MLTSS Sub MAAC Jennifer Burnett Deputy Secretary Kevin

MLTSS Sub. MAAC Jennifer Burnett, Deputy Secretary Kevin Hancock, Chief of Staff PA Office of Long Term Living, DHS December 4, 2015

OLTL Update • CHC Update – MCO Meet and Greets – Concept Paper Comments – DHS’ New Website 2

November 4 th and 5 th • MCO and Stakeholder Meet and Greet – Broken out into six specific sessions • • • MCO specific Education Home and Community- Based Service Providers Current Participants Area Agencies on Aging Service Coordination Entities Nursing Facilities 3

Concept Paper Comments • Comment period on the Concept Paper closed on Friday, October 16 • Over 1, 500 comments from nearly 250 commenters – Enhance participant protections and grievance and appeals process specifics – Concerns with provider contracting and credentialing details with MCOs – Include services for the deaf/blind population – Incorporate provider standards as part of the RFP and draft agreement 4

Concept Paper: 25% Service Plan Threshold “Any new person-centered service plan developed by the CHC-MCO that proposes to reduce any one service by more than 25 percent must be approved by the commonwealth prior to implementation. “ 3/11/2021 5

Concept Paper: Continuity of Care • “Waiver participants enrolling in CHC … will continue to have access to all services and providers authorized in their service plan that were in effect the day before CHC enrollment. This continuity of care authorization will last for 180 days…” • “Each CHC-MCO must initially include in its networks all willing and qualified LTSS service providers in the CHCMCO service regions that are currently enrolled in the Medicaid program to provide HCBS services in the OLTL waiver programs or nursing facility services…This requirement will apply during the first six months of each phase of implementation. 3/11/2021 6

Concept Paper: Procurement Timeline 3/11/2021 7

Draft Procurement Timeline 8

House of Representatives • Hearing on November 23 • Health and Aging and Older Adults Committee members in attendance 3/11/2021 9

Level of Care Determination • Role of the Area Agency on Aging • Contract with Aging Well, LLC 3/11/2021 10

3/11/2021 11

The CHC website 12

Resource Information • Community Health. Choices Website: http: //www. dhs. pa. gov/citizens/communityhealthcho ices/index. htm#. Vky. J 23 ar. Rh. F • MLTSS Sub. MAAC webpage link: http: //www. dhs. pa. gov/communitypartners/informati onforadvocatesandstakeholders/mltss/index. htm#. V ky. KAnar. Rh. E • Register for a List. Serv to stay up to date: http: //listserv. dpw. state. pa. us/ • Email Comments to: RA-MLTSS@pa. gov 3/11/2021 13