It seems like forever since I was in the office long enough to catch up on things. I believe I am not the only one who has had a very busy year. So, here is wishing everyone a little peace and quiet as we usher out 2014. Despite year end there remains a lot of [...]
Some things just never go away and here is a link that can detail how to become a DISCO. This power point has timelines, definitions, and details the care coordination aspect of managed care. As usual Therap has been aware of these upcoming challenges and will work with the provider network to ensure support of [...]
Disabled Medicaid Beneficiaries File Lawsuit over unexplained Medicaid Home Care Cuts. On July 15, 2014, the New York Times reported on a lawsuit brought by the New York Legal Assistance Group against the Department of Health and the Office of Temporary and Disability Assistance for allegedly denying or cutting Medicaid home care services to chronically [...]
Here is something you may want to watch. - DSRIP Delivery System Reform Incentive Program Evaluation Plan. New York posted a draft of its DSRIP evaluation plan for public comment. The broad goals of the New York State DSRIP evaluation are to assess program effectiveness on a statewide level with respect to the Medicaid Redesign [...]
OPWDD has released a new tool designed to assist in person centered planning. It is called a Strengths and Risks Inventory. Here is a statement of the intent of this form. Intent*: The person-centered planning process should address the challenges, risk factors, and rewards inherent for each person to live his/her life the way that [...]
More news from OPWDD. I do not see any of our current methods changing except for billing limitations. The limitations on CH vary depending on the individual’s receipt of day habilitation and prevocational services, and the certified setting where the individual resides. Here is a link to the proposed regulations. file:///C:/Users/Kevin/Downloads/CHamendmentsRegsText.pdf
Here is a site worth looking at. Recently, the Centers for Medicare and Medicaid Services (CMS) published the final rule related to Home and Community Based Services Settings (HBCS) for Medicaid-funded long term services and supports provided in non-institutional residential settings. This rule implements a number of changes to home and community based waivers, finalizes [...]
Greetings to summer. This is a great time of year to be with family and go on outings. So, it is also a great time to meet with fellow Therapites and meet together at a user group meeting. Here is a reminder of the upcoming schedule. Please note we do not have a site scheduled [...]
Office for People with Developmental Disabilities (OPWDD) and the People First Waiver. OPWDD and the Department of Health are working with CMS on an agreement called the People First Waiver, a 1915 (b)/(c) concurrent Comprehensive Home and Community Based Services (HCBS) waiver. This agreement will renew the OPWDD 1915(c) Comprehensive HCBS Medicaid Waiver for People [...]
Whenever you hear the word OMIG it always conjures something foreboding. However, they have also been pretty good as of late in getting out guidelines in order to assist agencies with their compliance efforts. This is a good publication that outlines specific risk areas they have found in conducting review. Here is the link. OMIG [...]