Balancing Incentive Program IT Capital Fund Request

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Balancing Incentive Program IT Capital Fund
Request

• Department of Social Services
• December 10, 2014

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Balancing Incentive Program IT Capital Fund
Request

• Background on the federal Balancing Incentive
  Program
• Expected System Components Outcomes
• IT Infrastructure
• Phased Approach
• Funding

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Balancing Incentive Program Background

• Programmatic objectives
• Rebalance Medicaid long term support services
  towards community care
• Key change requirements
• Universal Assessment
• No Wrong Door

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BIP Grant Funding

• Federal grant/enhanced reimbursement
• 2 additional federal match on Medicaid
  community-based services
• 72.8 million in additional revenue
• Reinvestment requirements
• Community First Choice Initiative
• Enhanced reimbursement of 6
• Significant reinvestment component

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BIP System Components

• Online pre-screen of an applicants functional
  status
• Automation of functional and financial
  eligibility processes for Medicaid
• Automation of a Universal Assessment (UA) that
  will be used across State agencies and
  contractors
• Online mechanism through which services can be
  requested from providers
• Consumer portal

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BIP System Outcomes

• Reduction of redundancy in assessing need across
  programs
• Streamlined LTSS eligibility processing
• Individualized budget allocations based on
  functional need that through standardization will
  enable more equitable distribution of dollars
  across the entire LTSS system

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BIP System Outcomes (continued)

• Enhanced ease and timeliness of access to LTSS
  services
• An increased incidence of hospital discharge to
  community-based services, as opposed to nursing
  home care
• Consumer empowerment through sharing of their
  health care data

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BIP System Infrastructure

• BIP system will initially leverage DSS existing
  ConneCT infrastructure
• Upon completion of the new ImpaCT integrated
  eligibility system, support for the BIP system
  will migrate to the ImpaCT environment
• Additional ongoing costs will be minimized by
  leveraging these systems

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BIP Phased Approach

• Current request is for Phase 1 only
• Includes
• Universal Assessment (Release 1)
• Initial Release 2 design development
• Future Phase 2
• No Wrong Door
• Client access/consumer portal

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BIP System Funding

• For the majority of components federal match
  available at the 90 level (89)
• 11 State contribution is requested through IT
  Capital Fund
• Federal approval of an Advance Planning Document
  required for federal contribution
• Initial APD submitted and approved for
  approximately 15 million

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BIP System Funding

• Phase 1 Budget
• 10.4 m in total excluding salary and fringe
• 1.1 million request from IT Capital Fund for the
  11 State share of the project
• Future request anticipated for Phase 2
• Current estimated Phase 2 costs are approximately
  15 million
• IT Capital Fund contribution of close to 1.5
  million

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BIP System Funding
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