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File: Excel Sheet Download 24122 | Project Mgmt Phase3
sheet 1 phase 3 catchall mrt project date schedule budget risk projecttask description information for team leads key completed on track caution alert p completed 8 on track 9650 caution ...

icon picture XLS Filetype Excel XLS | Posted on 31 Jul 2022 | 3 years ago
Partial file snippet.
Sheet 1: Phase 3 Catch-All
MRT
Project #
Date Schedule Budget Risk Project/Task Description
Information for Team Leads
Key



Completed, On Track, Caution, Alert






P = Completed 8 = On Track ▲ = Caution T = Alert








6001



Project Name: Gold STAMP Program to Reduce Pressure Ulcers
Division Lead: Division of Nursing Homes and ICF/IID Surveillance, Center for Health Care Quality and Surveillance
Team Lead: Jackie Pappalardi
Additional Staff: Paula Grogin, Rick Rees, Elizabeth Coppernoll, Angela Frimpong
Description: Promote collaboration and communication within the continuum of care, provide information and education regarding evidence-based practices and provide strategic direction and support for pressure ulcer performance management.
26.0 Gold STAMP activities are carried out through an MOU with the University at Albany School of Public Health

5/23/13 P P P Plan and convene a one-day general meeting for Collaboratives.


6/30/13 8 8 8 Consolidate the currently discrete activities of Gold STAMP partners into a broad functional structure which allows for the collaborative development of an ideal Gold STAMP model.


6/30/13 8 8 8 Develop six new Collaboratives in areas of the State that are not represented or among those facilities with the highest prevalence of pressure ulcers.


9/17/13 8 8 8 Collaborate with Foundation for Quality Care, Inc. in hosting a Statewide Gold STAMP Conference.


12/31/13 8 8 8 Establish universal Gold STAMP website.


12/31/13 8 8 8 Review/compare evaluations of the impact of Gold STAMP and analyze the effectiveness of specific interventions.


12/31/13 8 8 8 Develop a listing of recommended best practices as appropriate for integration into an ideal Gold STAMP model.


3/31/14 8 8 8 Produce four webinars/webcasts on education topics related to prevention and care of pressure ulcers and post to Gold STAMP website.


3/31/14 8 8 8 Continue to support the six previously established Collaboratives when necessary or requested.


3/31/14 8 8 8 Begin development of a Gold STAMP best practice model.

6002



Project Name: Balancing Incentive Program
Division Lead: Mark L. Kissinger
Team Lead: Karen M. Ambros
Additional Staff: Karen M. Meier, Becky A. Corso, Jennifer C. Alhart
Description: Administrative Requirements- Develop Final Work Plan



5/31/13 P P P Prepare and send CMS answers to their questions.


6/13/13
6/20/13
8 8 8 Participate in training webinar conducted by TA.


7/5/13 8 8 8 Hire BIP project manager (IPRO).


7/31/13 8 8 8 Prepare first draft of detailed workplan (CMS format).


8/8/13 8 8 8 Revise workplan based on interagency comments.


8/21/13 8 8 8 Submit final draft to Chamber, DOB.


8/30/13 8 8 8 Submit to CMS.









6003



Project Name: Federal Revenue from Additional Emergency Medicaid Claiming and Other Possible Efforts
Division Lead: DFRS
Team Lead: Phil Mossman
Additional Staff: Maria Payne, Woo Hwang, FMG
Description: Aliessa population is claimed as FNP except for emergency services. However, none of the emergency services provided to Aliessa inidividuals in a managed care setting are claimed as FP. This project will identify and submit these services to FP.



3/1/13 P P P Complete fiscal analysis for calendar years 2011/2012 and begin discussions with CMS


6/15/13 P P P Request formal approval and waiver of two year claim limitation from CMS


06/30/13 P P P Submit claim for federal match for calendar years 2011 and 2012


09/30/13 8 8 8 Submit claim for federal match for January 1-March 31, 2013


10/01/13 8 8 8 Establish separate premium groups for Aliessa individuals to be effective April 1, 2013

6004



Project Name: PCMH Savings
Division Lead: DPDM
Team Lead: Greg Allen
Additional Staff:
Description: Eliminate payments for 2008 PCMH recognized Level 2 providers and reduce payments from $6 pmpm to $5 pmpm for 2008 PCMH recognized Level 3 providers. Assumes that some providers will meet 2011 standards to receive incentive payment.



