WHAT’S NEXT FOR MSCS?


As of July 1, 2018, Medicaid Service Coordination will be transitioned to
Health Home Care Management:

  • Conflict-Free
  • Provides supports that plan for all of the person’s needs
  • Disability Services
  • Health: Medical, Dental and Behavioral
  • Wellness and Community Services

Starting in March 2018, MSCs will begin working with people on their caseloads to begin enrollment into the CCO.

HEALTH HOME CARE MANAGEMENT SERVICES


The new model includes the same developmental disabilities coordination work an MSC (future Care Manager) does today, with the addition of integrating primary, behavioral and specialty health care and community supports services in a way that addresses all of a person’s needs.

There are 6 Core Service Categories under the Health Home Care Management model.

  • Comprehensive Care Management 
    • Incorporates health care planning in addition to waiver support services.
  • Care Coordination and Health Promotion
    • Includes referrals for wellness activities, and linkages to supports for independent living skills.
  • Comprehensive Transitional Care
    •  Care Managers help people and families/caregivers during a transition between levels of care.
  • Person and Family Support 
    • Care Managers help advocate for people, or coordinate services to support people and families/caregivers
      to maintain and promote quality of life.
  • Referral to Community Supports
    •  For example, when Care Managers Provide information and assistance to refer individuals and family/caregivers
      to community based resources.
  • Use of Health Information Technology (HIT) to Link Services
    • Care Managers will use a new software system, a secure electronic health record, to communicate with the circle of support
      and other providers of services.

For more information, visit the links below.

FAQs 
OPWDD Training Webinars