WEBINARS

Several series of webinars are planned to cover topics in a format that maximizes availability and usability for I/DD providers.  Webinars will be announced via emails from the Managed Care Community of Practice in I/DD and registration will be available below.  Webinars will be recorded and archived below as well for reference and so that staff within provider organizations unable to attend a webinar can still learn.

Upcoming Webinars

Upcoming webinars will be posted here as soon as registration is available. Check back soon!

Archived Webinars

The Board's Role in Compliance and Quality: Board Toolkit for Managed Care Readiness

The Managed Care Community of Practice (MC-COP) is pleased to announce the first in a new series of pre-recorded, mini-webinars designed to educate and facilitate conversation for Boards of Directors and Executive Directors of I/DD service providers. This series, presented by M. Reneé Bostick, Senior Advisor, Vorys Health Care Advisors, focuses on essential topics for Boards’ changing responsibilities as the field of I/DD transitions to managed care. Each mini- webinar will be accompanied by a discussion guide designed to prompt deeper exploration of each topic.

 

Now available for viewing is a 12 minute webinar The Board’s Role in Compliance & Quality and the accompanying Compliance Discussion Guide

Held On: September 24, 2019

Community First Choice Option (CFCO) Services Billing Webinar

This webinar, hosted by the Managed Care Community of Practice (MC-COP), will provide guidance on Community First Choice Option (CFCO) billing procedures and rules for service providers that support individuals with intellectual and developmental disabilities. Specific guidance will be provided for the following service types:

  • Assistive Technology

  • Environmental Modifications

  • Moving Assistance

  • Vehicle Modifications

  • Community Transition Services

  • Community Habilitation OPWDD COM HAB (OPWDD SAME)

 

General information and tips for billing in a managed care environment will also be discussed. 

Please note: Service authorization requirements were not covered in detail during this webinar. For questions regarding this webinar, please email us at mccop.info@nyu.edu

 

Powerpoint // Handout

Held On: June 25, 2019

Managed Care Financing

Providers in New York’s intellectual and developmental disabilities (I/DD) field are in the midst of the state’s transition to managed care.  Providers will soon engage with managed care plans and these entities will control costs and manage quality of care by coordinating supports and services to people with I/DD. Understanding the finance side of managed care is key to the service delivery sector.


Anthony Fiori of Manatt Health will provide webinar attendees with an introduction to Medicaid managed care financing and discuss a range of topics including actuarial soundness requirements, managed care rate setting, risk adjustment, as well as reserve and escrow requirements.  Tony will also share issues related to plan solvency and the implications for providers and beneficiaries when a plan ceases operation or a provider leaves a network. 

Presenter:

Anthony J. Fiori, Senior Managing Director, Manatt Health

Click Here to Download the Powerpoint

The Managed Care Community of Practice (MC-COP) is pleased to announce a new series of educational webinars targeted for Boards of Directors of I/DD service providers. This series, presented by M. Reneé Bostick, Senior Advisor, Vorys Health Care Advisors, will focus on essential topics for Boards’ changing responsibilities as the field of I/DD transitions to managed care and value-based payment and ways Executive Directors can assist Boards in this discussion of roles and responsibilities.

 

This live presentation  will begin this series with a live webinar discussing key themes in the transition and solicit input from Board members and Executive Directors on these future topics:

  • Compliance and Quality

  • Clarifying Your Business Case

  • Information and Infrastructure

In weeks following this webinar, we will post additional brief (5 to 7 minute) pre-recorded webinars on these topics with follow up questions on the MC-COP website as tools to assist your Board and Executives in discussion about how your agency is preparing to undertake these new challenges.

