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RIC Event: Self-Direction for Dually Eligible Individuals Utilizing LTSS
https://youtu.be/DzmuUyAMQ9w Description: Self-direction, often referred to as consumer-direction, is a practice that allows consumers to direct and manage their own personal care services. It is based on the premise that individuals receiving long-term services and supports (LTSS) know their needs
[...]Published Date: July 22, 2019 -
Organizational Cultural Competence
This brief focuses on organizational cultural competence strategies for LTSS providers. Other briefs in this series provide specific considerations for training, recruitment, and retention of direct care workers. Click here to view the brief.
[...]Published Date: July 9, 2019 -
Recruiting and Retaining a Diverse Direct Care Workforce
This brief focuses on strategies for recruiting and retaining a diverse direct care workforce, while companion briefs in this series discuss direct care worker training and organizational cultural competence. Click here to view the brief.
[...]Published Date: July 9, 2019 -
Topic Summary: Building Partnerships: Health Plans and Community-Based Organizations
This summary provides an overview of building partnerships between providers, health plans, health systems, and community-based organizations, to meet the varied health and social needs of individuals with disability. Steps to assess and establish partnerships are also described. Click here
[...]Published Date: June 14, 2019 -
Training Culturally Competent Direct Care Workers
This brief focuses on strategies for training direct care workers in cultural competence; additional briefs in this series focus on organizational cultural competence and recruiting and retaining a diverse direct care workforce. Click here to view the brief.
[...]Published Date: June 7, 2019 -
Training and Credentialing for Behavioral Health-Focused LTSS: Considerations for Health Plans
Behavioral health long-term services and supports (LTSS) such as health navigation peer support, and developmental therapy assist members by coordinating care and integrating appropriate supports. The services are designed to assist members with mental illness, addiction, and developmental disabilities and
[...]Published Date: April 15, 2019 -
Issues HCBS Providers may Negotiate with Health Plans: Key Considerations for Providers
As more states shift to managed long-term services and supports (LTSS) for their Medicaid programs, your organization may need to contract with health plans. Health plans may be accustomed to contracting for institutional-based acute care services but may not have
[...]Published Date: April 15, 2019 -
Billing for Services: Key Considerations for Providers
Your organization may be required to change billing practices upon contracting, or entering into an agreement, with a health plan. Submitting a formal medical billing claim form may be a new experience for your organization. Your organization may be used
[...]Published Date: April 15, 2019 -
Identifying Community-Based Resources: Key Considerations for Health Plans
Community-based resources may address the needs of members dually eligible for Medicare and Medicaid that are sometimes not met through formal relationships with providers. This is particularly relevant for health plans deploying navigation, care coordination, and peer support programs in-house.
[...]Published Date: April 15, 2019 -
Contracting with Behavioral Health DSWs: Key Considerations for Health Plans
Behavioral health long-term services and supports (LTSS), such as health navigation, peer support, and developmental therapy, assist members in maintaining independence by coordinating resources and care, serving as mentors and personal models of recovery, and integrating appropriate developmental supports. As
[...]Published Date: April 15, 2019