2016 Pre-Conference Supportive Housing Services Medicaid Training
This training was specific to the status of the 1115 Waiver in 2016.
Programming agenda is below for reference.
For information on the August Medicaid webinar training series click here.
Tuesday, May 10, 2016
Registration & Breakfast from 8:00 AM to 9:00 AM
Training Program from 9:00 AM to 5:15 PM
Spokane Convention Center
Spokane, Washington
The Washington State Health Care Authority and the Department of Social and Health Services are currently negotiating a Section 1115 Medicaid Transformation Waiver with the federal Centers for Medicare and Medicaid Services (CMS). The waiver includes a proposal to create a new, targeted permanent supportive housing services Medicaid benefit along with additional health innovations, including a targeted supported employment Medicaid benefit, regional health transformation projects, and much more. The waiver is anticipated to be approved and go into effect in Spring 2016. As proposed in the waiver, the targeted supportive housing services benefit will be limited to Medicaid beneficiaries who have a demonstrated medical need for supportive housing services and who fall into one or more of the following target populations:
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Chronically homeless (HUD definition)
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Frequent or lengthy institutional contact (hospital stays, ED, jails, etc.)
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Frequent or lengthy adult residential care stays
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Frequent in-home caregiver turnover
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PRISM Risk Score of 1.5 or above
The pre-conference Medicaid training is intended to provide permanent supportive housing providers and those interested in serving this population with information about the forthcoming, targeted supportive housing services Medicaid benefit. The training will provide background information about the Medicaid program and 1115 waivers, information about what supportive housing services CMS will likely approve to be covered by the new benefit, which Medicaid beneficiaries will be eligible, and what steps your agency needs to take in order to utilize this exciting new opportunity. Information about the new, targeted supported employment Medicaid benefit will also be covered.
Please note that the specific training content is dependent on the status of the state’s negotiations with CMS and is subject to change. Contact Kate Baber at kateb@wliha.org if you have questions about this training.
Background Materials
Background on Permanent Supportive Housing
| TRAINING AGENDA |
8:00am to 9:00am
Registration & Breakfast
9:00am to 10:15am
I. Overview Of Medicaid & The Section 1115 Medicaid Transformation Waiver
This session will provide participants with foundational background information on Washington’s Medicaid program and 1115 Medicaid Waivers. Our state’s Healthier Washington Initiative will be introduced, and the state’s work to create a targeted supportive housing services Medicaid benefit will be reviewed. Presenters will discuss the federal Center on Medicare and Medicaid’s guidance on how Medicaid can be used to pay for supportive housing services.
Materials
1115 Waiver Overview
Medicaid Overview
Building a Plan
Speakers
Jon Brumbach, Senior Health Policy Analyst, Division of Policy, Planning & Performance, Washington State Health Care Authority
Jon joined the Health Care Authority in 2015 as a Senior Health Policy Analyst, focused on health care policy related to social determinants of health. Jon has focused primarily on the 1115 Medicaid Transformation Waiver proposal & the targeted supportive housing & supported employment benefits. Jon has also spent time with Wilson Strategic, a health & social policy consulting firm, & with The Mockingbird Society, an advocacy organization supporting foster youth & homeless young people. Jon earned his Bachelors degree from Washington State University & his Master of Public Administration from the University of Washington.
Melodie Pazolt, Supported Employment/Supported Housing Program Administrator, Washington State Department of Social & Health Services, Division of Behavioral Health & Recovery
Melodie has operated fifteen grants & contracts in conjunction with direct services to consumers of mental health services, as well as individual who are homeless. Ms. Pazolt is currently the Supported Employment/Supported Housing Program Administrator for the DSHS Division of Behavioral Health & Recovery. Ms. Pazolt brings an understanding of the issues and systems that face individuals with psychiatric disorders & individuals who are homeless.