10/1/13 8 8 8 Evolution project to edit the eMedNY to implement PCMH changes into the system









6005



Project Name: Increase Efficiency of Transportation Utilization by Transportation Manager
Division Lead: Div of Program Development and Management
Team Lead: Mark Bertozzi
Additional Staff: Tim Perry-Coon, Heidi Seney, Lani Rafferty
Description: Achieve savings in transportation management by accelerating migration to livery and public transportation as appropriate. Improve quality and transportation through administrative actions against low performing providers.

Completed April 2013.

1/30/13 P P P Develop livery and other lower cost alternatives to transportation with Transportation Managers


2/1/13 P P P Identify initial group of low performing transportation providers


2/16/13 P P P Transportation Manager to hire Utilization Review manager


2/20/13 P P P Provide information on low performing transportation providers to DLA, OHIP Operations and OMIG


3/1/13 P P P Ambulatory assessment of transportation use and needs


3/5/13 P P P Initial meeting with OHIP Operations and OMIG staff to discuss evidence based performance records of selected providers


3/22/13 P P P Reach agreement with OMIG on administrative actions against low performing transportation providers


4/1/13 P P P Take administrative action against low performing transportation providers


4/1/13 P P P Begin implementation of lower cost modes of transport

6006



Project Name: Managed Care Efficiency Adjustment
Division Lead: Division of Finance & Rate Setting/Bureau of Managed Care Reimbursement
Team Lead: Megan Ryan/Mike Dembrosky
Additional Staff: Phil Mossman/Stephanie Fargnoli
Description: Generate $50M gross savings ($25M State share) by implementing Plan specific quality rate adjustment in Managed Care premiums
$25.00





DATA ANALYSIS


4/19/13 P P P Complete plan specific & regional analysis on Inpatient metrics (PQIs, PPRs, PPCs)
DQPS

7/12/13, 7/26/13 8 8 8 Aggregate all quality metrics on a plan specific & regional basis
Mercer





EDUCATION


4/1/13 P P P 3M webinar with the Plans on the 3M suite of potentially preventable metrics
3M/DFRS

6/26/13, 7/18/13 8 8 8 Present ambulatory metrics to the Plans at Monthly Policy and Planning Meeting or a separate webinar
3M

6/20/13, 7/18/13 8 8 8 Present PPC analysis to the Plans at Monthly Policy and Planning Meeting
DQPS

7/12/13, 7/26/13 8 8 8 Present aggregated plan specific & regional information and discuss approaches to incorporate into the premiums at the Monthly Policy and Planning Meeting or an interim meeting
DFRS





METHODOLOGY/RATE DEVELOPMENT


7/12/13, 7/26/13 8 8 8 Discuss/determine interaction with other quality metrics currently reflected in the premiums
DOH/Mercer with 3M consultation

7/12/13, 7/26/13 8 8 8 Discuss/determine whether aggregate or individual metrics will be utilized and how they will be treated in determining Plan's adjustment
DOH/Mercer with 3M consultation

7/12/13, 7/26/13 8 8 8 Discuss/determine whether benchmark for adjustment will be Statewide, Regional or a percentage of the same
DOH/Mercer with 3M consultation

7/12/13, 7/26/13 8 8 8 Discuss/determine the frequency of future updates and update to the base data
DOH/Mercer with 3M consultation

7/12/13, 7/26/13 8 8 8 Discuss/determine whether a performace incentive will be considered in future adjustments
DOH/Mercer with 3M consultation

7/12/13, 7/26/13 8 8 8 Discuss/determine how the adjustment will be incorporated into the premium
DOH/Mercer with 3M consultation

7/12/13, 7/26/13 8 8 8 Decide how new adjustment will interact with the existing Mercer efficiency adjustment (LANE, PPA) and the impact on the 2% ATB
DOH/Mercer with 3M consultation

7/19/13, 8/2/13 8 8 8 Complete modeling the adjustment by Plan; by region
DFRS

7/19/13, 8/2/13 8 8 8 Provide data to Mercer for consideration in the rate range
DFRS

8/9/13 8 8 8 Mercer to provide rate range information to the Department
Mercer

8/28/13 8 8 8 DOH to complete build up the July Rates with efficiency adjustment
DFRS

