Division of Developmental DisabilitiesJuly 1, 2021

Agenda

• Introduction

• COVID-19 Updates

• Announcements

• DDD Strategic Plan - Current 2 Future (C2F) Sherri Wince, DDD Chief Strategy Officer

• Feedback on Future Town Hall Events

COVID-19

DDD’s top priority is the health and safety of o ur members, their families, and the professionals in our program that support them

The Division of Developmental Disabilities ( DDD) is: • Working with ADHS and C DC guidelines to ensure appropriate measures are

in place to allow for the continuation of necessary services

• Monitoring service delivery and av ailability to ensure service continuation

• Providing regular updates on the DDD COVID-19 Website: https://bit.ly/DDD_COVID19Actions

COVID-19 Updates AHCCCS COVID Flexibilities Flexibilities Ending Prior to the Conclusion of the PHE

● Effective July 1, 2021 - All Direct Care Workers will once again be required to complete their training requirements within 90-days of being hired.*

● Effective October 1, 2021 - Annual limit of respite hours will return to 600 hours per contract year.

Flexibilities Ending Upon Conclusion of the PHE

● Virtual case management (support coordination) visits for ALTCS members.** ● Reimbursement for parents offering direct care to minor children. ● Virtual supervisory visits of Direct Care Workers. ● Home delivered meals.

*DDD is currently seeking clarification if this will also apply to DCWs who are providing Attendant C are services to their minor children, since this flexibility will end at the conclusion of the PHE.

**DDD is still considering when the resumption of in-person planning meetings will occur and what the new model will look lik e. This will be communicated once a date is selected..

AHCCCS is reviewing additional flexibilities and will provide additional information as it b ecomes available.

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COVID-19 Member Positive Cases & Mortality

COVID-19 Vaccine Distribution Update

• All Arizonans age 1 2 and older are eligible to get a COVID-19 vaccine.

• Locations

• ADHS is operating several state run vaccination sites a cross the state.

• Pharmacies and other healthcare facilities also have vaccines.

• https://azdhs.gov/findvaccine

• Members who need help making an appointment can call 1-844-542-8201.

• CDC Myths and Facts About COVID-19 Vaccine

COVID-19 Vaccination Among DOD Members

Declined Vaccination

29.8%

Fully Vaccinated

Likely to be vaccinated

21.9% Partially Vaccinated

6.3%

Member Vaccination Data

28,656 Vaccine Eligible Members

COVID-19 Vaccine Distribution Update

Eligible Medicaid members can get non-emergency medical transportation (NEMT) to their vaccine appointment even if it is at a drive through site.

Contact your health insurance provider for more details.

AHCCCS Health Plan How to Schedule NEMT

Banner University Family Care

800-582-8686, Option 3 Hours: Mon.–Fri. 7:30 a.m.–5 p.m.

Banner University Family Care: Long Term Care

833-318-4146, Option 3 Hours: Mon.–Fri. 7:30 a.m.–5 p.m.

Mercy Care 1-800-624-3879 Hours: Mon.–Fri. 7 a.m.–6 p.m.

Mercy Care RBHA 1-800-564-5465 Hours: Mon.–Fri. 7 a.m.–6 p.m.

United HealthCare 1-888-700-6822 Hours: 24 hours a day, 7 days a week

AHCCCS Health Plan How to Schedule NEMT

Care1st 602-778-1800 or 1-866-560-4042 Hours: 24 hours a day, 7 days a week

Health Choice Arizona 602-386-3447 or 1-800-322-8670 Hours: 24 hours a day, 7 days a week

Magellan Complete Care 1-800-424-5891, Option 1 or 1-833-474-5060 Hours: Mon.–Fri. 8 a.m. –6 p.m.

Arizona Complete Health 1-888-788-4408 Hours: Mon.–Fri. 8 a.m.–5 p.m.

