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Required Outcomes

According to the 1115(a) waiver accountability plan, this is an exploratory stakeholder process that will result in a report to CMS regarding the integration of DHS Medicaid-funded long-term care for the aged or people with disabilities into CCO global budgets.

The report will identify:

  • Opportunities
  • Barriers
  • Strategies for integrating long term care

The report will address:

  • Issues of scope
  • Process
  • Timeline for integration

The report will be submitted to CMS no later than December 31, 2013. The final recommendations of the report are not predetermined and will re-define integration and how it applies to Oregon.

Additional Outcomes:
Recommendations from the study group shall inform future work of OHA and DHS.

Meeting Outline:
The CMS/LTC Study Group will meet once a month for six months, starting in May 2013. The six meetings will include the following categories of work:

  • Orientation- session 1
    • Current state Oregon w/ discussion of barriers and opportunities
  • Design- sessions 2-3
    • Other state models w/ discussion of potential Oregon overlay
    • Shared accountability- metrics and financial incentives
  • Potential models- session 4
    • Using elements of promising models from session 2
    • Current Oregon shared accountability model
  • Process and timeline- session 5
    • Draft- high level plan w/ key processes and milestones
  • Evaluation and final recommendations- session 6
    • Final Report
    • Review Shared Accountability recommendations

The following overarching themes will be used to organize the contents of the study group sessions:

  • Data driven, transparent and outcome oriented
  • Consumer centered with a focus on access and equity
  • Learning from other state’s experience
  • Potential for Oregon overlay 
  •  

Related Documents

  
Mission Statement
Pre-Survey Question Results
Study Group Requirements