8/29/13 8 8 8 Provide rates to DOB and CMS for approval
DFRS

8/30/13 8 8 8 Brief plans on July Rates, which will include the efficiency adjustment
DFRS

9/13/13 8 8 8 Receive DOB and CMS approval
--

9/13/13 8 8 8 Transmit July Rate package to EmedNY for payment
DFRS





DEBRIEF/NEXT STEPS


Complete


Pulling data for metrics


Ongoing


Running metrics


Ongoing


collapsing metrics


Ongoing


Update/refine methodology for future adjustment









6007



Project Name: Reduce Accounts Receivable Balances
Division Lead: John Ulberg/Ann Foster
Team Lead: Phyllis Stanton, John Gahan
Additional Staff: Adele Compton, Donna Choiniere, Robert Loftus, Tim Casey, Jason Corvino, Terry Provost
Description: Implement an aggressive recovery program to reclaim Accounts Receivable liabilities from providers over the next 18 months.
$50.0

02/22/13 P P P Develop a summary document which outlines the specifics of the proposal and circulate to DOB/FMG for review and comment.


02/22/13 P P P Meet with DOB and FMG to assess the feasibility of the proposal. Decide if statute is required or if proposal can be implemented administratively.


04/01/13 06/01/13 P P P Compile a list of current Accounts Receivable balances by provider and the payment option selected by each.


04/30/13 06/20/13 8 8 8 Distribute a letter to notify providers about the change in the State's collection policy and the date by which they will notify DOH which payment option they select.


07/31/13 09/30/13 8 8 8 Finalize all provider collections for Option #1 - paid in full by 9/01/13 (interest waived).


03/31/14 8 8 8 Finalize all provider collections for Option #2 paid in full by 3/01/14 (50% interest waived).


03/31/15 8 8 8 Finalize all provider collections for Option #3.

6008



Project Name: Reduce Accounts Receivable Balances (Part B)
Division Lead: John Ulberg/Ann Foster
Team Lead: Phyllis Stanton
Additional Staff: Kevin Wright, Mark Shutts, Adele Compton, Michelle Levesque
Description: Implement a process to collect Accounts Receivable liabilities that currently do not have recoupment procedures in place.



02/01/12 02/01/13 P P P Identify providers with liabilities that currently do not have a recovery structure in place.


08/01/13 P P P Develop a list of Providers for Grp #1 (Change of Ownership) to determine which liabilities can be transferred to new owner


09/01/13 8 8 8 Work with FMG and Counsel's Office on solutions for recovery methods.


11/01/13 8 8 8 Implement recovery procedures for providers in group #1 (providers still in business, but is billing under a different provider i.d.)


12/01/13 8 8 8 Begin efforts with OMIG and Attorney General's Office to collect liabilities for providers in group #2 (providers no longer in business). Need to determine if liabilites are collectible.


3/31/14 8 8 8 Develop and implement provider-specific recovery plans for group #3 (providers with no recoupment percentage in the system)

6009



Project Name: Accelerate MLTC Enrollment
Division Lead: DLTC
Team Lead: Mark Kissinger
Additional Staff: Margaret Willard
Description: Accelerate FFS to MLTC transition



4/1/13 P P P Secure approval for the LTHHCP population to move into MLTC in Westchester, Nassau, Suffolk and NYC


4/1/2013 7/1/13 8 8 8 Work with Maximus to evaluate the people who are falling off the path to auto-assignment


4/5/13 P P P Move private duty nursing population into MLTC


5/1/13 8/1/13 8 8 8 Evaluate enrollment plan to expedite additional counties with capacity


5/10/13 7/1/13 8 8 8 Evaluate remaining personal care population in NYC

6010



Project Name: Develop Initiatives to Integrate and Manage Care for Dual Eligibles (Fully Integrated Duals Advantage - FIDA)
Division Lead: DLTC
Team Lead: Mark Kissinger, Rebecca Corso
Additional Staff: John Ulberg, Ken Evans
Description: Develop approaches for serving dual eligibles



6/6/13 6/26/13
7/24/13
8 8 8 Resolution of outstanding MOU issues


6/15/13 8 8 8 Develop Base Data - Summarize Historical Data


6/30/13 8 8 8 Quarterly stakeholder engagement


6/30/13 8 8 8 Release of NYS Data Book (Phase 3 - 2011)


