2016 Quarter 3 Current Louisiana Work Plan Master Updated October, 2016 Current Louisiana Work Plan Master – Public & Stakeholder Engagement Action Step OAAS Both Waivers OBH CSoC OCDD Children’s Choice Waiver OCDD NOW OCDD Supports Waiver OCDD ROW Change Note Reference Convene Interagency group to manage planning process Began 9/22/14 and continuing through 3/2019 9/22/14 and continuing through 3/2019 9/22/14 and continuing through 3/2019 9/22/14 and continuing through 3/2019 9/22/14 and continuing through 3/2019 9/22/14 and continuing through 3/2019 2015 Q4 OCDD Update II.A 2015 Q4 OAAS Update I.A 2015 Q4 OBH Update III.A 2016 Q2 OAAS Update I. A 2016 Q2 OCDD Update II.A 2016 Q2 OBH Update III.A Identify all potential stakeholders including consumers, providers, family-members, state associations; advocacy organizations, and self-advocates. Began 10/1/14 Completed 10/15/14. All stakeholders identified on 10/31/14. All stakeholders identified on 10/6/14 to 11/15/14 All stakeholders identified on 10/6/14 to 11/15/14 All stakeholders identified on 10/6/14 to 11/15/14 All stakeholders identified on 10/6/14 to 11/15/14 Create portal on State Medicaid website. Provide transition Website created and transition plan Website created on Website created on Website created on SW Plan was posted on Website created on
understanding of rule and maintain open lines of communication. describing the new rule on 3/13/15 Meeting with ADHC providers held 4/30/15 to review the rule, STP, and assessment process. Provider outreach continued through April 2016 for the self-assessment process and will continue through February 2017 to complete validation and remediation work. providers describing the transition, criteria for HCB setting, deadlines for compliance and availability of TA. Begin 4/1/15 and ends 5/1/15. Completed 4/1/15 OCDD providers, stakeholders and Support Coordinators on 10/20/14 in Lafayette, 11/6/14 in Houma, 1/13/15 in Baton Rouge and 1/14/15 in Alexandria and 2/12/15 in Covington. Providers were notified of the meetings through the Local Governing Entities. Sent e-mail blasts to all providers and associations of upcoming meetings with OCDD providers, stakeholders and Support Coordinators on 10/20/14 in Lafayette, 11/6/14 in Houma, 1/13/15 in Baton Rouge and 1/14/15 in Alexandria and 2/12/15 in Covington. Providers were notified of the meetings through the Local Governing Entities. Sent e-mail blasts to all OCDD providers, stakeholders and Support Coordinators on 10/20/14 in Lafayette, 11/6/14 in Houma, 1/13/15 in Baton Rouge and 1/14/15 in Alexandria and 2/12/15 in Covington. Providers were notified of the meetings through the Local Governing Entities. Sent e-mail blasts to all providers and associations of meetings with OCDD providers, stakeholders and Support Coordinators on 10/20/14 in Lafayette, 11/6/14 in Houma, 1/13/15 in Baton Rouge and 1/14/15 in Alexandria and 2/12/15 in Covington. Providers were notified of the meetings through the Local Governing Entities. Sent e-mail blasts to all Update IA
remaining public forums on 2/3/15. Otherwise notices listed on the website. providers and associations of upcoming remaining public forums on 2/3/15. Otherwise notices were listed on the website. upcoming remaining public forums on 2/3/15. Otherwise notices were listed on the website. providers and associations of upcoming remaining public forums on 2/3/15. Otherwise notices were listed on the website. Collect all public comments. Synthesize comments and develop responses to comments. See Louisiana Statewide Transition Plan Appendix B for Comments received by OAAS See Louisiana Statewide Transition Plan Appendix C for Comments received by OBH See Louisiana Statewide Transition Plan Appendix D for Comments Began 11/13/14 and completed 3/13/15. Comments and responses are included in the Statewide transition plan. Second round of public notice: 