11/20/2014 - A Message from Chris Newman, Senior Administrator.....
In response to significant public input on the change to a 15 minute case management unit, the Division has made the decision to continue to offer the opportunity for case managers to use the monthly case management unit until the waiver service rates can be rebased and approved by the legislature. Case managers, working with the participant, guardian and the participant’s team can decide to use either the 15 minute unit or the monthly unit. This decision is contingent upon the Centers for Medicare and Medicaid Services’ current rules which do not require 15 minute units.
Since many plans of care have the 15 minute unit due to start in January, and some case managers are already using it, the Division will implement a transition process to get the plans modified within the next three (3) months. This change will require significant work for case managers and state staff to accomplish during an already busy period of plan approvals and transitions from old waivers to new, so we are asking for your patience as we move forward to allow both a 15 minute unit and the monthly unit.
In conjunction with the decision on the case management unit, the Division will be releasing detailed information on changes to documentation requirements for case managers who continue to use the monthly unit. These documentation changes will help assure the Division can verify that appropriate and adequate case management services are being provided under the monthly unit.
We appreciate the input and recommendations we received from case managers, parents, providers and other stakeholders on this issue. Details on the unit transition plan, which will be done by plan of care start dates, will be released tomorrow afternoon in a formal provider bulletin. Within the next week we will be providing a more detailed response to other recommendations provided during this public comment period. We ask that you review the information that is released before contacting the Division with questions. We know this is an important issue, especially for case managers, and want to make sure that the information we release is accurate and provides enough detail to answer most of your questions.