Carol Wilkins, MPP, Consultant
Carol is a nationally recognized expert on integrating health care, social services, and housing assistance for persons with disabilities, with a focus on persons who experience homelessness. She conducts research and provides technical assistance to develop and support the implementation of evidence-based policy solutions for people with complex health needs and vulnerabilities. She has worked with several states to support the use of Medicaid financing and delivery systems to provide the services and supports needed for homeless people with complex health needs to get and keep housing, and to reduce avoidable hospitalizations and other costs.
Her experience includes contributing to the development of Opening Doors: the Federal Strategic Plan to Prevent and End Homelessness and co-authoring several reports published by the HHS Assistant Secretary for Planning and Evaluation, including A Primer on Using Medicaid for People Experiencing Chronic Homelessness and Tenants in Permanent Supportive Housing and Medicaid and Permanent Supportive Housing for Chronically Homeless People: Emerging Practices from the Field.
Previously she was the Director of Intergovernmental Policy and Research with the Corporation for Supportive Housing. She also has experience working in state and local government, including the California Legislature’s office of the Legislative Analyst and the Assembly Ways and Means Committee, as Deputy Mayor for Finance in San Francisco, and as Finance Director for the San Francisco Housing Authority
10:15am to 10:30am
Break
10:30am – 12:00pm
II. Supportive Housing Services Medicaid Benefit Implementation Update
Washington’s pending targeted supportive housing services Medicaid benefit will be discussed in depth. Participants will be briefed on the most recent updates of the anticipated scope, parameters, and implementation timeline of the pending benefit. Presenters will also discuss how other initiatives under Washington’s 1115 Waiver, such as Accountable Communities of Health and regional transformation projects, can complement and support the implementation of this new benefit.
Materials
Update on Initiative 3
Medicaid 1115 Transformation Waiver
Supportive Housing Services
Speakers
Jon Brumbach, Senior Health Policy Analyst, Division of Policy, Planning & Performance, Washington State Health Care Authority
Jon joined the Health Care Authority in 2015 as a Senior Health Policy Analyst, focused on health care policy related to social determinants of health. Jon has focused primarily on the 1115 Medicaid Transformation Waiver proposal & the targeted supportive housing & supported employment benefits. Jon has also spent time with Wilson Strategic, a health & social policy consulting firm, & with The Mockingbird Society, an advocacy organization supporting foster youth & homeless young people. Jon earned his Bachelors degree from Washington State University & his Master of Public Administration from the University of Washington.
Melodie Pazolt, Supported Employment/Supported Housing Program Administrator, Washington State Department of Social & Health Services, Division of Behavioral Health & Recovery
Melodie has operated fifteen grants & contracts in conjunction with direct services to consumers of mental health services, as well as individual who are homeless. Ms. Pazolt is currently the Supported Employment/Supported Housing Program Administrator for the DSHS Division of Behavioral Health & Recovery. Ms. Pazolt brings an understanding of the issues and systems that face individuals with psychiatric disorders & individuals who are homeless.
Carol Wilkins, MPP, Consultant
Carol is a nationally recognized expert on integrating health care, social services, and housing assistance for persons with disabilities, with a focus on persons who experience homelessness. She conducts research and provides technical assistance to develop and support the implementation of evidence-based policy solutions for people with complex health needs and vulnerabilities. She has worked with several states to support the use of Medicaid financing and delivery systems to provide the services and supports needed for homeless people with complex health needs to get and keep housing, and to reduce avoidable hospitalizations and other costs.
Her experience includes contributing to the development of Opening Doors: the Federal Strategic Plan to Prevent and End Homelessness and co-authoring several reports published by the HHS Assistant Secretary for Planning and Evaluation, including A Primer on Using Medicaid for People Experiencing Chronic Homelessness and Tenants in Permanent Supportive Housing and Medicaid and Permanent Supportive Housing for Chronically Homeless People: Emerging Practices from the Field.
