THE TRANSITION OFHCS CASE
MANAGEMENTTO
MRA SERVICE COORDINATION
MEETING AGENDA
PURPOSE OF TRANSITION
Senate Bill 1, Section 48• SB 1, Sec. 48 provides $207 million General Revenue
to provide additional community services to over 7,000 people contingent upon reshaping and improved oversight of the state system of IDD services.
• Contingencies include mandate to transfer case management functions in the HCS program from the HCS provider to the Mental Retardation Authorities (MRAs).
• Requires changes to the HCS Rule and the Service Coordination to People with Mental Retardation Rule.
DADS/HHSC TRANSITION TIMELINE
September 2009 Proposed rule drafts were made available to stakeholders 09/01/09.
Stakeholder meetings were held on 09/14/09.
January 2010 Proposed rule drafts are presented to MCAC and the DADS Council for approval to
publish in the Texas Register.
February 2010 Proposed rule drafts are published in the Texas Register for thirty days.
March 2010 Public comments regarding the proposed rule drafts are received and reviewed.
April 2010 Proposed rule drafts are revised as necessary in response to the public comment and
responses to public comment are developed.
May 2010 Multiple trainings are held for HCS providers and MRAs.
June 2010 HCS case management is transferred to the MRAs.
DADS TRANSITION ACTIVITIES
During months prior to transfer of case management DADS is conducting additional activities in preparation for this change, including:
•development of a program handbook, forms and templates; includes PDP, Implementation Plan•changes to CARE; •communication with individuals receiving services and their families; and•development of training for MRAs and HCS providers.
MRA TRANSITION TIMELINENovember 2009 Begin HCS CM transition meetings between Providers and MRAs
Develop local case numbers for HCS consumers identified in DADS report
December 2009 Develop MRA dedicated webpage to post information and updates on
local transition planning
January 2010 Create Job Descriptions for HCS-MRA Service Coordinators
Revise Policies & Procedures as needed
Develop HCS-MRA Service Coordination Training Plan, Curriculum, and Manual
MRA TRANSITION TIMELINE, CON’TFebruary 2010
Encourage provider sponsored consumer/family relation meetings with the MRA
March 2010
Begin hiring process of SCs
April 2010
With DADS and Providers, develop a process to manage May and June PDPs and IPCs
Create Provider/MRA contact lists
Caseload assignments
May 2010
Consumer Relations—HCS-MRA SC to begin building relationships with providers and consumers
TBD
Build Authority Records with Provider documents
MRA ACTIVITIES
Primary goals between now and June 1, 2010:
Clearly delineate MRA HCS Service Coordination function from HCS Provider function
Establish effective communications among the local MRA, the HCS Provider network and HCS Participants.
Minimize disruption to HCS Participants
CLARIFICATION OF MRA, PROVIDER &
DADS ROLES
Following are 3 perspectives to help clarify roles :
Responsibilities set in Draft HCS Rule Revision
DADS Frequently Asked Questions document
Comparison of MRLA & Draft HCS Rule
NOTE: Draft HCS Rule 1) is subject to change before final adoption, and 2) will be accompanied by a DADS Handbook (in early development) with operational detail, templates, etc. In other words, following role delineation will be further clarified prior to implementation.
RESPONSIBILITIES OF MRA SERVICE
COORDINATOR Continue to conduct enrollment activities for
individuals entering the HCS Program Conduct person directed planning activities and
complete the PDP Coordinate completion of the IPC with HCS provider Agree or disagree with proposed IPC renewals and
revisions that provider has submitted to DADS for approval
Provide ongoing monitoring of the provision of the individual’s program services.
PROVIDER RESPONSIBILITIES
After enrollment:
Complete assessments and submit requests for LON to DADS
Complete IPC document and submit to DADS
Coordinate completion of the IPC with MRA Service Coordinator
Develop Implementation Plan for delivery of individual’s program services based on PDP
Deliver services according to authorized IPC
DADS RESPONSIBILITIES
WS&C will conduct certification review activities for HCS providers.
Utilization Review (UR) will continue to approve IPCs and LONs.
The DADS MRA Contract Accountability and Oversight unit will be expanding their current role to oversee service coordination activities for individuals in the HCS Program.
“FREQUENTLY ASKED QUESTIONS”
A document developed by DADS to clarify HCS rule revisionsWill be updated on a regular basis by DADS, and to be posted on the DADS website.Email updates available through GovDelivery by signing up on DADS website
see hand-out
MRLA-NEW MRA SERVICE
COORDINATION COMPARISONSMRLA
MRA completed survey/certification activities
Service Coordination provided by the MRA
Service Coordinator facilitated PDP and documented the outcome
Provider submitted strategies to MRA for approval
Draft HCS Rule
DADS completes survey/certification activities
Service Coordination provided by the MRA
Service Coordinator facilitates PDP and documents the outcome
Provider develops the Implementation Plan based on PDP
MRLA-NEW HCS COMPARISONS
MRLA MRLA was responsible
for the initial IPC and entered the IPC into CARE
MRA responsible to complete IPC renewals and revisions and enter in CARE
MRA completes initial ICAP and renews every three years
Draft HCS Rule MRA responsible for the
initial IPC and enters the IPC in CARE
Provider responsible to complete IPC renewals and revisions and enter in CARE. MRA agrees or disagrees and signs in CARE
MRA completes initial ICAP; Provider completes renewed ICAP every three years
MRLA-NEW HCS COMPARISONS
MRLA
MRLA completed initial MRRC and entered MRRC into CARE
MRLA completed MRRCs annually and entered into CARE
DADS assigned LON
MRLA submitted UR to DADS for approval
Draft HCS Rule
MRA completes initial MRRC and enters MRRC into CARE
Provider completes MRRC annually and enters into CARE. MRA reviews , signs in CARE
DADS assigns LON
Provider submits UR and DADS approves
TRANSITION OVERVIEW
HCS Case Management will become MRA Service Coordination effective June 1, 2010
The Private Provider Association of Texas, The Texas Council of Community MHMR Centers, Local providers and local MRAs are committed to effectively to achieve a transition process that ensures working relationships, cooperation in planning, consistency of processes, and positive outcomes for consumers
DADS will develop the new HCS Rule, an HCS Handbook based on the new rule (including templates for Person-Directed Plans and Implementation Plans) and provide clarification to questions that arise among MRAs, Providers and Consumers as transition and implementation progress.
MRA-Provider and MRA-Provider/Consumer meetings will be used to steer the transition process, adapt universal tools in ways that benefit local MRAs and Providers, provide a forum for questions and discussion regarding the CM change.
MEETING EVALUATION AND NEXT STEPS
What worked in this meeting?
What should change in the next meeting?
What do we know now that will need to be discussed at the next meeting
(Agenda Items)?