s Office
  • Debbie Frye - Indiana Professional Licensing Agency
  • Don Kelso - Indiana Rural Health Association
  • Rep. Cindy Kirchhofer - House Public Health Committee
  • Doug Leonard - Indiana Hospital Association
  • Dr. Hannah Maxey - Bowen Center for Health Workforce Research and Policy
  • Sen. Patricia Miller - Senate Health and Provider Services Committee
  • Phil Morphew - Indiana Primary Care Association
  • Joe Moser - Indiana Family & Social Services Administration
  • Dr. Ken Sauer - Indiana Commission for Higher Education
  • Tom Vandergrift - Anthem
  • Dr. Jennifer Walthall - Indiana State Department of Health
  • Pete Weldy - Indiana Department of Education

Wednesday, June 22, 2016

Withdrawal of CIH Waiver Amendment

On January 4, 2016, the Division of Disability and Rehabilitative Services (DDRS), Bureau of Developmental Disabilities Services (BDDS) submitted a Community Integration and Habilitation (CIH) Waiver amendment to the Centers for Medicare & Medicaid Services (CMS). 

On June 16, 2016, DDRS withdrew the proposed CIH waiver amendment to make necessary enhancements and further align the CIH waiver with the Home and Community Based Settings (HCBS) Final rule, which Indiana must demonstrate compliance with, by March of 2019. 

The current CIH waiver will remain in effect until DDRS submits a new amendment that is approved by CMS. For specific information related to HCBS, the final rule may be found at the following website by clicking here. DDRS values its stakeholders and as such, will continue to afford stakeholders opportunities to provide input on its waiver programs before submitting any future waiver amendment to CMS.

DDRS will make additional information regarding any future waiver amendments on the DDRS Announcements’ Web page. DDRS looks forward to continued stakeholder feedback and engagement on future program activities and initiatives. 

Monday, June 20, 2016

Apply/Reapply for Caregiver Supports July 1

Families can renew their application or apply for Caregiver Support Services (CGS), starting July 1.
FVI note: Apply here: https://ddrsprovider.fssa.in.gov/BDDS/ConsumerInfo/CaregiverSupportRequest.aspx or call your local BDDS office
 
Limited funds are available for Caregiver Support Services and funds are available on a first come, first served basis.

The fiscal year for CGS begins July 1, 2016 and ends June 30, 2017, and renews on July 1, 2017. The hours are given out first come, first served, through local BDDS offices. Some districts do run out of funds.

CGS are not available to the primary caregiver if the individual is receiving or begins to receive other services from the Bureau of Developmental Disabilities Services (BDDS) or programs such as (but not limited to) Medicaid Waivers, Vocational Rehabilitation Services, First Steps, CHOICE. 
FVI note: Families can argue that other DDRS services do not include respite and ask for consideration.

What is Caregiver Support Services?   

  • Short-term relief period for the primary caregiver provided in the primary caregiver’s and individual’s home or a non-private residential setting (i.e., a “respite home”).
  • Providers must be selected from an approved CGS picklist.
  • The provider will provide the trained staff to supervise the eligible individual(s).
  • Staff can do the following activities:
    • assistance with toileting and feeding
    • assistance with daily living skills, including accessing the community
      and community activities
    • assistance with grooming and personal hygiene
    • meal preparation, serving and clean up
    • medication administration
  • Staff cannot do the following activities:
    • completion of routine household chores
    • caring for non-CGS approved persons
  • Staff cannot be the parent, spouse or primary caregiver of the individual receiving CGS.
  • Staff cannot be an adult that also resides in the same residence as the individual receiving services.
  • Staff cannot be used while the primary caregiver is at work.
  • Staff cannot use his/her own home as the place to provide CGS.
  • CGS cannot pay for the cost of registration fees or the cost of recreational activities, such as camp, etc.
  • CGS cannot be used to pay for rent, food or other household costs.
from The Arc of Indiana

Sunday, June 19, 2016

Listening Sessions about A&D and TBI waivers

The Indiana Family and Social Services Administration (FSSA) is considering new options for how it delivers home- and community-based services (HCBS) for older adults and people with physical disabilities or traumatic brain injuries (TBI). As part of this process, FSSA is soliciting input from people across the delivery system. 

FSSA is hosting listening sessions for Older Adults and wants to hear from YOU about the service delivery system and possible areas for improvement for how people in Indiana use HCBS. 

Who Should Attend? Older adults who receive services, their family members, caregivers, and advocates

What is on the Agenda? Representatives from the state will present their vision for the service delivery system in Indiana for people using HCBS. Listening sessions are designed to gather input from attendees about current strengths and possible opportunities for improvement in the HCBS service delivery system. 

Attendees will provide feedback on the following topics:
• How well do the services you receive meet your needs? How can we improve these services?
• Do you have any additional support needs that are not met?
• How can we make your services more person-centered?

Where and When?

6/29 Allen County Public Library, Fort Wayne 10:30am – 12:00pm EDT

7/6
Evansville library, Evansville 10a-11:30a CDT

7/8
Tippecanoe library, Lafayette 10a-11:30a EDT

7/12
CICOA, Indianapolis 9a-10:30a EDT

Please, tell us if you can join us by clicking on the link below and filling out a brief registration form. Be sure to include any requests for accommodations or assistance that would make it easier for you to attend this event.
Register here: https://goo.gl/w0p0R7

If you are unable to attend the listening session, please consider providing your input through our online survey here: www.research.net/r/IndianaSurvey

Thursday, June 16, 2016

DDRS Information Summit 6.23

The Division of Disability and Rehabilitative Services (DDRS) will be hosting a DDRS Information Summit on June 23, 2016, from 1 p.m. to 3 p.m. at the Indiana Government Center South, located at 302 W. Washington Street in Indianapolis. 

