Division of Senior and Disability Services MMAC ... - mmac.mo.gov

Division of Senior and Disability Services MMAC ... - mmac.mo.gov

Division of Senior and Disability Services MMAC Provider Update October 22, 23, 24, 2019 Jefferson City, MO Organizational Structure Division of Senior and Disability Services(DSDS) Section of Home and Community Based Services (HCBS) Bureau of Long Term Services and Supports Bureau

of HCBS Systems and Data Reporting Bureau of HCBS Intake and Person Centered Care Planning (PCCP) Bureau of Home and Community Based Services Section of Adult Protective Services (APS) Bureau of Adult Protective Services Bureau of Central Registry Unit Bureau

of APS Automation and Data Analysis Special Investigation Unit (SIU) Home & Community Based Services Section of HCBS Venice Wood Bureau of Systems & Data Bureau of LTSS Bureau of HCBS

Bureau of Intake & PCCP Adult Protective Services Section of APS Tim Jackson Special Investigations Unit Bureau of Central Registry Unit Bureau of APS Bureau of Automation &

Analysis Statistics Participant Statistics Reassessments Intake Statistics Unit Statistics Employee Disqualification List (EDL) Statistics Consumer Directed vs. Agency Model Participants Consumer Directed

Agency Model 34,024 Participants 30,594 Participants Participant Statistics Number of Participants per Waiver Type Waiver Type Participants Slots Available Aged and Disabled Waiver 14,990 26,932

Adult Day Care Waiver 1,618 3,600 Independent Living Waiver 578 600 Reassessment Statistics Number of Participants Reassessed by Type 27 Providers and DSDS Staff Service Type

Total DSDS Reassessments 19,470 Provider Reassessments 32,851 Total Reassessments 52,321 Initial Referrals 15,714 Type 27 Provider Statistics Total number of active Type 27 Providers: 236 Breakdown of Active Providers

AAA 9 RCF/ALF 73 Agency Model Only 49 CDS Only 31 Agency, CDS, & ADC 2 Agency & CDS

65 CDS & ADC 1 Call Center Stats Calls Presented Calls Handled Call Handle Rate July 3,488 2,652 76.03%

August 3,726 2,597 69.70% September 3,429 2,647 77.19% Call Center Stats Electronic Referrals

Prescreens Complete July 3,488 2,652 August 3,726 2,597 September 3,429 2,647

HCBS Updates A Review of the PM/VMs PM-20-08 Policy Clarification Questions - Updates PM-20-07 Level of Care (LOC) Transformation Update PM-20-05 Electronic Visit Verification Educational Materials PM-20-04 Provider Voluntary Termination Reminder PM-20-03 Updates to the Home and Community Based

Services (HCBS) Call Center PM-20-02 Encrypting Emails HCBS Updates A Review of the PM/VMs PM-20-01 NCIAD Survey PM-19-10 Fiscal Year (FY) 2020 Services Reimbursement Rates PM-19-09 Changes to Electronic Visit Verification (EVV) Requirements

PM-19-08 Level of Care (LOC) Transformation Project Release of Draft LOC Algorithm 2.0 PM-19-07 State Transition Plan PM-19-06 April 2019 Medicaid Income Standards PM-19-05 Level of Care (LOC) Transformation Project Update HCBS Updates

Structured Family Caregiver Waiver Level of Care Transformation Provider Reassessment Training ILW Waiver Slots Rate Study

Value Based Purchasing NCI-AD Special Investigation Unit Information from March 2019 - Current Employee Disqualification List 105 Missouri Medicaid Audit and Compliance 50 Prosecuting Attorney 39 Old Monroe Police Chief Indicted for

Exploitation of the Elderly (Lincoln County) Two Indicted for $110,000 in CDS Fraud (St. Louis County) Will Adams LaShonda Johnson Adult Abuse and Neglect Hotline Online Reporting Coming Soon! Be our partner in making sure all cases of abuse, neglect and financial exploitation get reported. www.health.mo.gov Questions?

Contact The Bureau of Long Term Services and Supports [email protected] (573) 526-8557 Special Investigations Unit [email protected]

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