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dhs rfi

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In an effort to become more aware of, and knowledgeable about, specific measures to consider improving the quality, consistency, and effectiveness of the Office of Long-Term Living’s (OLTL) application and enrollment procedure, the Department of Human Services (DHS) has issued a Request for Information (RFI). The RFI will be used to gather information and input concerning the application and enrollment services for the beneficiaries of two Medical Assistance (MA) managed care programs, four 1915(c) MA home and community-based services (HCBS) waiver programs, and a state-funded program, all administered by OLTL.

 

Specifically, the RFI seeks information to assist DHS in determining how it may improve its LTSS application and enrollment process, including services provided by the OLTL Independent Enrollment Broker (IEB) to individuals who apply for and enroll in the Community HealthChoices (CHC) Program, the Pennsylvania Living Independence for the Elderly Program (LIFE), the Aging Waiver, the Attendant Care Waiver, the Independence Waiver and the OBRA Waiver, and the state-funded Act 150 Attendant Care Program.

DHS is requesting that all responses to the RFI be submitted by 12:00 pm on April 22, 2019. Responses must be submitted electronically to this email account with “OLTL Application and Enrollment Services RFI” in the email subject line. RCPA will establish a work group to review the RFI and compile comments to be submitted by the required deadline.

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On May 29, the Department of Human Services released a request for information (RFI) to help guide the department’s planning process for the release of a new procurement for the provision of managed care services for physical health. RCPA submitted comments and recommendations to the department in response to the RFI. Secretary Dallas has worked to be transparent during this process and has published a summary of some of the most frequently provided comments in the responses to the RFI. He has also identified some of the changes that the department is considering for the new HealthChoices physical health managed care procurement. This list is not intended to be final and merely reflects some of the ideas that are being considered at this time. Because many of the comments and related action plans communicated by Secretary Dallas address integrated physical and behavioral health care, data and information sharing, service system simplification, and other initiatives that have implications for RCPA members, this interim report is being shared at this time. Please submit any additional comments on the concepts included in this summary, or an area that is not listed in the document, via email by August 10.

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Below is the RFI to which RCPA submitted comments, which can be seen here.

From: DHS STAKEHOLDERS On Behalf Of HS, Secretary’s Office
Sent: Friday, May 29, 2015 2:38 PM
Subject: [DHS-STAKEHOLDERS] HealthChoices RFI Issued

Dear Stakeholders:

Today the Department of Human Services (DHS) is releasing a Request for Information (RFI) and we want your input. We are soliciting information that will assist with the development of a Request for Proposal (RFP) for a HealthChoices Physical Health services procurement. The overall goal of which is to explore new innovative approaches to the delivery and payment of health care services that reward quality and increase access within the Medicaid program.

HealthChoices is the name of Pennsylvania’s managed care programs for Medical Assistance (MA) recipients. Through Managed Care Organizations (MCO), recipients receive quality medical care and timely access to all appropriate physical health services, whether the services are delivered on an inpatient or outpatient basis. DHS has three simple goals for HealthChoices:  improve access to health care services for MA recipients, improve the quality of health care available to MA recipients, and stabilize our MA spending.

As DHS looks to make improvements to Pennsylvania’s HealthChoices program, we are interested in ideas and approaches we should consider to accomplish the following:

  • Promote the achievement of the Triple AIM (better health, better care, lower cost)
  • Improve care coordination between physical and behavioral health services
  • Promote the expansion of value based purchasing of health care services
  • Promote the expansion of team based approaches to care delivery (for example- patient centered care medical homes)
  • Promote community based public health initiatives
  • Increase consumer access to needed services, especially in rural and underserved areas of the Commonwealth
  • Improve the efficiency of the HealthChoices program
  • Improve the provider experience with the HealthChoices program

I encourage you to provide feedback by close of business on June 26, 2015. Please submit your responses electronically to RA-PWHCRFIResponses@pa.gov, and thank you, in advance, for taking the time to provide your valuable input.

With your unique perspectives and input, we look forward to improving a system that provides quality services for our most vulnerable Pennsylvanians.

The RFI is available at www.emarketplace.state.pa.us/Solicitations.aspx?SID=DHS%20HC%20RFI%202015.

 

Sincerely,

Ted Dallas
Acting Secretary
Department of Human Services

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