Previously she was the Director of Intergovernmental Policy and Research with the Corporation for Supportive Housing. She also has experience working in state and local government, including the California Legislature’s office of the Legislative Analyst and the Assembly Ways and Means Committee, as Deputy Mayor for Finance in San Francisco, and as Finance Director for the San Francisco Housing Authority.
12:00pm – 12:20pm
Break
12:20pm - 1:00pm
III. Working Lunch: Expanding Your Book of Business To Include Supported Employment
This session will introduce the new, targeted supported employment Medicaid benefit that is also pending approval within Washington’s 1115 Medicaid Waiver application. Participants will learn about the scope of pending supported employment services and how these services can complement supportive housing services.
Materials
Unemployment is Bad for You
Speakers
Joe Marrone, Senior Program Manager, Public Policy Institute for Community Inclusion, School of Global Inclusion & Social Development, University of Massachusetts at Boston
Joe is a Senior Program Manager for Public Policy at the Institute for Community Inclusion/ UMASS BOSTON and is also Coordinator of Training/ TA at the NIDRR funded Vocational Rehabilitation and VR Management RRTCs based at ICI and the RSA funded five year research grant on helping Social Security recipients achieve economic self sufficiency. In addition, he is a currently working with Tribal and Alaska Native VR programs across the country on various projects.
He was formerly the Associate Director of the largest community mental health center in Washington State as well as having a seventeen year career in public VR. He has consulted, trained, and lectured in all fifty states, Canada, Puerto Rico, Asia, and Europe. He has over forty years direct service/administrative experience in delivering rehabilitation services and in community mental health. He has lectured and published extensively on policy and program issues in employment services, marketing job applicants with disabilities to employers, workplace supports, psychiatric rehabilitation, program management, quality assurance and program accountability in human services, workforce development, community rehabilitation, welfare to work issues, and consumer empowerment.
Joe has been on the staffs of the New England Psychiatric Rehabilitation Training Program and the University of Massachusetts at Boston, the Michigan State University Long -Term Training Grant in Psychiatric Rehabilitation as well as of the University of Pittsburgh/Western Psychiatric Institute's National Psychiatric Rehabilitation Training Grant. He has also been an Adjunct Faculty Member of the New England School of Professional Psychology and the Boston University School of Medicine. He is also on the Editorial Boards of Psychiatric Rehabilitation Journal, Psychiatric Services, Journal of Mental Health, American Journal of Psychiatric Rehabilitation, and the Journal of Behavioral Health Services & Research.
Melodie Pazolt, Supported Employment/Supported Housing Program Administrator, Washington State Department of Social & Health Services, Division of Behavioral Health & Recovery
Melodie has operated fifteen grants & contracts in conjunction with direct services to consumers of mental health services, as well as individual who are homeless. Ms. Pazolt is currently the Supported Employment/Supported Housing Program Administrator for the DSHS Division of Behavioral Health & Recovery. Ms. Pazolt brings an understanding of the issues and systems that face individuals with psychiatric disorders & individuals who are homeless.
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1:00pm - 1:20pm
Break
1:20pm – 2:20pm
IV. Introduction To Washington’s Medicaid Payment Systems
This session will review Washington’s three Medicaid payment systems: Behavioral Health Organizations, Managed Care Organizations, and the Aging and Long Term Supports Administration. Speakers will provide an overview of how each system is structured, which Medicaid beneficiaries are served through each system, and the licensure and certification requirements of each system. Washington’s effort to integrate physical and behavioral health, and how this will affect Medicaid payment systems in the coming years will also be discussed.
