Agency for Health Care Administration, Medicaid

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

Long-term Care Managed Care Waiver Transition Plan for Implementing the Home and Community-Based Settings Rule Requirements and the Long-term Care Managed Care Waiver Amendment Request

The Agency for Health Care Administration (Agency) is submitting to the Centers for Medicare and Medicaid Services (CMS) a transition plan as specified in the 42 CFR 441.301(c)4 for the Long-term Care Managed Care Waiver, which will be included in the waiver amendment request. The Long-term Care Managed Care Waiver Transition Plan, the waiver amendment request and the public process used to solicit public input are described in this notice.

Description of the Long-term Care Managed Care Waiver Transition Plan

The Agency is submitting to CMS a transition plan for the Long-term Care Managed Care Waiver in compliance with the Home and Community-Based (HCB) Settings Rule CMS 2249-F. The draft transition plan is designed to ensure that individuals receiving home and community-based services in the Long-term Care Managed Care Waiver are integrated in, and have access to, supports in the community, including opportunities to seek employment, work in competitive integrated settings, engage in community life, control personal resources and maintain the rights of privacy, dignity, respect and freedom. The draft transition plan describes how the State will assess, determine compliance, remediate and monitor the waiver’s continued compliance with the HCB settings requirements. This draft transition plan outlines the State’s process with time frames that will be used to ensure compliance with the HCB Settings Rule.

The HCB Settings Rule requires public notice and a 30-day public comment period to solicit meaningful public input for consideration in the development of the transition plan prior to submission to CMS. The Agency is providing public notice on the draft transition plan to solicit meaningful public input from recipients, providers and all stakeholders prior to submission of the transition plan to CMS. The Agency will post the draft transition plan on its website for public comment beginning February 3, 2015 and ending March 5, 2015. The draft transition plan can be viewed on the Agency’s website at the following link: http://ahca.myflorida.com/Medicaid/hcbs_waivers/index.shtml.

When submitting written comments by postal service or email, please have “Long-term Care Managed Care Transition Plan” contained in the subject line. Mail comments and suggestions to: Agency for Health Care Administration, Attention: HCBS Waivers, 2727 Mahan Drive, MS 20, Tallahassee, Florida 32308. Email your comments and suggestions to: [e-mail].

For more information, you may contact: Nicholas Warner at [phone] or email: [e-mail]. If you are hearing or speech impaired, please contact us using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).

Description of Long-term Care Managed Care Waiver and Amendment Request

This Long-term Care Managed Care Waiver serves disabled individuals with long-term care needs ages 18 to 59 and elderly adult ages 65 or older. The services provided under this waiver are: adult day health care, attendant care, adult companion, assisted living, behavior management, case management, caregiver training, homemaker, home accessibility adaptations, home delivered meals, intermittent and skilled nursing, medication administration, medication management, medical equipment and supplies, nutritional assessment and risk reduction, occupational therapy, personal emergency response system, personal care, physical therapy, respite, respiratory therapy, speech therapy, structured family caregiving, and transportation.

The Agency will submit to CMS a request to amend the Long-term Care Managed Care Waiver that operates under the authorities specified in Sections 1915(b)(c) of the Social Security Act. The waiver amendment request is being submitted to: (1) update the number of recipients that waiver may serve, (2) update public input process and (3) include the transition plan in compliance with the HCB Settings Rule. Prior to submission to CMS, the Agency is providing public notice of the waiver amendment request as described below and in accordance with 42 CFR 441.304(f).

The Agency is providing public notice as specified in 42 CFR 441.304(f) to solicit meaningful public input from recipients, providers and all stakeholders on the waiver amendment request 30 days prior to submission to CMS. The Agency will post the waiver amendment request with a description of the changes on its website in conjunction with the draft transition plan. The waiver amendment request document can be viewed at the following link: http://ahca.myflorida.com/Medicaid/hcbs_waivers/index.shtml.

When submitting written comments by postal service or e-mail, please have ‘Long-term Care Managed Care Waiver Amendment Request’ contained in the subject line. Mail comments and suggestions to: Agency for Health Care Administration, Attention: HCBS Waivers, 2727 Mahan Drive, MS 20, Tallahassee, Florida 32308. Email your comments and suggestions to: [e-mail].

For more information, you may contact: Nicholas Warner at [phone] or email: [e-mail]. If you are hearing or speech impaired, please contact us using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800) 955-8770 (Voice).