Recent TA Updates 

The TA materials below are the most recent updates that were distributed within the past week.

 

Washington CPAS User Reference Guide

This is the Washington Collaboration, Performance and Analytics System (CPAS) user reference guide. This document includes guidance on registering for a new CPAS account; how to upload and download files on the ACH Document Repository Page; and information on the WA DSRIP Help Desk. (November 13, 2017)

Project Plan Submission Amendment Project Plan Withdrawal Form

This form is for use by the ACH when they decide to drop more than one project by the January 31, 2018 deadline. Changes to the approved ACH Project Plan after the Project Plan Submission Amendment deadline will require a formal Project Plan modification, and subject to a separate process. (November 13, 2017)

Funds Flow Update 

This presentation includes the Project Incentives Pay-For-Performance and payment and measurement timing updates. (October 30, 2017)

Value-Based Payment (VBP) and DSRIP Level Setting

This presentation explains the relationship between DSRIP and VBP; the Delivery System Sustainability Cycle; the Role of ACHs in advancing VBP and the ACH engagement with VBP over time.  (October 30, 2017)

Care Coordination and the Pathways Community Hub

The North Sound ACH presented a peer learning session on Care Coordination and the Pathways Community Hub. This presentation features topics on context and project selection; data and targeted "universalism"; and coordination with Health Homes and other care coordination activities. (October 30, 2017)

TA Resource Index

This index outlines technical assistance resources ACHs can leverage when completing the Project Plan Template.  It is organized according to the subsections of the Template, highlighting specific resources that may be useful to ACHs as they complete that section.  (Updated as of October 25, 2017)

Project Plan Template (updated Oct. 20)

Adjustments have been made to the Domain 1 narrative in Project Plan to clarify that:

  • Activities should focus on regional planning and capabilities directly related to each ACHs’ selected projects;
  • and Responses can reflect ACHs’ preliminary thinking.
  • Other adjustments reflect the narrative on the required percentage funding distribution projections by “use category” and “organization type” in the Project Plan workbook.

Project Plan Supplemental Workbook (updated Oct. 20): 

This document has been revised to accommodate a number of requests:

  • Information related to Integration incentives have been removed and clarification in the template. This was a request from a recent office hours discussion.
  • Use categories have been revised. However, please note that it is expected that ACH provide a definition and percentage for these required use categories.
  • The first funds tab requests a combined 5-year projected percent breakdown of Project Incentive funds by use category, with clearer definitions and without associated projected dollar values.
  • The second funds tab is still required for DY1 projections.
  • Partnering provider tabs have been revised (see #3)

Secondary workbook with Provider details   

To separate the administrative aspects of the partnering provider tabs, a second workbook has been created. While ACHs must provide a list of partnering providers for the Nov 16th submission, provider details, including EIN, can be submitted separately. (October 20, 2017)

  • This secondary workbook is due December 15th.The format of this workbook is a single provider list where multiple projects can be selected for each partnering provider.  
  • This workbook requires each ACH to indicate which partnering providers should or should not be added to the Financial Executor portal. It is expected that the majority of identified providers will be marked “Y” to support uploads/registrations.  This is for registration purposes only and does not dictate ACH funds flow arrangements or guarantee future payment.

Target Population Clarification

This document is intended to clarify project plan expectations and offer examples of narrative related to target populations.  Please note that these examples from the NY DSRIP address the anticipated target population but not the anticipated number of individuals reached through selected projects. A complete answer from an ACH must address both elements to receive a full score. (October 20, 2017)

Health Information Exchange (HIE) & Health Information Technology (HIT)

This slide deck discusses HIT and population health management project plan application requirements, implementation plan development and the Medicaid HIT/HIE Roadmap and Operational Plan. (October 9, 2017)

Project Plan Review Tool

HCA has engaged Myers and Stauffer LC to serve as the Delivery System Reform Incentive Program (DSRIP) Independent Assessor for the Medicaid Transformation Demonstration. Myers and Stauffer will conduct assessments of Project Plans submitted by Accountable Communities of Health on November 16, 2017. We are seeking your comments on two components of Myers and Stauffer’s Project Plan review tool: the evaluation criteria/definitions and scoring methodology. (September 22, 2017)

Standard Partner Agreement

In accordance with STC 29, ACHs must establish a partnership agreement with partnering providers. To support this process, HCA has been working on a standard agreement that will be a required element of registration with the Financial Executor portal. Meaning, partnering providers will need to agree to these terms in order to complete registration and receive incentive funds. HCA is seeking ACH feedback on the terms contained within this document since it will be required for funds distribution. (September 22, 2017)

Sample Term Sheet

The sample term sheet document is a template for ACHs to use to formalize relationships with partnering providers outside of the Financial Executor Portal requirements. This document was prepared based on agreements used in New York but sample terms are illustrative only. ACHs should contact legal counsel for assistance developing appreciate legal documents. (September 22, 2017)