7/1/13 7/2/13 8 8 8 Finalize MOU between CMS/NYSDOH


7/8/13 8 8 8 CMS and State release draft Readiness Review tool to plans


7/15/13 8 8 8 Issue desk review letter to begin readiness review process


7/15/13 8 8 8 Develop Base Data - Remove costs for historical HR&R funds embedded in the raw data, adjust for IBNR claims


8/1/13 8 8 8 Plans submit documentation for desk review (Phase 1)


8/8/13 8 8 8 Plans submit documentation for desk review (Phase 2)


8/15/13 8 8 8 Adjust base data for any changes to the populations and or financial impacts that may have taken place from the base period to the rate period


9/15/13 8 8 8 CMS reviews draft desk review deficiencies


9/30/13 8 8 8 Quarterly stakeholder engagement


10/1/13 8 8 8 Present rate development to stakeholders


10/1/13 8 8 8 Letters to plans to correct desk review deficiencies


10/15/13 8 8 8 Plans submit responses to correct desk review deficiencies


10/15/13 8 8 8 Establish a finalized methodology for rate setting


10/31/13 8 8 8 Medicaid rates finalized


11/1/13 8 8 8 Three-way Contracts shared with plans and the State for signature


11/7/13 8 8 8 Site visits (including systems testing)


11/15/13 8 8 8 Pre-enrollment validation (e.g., filling vacant positions, website, phone lines)


12/1/13 8 8 8 State and Plan signed Three-way Contract returned to CMS


12/1/13 8 8 8 Brief FIDA plans on new rates


12/31/13 8 8 8 Quarterly stakeholder engagement


1/1/14 8 8 8 Submit 6-month progress report to CMS


1/3/14 8 8 8 Final Readiness Review Determination


1/15/14 8 8 8 Publish PMPM for the Demo


1/31/14 8 8 8 Plans establish connectivity with CMS enrollment, payment systems


2/1/14 8 8 8 Marketing begins to community-based LTSS beneficiaries and plans begin to accept opt-in enrollments (Phase 1)


3/31/14 8 8 8 Quarterly stakeholder engagement


4/1/14 8 8 8 Opt-in enrollment takes effect for community-based LTSS participants (Phase 1)


4/1/14 8 8 8 Adjust the Base data for the SNF population


5/1/14 8 8 8 60-day beneficiary notices sent for community-based LTSS passive enrollment (Phase 1)


6/1/14 8 8 8 30-day beneficiary notices sent for community-based LTSS passive enrollment (Phase 1)


6/30/14 8 8 8 Quarterly stakeholder engagement


7/1/14 8 8 8 Passive enrollment takes effect for community-based LTSS participants (Phase 1)


7/1/14 8 8 8 Submit 6-month progress report to CMS


7/1/14 8 8 8 Establish and Publish a revised PMPM including SNF Residents


8/1/14 8 8 8 Marketing begins to facility-based LTSS beneficiaries and plans begin to accept opt-in enrollments (Phase 2)


9/30/14 8 8 8 Quarterly stakeholder engagement


10/1/14 8 8 8 Opt-in enrollment takes effect for facility-based LTSS participants (Phase 2)


11/1/14 8 8 8 60-day beneficiary notices sent for facility-based LTSS passive enrollment (Phase 2)


12/1/14 8 8 8 30-day beneficiary notices sent for facility-based LTSS passive enrollment (Phase 2)


12/31/14 8 8 8 Quarterly stakeholder engagement


1/1/15 8 8 8 Passive enrollment takes effect for facility-based LTSS participants (Phase 2)


