The Arkansas Provider-Led Model and You

The Arkansas PASSE and You…

For Starters

I am Not DHS

I Do Not Have All the Answers

We Are Still Building the Model

Change Can Be Good…

Change Can Still Maintain Value

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For Starters

COMPANY CONFIDENTIAL | FOR INTERNAL USE ONLY | DO NOT COPY 3

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Who is Summit Community Care?

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Department of Human Services

Phases

• As of Today,

• There are four (4) PASSE Entities Accepting Members (Attribution)

• Most Attribution is Focused on Behavioral Health Through July 1st

• IDD Attribution Has Begun … Continues Through November

• Care Coordination is Underway for All Attributed Member of a PASSE

• Development of Networks, Rates, Contracts, etc. (Phase II) in Process

• Full-Risk “Go Live” is Still January 1, 2019

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Phases• Deliverables from DHS…

• Rates/Payments to PASSEs (July 31st)

• PASSE Manual Final Updates (July/August)

• PASSE Contracts (Segments Rolling Out in July and Beyond)

• From the PASSE…• Readiness Reviews to DHS – July and September

• Network Development/Contracting/Credentialing – On-Going

• Provider Manuals / Trainings / Meetings – TBD

• Member Communication / Provider Communication

• Care Coordination

• Full-Risk “Go Live” is Still January 1, 20198

Care Coordination• SUMMIT

• To Reach Every Member

• To Hire Qualified & Compassionate Care Coordinators

• To Achieve Highest Metrics / Quality for an Efficiently Managed System

• To Train Well, Adapting to Changes as Needed

• COMMUNITY• To Work With Providers to Meet Member Needs

• To Use the Resources Within APC to Develop a Continued System of Care

• To Cover Every Area of the State, Using Resources in All Areas

• CARE• Put Members FIRST…Respect the Families/Guardians/Care-Givers

• Use Our Expertise to Challenge the Status Quo

• Spend the Time…9

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