Presenter:

M. Renee Bostick, Senior Advisor, Vorys Health Care Advisors

Click Here to Download the Powerpoint

Held On: June 18, 2019

Board of Directors' Tool Kit Brief Webinar Series

Social determinants of health (SDH) are the economic, social and environmental conditions in places where people are born, live, work and age that influence their health status.  Over the past several years, the State of New York has become increasingly focused on addressing SDH as part of its strategies to improve the health outcomes of New Yorkers.  For example, SDH inventions are key components of the State’s value-based purchasing (VBP) and DSRIP initiatives.  In December 2017, the NYS Department of Health formed a Bureau of Social Determinants of Health to provide support to health plans, providers, community based organizations (CBOs) and Performing Provider Systems (PPS) on their efforts to address SDH.

Manatt’s Megan Sherman and Hailey Davis will present on the role of SDH in the New York Medicaid program, highlight the importance of addressing SDH from a public policy perspective and discuss how SDH may be involved in the transition of I/DD services into managed care.

Presenters:

Megan Sherman, Associate, Manatt, Phelps & Phillips

Hailey Davis, Director, Manatt Health

Click Here to Download the Powerpoint

Held On: June 12, 2019

Social Determinants of Health

With federal and state governmental shifts to implement Medicaid managed care, both the Centers for Medicare and Medicaid Services and the NYS Department of Health have established statutory and regulatory frameworks to support the implementation of managed care.  Managed care is governed by specific laws and regulations and it’s important for providers to understand the various rules that agencies will be required to follow. 

Jim Lytle and Megan Sherman will guide intellectual and developmental disabilities providers through the statutory and regulatory provisions of managed care related to network adequacy, prompt payment, credentialing (including rights of providers who are denied the ability to participate with the plan), grievance and appeals processes, adequacy of premiums, internal and external review of claim denials and other key areas.

Presenters:

James Lytle, Managing Partner, Manatt, Phelps & Phillips

Megan Sherman, Associate, Manatt, Phelps & Phillips

Click Here to Download the Powerpoint

Held On: May 8, 2019

Managed Care Laws, Rules & Regulations: What Providers Need to Know

Data -> Information -> Insight: From Collecting to Using Data to Improve Services & Supports

Held On: Tuesday, April 9, 2019

Description:

This webinar is the first in a series of webinars on building a “culture of data use” to inform and improve the performance of agencies that serve and support people with IDD. In the transition to managed care and value-based purchasing, agencies have the opportunity now to start developing and refining capabilities that will be essential for an organization to survive and thrive in this changing environment. 

Data-driven decision-making can be the difference between success and failure. The use of data and Health Information Technology (HIT) to create information and insight are essential for providers that will have to manage risk as they manage care. HIT provides the foundation to transform Medicaid services and supports from fee for service to a value based environment, and learning to use data (rather than solely collecting data) to inform and improve services and supports is a much needed capability for all providers in the near term. 

Not all providers will have or need the same level of sophistication in the use and analysis of data. This webinar series will help providers figure out both where they are and where they want to be on their data analytic capabilities, and to explore ways to build, share and purchase these capabilities.

Click Here to Download the Powerpoint

Community First Choice Option (CFCO) Vision and Timeline

Held On: Wednesday, March 28, 2019

Description:

OPWDD will provide an overview of the vision and timeline for the changes ahead. OPWDD Acting Commissioner, Dr. Theodore Kastner will join us to provide the introduction on this webinar.

Click Here to Download the Powerpoint

Managed Care Organizational Self-Assessment: Aggregate Results Webinar

Held On: February 7, 2019

Description:

In preparation for the transition to Medicaid managed care, the Managed Care Community of Practice (MC-COP) team launched the Managed Care Organizational Self-Assessment (MC OSA). The MC OSA helped us to assess organizational readiness for managed care across a number of critical domains needed to effectively prepare for the early stages of a business relationship with managed care organizations.

 

The response was incredible! Join us for a new webinar to review the results of the MC OSA and ask questions directly to the creators of the assessment.​

Click Here to Download the Powerpoint

Introduction to IPAs

Held On: December 18, 2018

Description:

An Independent Practice/Provider Association (IPA) is an integrated network of independent agencies or providers formed to contract with managed care organizations. IPAs are separate business entities organized and owned by the provider entities that allow collective negotiation of rates and payment terms with payers that would otherwise be precluded by antitrust laws if the entities were not part of a formal IPA. 

