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Indiana Family and Social Services Administration: Partnering for Health

This presentation provides an overview of the Indiana Family and Social Services Administration's agency structure, budget, and the scope and impact of their services. It also highlights the agency's spotlight divisions and their initiatives for 2017/2018.

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Indiana Family and Social Services Administration: Partnering for Health

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  1. Indiana Family and Social Services Administration: Partnering for Health Jennifer Walthall, MD MPH Secretary Senate Health Committee January 2018

  2. Presentation Overview • Agency Structure Summary • 2017/18 Agency Spotlight • 2018 Agency Pillar Supports • Scope and Impact of Our Services

  3. Agency Overview • Overall Budget $15.1 Billion • FSSAis organized into seven care divisions plus administrative support: • Care divisions Office of Medicaid Policy and Planning Division of Disability and Rehabilitative Services Division of Aging Division of Family Resources Division of Mental Health and Addiction Office of Early Childhood and Out of School Learning Disability Determination Bureau

  4. 2017/2018 Agency Spotlight

  5. Division of Aging • Ongoing modernization efforts surrounding the INConnect Alliance • Initiation of transformative approach to Home and Community Based Services • Ongoing support for Adult Protective Services through improved funding and quality

  6. Division of Disability and Rehabilitative Services • Improve Employment Outcomes for Individuals with Disabilities • Home- and Community-Based Waiver Redesign • First Steps will support ISDH and DCS in successful implementation of Help Me Grow pilots

  7. Division of Mental Health and Addiction • Addiction treatment – improved access • Implementation of the 1115 waiver for SUD services. • Expand access to Medication-Assisted Therapy through new opioid treatment programs. • Implement SUD initiatives with the Federal 21st Century Cures grant. • Roll out Open Beds/2-1-1 initiative. • Forensic partnerships • Continue to expand Recovery Works access across the state. • Collaboration with Juvenile Detention Alternatives Initiative for crisis intervention and diversion. • Mental Health • Move state hospitals toward system integration. • Operationalize Neuro-Diagnostic Institute. • Drive integrated care opportunities for dually diagnosed populations.

  8. Indiana NeuroDiagnostic Institute (NDI)

  9. Office of Early Childhood and Out of School Learning • Implement statewide provider registry to facilitate training and professional development to enhance early childhood education quality and alignment • Continue to support and expand Paths to Quality programming • Continue to provide coaching to early childhood programs • Continue to provide continuous improvement education around safe child care environments • OMW pre-K: • In 2017, we served 2,144 children in the five original pilot counties and EEMG sites. • For 2018, 10 new counties are prepared to serve approximately 300 additional children this month, and we will be ready for full implementation in August 2018.

  10. Division of Family Resources • Begin rollout of statewide implementation of our new Integrated Eligibility Determination and Services System (IEDSS) • Implement Asset Verification System (AVS) to verify assets for the purposes of streamlining eligibility for Aged, Blind and Disabled Medicaid recipients

  11. Office of Medicaid Policy and Planning • Central Credentialing and Verification Organization (CVO) • Continue expanding home- and community-based options • Extend Healthy Indiana Plan with improvements: SUD, GTW and administrative ease • CoreMMIS certification • Interagency collaboration – DCS and ISDH partnerships • Commitment to coverage

  12. Healthy Indiana Plan • 400,000+ enrolled in HIP • 60% HIP Plus • 60% of members <5% FPL pay for HIP Plus • Engagement works • 86% Plus members received a preventive service • Smoking cessation, vaccinations and cancer screenings up • ER use down • Greater adherence to prescription drug regimens

  13. HIP Enhancements • Member incentives/community engagement • Raises incentive limits for: Disease Management; Smoking Cessation; Substance Abuse Treatment; Employment Services • Smoking cessation program, including tobacco surcharge of 50% on PAC contributions after one year of enrollment • Added chiropractic services with 6 spinal manipulation visits to HIP plus • Reinstate redetermination compliance policy • Expand Gateway to Work program to connect eligible members to critical employment training and support services; will have robust exemptions and qualifying activities based on public comments/feedback – ramp up in 2019

  14. HIP Enhancements Ease Administration Burdens: • Power Account Contributions to be tiered, as opposed to % of individual income • Modify Transitional Medical Assistance program to assist those who are at risk of losing coverage when income reaches more than 138% • Pregnancy care enhancements to maintain continuity of care • Establish benefit period (Jan-Dec) for POWER Accounts, MCE selection, and coverage limitations.

  15. HIP Enhancements Substance Use Disorder: • Fill treatment gaps by adding new services: inpatient detox, residential treatment, and addiction recovery services (recovery education, peer recovery support services, housing support services, recovery focused case management and relapse prevention) • Lift current Medicaid restriction on IMD providers – expand access of at least 15 more facilities with 12 additional in queue • Within HIP, member incentive programs will target SUD treatment

  16. 2018 Agency Pillar Supports

  17. Workforce Growth • NDI • Gateway to Work • DFR/MPH/DWD partnership • DDRS/DWD partnership • Collaboration with employers related to substance use awareness and recovery support

  18. Thriving Economy • Medicaid Innovation • Social service efficiency and efficacy

  19. Combat the Opiate Epidemic • Open Beds/2-1-1 program • Cures Grant year 2 • HIP SUD package • Prevention focus • Naloxone workgroup • LHD/OMPP partnership

  20. Great Government Service • Integrated EMR for state hospital system • Single, central credentialing and verification system for providers to streamline enrollment • NEMT • Central Credentialing and Verification Organization (CVO)

  21. Scope and Impact of Our Services

  22. Indiana Medicaid • 1.4 million members; $11.7 Billion expenditures • 650,000 children • 400,000 adults • 40,000 pregnant women • 100,000 seniors • 210,000 people with disabilities • 110,000 dual eligibles Note: Members can be in multiple categories

  23. Number of Individuals Served • First Steps Program • SFY2016 23,325 • SFY2017 24,838 • Vocational Rehab Program • FFY2016 27,869 • FFY2017 25,533

  24. Persons supported through DMHA funds

  25. Waiver counts: Total Served

  26. Number of Hoosiers Receiving Benefits * Program totals are comprised of only unique recipients, not a sum of individual program data. Recipients are counted for each category of assistance received. Some individuals receive more than one category of Medicaid, and as a result, the number of Medicaid enrollees may be higher than the number enrolled in at least one program. 19

  27. Persons Served

  28. Medicaid Waiver Clients Served

  29. Children Served Through Direct Services

  30. Questions and Comments

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