Those who are unable to attend the DDRS Information Summit in person, a live webinar will also be made available. The link and information and how to access the webinar are listed below: DDRS Information Summit webinar information 
 URL: https://indiana.adobeconnect.com/infssa/ 
o Participants will sign in as a guest using their name.
  Audio will be voice over internet, so participants will need to use speakers or headphones to hear the presentation. 
 Prior to the webinar, participants may click on the following link to test their connection: http://webinar.isl.in.gov/common/help/en/support/meeting_test.htm This will prompt the user with any needed updates or add-ins: 
 Please do not log into the webinar using Citrix or Virtual Private Network (VPN). These services will not be able to playback audio. 

Please note: If attending the event in person please note that the Indiana Government Center South public entrance on West Washington Street is closed due to building maintenance. The temporary public entrance is the North Senate Avenue entrance, located on the east side of the building across from the Statehouse. We apologize for the inconvenience. 


DDRS Information Summit agenda June 23, 2016 

I. Welcome - Peggy Welch, Chief Advocacy Officer, Indiana Family Social Services Administration 

II. DDRS Staff Introductions 

III. DDRS Vision – Kylee Hope, Director

Saturday, June 11, 2016

FSSA announces managed care contractors selected to serve Healthy Indiana Plan and Hoosier Healthwise members

Indianapolis (June 10, 2016) – The Indiana Family and Social Services Administration (FSSA) today announced the selection of Anthem Blue Cross and Blue Shield, CareSource Indiana, MDwise Inc. and Managed Health Services of Indiana to negotiate contracts to administer health care services for the approximately 1,000,000 enrollees in the Healthy Indiana Plan and Hoosier Healthwise programs starting January 1, 2017. The contracts would be effective for a maximum of six years.
In procuring the selected vendors, FSSA made a number of enhancements to the contracts to improve the value Hoosier taxpayers receive for the dollars spent in the Medicaid managed care entity (MCE) contracts including: 
  • Significantly increasing the payment tied to outcomes to further incentivize the MCEs to improve the health of the populations served. The contracts do this by progressively increasing the payment amount withheld and awarded based on outcomes from 2 percent in the first year to 5 percent in year six. 
  • Adding new program integrity language that requires the plans to work with the state on identifying and investigating health care providers and members suspected of fraud.
  • Including pharmacy and dental services in the contract for the Hoosier Healthwise program, aligning with the Healthy Indiana Plan and Hoosier Care Connect programs. Care is improved for members when all services are included and coordinated under one comprehensive contract. 
“We used this opportunity to really take a fresh look at what we expect the health plans to deliver and the value Hoosier taxpayers are getting from these contracts considering the more than $3 billion a year we are spending on them,” said Joe Moser, Indiana Medicaid Director. “We have made key changes to ensure Indiana Medicaid members are getting better coordinated health care and customer service from their Medicaid plan. We are confident we have selected the best managed care entities to meet or exceed these expectations.” 
Anthem, MDwise and Managed Health Services are the current managed care entities serving the Healthy Indiana Plan and Hoosier Healthwise program. CareSource will be a new option for members. There will be an open enrollment period later this year for Hoosier Healthwise members to switch plans, if desired, and Healthy Indiana Plan members are able to switch plans once a year at their eligibility renewal. FSSA will provide more information about the open enrollment period for Hoosier Healthwise members at a later date. 
The Healthy Indiana Plan serves nearly 400,000 adults between the ages of 19 and 64 with incomes below 138 percent of the federal poverty level. Hoosier Healthwise serves about 600,000 children and pregnant women.        
Indiana Medicaid has relied on managed care entities to serve Medicaid recipients since 1994, improving their quality of care and resulting in savings which is estimated to be between $406 million to $811 million over the last 20 years. The managed care entities provide a medical home responsible for all the members’ physical and mental health needs, encouraging prevention and wellness. 
Under the contracts, the managed care entities are paid for services provided based on a per-member per-month capitated payment. They share in the savings with the state if they coordinate care better than anticipated, keeping members healthy. They also keep the savings identified through their fraud identification and program integrity efforts, giving them an incentive to help the state identify fraud and abuse. The contracts include important consumer protections and limits on the amount of overall payment from the state that can be used by the managed care entities for administration and profits, ensuring taxpayer dollars are used primarily for patient care.  
Contracting with the managed care entities will be dependent upon successful contract negotiations between the state and the companies. The companies will only be allowed to enroll members upon demonstration of their readiness to serve members as determined by FSSA under a readiness review process.  
Under state law, Medicaid contracts are four years in duration, with two optional one-year extensions, necessitating the need for re-procurement at least every six years. 
The health plans selected to serve Healthy Indiana Plan and Hoosier Healthwise members were chosen through a fair and open procurement process managed by the Indiana Department of Administration (IDOA) and FSSA. Plans were chosen based on their responses to a request for proposals (RFP) posted last October. Prospective vendors were assessed based on many factors, including their experience serving these populations and approaches to care coordination. A link to the award recommendation letter from IDOA can be found here.
More information about the Healthy Indiana Plan can be found here
More information about the Hoosier Healthwise program can be found here.

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