Section 1115 Comprehensive Demonstration Project Waiver Stakeholder Advisory

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Section 1115 Comprehensive Demonstration Project Waiver Stakeholder Advisory Committee

Section 1115 Comprehensive Demonstration Project Waiver Stakeholder Advisory Committee

Legislative Update David Panush, Senate President Pro-Tempore’s Office and Sumi Sousa, Assembly Speaker’s Office,

Legislative Update David Panush, Senate President Pro-Tempore’s Office and Sumi Sousa, Assembly Speaker’s Office, California Legislature Service - Accountability - Innovation 2

CMS Update On Implementation Plan David Maxwell-Jolly Director Service - Accountability - Innovation 3

CMS Update On Implementation Plan David Maxwell-Jolly Director Service - Accountability - Innovation 3

Recent Communications • Regular CMS conference Calls • Waiver Proposal – – – Health

Recent Communications • Regular CMS conference Calls • Waiver Proposal – – – Health Care Coverage Initiative Safety net Care Pool Delivery Service Infrastructure Improvements Delivery Systems to Improve Health Outcomes Budget Neutrality • Administration’s Visit to DC Service - Accountability - Innovation 4

May Revise Budget Elements Related to 1115 Waiver Renewal Gregory Franklin Deputy Director Service

May Revise Budget Elements Related to 1115 Waiver Renewal Gregory Franklin Deputy Director Service - Accountability - Innovation 5

Waiver Resource Request • Department’s Initial Requests – Budget for managed care payment –

Waiver Resource Request • Department’s Initial Requests – Budget for managed care payment – Staffing to support enrollment and plan monitoring – Funding to support planning, rate analysis, quality monitoring, and outreach and enrollment • Current status • Next Steps Service - Accountability - Innovation 6

Waiver Implementation Update Gregory Franklin Deputy Director Service - Accountability - Innovation 7

Waiver Implementation Update Gregory Franklin Deputy Director Service - Accountability - Innovation 7

SPD Proposal • May Implementation Activities – Under development health plan capacity and readiness

SPD Proposal • May Implementation Activities – Under development health plan capacity and readiness assessment • June Implementation Activities – Begin health plan capacity and Readiness assessments • Additional Activities Service - Accountability - Innovation 8

Children with Special Health Care Needs • June Activities – Request for Information under

Children with Special Health Care Needs • June Activities – Request for Information under development – Evaluation methodology development meeting – Stanford University • Analysis of cost, utilization, and quality data Service - Accountability - Innovation 9

Other Items • HCCI next steps • Behavior Health Integration • Duals Update Service

Other Items • HCCI next steps • Behavior Health Integration • Duals Update Service - Accountability - Innovation 10

Public Comment

Public Comment

Next Steps and Next Meetings Thursday, July 22, 2010 Sacramento Convention Center Wednesday -

Next Steps and Next Meetings Thursday, July 22, 2010 Sacramento Convention Center Wednesday - September 29, 2010 Sacramento Convention Center

Adjourn Service - Accountability - Innovation 13

Adjourn Service - Accountability - Innovation 13