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SCDuE Weekly Update | April 22, 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 24, 2013, 10am – 11:30AM

Education Session | Integration of Long Term Care Supports and Services in the SCDuE Demonstration

South Carolina Department of Health and Human Services, 11th Floor Conference Room
1801 Main Street ● Columbia, South Carolina 29201

The purpose of this educational session is to provide information to stakeholders about South Carolina’s long term care system and how these services will be integrated and coordinated through the Demonstration.  With a revised model for the Demonstration, emphasis will be placed on how the carve-in of home and community based services will impact service delivery.  Our special guests during this session are Jim Verdier, senior fellow at Mathematica Policy Research of the Integrated Care Resource Center, and Sarah Barth, JD, director of long-term services at the Center of Health Care Strategies.  They will provide an overview of national trends in the integration of long-term services and supports.  Stakeholders will also be given the opportunity to provide feedback to the State and CMS as this model is finalized.

Jim M. Verdier is a senior fellow at Mathematica Policy Research in Washington, D.C., where his work focuses on Medicaid, state health policy, and Medicare. He is currently directing Mathematica’s Integrated Care Resource Center (ICRC) project for the Centers for Medicare & Medicaid Services (CMS), which provides technical assistance to CMS and states as they develop new initiatives for Medicare-Medicaid enrollees (“dual eligibles”). Mr. Verdier is also a visiting lecturer at the Woodrow Wilson School at Princeton University, where he has co-taught courses on Medicaid and state health policy since 1998. He was the Indiana state Medicaid director from 1991-97, and deputy director of the Michigan Department of Management and Budget from 1989-90. Mr. Verdier taught public management and policy analysis at the Kennedy School of Government at Harvard from 1983-89, and headed the Congressional Budget Office’s Tax Analysis Division from 1979-83. He served as a legislative assistant in the U.S. House of Representatives and the U.S. Senate from 1968-75. He is a graduate of Dartmouth College and Harvard Law School.

Sarah Barth, JD, is the director of long-term services at the Center for Health Care Strategies (CHCS). In this role, she primarily works on CHCS' initiatives to help states advance integrated models of care for managed long-term service and supports systems and dual eligibles. She also provides targeted technical assistance focusing on integrated care to states under the Robert Wood Johnson Foundation's Medicaid Leadership Institute.  Prior to CHCS, she served in a consulting role to several state Medicaid programs; non-profit foundations, including the Massachusetts Medicaid Policy Institute at the Blue Cross/Blue Shield Foundation of Massachusetts and the Center for Health Law and Economics at the University of Massachusetts Medical School; and managed health care organizations. Ms. Barth has more than 18 years of experience in Medicaid administration working for both the states of New Mexico and Massachusetts. In New Mexico, she oversaw long-term services programs, managing all aspects of the design, waiver submissions to the Centers for Medicare & Medicaid Services and implementation of the Coordination of Long-Term Services program. She also worked at the Massachusetts Medical Assistance Division for 12 years on the state's Medicaid program with a brief break to serve as the legislative director for Health and Human Services for the Massachusetts Governor's Office. At Massachusetts Medicaid, she developed legislative and media strategies, oversaw large interagency projects, and contributed to state health care reform initiatives.  Ms. Barth has a bachelor's degree from the University of Pennsylvania and a law degree from Suffolk University Law School.

SCDuE Stakeholder Schedule Spring 2013

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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