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OLTL Updates

Stay up-to-date with the latest news and developments from the CHC program, including provider workshops, transportation summits, continuity of care in the Southeast, MCO and provider relationships, and enrollment updates.

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OLTL Updates

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  1. OLTL Updates LTSS Sub-MAAC Meeting June 11, 2019

  2. Agenda • CHC Updates • Program Enrollment Updates

  3. CHC Updates

  4. Phase 3 Provider Workshops • Lehigh/Capital Zone: • OLTL conducted Provider Workshops in Harrisburg, Shippensburg, and Kutztown. • A Transportation Summit was also held in Kutztown. • Approximately 600 people attended. • Northwest Zone: • OLTL conducted Provider Workshops in Edinboro, Lock Haven, and Bradford. • A Transportation Summit was also held in Bradford. • Approximately 420 people attended. • Northeast Zone • OLTL conducted Provider Workshops in East Stroudsburg, Scranton, and Bloomsburg. • A Transportation Summit was also held in Bloomsburg. • Approximately 520 people attended.

  5. Transportation Summits • Key Takeaways • Evaluate potential areas for innovation to support the informal transportation supports currently being provided by direct care workers. • Continue to facilitate discussion to ensure MCOs, providers, and other stakeholders understand the various transportation resources offered through Commonwealth programs. • Increase communication to service coordinators regarding the role of the transportation brokers in CHC.

  6. CHC Southeast Continuity of Care • The Continuity of Care period ends in the Southeast zone of CHC on June 30th. • What can participants expect at the end of the continuity of care period? • A comprehensive needs assessment • Person-centered service planning • A revised person-centered service plan

  7. CHC Southeast Continuity of Care • MCO Provider Relationships • UPMC has notified 72 providers, primarily service coordination entities, that they will discontinue contracts. • Keystone First has notified 67 service coordination entities that they will discontinue contracts. • The 5,844 Keystone First participants and the 4,337 UPMC participantswho are impacted have also been notified so they may begin selecting new service coordinators.

  8. Enrollment Updates

  9. Enrollment Services Procurement • Enrollment services RFI released for comment. • Comments received were integrated into a Draft RFA that will be releasedfor comment by the end of June 2019. • A summary of the comments received will also be published. • RFA Publication • 45 day response period

  10. Average Number of Days in Enrollment Status

  11. ADRC Involvement in the Application Process Date Period: March 2018 through March 2019

  12. ADRC Involvement in the Application Process Data Period: March 2018 through March 2019

  13. ADRC Involvement in the Application Process Data Period: March 2018 through March 2019

  14. Current IEB Report – All Waivers • All unduplicated applications in process this quarter • Total unduplicated applications completed this quarter • Total unduplicated applications completed during the quarter in 90 days • Total unduplicated applications completed during the quarter and over 90 days, but with excuse of a delayed enrollment • Using the above fields = (row 3 + row 4)/ row 2 • Average to complete excluding excused applications Note: Reapplications removed

  15. Current IEB Report 2018 QTR 4 data is not yet available All unduplicated applications in process this quarter Total unduplicated applications completed this quarter Total unduplicated applications completed during the quarter in 90 days Total unduplicated applications completed during the quarter and over 90 days, but with excuse of a delayed enrollment Using the above fields = (row 3 + row 4)/ row 2 Average to complete excluding excused applications Note: Reapplications removed

  16. IEB Issues • Average Application Processing Timelines • For applications that closed during the 3rd quarter of 2018 • App Begin to Enrollment/Denial – 56 days • From Referral to Enrollment/Denial – 57 days 2018 QTR 4 data is not yet available

  17. Consumer Eligible for Services – Monthly

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