Michigan’s Voices for Better Health Project

1. Michigan’s Voices for Better Health Project ▪ RoAnne Chaney, Michigan Disability Rights Coalition ▪ Ayesha Ghazi, Michigan Consumers for Healthcare ▪ Alison Hirschel, Michigan Poverty Law Program

2. Michigan’s Integrated Care Proposal • Capitated Model • Four Demonstration Regions in the state affecting 104,000 dually eligible individuals • Utilizes a “Care Bridge” to coordinate services between the ICOs (responsible for primary and acute care and long term supports and services) and the PIHPs (responsible for behavioral health care, supports and services).

3. Timeline for Michigan’s Demonstration Project • RFP issued in July, 2013 • Proposals received in September, 2013 • Successful bidders to be announced in next month; readiness review process to start thereafter • RFP submitted to CMS this month

4. Timeline for Implementation of Michigan’s Demonstration Project July 1, 2014—Opt-in begins in Upper Peninsula and Southwest Michigan. Sept. 1, 2014—Passive enrollment begins in Upper Peninsula and Southwest Michigan Oct. 1, 2014—Opt-in begins in Wayne and Macomb Counties Jan. 1, 2015—Passive enrollment begins in Wayne and Macomb Counties.

5. Michigan Voices for Better Health Coalition Three lead organizations: ♣Michigan Consumers for Healthcare—responsible for project management, communications, and assistance with coalition building. ♣Michigan Disability Rights—responsible for consumer engagement and policy advocacy; lead contact with the disability community. ♣Michigan Poverty Law Program—responsible for consumer engagement and policy advocacy; lead contact with the aging network.

6. Michigan Voices for Better Health Coalition Lead organizations are collaborating with two existing coalitions --Michigan Olmstead Coalition and Advocates Concerned about Dual Integration -- as well as the Center for Civil Justice Seeking to build Advisory Councils in each of the demonstration regions and to collaborate with other advocates, providers, and plans

7. MVBH Policy Priorities On-going, meaningful consumer engagement & involvement throughout planning & implementation Simplified & integrated system of care that is easy to access, culturally competent, and provides continuity Continuous, genuine quality improvement informed by consumer experience and concerns Person-centered planning and self-determination

8. MVBH Priorities Promotion of home and community based supports and services Eligibility, enrollment, beneficiary rights, and appeals processes that are easier to use and produce faster, more equitable results than current systems. Establishment of effective ombudsman program to address both individual concerns and systemic issues

9. MVBH Strategies On-going, intensive policy advocacy with state (and, when appropriate and possible, CMS); Building on existing ICDE advocacy efforts; Grassroots outreach including creating Advisory Councils in each region & developing broader advocacy coalitions; Engaging with health plans and provider networks; Communications & social media

10. Questions? Ayesha Ghazi, ayesha@consumersforhealthcare.org RoAnne Chaney, roanne@mymdrc.org Alison Hirschel, hirschel@lsscm.org