DSRIP Weekly Update-Sept. 29, 2015

This week, the State issued a slew of new resources on the Delivery System Reform Incentive Payment (DSRIP) program, including information from the Learning Symposium, a formal DOH update, and several webinars and presentations on specific topic areas.

New DSRIP Update Video From Jason Helgerson

DOH has announced a new DSRIP Update as the latest in the White Board Video Series. Jason Helgerson, the State Medicaid director, discusses key DSRIP updates highlighting the Performing Provider Systems (PPS) shift from planning to implementation, Value Based Payment pilot opportunities, PPS network additions and the DSRIP midpoint assessment.  The video can be viewed here.  

What Came out of the Learning Symposium?

We are excited to share materials from the PPS Learning Symposium that occurred earlier this month. Click here to access the presentations and information. The Medicaid Redesign Innovation Exchange (the MIX) has set up forms on that online environment to help continue some key conversations that began at the Symposium; below are the targeted discussions:

1. Driving toward Integrated Delivery Systems
2. Provider Engagement Approaches
3. Emerging Models of Successful Collaboration with County Agencies
4. Value Based Purchasing in New York State
5. Considerations for Behavioral Health/Clinical Integration
6. Operational Support and Performance Resources
7. Data Deep Dive – IT TOM Projects
8. Patient Engagement and Activation Strategies
9. Care Transitions
10. Expanding Primary Care Capacity
11. Advanced Primary Care (APC) Program
12. The Evolving Role of Managed Care Organizations in DSRIP

Click here to acces the MIX.

New Resources Available

Data Security

DOH hosted a webinar on Sept. 22nd about data security and released additional supporting guidance documents to assist PPSs in understanding and completing their Systems Security Plans.

• FAQs – Systems Security Plans 9/22/15
• OHIP System Security Plan Workbook Instructions V.2 9/22/15

Domain 2 and 3 Reporting Requirements: Medical Record Reporting

• Medical Record Review Process Overview Metro PPSs 09/10/15
• Medical Record Review Process Overview Regional PPSs 09/10/15
• Medical Record Review Process Overview FAQ 09/10/15

High Performance Fund

The High Performance Fund (HPF) is available for PPSs that achieve high performance on eligible measures. Below is more information.

• High Performance Fund Webinar Presentation
• High Performance Fund Excel Model
• High Performance Fund Standard Operating Procedure

What’s Happening in DSRIP for the Rest of 2015

Oct. 7th Final approval of PPS First Quarterly Reports/ Domain 1 & Project Implementation Plans.

Oct. 13th Final PPS First Quarterly Reports / Domain 1 & Project Implementation Plans posted to DSRIP Website.

Mid-October Open PPS Performance Networks in MAPP for edits and additions.

Oct. 31st PPS Second Quarterly Report (7/1/15 - 9/30/15) due from PPS.

Late October Close PPS Performance Networks in MAPP for edits and additions.

November DSRIP Notice and Opt out letters mailed to Medicaid members.

Nov. 9th-10th DSRIP Project Approval and Oversight Panel Bi-Annual Meeting.

Dec. 1st Independent Assessor provides feedback to PPS on PPS Second Quarterly Reports and 15-day Remediation window begins.

Dec. 15th Revised PPS Second Quarterly Report due from PPS; 15-day Remediation window closes.

Dec. 30th Final Approval of PPS Second Quarterly Reports.

LeadingAge New York wants our members to be successful in their DSRIP endeavors. Let us know how we can help!

Contact: Diane Darbyshire, ddarbyshire@leadingageny.org, 518-867-8828