empire state association of assisted living (esaal) 33rd ......may 01, 2012 · presentation -...
TRANSCRIPT
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Empire State Association of
Assisted Living (ESAAL)
33rd Annual Conference
Mark Kissinger, Director
Division of Long Term Care
Office of Health Insurance Programs
NYS Department of Health
May 1, 2012
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DOH Reorganization
• OHIP
• OHSM
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Current Initiatives
• ALP 6000 Opportunities for Development (OFD)
– authorization for up to an additional 4,718 beds
by March 31, 2014.
• There is no longer a requirement that these beds
be associated with the decertification of
Residential Health Care Facility beds.
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Current Licensure Issues • ACF Compliance Letters dated March 15, 2012 were
mailed to selected ACF CON Applicants (facilities
that are unlicensed but operating)
• Architectural Certification (i.e. TPAC): being re-
evaluated by the Department to streamline and clarify.
The next Architectural Committee will be before
6/30/12
• Applicants and/or Applicant Representatives should
work directly with their assigned Project Manager
• Retirements have resulted in re-assignment of ACF
CON Applications review among current Project
Managers
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Status of ALP Beds
• Currently there are 105 Facilities with
6,357 licensed ALP beds
• We are reviewing 38 applications for 2,341
additional ALP beds
• These combined cover 47 of the state’s
counties
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Status of ALR Applications
• 57 ALRs approved to date:
• 9 are EALR
• 11 are SNALR
• 21 are EALR and SNALR
• 203 ALR applications currently under review
representing:
• 20,264 ALR beds
• 8,202 EALR beds
• 3,745 SNALR beds
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Medicaid Redesign Team (MRT)
Update
• Affordable Housing Workgroup
incorporated ALP Reform into approved
recommendations.
• 2012-2013 State Budget enacted many of
these changes.
• Department is working administratively to
achieve the remaining recommendations.
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MRT ALP Reform Proposals
• The following proposals were also achieved
in the 2012-2013 State Budget:
• Allow ALP RN to conduct initial and
ongoing assessments.
• Reimburse the ALP outside of the
capitated rate for these assessments.
• Eliminate pre-admission assessment by
local social services district.
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MRT ALP Reform Proposals
Achieved in Budget, continued
• Eliminate linkage to decertifcation of
nursing home beds for new ALP beds.
• Enable ALP to contract with more than one
Certified Home Health Agency, Long Term
Home Health Care Program or other
qualified provider.
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MRT ALP Reform Proposals
Administrative
• DOH is working to achieve the following
reform proposals administratively:
• Allow ALP home health aides to perform
for ALP residents any tasks they could
perform in any other setting.
• Allow ALP to contract for Medicare-
covered therapies with non-CHHA or
LTHHCP providers.
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MRT ALP Reform Proposals
Administrative, continued
• Improve ALP survey process to integrate
ACF/ALP and LHCSA survey components.
• Develop a forum to revisit ALP Reform
next year.
• In addition, the Public Health and Planning
Council last fall approved emergency
regulations lifting the CHHA moratorium
and allowing an ALP to become a CHHA.
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MRT # 69: UAS-NY
• UAS-NY is a web-based software application that
will be used by eight Long Term Care programs.
• UAS-NY is based on interRAI Community Health
Assessment, which is validated and fosters inter-
rater reliability.
• UAS-NY software is currently being developed
and tested.
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MRT # 69: UAS-NY Beta Test
Engaging 40 representative organizations to help:
• provide insight into system technical stability.
• inform statewide roll-out strategy.
• provide insight into organizational ability to
integrate UAS-NY into business practices.
• provide insight on UAS-NY impact on assessed
individuals.
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MRT # 69: UAS-NY Beta
Expectations • Staff from participating organizations will
complete the fully online courses to learn about
and use the UAS-NY.
• Staff will test the UAS-NY by completing
assessments and using available reports.
• Staff will provide feedback on the integration and
alignment of local business practices with the
UAS-NY.
• Expected implementation: January, 2013 due to
integration with Medicaid Data Warehouse.
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MRT Supportive Housing
Initiatives
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Questions? Contact Information
• Mark Kissinger, Director, Division of Long Term Care
518-402-5673, [email protected]