Materials
Behavioral Health State Plan Authority and Payment Methodologies
DBHR Agency Licensure Process
Intro to Medicaid Payment Systems
Speakers
Jon Brumbach, Senior Health Policy Analyst, Division of Policy, Planning & Performance, Washington State Health Care Authority
Jon joined the Health Care Authority in 2015 as a Senior Health Policy Analyst, focused on health care policy related to social determinants of health. Jon has focused primarily on the 1115 Medicaid Transformation Waiver proposal & the targeted supportive housing & supported employment benefits. Jon has also spent time with Wilson Strategic, a health & social policy consulting firm, & with The Mockingbird Society, an advocacy organization supporting foster youth & homeless young people. Jon earned his Bachelors degree from Washington State University & his Master of Public Administration from the University of Washington.
Gina Dick, Mental Health Program Administrator, Washington State Department of Social and Health Services, Division of Behavioral Helath and Recovery Licensing Unit.
Liz Prince, MA, LMFT, Project Director, MFP Roads to Community Living, Washington State Department of Social & Health Services Aging & Long Term Supports Administration
Liz is the Project Director for Washington State’s Money Follows the Person (MFP) demonstration project, Roads to Community Living (RCL), located within the Department of Social and Health Services (DSHS), Aging and Long Term Supports Administration (ALTSA). As part of her role, she supervises a unit which oversees housing and quality initiative projects. Prior to joining DSHS in 2006, Ms. Prince worked in non-profit agencies in both field and administrative positions, working with varied populations including individuals with behavioral health issues, seniors, adults with disabilities, and those experiencing homelessness. Ms. Prince has been involved in state and local long-term service and support systems change activities for over thirty years. Ms. Prince received a Bachelor’s Degree in Psychology and Women’s Studies from the University of Rochester, New York, and a Master’s Degree in Counseling Psychology from John F Kennedy University in the Bay Area of California. She has been a licensed Marriage and Family Therapist since 1990, and a CAMFT Certified Supervisor since 2001.
Tara Smith, Federal Programs Manager, Washington State Department of Social & Health Services, Divsion of Behavioral Health & Recovery
Ms. Smith is the Federal Programs Manager for the state’s 1915(b) Waiver for managed care behavioral health services. Tara joined the Division of Behavioral Health and Recovery in 2013 as the Adult Residential Treatment Manager for Substance Use Disorder Services (SUD) and shortly after took a position on the team working to integrate SUD services into managed care. She spent ten years as the County Chemical Dependency Coordinator and Social Services Manager for the county’s Developmental Disabilities Supported Employment, housing and substance use disorder prevention programs. Tara is a proud graduate of Washington State University and volunteers as a Big Sister with the Big Brothers Big Sisters program.
2:25pm to 3:25pm
V. Documenting Medical Necessity In Your Service Notes
This session will highlight the case note documentation requirements under a new, targeted supportive housing services Medicaid benefit. Because Medicaid is a health insurance program, case notes must document medical necessity in order for supportive housing services to qualify for Medicaid reimbursement. Participants will learn how to assess and document medical necessity and adopt case note documentation practices that meet Medicaid’s requirements.
Materials
Initiative 3 Medical Necessity
Speakers
Jon Brumbach, Senior Health Policy Analyst, Division of Policy, Planning & Performance, Washington State Health Care Authority
Jon joined the Health Care Authority in 2015 as a Senior Health Policy Analyst, focused on health care policy related to social determinants of health. Jon has focused primarily on the 1115 Medicaid Transformation Waiver proposal & the targeted supportive housing & supported employment benefits. Jon has also spent time with Wilson Strategic, a health & social policy consulting firm, & with The Mockingbird Society, an advocacy organization supporting foster youth & homeless young people. Jon earned his Bachelors degree from Washington State University & his Master of Public Administration from the University of Washington.
Patricia Tucker, MA, MBA, Senior Program Manager, Advocates for Human Potential
Ms. Tucker is a nationally-recognized leader in supportive housing, supported employment, & community integration for people with disabilities., including those with behavioral health conditions. Her diverse career has fashioned a unique perspective on employment for people with disabilities, job development, permanent supportive housing, & supported employment management. Before joining Advocates for Human Potential, Inc. (AHP), Ms. Tucker spent more than twenty years supervising affordable housing programs. Realizing that hosuing alone did not cure homelessness, she added employment programs to all of the housing programs that she managed. Operated by mostly staff with lived experience of homelessness, these programs found jobs for hundreds of clients.