1/1/15 8 8 8 Submit 6-month progress report to CMS


3/31/15 8 8 8 Quarterly stakeholder engagement


6/30/15 8 8 8 Quarterly stakeholder engagement


7/1/15 8 8 8 Submit 6-month progress report to CMS


9/30/15 8 8 8 Quarterly stakeholder engagement


12/31/15 8 8 8 Quarterly stakeholder engagement


1/1/16 8 8 8 Submit 6-month progress report to CMS


3/31/16 8 8 8 Quarterly stakeholder engagement


6/30/16 8 8 8 Quarterly stakeholder engagement


7/1/16 8 8 8 Submit 6-month progress report to CMS


9/30/16 8 8 8 Quarterly stakeholder engagement


12/31/16 8 8 8 Quarterly stakeholder engagement


1/1/17 8 8 8 Submit 6-month progress report to CMS


3/31/17 8 8 8 Quarterly stakeholder engagement


6/30/17 8 8 8 Quarterly stakeholder engagement


7/1/17 8 8 8 Submit 6-month progress report to CMS


9/30/17 8 8 8 Quarterly stakeholder engagement


12/31/17 8 8 8 Quarterly stakeholder engagement









6011



Project Name: OPWDD Fully Integrated Duals Advantage - FIDA
Division Lead: DLTC
Team Lead: Mark Kissinger, Rebecca Corso
Additional Staff: John Ulberg, Ken Evans
Description: Develop approaches for serving dual eligiblesin OPWDD



10/31/13 8 8 8 MOU Development


3/31/14 8 8 8 Related activities









6012



Project Name: DSRIP - Public Hospital Transformation
Division Lead: Greg Allen/Division of Program Development and Management
Team Lead: Lana Earle, Lyn Hohmann
Additional Staff: Phil Mossman
Description: Development of metrics and framework for the transformation of the public hospitals in NYS to meet unmet needs and align with the healthcare goals of the NYSDOH. Defining metrics and a framework that CMS will approve, allowing NYS to move forward with DSRIP and related projects.



8/1/2013 8 8 8 Finalize State Metrics


5/29/2013 ü ü ü Set up meeting with Jacqueline Matson and Liz Villamil to review DSRIP and metrics


5/29/2013 ü ü ü Establish plan for finalizing metric set in alignment with NYS QAAR and other


6/12/2013 ü ü ü Finalize metric set for submission to CMS


6/17/2013 ü ü ü Submit proposed metric set with rationale to CMS


7/1/2013 8 8 8 CMS Review, discussion of proposed metric set


7/15/2013 8 8 8 Revision of metric set done and submitted to CMS


8/1/2013 8 8 8 CMS Review and acceptance of metric set


9/1/2013 8 8 8 Finalize development of public hospital strategies


5/29/2013 ü ü ü Identify key leads in all public hospitals and associations


6/5/2013 ü ü ü Compile most current plans from each public hospital


6/12/2013 ü ü ü Planning meeting with and association leads


6/30/2013 8 8 8 Review and ID weaknesses/strengths/alignment with metrics


7/15/2013 8 8 8 Face to face meeting with key leads of each public to lay out metric set, strategies and anticipated framework for monitoring.


8/9/2013 8 8 8 Follow-up a. HHC, b. Public Hospital, c. SUNY strategy set with weekly calls--alignment of quality/financial aspects


8/9/2013 8 8 8 Public Hospitals submit strategy CMS - ready for final department review


8/13/2013 8 8 8 Final in-house review


9/1/2013 8 8 8 Submit to CMS


12/2/2013 8 8 8 Financial strategy


8/1/2013 8 8 8 Identify funding requests from participating entities and MRT initiatives


9/1/2013 8 8 8 Submission of financial request to CMS


12/2/2013 8 8 8 Work with Council/DLA to develop written agreements with participating entities


9/1/2013 8 8 8 Establish framework for monitoring strategies including reporting and evaluation of metrics


6/12/2013 ü ü ü Identify with OQPS model for reporting and evaluation of metrics in alignment with current state processes


7/15/2013 8 8 8 Develop model in alignment with financial considerations.


7/15/2013 8 8 8 Review model with OQPS and refine


8/1/2013 8 8 8 Present proposed model to publics


8/15/2013 8 8 8 Refine model based upon comments from publics


9/1/2013 8 8 8 Final sign-off of model and submission to CMS

6013



Project Name: NYCOTB
Division Lead: Health Reform and Health Insurance Exchange Integration
Team Lead: Dawn M. Oliver
Additional Staff: Kathleen Jackson, Rita Zink, Mark Malone
Description: Implement a state only Medicaid benefit program for former NYC OTB retirees



4/8/13 P P P Establish work team to create the benefit structure


4/9/13 P P P Workgroup identifies system changes needed to WMS and eMedNY


4/11/13 P P P Application and FAQ distributed to OTB retirees


4/22/13 P P P eMedNY evolution project request and WMS system change request submitted