 

While the role of an IPA was initially very circumscribed—and was limited, initially, to contracting with only a single managed care organization—IPAs have since been given a broader role and may now contract with multiple health plans, can be certified as an Accountable Care Organization and may participate in a Performing Provider System under the DSRIP program.  An IPA must obtain approvals from the NYS Department of Health to establish the network prior to filing a certificate of incorporation and necessary consents, waiver or approvals must be granted by the NYS Department of Financial Services and the NYS Education Department.

 

Jim Lytle and his Manatt Health colleagues will examine the purposes of an IPA and the pros and cons of establishing one in New York, with particular focus on their potential role in the implementation of managed care in the delivery of services to people with developmental disabilities.

 

Presenter:

James Lytle, Partner, Manatt, Phelps & Phillips

Click Here to Download the Powerpoint

Understanding Your Agency's Value to Managed Care Organizations

Held On: December 4, 2018

Description:

Not-for-profit I/DD agencies are committed to fostering person-centered services and supports to people that promote independence, community inclusion and healthy life experiences.  As the sector moves to managed care, it’s important for providers to take opportunities to educate managed care organizations on the value of your agency and the effective, empowering, responsive and reliable role you play in the life of an individual and their family members as well as the staff you employ and the community as a whole.
This webinar will help you understand the ways in which agencies can measure the value of the services and supports you provide and documenting your value.

 

Presenters:

Maureen Corcoran, President, Vorys Health Care Advisors

Marisa Weisel, Senior Advisor, Vorys Health Care Advisors

M. Renee Bostick, Senior Advisor, Vorys Health Care Advisors

 

 

Click Here to Download the Powerpoint

Managed Care Organizational Self-Assessment: Interpreting Your Results

Held On: November 14, 2018

Description:

The Managed Care Community of Practice (MC-COP) team will offer tips on how to review your organization’s results followed by an open question and answer session. MC-COP will discuss how organizations can help focus their efforts on high priority areas for improvement in time for the transition to managed care. The presentation will describe the various technical assistance offerings that will become available to support you in these efforts.

Important: Organizations will receive their individualized reports by EOD, Monday, November 12th. The reports will be sent from mccop.info@nyu.edu with the subject line “Managed Care Organizational Self-Assessment: Your Results”. The report will go to the point of contact listed on the MC OSA survey submission. Please check your spam and trash folders if you do not see the report in your inbox.

Click Here to Download the Powerpoint

Contracting with Managed Care Plans

Held On: October 29, 2018

Description:

The contract between an agency and a managed care plan is the key document which frames, designs and governs the relationship between the provider and payer. The contract impacts payments, practices, policies and procedures, administrative/office functions, confidentiality, service authorization and administration.

 

This 90-minute webinar will assist providers with understanding the importance of contracting with managed care entities and offer an overview of key elements of the contract such as definitions, contract terms, mechanisms for payment. The webinar will also highlight initial considerations before entering into a contract as well as the State and federal government requirements of managed care plans.
 

Presenter:

James W. Lytle, Managing Partner, Manatt, Phelps & Phillips
Megan Sherman, Associate, Manatt, Phelps & Phillips

 

 

Click Here to Download the Powerpoint

Office Hours Q&A About the Organizational Self-Assessment (OSA)

Held On: September 20, 2018

Description:

This one-hour webinar included many answers to commonly asked questions about completing the Managed Care Community of Practice Organizational Self-Assessment (OSA).

About the OSA:

In preparation for the transition to Medicaid managed care, the Managed Care Community of Practice (MC-COP) team has launched the Managed Care Organizational Self-Assessment (MC OSA). The purpose of the MC OSA is to assess organizational readiness for managed care across a number of critical domains needed to effectively prepare for the early stages of a business relationship with managed care organizations. MC-COP strongly suggests that an agency brings a team that represents all areas of your organization and is able to respond to the series of statements collectively. 

