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Department of Health and Social Services Division of Medicaid & Medical Assistance

Department of Health and Social Services Division of Medicaid & Medical Assistance. Joint Finance Committee Hearing Fiscal Year 2014 Stephen Groff Acting Division Director Wednesday, February 20, 2013. Overview. Medicaid Delaware Healthy Children Program (CHIP)

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Department of Health and Social Services Division of Medicaid & Medical Assistance

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  1. Department of Health and Social ServicesDivision of Medicaid & Medical Assistance Joint Finance Committee Hearing Fiscal Year 2014 Stephen Groff Acting Division Director Wednesday, February 20, 2013

  2. Overview • Medicaid • Delaware Healthy Children Program (CHIP) • Delaware Prescription Assistance Program (DPAP) • Chronic Renal Disease Program (CRDP)

  3. Medicaid Enrollment

  4. Total Medicaid Spending

  5. Cost Per Member Per Month

  6. Care Coordination Long Term Services and Supports: • Diamond State Health Plan Plus • Program for All-Inclusive Care for the Elderly (PACE) • Money Follows the Person Program

  7. Care Coordination Care Management: • Emergency Department Utilization • Primary Care Medical Homes • Health Homes for Chronic Conditions • Prescription Pain Management

  8. Health Information Technology • Electronic Health Record (EHR) Incentive Payments • Coordination with the Delaware Health Information Network (DHIN) • Continued Increase in E-Prescribing • Telemedicine

  9. AccomplishmentsValue Based Purchasing • Partnership with UD & HealthCore, Inc. • Quality Measurement • Centers for Medicare and Medicaid Innovation (CMMI) Project

  10. Moving Forward • Employment First • Affordable Care Act (ACA): • Health Benefit Exchange • MAGI and Simplified, Streamlined Application • Medicaid Expansion

  11. FY 14 Governor’s Recommended Budget • $24.6 million Projected growth in Medicaid Eligibles • $5.8 million Delaware Healthy Children Program (moved to GF from Tobacco funds) • $186.4 Medicaid for Workers with Disabilities (moved to GF from Tobacco funds) • $10.8 million Nursing Home Quality Assessment ASF [SB 227]

  12. Thank You

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