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Development of Virginia’s Long Term Care (LTC) Partnership

Development of Virginia’s Long Term Care (LTC) Partnership. VIRGINIA DEPARTMENT OF MEDICAL ASSISTANCE SERVICES February 2008. Presentation Overview. The “Nuts and Bolts” - Administrative Requirements and Additional Implementation Components

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Development of Virginia’s Long Term Care (LTC) Partnership

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  1. Development of Virginia’s Long Term Care (LTC) Partnership VIRGINIA DEPARTMENT OF MEDICAL ASSISTANCE SERVICES February 2008

  2. Presentation Overview • The “Nuts and Bolts” - Administrative Requirements and Additional Implementation Components • Step-by-Step: Virginia’s Partnership Development • Lessons Learned

  3. The “Nuts & Bolts”

  4. The “Nuts & Bolts”Administrative Requirements • Legislation • Medicaid State Plan Amendment • Medicaid Agency Regulations • Insurance Commission Regulations

  5. The “Nuts & Bolts” Additional Implementation Components • Bringing the right stakeholders to the table • Bureau of Insurance, Department of Social Services, Department for the Aging, Medicaid Agency, Virginia Retirement System, Governor’s Office • Interpreting the DRA’s rules for Long-Term Care (LTC) Partnerships • Inflation protection, duration and design of coverage, reciprocity with other states, exchanging a non-partnership policy for a Partnership Policy, group policies, self-insured policies

  6. The “Nuts & Bolts” Additional Implementation Components • Developing protocols and trainings for Medicaid eligibility determination staff • Establishing protections, awareness, and education for consumers • Ongoing Operation of Partnership Program • Staffing, consumer/agent/press inquires, training (for agents and consumer inquiry staff), website development and maintenance, and funding

  7. The “Nuts & Bolts” Additional Implementation Components • Partnership Policy Utilization Forecast • Treatment of existing long-term care insurance policies • Inflation protection • Agent Training Requirements

  8. Step by Step

  9. Step by StepDevelopment of Virginia’s LTC Partnership • 2004 & 2006: Virginia General Assembly passed legislation enabling Virginia to develop a LTC Partnership • April 2006: Meeting with Governor’s Office to discuss LTC Partnership development • June 2006: Meeting with state agency stakeholders (Bureau of Insurance, Department for the Aging, Social Services, Secretary of Health and Human Resources)

  10. Step by StepDevelopment of Virginia’s LTC Partnership • August 2006: • Established regular meetings with Bureau of Insurance • Drafted State Plan Amendment and Regulations • October 2006: Submitted Medicaid State Plan Amendment to CMS

  11. Step by StepDevelopment of Virginia’s LTC Partnership • November/December 2006: • Worked on development of: consumer disclosures, eligibility protocols, consumer outreach program, agent training materials, and basic educational information • December 2006: • State Plan Amendment approved • Regulations submitted through “Fast Track” regulatory process

  12. Step by StepDevelopment of Virginia’s LTC Partnership • January/February 2007: • Trained social service eligibility staff and DMAS asset recovery staff • BOI reviewed regulations with insurance carriers • Searched for funding for outreach campaign • Applied for Center for Health Care Strategy grant • Continued work with Own Your Future and set launch date

  13. Step by StepDevelopment of Virginia’s LTC Partnership • March 2007: Developed consumer outreach and education plan in conjunction with Department for the Aging’s State Health Insurance Assistance Program (SHIP) counselors • April/May 2007: • Bureau of Insurance submitted their final regulations • Training of SHIP insurance counselors • Recruited “SHIP LTC Partnership Advisory Team”

  14. Step by StepDevelopment of Virginia’s LTC Partnership • June/August 2007: Finalize grassroots outreach campaign activities (public relations, www.valtcpartnership.org, development of materials, SHIP speakers bureau) • September 2007: • Program Launch • Governor’s “Own Your Future” Press Conference

  15. Outreach Campaign Timeline

  16. Lessons Learned

  17. Lessons Learned…so far… • Good relationships are key! • Keep it simple • Use existing protocols when possible • If it is their turf, let them figure it out • Use established networks when available • Keep stakeholders updated and onboard

  18. www.valtcpartnership.org Teja S. Stokes, Sr. Policy Analyst (804) 786-0527 teja.stokes@dmas.virginia.gov

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