MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE

Aging and Disability Resource Center (ADRC) Liaison for the Money Follows the Person (MFP) Demonstration

HCBS Strategies worked with the Maryland Department of Health and Mental Hygiene (DHMH) to assist in the integration of key parts of Maryland’s MFP effort into the ADRC effort known as the Maryland Access Point (MAP) program. The scope of work was expanded to assist the MAPs in meeting ACL criteria for full-functioning ADRCs and the Balancing Incentives Program (BIP). This included conducting operational reviews on each of the 20 MAP sites to develop an inventory of each site’s structure, strengths, and challenges. We worked with DHMH, MDoA and other stakeholders to identify the key infrastructure requirements for each MAP site and identify infrastructure that the state was to develop. These requirements and tasks were incorporated into a State Action Plan. We collaborated with each of the MAP sites to develop Individual Action Plans that guided their planning for meeting the new State requirements.

HCBS Waiver Quality Management Evaluation

HCBS Strategies collaborated with the Delmarva Foundation to assess strengths and weaknesses of three 1915(c) Home and Community-Based Waivers for the Maryland Department of Health and Mental Hygiene. The scope of work included the provision of a roadmap for redesigning a quality improvement system and some initial quality management tools.

HENNEPIN COUNTY, MINNESOTA

DD System Evaluation

The objective of the project was to review of Hennepin’s programmatic operations that support individuals with developmental disabilities. This effort included an evaluation of key business processes, consumer and provider stakeholder focus groups, and developing recommendations for improving County operations. We also facilitated a one day stakeholder summit meeting. HCBS Strategies developed three reports: an operational review, a summary of stakeholder input, and a findings and recommendations report.

ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES

Illinois MFTD Waiver Assessment and Resource Allocation Development

HCBS Strategies worked with Health Systems of Illinois (HSI (now eqHealth)) to assist the state of Illinois in building an assessment tool and resource allocation methodology for its 1915(c) waiver targeting medically fragile technology dependent (MFTD) children. The scope of this work also included developing a more objective and valid Level of Care Screening tool to determine eligibility for MFTD waiver services.

Illinois Medicaid Waiver Quality Management Review

HCBS Strategies conducted a project for HFS to review and make recommendations for improving systems for managing quality in Medicaid funded HCBS. We reviewed quality management infrastructure across nine different 1915(c) waivers and summarized the strengths and challenges for each in complying with CMS requirements and best practices. We also convened a working group of representatives from all of the waivers to review recommendations for improvements.

DC DEPARTMENT OF MENTAL HEALTH

Strategic Planning Retreat

HCBS Strategies contracted with Illinois Department of Aging (IDoA) to lead a cross-agency strategic planning retreat. A major goal of the retreat was to develop a plan for integrating new initiatives into IDoA’s current Strategic Plan. As the discussion progressed, it became apparent that it was important to clarify how both the Strategic Plan and the new initiatives potentially impacted current operations. During the retreat, we developed a draft analytic structure for integrating the new initiatives with IDoA’s operations and Strategic Plan. After the retreat, we developed a more detailed spreadsheet builds off this analytic structure. The more detailed spreadsheet could help IDoA develop a more detailed understanding of these issues.

CMS Compliant 1915(c) Waiver Quality Management Strategy

HCBS Strategies assisted the Illinois Department on Aging in building a quality management structure for the State of Illinois Community Care Program (CCP) that complies with CMS requirements for 1915(c) waiver is under application version 3.5. CCP is an entitlement program serving individuals needing long term supports, who are over age 60, and who live in the community. Many of the people served are Medicaid eligible under the 1915(c) waiver that includes CCP services.

The project included an operational analysis of the existing quality management structure, comprehensive research of national practices, development of performance indicators, methodologies for discovery and remediation, and recommendations for operational implementation for the new quality management system (including technology tools). The project provided the State with the information needed for their waiver renewal. It also included the development and delivery of training to staff and providers on the requirements of the new system.

ILLINOIS DEPARTMENT ON AGING

Strategic Planning Retreat

HCBS Strategies contracted with Illinois Department of Aging (IDoA) to lead a cross-agency strategic planning retreat. A major goal of the retreat was to develop a plan for integrating new initiatives into IDoA’s current Strategic Plan. As the discussion progressed, it became apparent that it was important to clarify how both the Strategic Plan and the new initiatives potentially impacted current operations. During the retreat, we developed a draft analytic structure for integrating the new initiatives with IDoA’s operations and Strategic Plan. After the retreat, we developed a more detailed spreadsheet builds off this analytic structure. The more detailed spreadsheet could help IDoA develop a more detailed understanding of these issues.

CMS Compliant 1915(c) Waiver Quality Management Strategy

HCBS Strategies assisted the Illinois Department on Aging in building a quality management structure for the State of Illinois Community Care Program (CCP) that complies with CMS requirements for 1915(c) waiver is under application version 3.5. CCP is an entitlement program serving individuals needing long term supports, who are over age 60, and who live in the community. Many of the people served are Medicaid eligible under the 1915(c) waiver that includes CCP services.

The project included an operational analysis of the existing quality management structure, comprehensive research of national practices, development of performance indicators, methodologies for discovery and remediation, and recommendations for operational implementation for the new quality management system (including technology tools). The project provided the State with the information needed for their waiver renewal. It also included the development and delivery of training to staff and providers on the requirements of the new system.