Balancing Incentive Program IT Capital Fund Request Department

Balancing Incentive Program IT Capital Fund Request Department of Social Services December 10, 2014 1

Balancing Incentive Program IT Capital Fund Request o Background on the federal Balancing Incentive Program o Expected System Components & Outcomes o IT Infrastructure o Phased Approach o Funding 2

Balancing Incentive Program Background o Programmatic objectives n Rebalance Medicaid long term support services towards community care n Key change requirements o Universal Assessment o No Wrong Door 3

BIP Grant Funding o Federal grant/enhanced reimbursement n 2% additional federal match on Medicaid community-based services n $72. 8 million in additional revenue n Reinvestment requirements o Community First Choice Initiative n Enhanced reimbursement of 6% n Significant reinvestment component 4

BIP System Components o Online pre-screen of an applicant’s functional status o Automation of functional and financial eligibility processes for Medicaid; o Automation of a Universal Assessment (UA) that will be used across State agencies and contractors o Online mechanism through which services can be requested from providers o Consumer portal 5

BIP System Outcomes o Reduction of redundancy in assessing need across programs o Streamlined LTSS eligibility processing o Individualized budget allocations based on functional need that through standardization will enable more equitable distribution of dollars across the entire LTSS system 6

BIP System Outcomes (continued) o Enhanced ease and timeliness of access to LTSS services o An increased incidence of hospital discharge to community-based services, as opposed to nursing home care o Consumer empowerment through sharing of their health care data 7

BIP System Infrastructure o BIP system will initially leverage DSS existing Conne. CT infrastructure o Upon completion of the new Impa. CT integrated eligibility system, support for the BIP system will migrate to the Impa. CT environment o Additional ongoing costs will be minimized by leveraging these systems 8

BIP Phased Approach o Current request is for Phase 1 only o Includes: n Universal Assessment (Release 1) n Initial Release 2 design development o Future Phase 2 n No Wrong Door n Client access/consumer portal 9

BIP System Funding o For the majority of components federal match available at the 90% level (89%) o 11% State contribution is requested through IT Capital Fund o Federal approval of an Advance Planning Document required for federal contribution o Initial APD submitted and approved for approximately $15 million 10

BIP System Funding o Phase 1 Budget n $10. 4 m in total excluding salary and fringe n $1. 1 million request from IT Capital Fund for the 11% State share of the project o Future request anticipated for Phase 2 n Current estimated Phase 2 costs are approximately $15 million n IT Capital Fund contribution of close to $1. 5 million 11

BIP System Funding 12