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SCDuE Weekly Update | April 12, 2013

As of Friday, April 12, 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.

 

Integrated Care Workgroup | April 17, 2013, 10am – 12:30pm

Special Session | Revised SCDuE Demonstration Model

South Carolina Department of Health and Human Services
1801 Main Street ● Columbia, South Carolina 29201

 

The purpose of this meeting is to address comments or concerns related to the revised SCDuE Demonstration model.  On Monday, April 8th, the SCDuE Team conducted a webinar to announce significant changes to the proposed model submitted to CMS on May 25, 2012.  The model will be changed as follows:

  • HCBS included in the capitated rate, beginning Year 1;
  • Transition of HCBS authority to CICOs over the three year Demonstration period; and
  • Benchmarks and readiness standards as thresholds for CICOs assuming this authority.

Additionally, the new model will maintain the current HCBS infrastructure, building on existing contractual relationships.  The State will also retain specified authority over some aspects of HCBS governance and management.  Comments related to the revised model will be accepted on the SCDuE website until 5pm EST Friday, April 12, 2013.

 

Stakeholder Engagement

Our next scheduled stakeholder educational session on April 24th will focus specifically on LTC/HCBS issues related to the integration of these services in our model.  In order to help us prepare for this session, we ask that you take a few minutes to complete a brief survey.  Your feedback will help us develop an appropriate agenda that is responsive to your needs.  Stakeholder engagement is a cornerstone to the Demonstration and we are committed to remaining engaged as our model is revised. 

  • LTC/HCBS Integration Survey | Link

 

SCDuE Stakeholder Schedule Spring 2013

Education Session #2:  Integration of Long Term Care Services and Supports in the SCDuE Demonstration

Wednesday, April 24, 2013, 10am – 11:30am
South Carolina Department of Health and Human Services
1801 Main Street, Columbia, South Carolina 29201
Facilitator:  Sam Waldrep

 

Education Session #3:  Consumer Engagement

Wednesday, May 22, 2013, 10am
Location to be determined
Facilitators:  Integrated Care Resource Center (CMS Technical Assistance Team)

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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 Coordinator, 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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