The Re-KAPP 1.13.17

The re-KAPP…

Join me in welcoming our 2 newest KAPP member agencies:

BAWAC, Inc. (Florence)

and

Pioneer Vocational Industrial Services (Danville)

THIS WEEK:

• As your state association executive, I traveled to Baltimore on Monday for a retreat with 25 of my ANCOR colleagues from around the country.  We spent the entire day sharing ideas and planning strategies around common themes:  Key Legislative Efforts; Reimbursement Methodology & Service Model Reform; Mergers & Acquisitions of Members and State Associations; Workforce Initiatives:  DSP Recruitment, Retention, Mentoring, Credentialing and Training; New Administration Direction (how will the new administration affect service deliver to people with disabilities?); Simplification and Efficiencies (Are our systems too complicated?); and Responding to Negative Press.
  

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• Tuesday and Wednesday were spent with the ANCOR Government Relations group.  Topics included:
  • ANCOR GR Retreat Federal update 10January2017
  • Discussion:  Block Grants and Per Capita Caps
  • SSDI and Competitive Integrated Employment
  • CMS Regional Breakouts & Prioritization of Issues
  • Workforce Paper Discussion
  • Care Corps One Pager
  • 2017 GR Priorities Development
    

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• On Wednesday, back in Kentucky…our KAPP representatives attended the Waiver Redesign Workgroup with Commissioner Anderson and other stakeholders.  Here is the document from that meeting:  Waiver Re-design Project 1.11.17  Commissioner Anderson has asked me to send you a survey to gauge your thoughts/interest in different types of waiver reform/redesign.    1)  revamp all waivers into one giant “superwaiver” 2) rewrite the current 1915 (c)’s or a new possible idea we discussed 3) redesigning the waivers by combining population groups (new 1915 c’s) combining SCL and MP for example.  The benefit in that would be maintaining the integrity of the populations while having the ability to streamline services, definitions, rates, etc.  (I have no specifics or answers on how that would work…it’s just an idea to float and get your feedback.)
  

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• Please take this 1 QUESTION SURVEY:   Create your own user feedback survey
  

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• Thursday was the Medicaid I/DD Technical Advisory Committee.  I will post the minutes/transcript as soon as we get them.  KAPP Board Member Rick Christman chaired the meeting.  Significant points made by Commissioner Anderson in her presentation:
  • She stated that she does not see Managed Care for our waivers at this time.  Secretary Glisson has expressed a desire for us to incorporate “managed care principles” into our redesign efforts.
  • She announced what I told you in last week’s blog about the workgroup fixes we’ve collaborated with the Cabinet on, that they will be in a provider letter (not in an emergency regulation) in the next “week or two.”  She talked about them specifically:
    • We will be moving from Daily Notes to Monthly Summaries as we requested (this will be effective the day we get the provider letter.)
    • Documentation/Recoupment:  There will be 5 specific things that will be required on documentation.  If any of those 5 things are missing, you would be recouped.  Anything beyond that, a corrective action plan could be put in place and technical assistance given.  She discussed the 5 things with us at our November KAPP meeting.  I am not going to list those, as to not create any unnecessary confusion.  They will be spelled out in the provider letter.
    • Exceptional Rate Protocol process:  Will be simplified, with mechanism for immediate approval and backdating, so providers will get the higher rate as soon as they are required to start providing it.  It someone has 1:1 supervision 24 hours a day and does not attend day training, the agency can submit a request reflecting their actual cost.  If that cost is up to or exceeding the daily rate (justifiable/realistic cost per the new formula), they will receive double the daily residential rate.  The Cabinet will consider these requests dating back to December 1, 2016.
      

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• Final Settings Rule:  During a meeting with Comm. Anderson and Dep. Commissioner Wehrline on Thursday regarding the participant lease/rental agreement requirements, Johnny Callebs and I learned that requirement has been postponed until the final phase, January 2019.  We know that many of you have worked on hard on these agreements and some guardianship workers have signed them.  The Cabinet has also decided they will have a standard template in the future for all providers to use and another one specifically for guardianship wards.  Johnny and I told them that QA’s with DDID have been asking for them to be put in place.  They will follow-up, but they are NOT required to be in place until 2019.  If you have QA’s or guardianship workers tell you otherwise, please contact me.  Additionally public comment for the Statewide Transition Plan is open until 1/19/17.  
  

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• The meeting on eligibility and benefind problems that we arranged with OATS, DCBS and DMS was rescheduled for today.  Brandon Griffith attended.  I will provide an update once I have his notes.  There will be more meetings with other providers in the future.  The TAC will make a recommendation to the Medicaid Advisory Committee on Thursday 1/26 at 10:00 am in the Capitol Annex.  (open to the public)  Stella Beard (ARC) and I will be presenting a report on eligibility and the TAC’s recommendation to monitor the process.  
  

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• KAPP DAY will be February 15, 2017.  I will also be announcing other dates that I will be at the annex to attend legislative visits with you.  More information and legislative agenda to follow.  
  

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• KAPP will be a sponsor again this year at the 874K rally!  The 2017 Advocacy Event will be held on Tuesday, February 22nd in Frankfort.  The morning is available in the Capitol Annex for visits with legislators, attending committee meetings and eating a boxed lunch.  From 1:00 p.m. to 2:00 p.m., we will rally in the Capitol Rotunda.  We have invited the Governor and legislators to join us in the Rotunda!  We anticipate that more than 700 individuals with disabilities, their families, caregivers, concerned citizens, advocates and providers will come to Frankfort to participate in the coalition’s advocacy event.  Please make plans to attend!
  

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• Renew your KAPP Membership for 2017:Download 2017 Membership Application HERE!
• RENEW online via this EventBrite Link!

Have a great weekend!