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February 13, 2020

Revised SIP-PL Document Now Available for Public Comment - Deadline May 11

Revised SIP-PL Document Now Available for Public Comment - Deadline May 11
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Extension of Public Comment Period on Revised Draft SIP-PL Qualification Document Announced
03/13/20
Dear Friends and Colleagues:

The Office for People With Developmental Disabilities is extending the timeframe for public comment on the revised draft SIP-PL Qualification Document containing the requirements for the creation of specialized Managed Care Plans which can be found at the following link: https://health.ny.gov/health_care/medicaid/program/medicaid_health_homes/idd/draft_mco_qual_doc.htm

The public comment period is extended by 45 days to May 11, 2020.

Please send your comments about the revised draft document to [email protected] 

 

Sincerely,

Theodore A. Kastner, MD, MS
Commissioner

 

2/13/2020

Dear Friends and Colleagues:

The New York State Department of Health (DOH) and the New York State Office for People With Developmental Disabilities (OPWDD) have undertaken a transition for people with intellectual and developmental disabilities (I/DD) to specialized managed care. Over the past two years, this process has been focused on two distinct areas: (1) improvement in care management processes using a home health model; and (2) creation of a policy framework for the implementation of provider-led managed care. This notice is published in order to update people we support, families, providers and other stakeholders on the progress we have made in these areas.

In July 2018, DOH and OPWDD launched an enhanced care management program to support individuals with developmental disabilities and their families. This program consolidated more than 350 agencies providing Medicaid Service Coordination into seven regional Care Coordination Organizations (CCOs) providing Health Home Care Management. At the same time, we expanded the role of the new care managers, moving from OPWDD service-centric Individualized Support Plans (ISPs) to integrate and coordinate health and habilitative services through an expanded Life Plan. Approximately 100,000 individuals transitioned to this new model. 

In August 2018, DOH and OPWDD released a draft version of the New York State Medicaid Managed Care Organization I/DD System Transformation Requirements and Standards to Serve Individuals with Intellectual and/or Developmental Disabilities in Specialized I/DD Plans – Provider Led (SIPs-PL) (hereafter referred to as the Qualification Document) for stakeholder review and comment. Comments on the draft document were received by October 3, 2018.

Based on the overwhelming feedback from the people we support, their family members, providers and others, we began a process of revising the draft document, incorporating the feedback we received. We have incorporated this feedback into a revised draft version which we are issuing today for further public comment.  

The revised draft SIPs-PL qualification document and instructions for submitting comments can be found on the NYS Department of Health webpage at: 

https://health.ny.gov/health_care/medicaid/program/medicaid_health_homes/idd/draft_mco_qual_doc.htm

Additional feedback to this revised qualification document received during the second opportunity for public comment will be used to better inform OPWDD and the Department of Health (DOH) on how best to implement a transition to managed care. 

I encourage you to provide your comments about the revised draft document released today on or before March 27, 2020 to [email protected]

OPWDD hosted an online webinar on February 19 at 2 PM to outline the content of the document and changes since August 2018. 

We look forward to working with you to help New York achieve a system that prioritizes equity in the delivery of supports, access to needed supports and sustainability for the future.

 

Sincerely,

Theodore A. Kastner, MD, MS