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SCDuE Weekly Update | June 24, 2013

The proposed model of the South Carolina Dual Eligible (SCDuE) Demonstration has been changed to reflect a carve-in of home and community based services (HCBS). These changes will be outlined in the Memorandum of Understanding (MOU) between the State and CMS (e.g., transition of HCBS authority to the Coordinated and Integrated Care Organization (CICO) during the Demonstration period). Some implementation details are subject to change pending a fully executed MOU; therefore, the State will not issue a procurement solicitation until such time.  The State is in the process of negotiating the details of the Demonstration’s MOU with CMS.
 

SCDUE DATA BOOK
During the upcoming weeks, the SCDuE team will develop a comprehensive data book profiling the Demonstration’s target population.  The State will utilize Medicaid data and available Medicare data from CMS.  The first report will include data on the county distribution of full-benefit dual eligibles.  All individual data requests submitted by interested organizations will be included in the State’s comprehensive data book.  This data book will be provided for informational purposes only and may or may not be used in the development of Medicaid methodology for the joint rate-setting process.
 
 

INTEGRATED CARE WORKGROUP | LONG TERM SERVICES AND SUPPORTS TRAINING SERIES
In an effort to facilitate our current discussions related to the integration of HCBS in the Demonstration, the SCDuE team is offering a series of training sessions on South Carolina’s long term supports and services (LTSS). This training will be held in addition to the on-going education series related to the Demonstration’s implementation.

Members of the Integrated Care Workgroup, as well as other stakeholders, are invited to attend these sessions either in person or by webinar. Webinar information will be provided prior to the meeting.
 

TRAINING SERIES SCHEDULE

How a Multidisciplinary Team Functions
This session has been postponed and will be rescheduled for a later date.

Facilitators: To Be Determined

The multidisciplinary care team is an important component of care coordination in the Demonstration. This session will cover how the team can best function to integrate care.
 

OTHER STATE DEMONSTRATIONS | IDAHO

Idaho
On Wednesday, June 5, 2013, the Idaho Department of Health and Welfare (IDHW) requested exemption from the competitive bidding process.  The IDHW expects to sign an Memorandum of Understanding (MOU) with CMS in July 2013 and implement their Demonstration through a 1915 amendment in March 2014.  A May 31st Stakeholder PowerPoint presentation and May 30th Guidance document can also be viewed by navigating to the IDHW website (see link below).

  • IDHW Dual Demonstration Website | LINK
  • May 30th Additional Guidance | XLSX

 
 
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Medicare-Medicaid FAQs (Frequently Asked Questions) | PDF
Contact CMS for any questions or concerns regarding the meetings, guidance, or the MMP application. Emails can be directed to MMCOcapsmodel@cms.hhs.gov
Contact the SCDuE Team for more information, questions, and/or comments related to the SCDuE Demonstration by email at scdue@scdhhs.gov.
For additional assistance, please contact the SCDuE Program Manager, Teeshla Curtis by email at curtist@scdhhs.govor by telephone at (803) 898-0070.
Visit the SCDuE Website at https://msp.scdhhs.gov/scdue/
Visit the CMS-MMCO Website at https://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/index.html
 

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