5/6/13 P P P Client notice language drafted and submitted for legal review


6/11/13 P P P 620 applications received from OTB retirees


6/18/13 P P P WMS and eMedny system changes scheduled for implementation


7/9/13 8 8 8 Complete Eligibility determinations


7/10/13 8 8 8 OTB retiree Medicaid benefits active

6014



Project Name: Family Health Plus Program discontinuation
Division Lead: Bureau of Medicaid Enrollment & Exchange Integration
Team Lead: Kathleen Johnson
Additional Staff: Judith Layton and Peggy Noonan
Description: Family Health Plus Program is ending 12/31/2014, no new enrollment after 12/31/2013







PART 1






Policy and Procedure


5/20/13 P P P Complete preliminary review of policy issues


10/1/13 8 8 8 Submit draft Administrative Directive (ADM) for clearance


10/1/13 8 8 8 Draft Medicaid Update Article for clearance


10/15/13 8 8 8 Submit changes to 1115 waiver amendment


11/1/13 8 8 8 Update MARG


11/1/13 8 8 8 Update trainings


12/1/13 8 8 8 Update AccessNY application


12/15/13 8 8 8 Issue ADM


12/15/13 8 8 8 Issue Medicaid Update Article


12/31/13 8 8 8 Eliminate FHPlus brochures


1/1/14 8 8 8 Cease acceptance of new applications






Take final steps to discontinue FHPlus- include in 1115 Waiver Amendment


5/29/13 P P P Develop Tribal notification letter


5/29/13 P P P Develop Public Notice


5/30/13 P P P Submit Tribal notification letter for approval


5/30/13 P P P Submit Public Notice for approval/clearance


7/1/13 8 8 8 Mail Tribal notification letter


8/1/13 8 8 8 Submit Public Notice for publication


9/1/13 8 8 8 Receive/Respond to Tribal and Public comments


11/1/13 8 8 8 Submit changes to 1115 waiver amendment






Internet


1/1/15 8 8 8 Disable website






Systems






Heart/WMS


3/1/13 P P P Explore necessary system changes (cease acceptance of new applications)


4/4/13 P P P Submit System Change Request Form


4/4/13 P P P Finalize System Change requirements


4/24/13 P P P Finalize System Action request


11/30/13 8 8 8 Development/Coding changes


12/23/13 8 8 8 Unit testing


12/31/13 8 8 8 User acceptance






CNS


6/12/13 P P P Explore CNS notice issues


11/21/13 8 8 8 Eliminate/Revise CNS notices














PART 2






Move S/CC into managed care & Transition Parents at Renewal






Policy and Procedure


5/20/13 P P P Complete preliminary review of policy issues


10/1/13 8 8 8 Submit draft GIS for clearance- S/CC flip into Medicaid Managed Care


12/15/13 8 8 8 Issue GIS


12/31/13 8 8 8 Amend 1115 Waiver STC (if necessary)


12/31/13 8 8 8 Move parents/caretake relatives out of FHPlus into MAGI






Systems






WMS


1/1/13 P P P Explore necessary system changes- move recipients into other coverage


2/13/13 P P P Submit System Change Request From


5/28/13 P P P Finalize System Change requirements


6/3/13 P P P Finalize System Action request


11/30/13 P P P Development/coding changes


12/23/13 8 8 8 Unit testing


12/31/13 8 8 8 User acceptance






CNS


6/12/13 P P P Explore CNS notice issues


11/21/13 8 8 8 Finalize and submit CNS notices














PART 3






Repeal of FHPlus Program






Policy and Procedure


5/20/13 P P P Complete preliminary review of policy issues


12/31/13 8 8 8 Final Waiver Approval






Internet


1/1/15 8 8 8 Disable FHPlus mailbox














PART 4






Premium "wrap" for parents/caretakers income 138-150%


5/15/13 P P P Discussion with CMS


5/16/13 P P P Discussion with CSS


10/1/13 8 8 8 Negotiate STC for Waiver


12/31/13 8 8 8 Final Waiver approval


Sheet 2: Phase 3 Supportive Housing
MRT
Project #
Date Schedule Budget Risk Project/Task Description State Savings 2012-13($millions) Information for Team Leads
Key



P = Completed 8 = On Track ▲ = Caution T = Alert _ = Unknown








6101



Project Name: Health Homes Supportive Housing Pilot Project
Division Lead: Lana Earle & Mark Kissinger Additional Staff: Barry Kinlan, Becky Corso, Gino Santabarba
Description: Funding will support $5 million of rent and service subsidies to supportive housing providers to house and serve unstably housed high cost Medicaid recipients enrolled in Health Homes.