9/14/16-10/14/16. Responses to comments and Completed 11/12/14 and included in the Statewide Transition Plan. Second round of public notice: Began 11/15/14 and completed on 3/13/15. Comments and responses are included in the Statewide Transition Plan. Second round of public notice: Completed on 3/13/15. Comments and responses are included in the Statewide Transition Plan. Second round of Completed on 3/13/15. Comments and responses are included in the Statewide Transition Plan. Second round of public notice: Comments are due 4/10/15. Comments and responses will be forwarded to CMS once they are finalized. Second round of public notice: 2016 Q2 OCDD Update II.A 2016 Q3 OCDD Update II.A
received by OCDD incorporation into STP will be completed by 10/30/16. Note: No comments were received during 9/14/16-10/14/16 comment period. Responses to comments and incorporation into STP will be completed by 10/30/16. Note: No comments were received during comment period. Responses to comments and incorporation into STP will be completed by 10/30/16. Note: No comments were received during comment period. public notice: Responses to comments and incorporation into STP will be completed by 10/30/16. Note: No comments were received during comment period. Responses to comments and incorporation into STP will be completed by 10/30/16. Note: No comments were received during comment period. Responses to comments and incorporation into STP will be completed by 10/30/16. Note: No comments were received during comment period. Continued Community Outreach Continue to meet with participants, family members, providers, support coordinators, stakeholders, and providers to provide updates on the progress of STP Continue to meet with participants, family members, providers, support coordinators, stakeholders, Continue to meet with participants, family members, providers, support coordinators, stakeholders, Continue to meet with participants, family members, providers, support coordinators, stakeholders, Continue to meet with participants, family members, providers, support coordinators, stakeholders,
activities. Contact methods include provider quarterly meetings, support coordinator executive meetings, conferences, correspondence, website, newspaper announcements and general meetings and providers to provide updates on the progress of STP activities. Contact methods include provider quarterly meetings, support coordinator executive meetings, conferences, website, newspaper and general meetings (See Appendix D for additional detail and activities held with stakeholders) and providers to provide updates on the progress of STP activities. Contact methods include provider quarterly meetings, support coordinator executive meetings, conferences, website, newspaper and general meetings (See Appendix D for additional detail and activities and providers to provide updates on the progress of STP activities. Contact methods include provider quarterly meetings, support coordinator executive meetings, conferences, website, newspaper and general meetings (See Appendix D for additional detail and activities held with stakeholders) and providers to provide updates on the progress of STP activities. Contact methods include provider quarterly meetings, support coordinator executive meetings, conferences, website, newspaper and general meetings (See Appendix D for additional detail and activities held with
systemic review) Plan Appendix D for systemic review) systemic review) D for systemic review) . Prepare list of services subject to new rule. Classified as: 1) clearly meets HCBS setting rule; 2) with modifications, will meet new settings rule; 3) meets CMS close scrutiny review; 4) unclear if new setting rule will be met; and 5) services meet the definition of an institution. Completed 10/17/14. Only waiver service impacted is ADHC Completed 10/17/14 Crosswalk revised 12/2015 Completed 10/6/14 12/2015 Completed 10/6/14 12/2015 Completed 10/6/14 12/2015 Completed 10/6/14 12/2015 Complete remediation identified through systemic assessment process Completed by 12/30/17 Completed by 12/30/17 Completed by 12/30/17 Completed by 12/30/17 Completed by 12/30/17 Completed by 12/30/17 Current Louisiana Work Plan Master – Site Specific Assessment and Validation
