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Minnesota Olmstead Plan: Description of the Current System

Minnesota Olmstead Plan: Description of the Current System. Briefing to the Minnesota Olmstead Planning Committee Steve Eiken. AUGUST 2, 2012. GOALS OF BRIEFING. Informing committee members regarding currently available data to help develop sections of the Olmstead Plan

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Minnesota Olmstead Plan: Description of the Current System

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  1. Minnesota Olmstead Plan: Description of the Current System Briefing to the Minnesota Olmstead Planning Committee Steve Eiken AUGUST 2, 2012

  2. GOALS OF BRIEFING • Informing committee members regarding currently available data to help develop sections of the Olmstead Plan • Help DHS and Truven Health understand what additional information is necessary to inform Olmstead Planning Committee decisions Both goals inform Truven Health’s task to provide background information to support the committee.

  3. FOUR TYPES OF DATA FOR THE COMMITTEE’S CONSIDERATION • Previously published data • Truven Health’s data analysis to support Reform 2020 (medical assistance reform) • Feasible data = information that is possible to obtain, but analysis may not have been completed • Unavailable data = information that cannot be obtained given current DHS data resources

  4. THE FOUR TYPES OF DATA AND THE OLMSTEAD PLAN • Previously published data and information from Truven Health’s data analysis to support Medical Assistance Reform can be included in the Olmstead Plan. • The Olmstead Plan can also note gaps where additional data is necessary. Truven Health and DHS can help the committee ascertain which data could feasibly address gaps.

  5. PROCESS TO PROVIDE DATA FOR THE OLMSTEAD PLAN • The remaining slides present available data that appear relevant to the Olmstead Plan • Committee members provide feedback regarding data presented today and additional or different data useful for the Olmstead Plan • Truven Health and DHS send the committee data that are already published or part of the Truven Health analysis, in a section of the Olmstead Plan to describe the current system • Truven Health and DHS indicate whether other data are feasible or unavailable

  6. OLMSTEAD PLAN: DESCRIPTION OF THE CURRENT SYSTEM • Truven Health proposes to organize the section according to topic areas for recommendations. Most or all data fit within three topic areas: • Where People Live • Where People Work • Community Based Services/Supports • For all data described on the following slides, Truven Health plans to report data from 2006 – 2010 to the extent available

  7. WHERE WE LIVE: PROPOSED DATA Measures of the balance between institutional and community services: • Percentage of Seniors Receiving Long-Term Services and Supports (LTSS) who are Supported in Home and Community Settings • Percentage of People with Disabilities Receiving LTSS Services and Supports who are Supported in Home and Community Settings • Percentage of Medicaid LTSS Expenditures for services in Home and Community Settings, with comparison to national and regional benchmarks using Truven Health’s annual Medicaid LTSS Expenditures Report

  8. WHERE WE LIVE: PROPOSED DATA (continued) Average daily number of persons served in the following: • Nursing Facilities • Intermediate Care Facilities for people with Developmental Disabilities • Anoka Metro Regional Treatment Center • Minnesota Security Hospital • The state-operated forensic nursing home in St. Peter

  9. WHERE WE LIVE: PROPOSED DATA (continued) Average monthly number of persons receiving residential mental health treatment (Intensive Residential Treatment Services and Rule 5 facilities)

  10. WHERE WE LIVE: PROPOSED DATA(continued) Percentage of people living in a congregate setting for the following: • Brain Injury Waiver • Community Alternative Care Waiver • Community Alternatives for Disabled Individuals Waiver • Developmental Disabilities Waiver • Elderly Waiver • Alternative Care

  11. WHERE WE WORK: PROPOSED DATA Percentage of people receiving the following services age 21 – 64 with any wages: • Brain Injury Waiver • Community Alternative Care Waiver • Community Alternatives for Disabled Individuals Waiver • Developmental Disabilities Waiver • Elderly Waiver • Alternative Care • Personal Care Attendant • Intensive Residential Treatment Services • Adult Rehabilitative Mental Health Services • Private Duty Nursing • Consumer Support Grant

  12. WHERE WE WORK: PROPOSED DATA(continued) Percentage of people age 21 – 64 with wages above $250 per month for the following: • Brain Injury Waiver • Community Alternative Care Waiver • Community Alternatives for Disabled Individuals Waiver • Developmental Disabilities Waiver • Elderly Waiver • Alternative Care If this indicator is useful, it is feasible to collect these data for other types of service.

  13. WHERE WE WORK: PROPOSED DATA(continued) Average monthly enrollees and average monthly earned income for Medical Assistance for Employed Persons with Disabilities

  14. COMMUNITY BASED SERVICES AND SUPPORTS: PROPOSED DATA Average monthly number of people who received the following: • Brain Injury Waiver • Community Alternative Care Waiver • Community Alternatives for Disabled Individuals Waiver • Developmental Disabilities Waiver • Elderly Waiver • Alternative Care • Personal Care Attendant • Intensive Residential Treatment Services • Assertive Community Treatment • Adult Rehabilitative Mental Health Services [more services listed on the following page]

  15. COMMUNITY BASED SERVICES AND SUPPORTS: PROPOSED DATA (continued) Average monthly number of people who received the following (continued from previous page): • Children’s Therapeutic Services and Supports • Private Duty Nursing • Consumer Support Grant • Day Training and Habilitation Services • Semi-Independent Living Skills • Family Support Grant

  16. COMMUNITY BASED SERVICES AND SUPPORTS: PROPOSED DATA(continued) Waiting List Data: • Number of people on a waiting list for the waivers • Number of people on a waiting list for Anoka Metro RTC • Services people receive while on a waiting list

  17. EXAMPLES OF DATA PRESENTATION

  18. Percentage of Medicaid LTSS Expenditures for Non-Institutional Services, FFY 2006 - 2009 • Minnesota ranked third among states in the percentage of expenditures for home and community-based services (includes aging and disability services) Top Five States in Percentage of Medicaid LTSS Expenditures for Non-Institutional Services, FFY 2006-2009

  19. WAITING LIST ANALYSIS CY2010 • Most people on a waiting list had a claim for either personal care attendant (PCA) or mental health services in CY2010 • 89% of those on the DD waiting list • 78% of those on the CADI and BI waiting list Percentage of People on a HCBS Waiver Waiting List Using PCA and Mental Health Services in CY2010

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