As a Senior Program Manager and one of AHP's top trainers, Ms. Tuckers professional experiences & creative spirit produce a training style that is concise, easily followed, worthwhile & fun. She brings a passion to her trainings & successfully takes difficult, complex subjects & transforms them into information everyone can enjoy. Regardless of the topic, people attending Ms. Tucker's trainings gain a deeper, fuller, & clearer understanding of the contect area & the skills necessary to complete related tasks with greater confidence & effectiveness.
3:25pm – 3:40pm
Break & Refreshments
3:40pm – 4:50pm
VI. Developing Business Relationships With Managed Care Organizations & The Aging & Long Term Supports Administration
Participants will have an opportunity to hear from representatives from managed care organizations, behavioral health organizations, and the Aging and Long Term Supports Administration. Panelists will provide background information and insights about how their organizations develop new business partnerships with providers. Bring your questions to this session.
Moderator
Nicole Macri, MPA, Deputy Director, DESC
Nicole is Deputy Director of DESC in Seattle, where she has worked since 2002. DESC is a comprehensive provider of housing and services to chronically homeless adults and a national leader of the Housing First approach. Nicole currently serves as Board President of the Washington Low Income Housing Alliance and represents the Seattle/King County Coalition on Homelessness as a member of the Governing Board of All Home in King County. Nicole has worked on behalf of people who are homeless, mentally ill, chemically dependent, or victims of abuse for nearly two decades. She has been active locally on issues of homelessness, informing and shaping multiple program developments, policy dialogues, and advocacy efforts
Panelists
Dr. Tanya Dansky, MD, FAAP, Chief Medical Officer, Amerigroup
Dr. Dansky joined Amerigroup's Washington Health Plan as Chief Medical Officer in November 2015. Dr. Dansky served as the Chief Medical Officer for Columbia United Providers (CUP) in Vancouver, WA where she worked for a year and a half. While at CUP, she helped them to achieve their first NCQA accreditation, worked with the Health Care Authority to secure a Medicaid contract, led the provider relations effort including negotiating key provider contracts in the community, and established strong working relationships with multiple state agencies in Olympia.
Prior to moving to Vancouver she held the position of Chief Executive Officer of Children’s Physicians Medical Group, a 400 member IPA physician group in San Diego, CA. She also also served as the Chief Medical Officer of CHOC Health Alliance in California where she was directly responsible for all utilization and case management, as well as quality and operations.
Dr. Dansky is board certified in Pediatrics and Hospice and Palliative Medicine, and is a graduate of the University of California, Davis with a BS in Physiology and the University of Southern California School of Medicine. She performed her Pediatric Residency at the University of California, San Diego. Dr. Dansky is a Fellow of the California Healthcare Foundation, Healthcare Leadership Program – a prestigious leadership development program offered to a select number of clinicians each year.iography is coming soon.
Dorothy Hardin, Director of Provider Relations, Contracting, and Credentialing, Community Health Plan of Washington
Dorothy Hardin has over twenty years of experience in the Healthcare industry with a focus on network development. She has experience with developing provider networks on local and national levels for both commercial payors and public programs. She has a BA in Healthcare Administration and Juris Doctorate focusing on Healthcare Law. She currently serves as the Director of Provider Relations, Contracting and Credentialing at Community Health Plan of Washington, a not-for-profit, Washington State Health Plan serving various populations including Washington State Medicaid, Medicare Advantage, as well as the Health Benefit Exchange.