Action Step OAAS Both Waivers OBH CSoC OCDD Children’s Choice Waiver OCDD NOW OCDD Supports Waiver OCDD ROW Change Note Reference Draft a self-assessment tool that familiarizes providers with the new settings rule and allows an opportunity to measure compliance with the new requirements. The assessment tool will identify areas for the new rule for which the provider is non-compliant and will allow providers to target compliance efforts. The tool will include questions that accurately assess provider compliance; and methods to quantify provider assessment results. Develop a draft self-assessment tool that assesses non-residential settings – 3/13/15 Develop a draft tool that assesses residential settings and non-residential settings 3/25/15 – 3/31/15 Completed 3/31/15 Assessment tool revised 12/22/15 Develop a draft tool that assesses settings – 3/13/15 Completed 2/1/15 Develop a draft tool that assesses settings – 3/13/15 Completed 2/1/15 Develop a draft tool that assesses residential settings and non-residential settings 3/25/15 – 3/31/15 Completed 2/1/15 Develop a draft tool that assesses settings – 3/13/15 Completed 2/1/15 . 2015 Q4 OBH Update III.A Post assessments on the website. Completed 3/16/15 Completed 4/1/15 Revised assessment posted 1/12/16 3/18/15 Completed 3/18/15 3/18/15 Completed 3/18/15 3/18/15 Completed 3/18/15 3/18/15 Completed 3/18/15 2015 Q4 OBH Update III.A Circulate self-assessments to 3/16/15 – 4/15/15 4/1/15 – assessment -2015 Q2 OCDD assessment
stakeholder groups Completed 5/1/15 Completed 5/1/15 Revised circulated 1/12/16 Update II. A Modify self-assessment tool and participant survey based on stakeholder comments. 4/15/15 4/15/15 Completed 4/22/15; Participant Survey Completed 2/1/16 Assessment modified 2/2016 4/19/15 Completed 4/19/15 Completed 4/19/15 Completed 4/19/15 Completed -2015 Q2 OAAS Update I. A -2015 Q2 OCDD Update II. A - 2016 Q1 OAAS Update I. A Provide Training to Providers Completed 4/30/15 Completed 2/23/16 Big Picture Training 6/30/15 Training 7/13 Big Picture Training 6/30/15 Training 7/13 Big Picture Training 6/30/15 Training 7/13 Big Picture Training 6/30/15 Training 7/13 4/30/15
and 7/20/15 Completed and 7/20/15 Completed and 7/20/15 Completed and 7/20/15 Completed Distribute to providers Completed Round One: 5/4/15 to 6/12/15 Round Two: 3/14/16 to 4/1/16 Begin 3/1/16 forward 7-13-15 & Service providers to begin conducting assessments after completion of trainings. 7-13-15 & Service providers to begin conducting assessments after completion of trainings. 7-13-15 & Service providers to begin conducting assessments after completion of trainings. 7-13-15 & Service providers to begin conducting assessments after completion of trainings. --2015 Q2 OBH Update III. A -2015 Q2 OCDD Update II. A - 2016 Q1 OAAS Update I. A - 2016 Q2 OAAS Update I. A Assessment due from providers 4/1/16 3/1/16 forward 2/5/16 2/5/16 2/5/16 2/5/16 -2015 Q2 OCDD Update II. A 2015 Q4 OCDD Update II. A - 2016 Q2 OAAS Update I. A 2016 Q2 OCDD Update II.A 2016 Q3 OCDD Update II.A Conduct site visits 10/1/16 to 1/13/17 Begin 3/1/16 1/1/16 – 1/1/16 – 1/1/16 – 1/1/16 – 2015 Q2 OCDD
5/2/16 Site Visits 1/31/17 5/30/17 Update I.A Submit report to CMS 1/31/17 6/30/17 6/30/17 6/30/17 6/30/17 6/30/17 Draft participant survey for public review ADHC specific survey: Completed 8/1/15 Survey for all waiver participants: Completed 1/11/16 Completed Revised survey drafted 12/22/15 -2015 Q2 OAAS Update I. A -2015 Q2 OCDD Update II. A 2015 Q4 OCDD Update II.A 2015 Q4 OBH Update III.A 2016 Q2 OCDD Update II.A Post participant survey on the website and circulate to all stakeholders ADHC specific: 8/6/15-9/9/15 All waiver participants: 1/12/16-2/11/16 Completed 1/12/2016 --2015 Q3 OAAS Update I. A -2015 Q2 OCDD Update II. A 2015 Q4 OBH Update III.A 2016 Q2 OCDD 5/30/17
