development of virginia’s long term care (ltc) partnership virginia department of medical...
TRANSCRIPT
Development of Virginia’s Long Term Care (LTC) Partnership
VIRGINIA DEPARTMENT OF MEDICAL ASSISTANCE SERVICES
February 2008
Presentation Overview
The “Nuts and Bolts” - Administrative Requirements and Additional Implementation Components
Step-by-Step: Virginia’s Partnership Development
Lessons Learned
The “Nuts & Bolts”
The “Nuts & Bolts”Administrative Requirements
Legislation
Medicaid State Plan Amendment
Medicaid Agency Regulations
Insurance Commission Regulations
The “Nuts & Bolts” Additional Implementation Components Bringing the right stakeholders to the table
Bureau of Insurance, Department of Social Services, Department for the Aging, Medicaid Agency, Virginia Retirement System, Governor’s Office
Interpreting the DRA’s rules for Long-Term Care (LTC) Partnerships Inflation protection, duration and design of coverage,
reciprocity with other states, exchanging a non-partnership policy for a Partnership Policy, group policies, self-insured policies
The “Nuts & Bolts” Additional Implementation Components Developing protocols and trainings for
Medicaid eligibility determination staff
Establishing protections, awareness, and education for consumers
Ongoing Operation of Partnership Program Staffing, consumer/agent/press inquires, training (for
agents and consumer inquiry staff), website development and maintenance, and funding
The “Nuts & Bolts” Additional Implementation Components Partnership Policy Utilization
Forecast
Treatment of existing long-term care insurance policies
Inflation protection
Agent Training Requirements
Step by Step
Step by StepDevelopment of Virginia’s LTC Partnership 2004 & 2006: Virginia General Assembly passed
legislation enabling Virginia to develop a LTC Partnership
April 2006: Meeting with Governor’s Office to discuss LTC Partnership development
June 2006: Meeting with state agency stakeholders (Bureau of Insurance, Department for the Aging, Social Services, Secretary of Health and Human Resources)
Step by StepDevelopment of Virginia’s LTC Partnership August 2006:
Established regular meetings with Bureau of Insurance
Drafted State Plan Amendment and Regulations
October 2006: Submitted Medicaid State Plan Amendment to CMS
Step by StepDevelopment of Virginia’s LTC Partnership November/December 2006:
Worked on development of: consumer disclosures, eligibility protocols, consumer outreach program, agent training materials, and basic educational information
December 2006: State Plan Amendment approved Regulations submitted through “Fast Track”
regulatory process
Step by StepDevelopment of Virginia’s LTC Partnership January/February 2007:
Trained social service eligibility staff and DMAS asset recovery staff
BOI reviewed regulations with insurance carriers
Searched for funding for outreach campaignApplied for Center for Health Care Strategy
grantContinued work with Own Your Future and set launch date
Step by StepDevelopment of Virginia’s LTC Partnership March 2007: Developed consumer outreach and
education plan in conjunction with Department for the Aging’s State Health Insurance Assistance Program (SHIP) counselors
April/May 2007: Bureau of Insurance submitted their final
regulationsTraining of SHIP insurance counselorsRecruited “SHIP LTC Partnership Advisory Team”
Step by StepDevelopment of Virginia’s LTC Partnership June/August 2007: Finalize grassroots
outreach campaign activities (public relations, www.valtcpartnership.org, development of materials, SHIP speakers bureau)
September 2007: Program Launch Governor’s “Own Your Future” Press
Conference
Outreach Campaign Timeline
DATE ACTIVITY
Fall 2006 VDA Submitted Budget Request for Outreach Campaign
February 2007 Budget Request Denied by the General Assembly
March Partnered with SHIP Program and Received CHCS Funding
April Finalized Preliminary Outreach Documents
May Trained SHIP Counselors
June/July/Aug Continued Training and Developed Brochure and Website
September Launch! “Own Your Future” Press Conference
October Retrain SHIP Volunteers
Lessons Learned
Lessons Learned…so far…
Good relationships are key! Keep it simple Use existing protocols when possible If it is their turf, let them figure it out Use established networks when available Keep stakeholders updated and onboard