Updated Mask Guidance

• CDC Updated Mask Guidelines on May 13, 2021

• Fully vaccinated people no longer need to wear a mask or physically distance in any setting, except where required by federal, state, local, tribal, or territorial laws, rules, and regulations, including local business and workplace guidance

• DDD updated its COVID-19 QVA Guidance for Congregate Settings and Direct Care Workers document on May 25, 2021 to align

Announcements

• Qualified Vendor Agreement Public Comment Period • Published June 28, 2021

https://bit.ly/dddrfqvareview

• Public Comment Period will last for 60 days (August 27, 2021) • American Rescue Plan Act

• AHCCCS is holding a meeting to review their plan for ARPA funding • Wednesday, July 7, 5:00 p.m. (AZ/ MST) • Register in advance for this webinar:

https://ahcccs.zoom.us/webinar/register/WN_lQNHvyXjR3e_pczQ0QqMMg

• Arizona Disability Voter Coalition (AzDVC) • Tuesday, August 17, 2021 from 9:00 a.m. to 11:00 a.m. • Attendees can join the meeting using https://zoom.us/j/94967382883

DDD Strategic Planning

Current 2 Future Initiatives

DDD Contract with AHCCCS

Since 1988, the Division has had a contract with AHCCCS to deliver long term supports and services to members who are ALTCS eligible.

Since 1997, the Division’s contract has also included a responsibility to provide case management (Support Coordination) to DDD members who are also Medicaid eligible. These folks are in the Targeted Support Coordination (TSC) program.

AHCCCS regularly monitors the Division’s ability to meet the terms of our contract and at le ast every 3 years, AHCCCS completes a formal review called an Operational Review.

DDD Contract with AHCCCS

Between 2017 and 2019, AHCCCS took several contract actions to address deficiencies they identified. The Division was issued 4 Notice to Cure letters.

• Vendor Call 3/2/17 • Access to Care 4/27/17 • HIPAA 1/7/18 • Quality of Care (QOC) 10/15/18

On 3/18/19 AHCCCS requested the Division develop a Corrective Action Plan related to the Nursing Assessment process.

DDD Strategic Vision

For t wo weeks in January 2020, over 40 Division leaders met to address our current state and how to move to the future desired state, understanding that ultimately, our success would lead to improved outcomes for people receiving our services. Current 2 Future Initiatives:

• Address the 5 Contract Actions • Prepare for the next Operational Review so as not to receive any

additional Contract Actions • Address significant deficiencies in the American Indian Health Plan • Begin to address the business culture through a Year of Listening • Person Centered Service Plan

Improvements

• Successfully addressed a backlog of 27,000 Incident Reports as potential Quality of C are (QOC) concerns while implementing new process so this doesn’t occur again.

• Successfully implemented a Care Management program in collaboration with the DDD ALTCS Health Plans.

• Successfully executed an improved Case Transfer process statewide.

Improvements

• Participated in staff engagement activities with over 3600 employees.

• Successfully wrote, solicited, and awarded a contract to a vendor (WellSky) to address our claims p ayment deficiencies.

• Completed an internal review and are 95% complete in our Operational Readiness.

• Successfully closed the Vendor Call Notice to Cure.

Improvements

• Completed pilots of the new Nursing Assessment Process and preparing to release the new tool and policies for public comment.

• Planned, learned, and continue to discover opportunities in serving people in the American Indian Health Plan.

• Positively impacted the lives o f people needing our supports and services.

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Looking to the Future

• National Committee for Quality Assurance (NCQA) Accreditation • Case Mgmt w/LTSS Distinction

• CMS Interoperability Rule • Rulemaking (2021 - 2025) • Legislative Changes • DDD Health Plan Operational Review (OR) 2021 • AHCCCS Contract Changes

• Including Health Information Exchange (HIE)

Future Topics for Town Hall Meetings

• What would you like us to discuss/cover in these Town Hall events?

• What Guest Speakers would you like to see here?

• Does the monthly schedule work for each of yo u?

• Do you like the virtual format?

Questions?