Update II.A Modify participant survey based on comments N/A - no comments received for both surveys 2/2016 -2015 Q2 OCDD Update II. A 2016 Q2 OCDD Update II.A Provide training on participant survey 1/14/16 – 2/29/16 Completed 2/23/16 -2015 Q2 OCDD Update II. A 2015 Q4 OCDD Update II.A 2015 Q4 OAAS Update I.A 2016 Q1 OAAS Update I.A Distribute participant survey Completed 3/1/16-6/30/16 Will occur annually beginning in 2016 during our 1915c QA monitoring 3/1/16 forward 6/1/16 6/1/16 6/1/16 6/1/16 2015 Q2 OCDD Update II. A - 2016 Q2 OAAS Update I.A 2016 Q2 OBH Update III.A 2016 Q3 OBH Update III.A
period (Jan-Jun) Participant Survey Due 6/30/16 Survey will be due June 30th every year 3/1/16 forward (phase 1) (phase 2) (phase 1) (phase 2) (phase 1) (phase 2) (phase 1) (phase 2) -2015 Q2 OCDD Update II. A 2016 Q2 OCDD Update II.A Analyze findings of participant survey 7/1/16-7/29/16 -2015 Q2 OCDD Update II. A Post Findings on the website 1/31/17 (will be posted in report concurrently with site visit results) 5/1/17 – -2015 Q2 OCDD Update II. A Submit final report to CMS on assessments and participant surveys 1/31/17 6/30/17 6/30/17 6/30/17 6/30/17 6/30/17 Current Louisiana Work Plan Master – Site Specific Remediation Action Step OAAS Both Waivers OBH CSoC OCDD Children’s Choice Waiver OCDD NOW OCDD Supports Waiver OCDD ROW Change Note Reference Identify and send letters to 6/1/15-11/13/17 3/1/16 – 2016 Q2 OAAS
providers will be developed and consist of: 1) provider disenrollment; 2) transition plan for participants; and 3) appeal rights for participants and providers. 10/1/15 – 12/1/15 Implemented by 3/1/18 Update I.A Implementation of a transition plan will be developed for those needing to transfer to an appropriate HCB setting. Individuals will be given timely notice and a choice of alternative providers. Transition of individuals will be tracked to ensure successful placement and continuity of service. 11/1/17-11/30/17 3/1/18 – 3/1/19 3/1/18 – 3/1/19 3/1/18 – 3/1/19 3/1/18 – 3/1/19 3/1/18 – 3/1/19 Current Louisiana Work Plan Master –Ongoing Monitoring & Quality Assurance Action Step OAAS Both Waivers OBH CSoC OCDD Children’s Choice Waiver OCDD NOW OCDD Supports Waiver OCDD ROW Change Note Reference Continuous scrutiny will be provided to licensing, certification, policy and procedures, to ensure all document are compliant with the HCB Settings Rule. Completed 9/1/16 Scrutiny of new rules and Completed 10/31/14 Scrutiny of new rules and regulations will 12/15 – ongoing 12/15 – ongoing 12/15 – ongoing 12/15 – ongoing -2015 Q4 OCDD Update II.A -2016 Q2 OAAS Update I.A
regulations will continue to ensure compliance continue to ensure compliance Specific quality assurance and improvement strategies are developed to ensure providers are evaluated against the HCB Setting Rule prior to enrollment. Completed 1/23/15 Completed 10/31/15 Begin 7/1/16 Begin 7/1/16 Begin 7/1/16 Begin 7/1/16 Practical performance measures are created to ensure providers continue to meet the HCB Settings Rule. Completed 1/23/15 Measure drafted and will be included in upcoming 191(c) waiver amendments. Completed 12/1/15 Measures have been included in the CSoC 1915(c) waiver document Begin 1/1/16 – 6/30/17 Begin 1/1/16 - 6/30/17 Begin 1/1/16 – 6/30/17 Begin 1/1/16 2016 Q2 OCDD Update II.A 2016 Q3 OCDD Update II.A Develop monitoring instrument to ensure ongoing setting compliance. Begins 8/1/15 and ends 11/30/16. Completed 2/16 Begin 7/1/16 Begin 7/1/16 Begin 7/1/16 Begin 7/1/16 -2015 Q3 OAAS Update I.A -2015 Q4 OAAS Update I.A -2016 Q2 OAAS Update I.A 2016 Q3OAAS Update I.A