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Process for Optional Medicaid Transformation Demonstration Project Selection

This document outlines the process for selecting optional Medicaid transformation demonstration projects, including the role of the Greater Columbia ACH Leadership Council and proposed re-formation of priority work groups.

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Process for Optional Medicaid Transformation Demonstration Project Selection

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  1. Process for Optional Medicaid Transformation Demonstration Project Selection Greater Columbia ACH Board of Directors 4/19/17 Leadership Council 4/20/17

  2. Leadership Council’s Roleper GCACH Bylaws, adopted 2/18/16 “General members participate in the GCACH through the Leadership Council. The Leadership Council is a permanent advisory committee to represent the community in the work of the Board, act in an advisory capacity to the Board, and serve as advocates for priorities in the communities from which the members come. In addition to tasks assigned to them by the Board, the Leadership Council: • Develops a list of priority issues to be addressed by the GCACH. • Develops strategies to address priority issues; • Monitors indicators of population health in the regional services area; and • Monitors the performance of regional healthcare delivery systems. Leadership Council members may serve on workgroups established to address the priority issues identified by the GCACH.”

  3. Proposed “Re-Formation” of Priority Work GroupsProject Teams

  4. Suggested Project Teams’ Role • Act as Advisory to the Board • Represent Subject Matter Expertise • Bring in Subject Matter Expertise • Review Data & Evidence-Based Studies in the MTD Project Toolkit • Determine Community Strengths and Gaps • Represent Sectors • Find Connections between Approaches • Make Recommendations to Board

  5. Medicaid Transformation Project Certification & Application process for ACHs March RHNIData Providedand HWData Website Created STATE/PARTNERS ACH/REGIONAL March Certification Requirements Complete March/April VBPTaskforce July Project Application Template April DSRIP TA Starts May Certified Phase1 Dec2017 Applications Approved Dec Aug Certified Phase2 Aug March Jan Apr June July Oct May March ACH Transition PlaninPlace May15th Certification Phase1Due June30th UpdateSIM Budget Aug14th Certification Phase2Due Jan Project Implementation Oct Oct31st SIMNarrative Report Project Plan Applications Due ProjectPlan Development

  6. MTP Team recommends Approach(es) to Optional Projects • Recommendation will be based on data, community asset inventory, Regional Survey results, consumer input, community impact • Recommendation will consider community capacity and readiness • Recommendation will incorporate the guiding principles from GCACH Regional Health Improvement Plan

  7. MTP Team Facilitators Form Facilitators Council Charge of the Facilitators Council: • Meet between Leadership Council Meetings • Find areas of Commonality between Projects • Study Data and Develop Narratives • Bring in other Subject Matter Experts as needed • Provide Bi-directional communication between Board and Leadership Council

  8. For more information: Carol Moser cmoser@greatercolumbiaach.orgWes LuckeyWluckey@greatercolumbiaach.orgAisling FernandezAfernandez@greatercolumbiaach.orgWebsite:www.greatercolumbiaach.org Thank you!

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