Kat Latet, Manager, New Programs Integration, Community Health Plan of Washington
As part of the New Programs Integration team at Community Health Plan of Washington (CHPW), Kat’s role is to ensure CHPW can be of the leading edge of health systems innovation. CHPW is the second largest Medicaid Managed Care plan and the only not-for-profit, Washington based Medicaid Managed Care plan. Prior to her role at CHPW, Kat was a Senior Health Policy Analyst with the Health Care Authority. In this role, she was on the core team developing state health system transformation policy and programs from the State Health Care Innovation Plan, the State Innovation Model Test Grant and the Medicaid Transformation Waiver. Kat possesses a keen awareness of state and federal Medicaid policy and program design as well as alternative payment models and creative financing mechanisms, such as social impact bonds. She has also been ardently committed to addressing the social determinants of health. Prior to her work the Health Care Authority, Kat worked in Oregon as the policy lead for the Oregon Primary Care Association. Through this work, Kat was on the frontlines working with Oregon state policymakers building out the innovative Coordinated Care Organization model. She also managed its 501c4 organization sister, Community Health Advocates of Oregon. Before moving to Portland, Kat worked in Chicago in education policy and political campaigns. She also served in the Peace Corps in Romania.
Debra Murray, MSW, LMHC, CHC, Clinical Director, Chelan Douglas Regional Support Network
Debra has been the Clinical Director of Chelan Douglas Regional Support Network (now North Central Washington Behavioral Health) for 8 years. The RSN has been working to improve the housing status of consumers in Chelan and Douglas counties since 2010 when it was prioritized by the advisory board as a quality improvement goal. Helping people find a safe, affordable home has long been a part of Debra’s professional life - First, in the early 1980’s, she worked as part of a community mental health effort to move individuals from State Hospitals into the community. After that, she supported individuals with developmental and/or physical disabilities living in the community. And more recently, she’s worked with the first PACT team of Chelan and Douglas counties. Debra helped write the PORCH grant which brought Permanent Supportive Housing to Chelan and Douglas counties, and she looks forward to the innovations that will come with the implementation of the new 1115 waiver.
Liz Prince, MA, LMFT, Project Director, MFP Roads to Community Living, Washington State Department of Social & Health Services Aging & Long Term Supports Administration
Liz is the Project Director for Washington State’s Money Follows the Person (MFP) demonstration project, Roads to Community Living (RCL), located within the Department of Social and Health Services (DSHS), Aging and Long Term Supports Administration (ALTSA). As part of her role, she supervises a unit which oversees housing and quality initiative projects.
Prior to joining DSHS in 2006, Ms. Prince worked in non-profit agencies in both field and administrative positions, working with varied populations including individuals with behavioral health issues, seniors, adults with disabilities, and those experiencing homelessness. Ms. Prince has been involved in state and local long-term service and support systems change activities for over thirty years.
Ms. Prince received a Bachelor’s Degree in Psychology and Women’s Studies from the University of Rochester, New York, and a Master’s Degree in Counseling Psychology from John F Kennedy University in the Bay Area of California. She has been a licensed Marriage and Family Therapist since 1990, and a CAMFT Certified Supervisor since 2001.
4:50pm – 5:15pm
VII. Training Debrief & Discussion Of Next Implementation Steps
This session will provide participants with an opportunity to ask their final questions. Next implementation steps will be discussed along with where you can find additional information and technical assistance to implement a targeted supportive housing services Medicaid benefit.
Speaker
Nicole Macri, MPA, Deputy Director, DESC
Nicole is Deputy Director of DESC in Seattle, where she has worked since 2002. DESC is a comprehensive provider of housing and services to chronically homeless adults and a national leader of the Housing First approach. Nicole currently serves as Board President of the Washington Low Income Housing Alliance and represents the Seattle/King County Coalition on Homelessness as a member of the Governing Board of All Home in King County. Nicole has worked on behalf of people who are homeless, mentally ill, chemically dependent, or victims of abuse for nearly two decades. She has been active locally on issues of homelessness, informing and shaping multiple program developments, policy dialogues, and advocacy efforts.
Programmatic support provided by:
