Workforce Challenges & DDS Waiver Services Analysis
Understanding & Managing Costs of Expansion (2 of 2)
The fiscal impact of expansion includes services through the Medicaid State Plan and waiver, case management, and program administration.
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Services exist within a system of supports:
o People are connected with services through case managers
o Providers are licensed and monitored to assure quality
。 There is state reporting to the Centers for Medicare and Medicaid
services, as well as other national data sets
o Inter and intra agency collaboration, coordination, and agreements are
needed to help people get the supports they need, across systems
o Continuous quality improvement requires dedicated time for innovation
planning
o There are fiscal controls and systems to provide payment
o Ongoing stakeholder engagement is needed to ensure that the system is
meeting people's needs and providing the right balance of provider
oversight and autonomy
Expansion will require not only expanding who gets services and the service
array, but also expansion of the state staff who support the system.
HCBS & State
Case
Management
Plan Services
Program
Oversight &
Quality
Program
Administration
& Innovation
ALVAREZ & MARSAL
LEADERSHIP ACTION. RESULTS.View entire presentation