Learn more about the OSA here!

Presenter:

The Managed Care Community of Practice Resource Team

Click Here to Download the Powerpoint

Tips for Completing the Managed Care Organizational Self-Assessment (OSA)

Held On: September 13, 2018

Description:

In preparation for the transition to Medicaid managed care, the Managed Care Community of Practice resource team will soon be launching the Managed Care Organizational Self-Assessment (MC OSA). The purpose of the MC OSA is to assess organizational readiness for managed care across a number of critical domains needed to effectively prepare for the early stages of a business relationship with managed care organizations.  The assessment will be made available on Monday, September 10th. 

Join us to learn tips for completing the MC OSA and ask any questions. The deadline for the MC OSA is September 28, 2018. Completion of the assessment tool will help each provider understand where their strengths lie and where they need to concentrate their preparedness efforts. Each provider agency will receive an individualized report.

Presenter:

The Managed Care Community of Practice Resource Team

Click Here to Download the Powerpoint

Webinar 1: Introduction to Managed Care Community of Practice in I/DD & The Basics of Managed Care

Held On: August 27, 2018

Topics Covered:

  • Care Coordination Organization (CCO) Status Update

  • Timelines for CCO and Managed Care Implementation

  • Developing a common, basic understanding of care management concepts

  • Measuring Quality

 

Presenters:

Ann Hardiman, President & CEO

New York Alliance for Inclusion & Innovation

Michael Seereiter, Executive Vice President & COO

New York Alliance for Inclusion & Innovation

Kerry Delaney, Commissioner

NYS Office for People with Developmental Disabilities

Maureen Corcoran

Vorys Health Care Advisors

Marisa Weisel

Vorys Health Care Advisors

 

Click Here to Download the Powerpoint

Webinar 2: Managed Care Basics: An Introduction/Refresher

Held On: August 30, 2018

Topics Covered:

  • Basic understanding of managed care principles & how they connect to current CCO work

  • Understanding key business capabilities required to work with CCOs and managed care entities 

  • What’s the "value" provided by an I/DD agency and its services/supports?

 

Presenters:

Ann Hardiman, President & CEO

New York Alliance for Inclusion & Innovation

Michael Seereiter, Executive Vice President & COO

New York Alliance for Inclusion & Innovation

Maureen Corcoran

Vorys Health Care Advisors

Marisa Weisel

Vorys Health Care Advisors

 

Click Here to Download the Powerpoint

Webinar 3: Talking to Not-for-Profit Board of Directors About Care Coordination Organizations and Managed Care

Held On: September 6, 2018

Topics Covered:

  • Key policy issues Boards need to understand about the changing environment

  • Common questions asked by Boards, and potential answers

  • Resources for Executive Directors to talk to their Boards

  • Driving ongoing involvement of Board through the transition

 

Presenters:

Ann Hardiman, President & CEO

New York Alliance for Inclusion & Innovation

Michael Seereiter, Executive Vice President & COO

New York Alliance for Inclusion & Innovation

Maureen Corcoran

Vorys Health Care Advisors

Marisa Weisel

Vorys Health Care Advisors

M. Renee Bostick

Vorys Health Care Advisors

 

Click Here to Download the Powerpoint

STAY UP TO DATE

Updates, resources and registration details are emailed regularly.

Click the link below to join our Managed Care Community of Practice

ABOUT US

The Managed Care Community of Practice in I/DD is a project of the New York Alliance for Inclusion & Innovation.

 

The project is presented in partnership with Manatt, Phelps & Phillips, McSilver Institute for Poverty Policy and Research at New York University, Negri Management Resources, New York Alliance for Inclusion and Innovation, and Vorys Health Care Advisors.

CONTACT

518-795-3590

 

mccop.info@nyu.edu

DISCOVER

© 2018 by Managed Care Community of Practice.