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NYSDOH Issues Revised Draft of New York State Medicaid Managed Care Organization I/DD System Transformation Requirements and Standards for Public Comment

The New York State Department of Health (NYSDOH) has issued a revised draft of the New York State Medicaid Managed Care Organization I/DD System Transformation Requirements and Standards to Serve Individuals with Intellectual and/or Developmental Disabilities in Specialized I/DD Plans – Provider Led (SIPs-PL) that is now posted online for comment.  The link to the revised draft of the New York State Medicaid Managed Care Organization I/DD System Transformation Requirements and Standards to Serve Individuals with Intellectual and/or Developmental Disabilities in Specialized I/DD Plans – Provider Led (SIPs-PL)(hereafter referred to as the Qualification Document) is available on the NYSDOH Web site at: https://health.ny.gov/health_care/medicaid/program/medicaid_health_homes/idd/draft_mco_qual_doc.htm.  The New York State Office for People With Developmental Disabilities (OPWDD) will be hosting a free Webinar on February 19, 2020, at 2:00 p.m. to outline the content of the document and changes since August 2018.  Use the following link to register for the Webinar: https://meetny.webex.com/meetny/onstage/g.php?MTID=e65584f4dc756dd32dfb5220a7319f803.  You can submit comments electronically to peoplefirstwaiver@opwdd.ny.gov no later than March 27, 2020.  NYSDOH and OPWDD have undertaken a transition for people with intellectual and developmental disabilities (I/DD) to specialized managed care.  Over the past two years, this process has been focused on two distinct areas: 1) improvement in care management processes using a home health model; and 2) creation of a policy framework for the implementation of provider-led managed care.  This notice is being published in order to update people NYSDOH/OPWDD supports, families, providers, and other stake-holders on the progress made in these areas.  In July 2018, NYSDOH and OPWDD launched an enhanced care management program to support individuals with developmental disabilities and their families.  This program consolidated more than 350 agencies providing Medicaid Service Coordination into 7 regional Care Coordination Organizations (CCOs) providing Health Home Care Management.  At the same time, NYSDOH expanded the role of the new care managers, moving from OPWDD service-centric Individualized Support Plans (ISPs) to integrate and coordinate health and habilitative services through an expanded Life Plan.  Approximately 100,000 individuals transitioned to this new model.  In August 2018, NYSDOH and OPWDD released a draft version of the Qualification Document for stakeholder review and comment.  The draft document was revised based on the feedback received and the revised draft is being released for further public comment.  Additional feedback to this revised Qualification Document received during the second opportunity for public comment will be used to better inform the State on how best to implement a transition to managed care.
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