5/17/2013 P P P Participated in a call with Agency staff and circulated the work plan


6/17/13 P P P Participated in an internal meeting to discuss funding distributions (RFP, RFA, single source procurement)


7/1/13 8 8 8 Determine funding distribution mechanism









6102



Project Name: OMH Supported Housing Services Supplement
Division Lead: Bob Myers, Moira Tashjian (OMH)
Description: Funding will support rent and service subsidies to supplement OMH Supported Housing in order to provide necessary day-to-day continuity of place-based, wraparound support services through a flexible critical time intervention approach.



5/17/2013 P P P Participated in a call with Agency staff and circulated the work plan


7/1/13 8 8 8 Determine funding distribution mechanism

























6103



Project Name: Homeless Senior Placement Pilot Project
Division Lead: Linda Glassman (OTDA)
Description: Funding will support rent and service subsidies to seniors currently residing within the shelter system. Funding will transition this population into the community.



5/17/2013 P P P Participated in a call with Agency staff and circulated the work plan


5/28/13 P P P Internal meeting to discuss program development


7/1/13 8 8 8 Determine funding distribution mechanism









































6104



Project Name: Health Home HIV + Rental Assistance Pilot Project
Division Lead: Joseph Losowski (AIDS Institute)
Description: Funding will support rental assistance for homeless and unstably housed health home participants diagnosed with HIV infection but medically ineligible for the existing HIV-specifc enhanced rental assistance program for New Yorkers with AIDS or advanced HIV-illness.



5/17/2013 P P P Participated in a call with Agency staff and circulated the work plan


6/17/13 P P P Participated in an internal meeting to discuss funding distributions (RFP, RFA, single source procurement)


7/1/13 8 8 8 Determine funding distribution mechanism

















6105



Project Name: Senior Supportive Housing Pilot Project
Team Lead: Mark Kissinger, Liz Misa, Rebecca Corso, Gino Santabarbara
Description: Funding will support capital and supportive services to enable low-income seniors to remain in the community.



5/17/2013 P P P Participated in a call with Agency staff and circulated the work plan


6/17/13 P P P Participated in an internal meeting to discuss funding distributions (RFP, RFA, single source procurement)


7/1/13 8 8 8 Determine funding distribution mechanism

























6106



Project Name: Step-Down/Crisis Residence Capital Conversion Pilot Project
Division Lead: Bob Myers, Moira Tashjian (OMH)
Description: Funding will support capital and operating funding to allow for a specified number of existing community residential service providers to convert a certain number of beds in crisisor step-down service units.



5/17/2013 P P P Participated in a call with Agency staff and circulated the work plan


6/14/2013 P P P Draft RFP for 12 to 15 agencies to provide existing providers to expand or convert a certain # of units for individuals in need of crisis stabilization/hospital diversion or hospital step-down.


8/15/2013 8 8 8 Release RFP


10/15/13 8 8 8 Announce awards


12/1/13 8 8 8 Begin contracts

6107



Project Name: Nursing Home to Independent Living Rapid Transition
Division Lead: Mark Kissinger, Liz Misa, Rebecca Corso, Gino Santabarbara
Description: Funding will support rent and service subsidies to offer individuals with mobility impairments or other severe physical disabilities an alternative pathway to community living.



5/17/2013 P P P Participated in a call with Agency staff and circulated the work plan


6/17/13 P P P Participated in an internal meeting to discuss funding distributions (RFP, RFA, Sole Source Contract)


7/1/13 8 8 8 Determine funding distribution mechanism










































































































Sheet 3: Phase 3 Operations
MRT
Project #
Date Schedule Budget Risk Project/Task Description State Savings 13-14
($millions)
Information for Team Leads
Key



Completed, On Track, Caution, Alert






P = Completed 8 = On Track ▲ = Caution T = Alert








6201



Project Name: Activating Ordering/Prescribing/Referring/Attending Edits
Division Lead: OHIP Operations
Team Lead: Jonathan Bick
Additional Staff: Nancy Tumey
Description: Savings identified through implementation of ACA requirement that ordering/referring practitioners be enrolled in Medicaid for FFS claims to be paid.



5/20/13 P P P Post FAQs on web


7/1/2013
7/9/13
8 8 8 Conduct Webinar to encourage and facilitate enrollment


7/1/13 8 8 8 Review current claims activity (excluding pharmacy) against new edits


7/15/13 8 8 8 Reach out to the subset of providers whose current claims activity reveals the greatest potential of future claims denials


7/1/13 8 8 8 Issue a Medicaid Update article. Outline pend and release process, encourage enrollment, highlight the FAQ document and restate that edits will be set to deny in October.


8/1/13 8 8 8 Reach out to OOS hospitals with whom Medicaid has entered into special pricing arrangements


8/1/13 8 8 8 Begin pend and release


9/1/13 8 8 8 Determine rollout schedule of edits/claim type to deny


9/1/13 8 8 8 Finalize rate code bypass for services ordered/referred by non-enrollable professionals


9/1/13 8 8 8 eMedNY listerv on pend and release, rollout of edits


10/1/13 8 8 8 Begin setting edits to deny

6202



Project Name: Incontinence Supply Contractor
Division Lead: OHIP Operations
Team Lead: Kevin Hepp
Additional Staff: Jonathan Bick, Debby Henderson, William Hamilton
Description: Achieve savings through bulk purchasing, rebates, and/or additional utilization management inititatives
$.8

4/1/13 P P P Obtain statutory authority


6/15/13 7/15/13 8 8 8 Publish RFI to solicit industry feedback on approaches


7/22/2013 8/22/13 8 8 8 Complete review of RFI responses and recommend approach


8/1/2013 9/1/13 8 8 8 Contracting/procurement approach determined


9/1/13 10/1/13 8 8 8 Determine feasibiliy of combining effort with exisiting or future state/local government procurements


9/1/2013 10/1/13 8 8 8 Initiate procurement activities


10/1/2013 11/1/13 8 8 8 Initiate review of proposals


10/15/13 11/15/13 8 8 8 Select contractor(s)


10/22/13 11/22/13 8 8 8 Initial provider notification


11/15/2013 12/15/13 8 8 8 Approval of contract(s)


1/1/14 2/1/13 8 8 8 Begin implementing initiative

6203



Project Name: Increase Manual Review of Claims
Division Lead: OHIP Operations
Team Lead: Ellen Harris
Additional Staff: Jonathan Bick
Description: Hiring package of 5 claims reviewers to increase cost effective manual review of FFS claims.
$8.25

3/18/13 P P P Waiver package submitted to DOB


6/14/13 8 8 8 DOB approval of waiver package


6/28/13 8 8 8 Positions posted


7/15/13 8 8 8 Begin interviews


8/02/13 8 8 8 Nominate candidates


8/14/13 8 8 8 Offer positions


8/29/13 8 8 8 Staff begin training period


11/29/13 8 8 8 Initial training period complete


12/31/13 8 8 8 First report on savings results

6204



Project Name: Hearing Aid Administrative Streamlining
Division Lead: OHIP Operations
Team Lead: Erin K. Finigan
Additional Staff: Debby Henderson, Jonathan Bick, TBD
Description: Propose regulation change to facilitate transition from paper to electronic billing to reduce administrative burden on providers and the State. Develop maximum fees based on an average cost of products representative of each type of hearing aid. This will allow automated processing of claims and is consistent with current regulations and procedures for complex wheelchairs and other equipment as well as other payors nationwide.
$0.25

05/17/13 P P P Amendment packet submitted to DLA


08/31/13 8 8 8 Obtain approval for amendment proposal


10/31/13 8 8 8 Obtain feedback from provider and beneficiary stakeholder groups


11/30/13 8 8 8 Establish MRAs for each code


12/15/13 8 8 8 Update eMedNY system to reflect fees


12/15/13 8 8 8 Update Hearing aid fee schedule


12/15/13 8 8 8 Educate staff


12/31/13 8 8 8 Educate provider community


01/31/14 8 8 8 Begin implementing initiative


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