California s Duals Demonstration: A Transparent. Process. Margaret Tatar Chief, Medi-Cal Managed Care Division. CA Coo 8/21/12

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1 Califonia s Duals Demonstation: A Tanspaent and Inclusive Stakeholde Pocess Magaet Tata Chief, Medi-Cal Managed Cae Division Depatment of Health Cae Sevices 1

2 Stakeholde Engagement Inclusive Building elationships: Bidging stakeholdes & state staff to facilitate two-way communication Stakeholdes include advocates, povides, health plans, lawmakes, county govenments, benefi ficiaies and thei family membes Open public meetings and open wok goups Focus on Accessibility Tanspaent Shae all majo announcements & updates with 2,300- peson stakeholde list Seek public comment on documents; elease ed-lined vesion to show changes 2

3 Stages of Stakeholde Engagement Phase 1: Input on policy goals and famewok Contacted with Habage Consulting to manage the stakeholde pocess Develop elationships Lage public meetings to descibe objectives and hea feedback Develop communications tools Phase 2: Input to efine policies & develop implementation stategies Wok goups fo specific topics Legislatue equiements Phase 3: Education & outeach campaigns Taget Beneficiaies and Povides Povides 3

4 Phase 1: Input on Policy Goals & Famewok Aug Mach 2012 Meet with individuals and small goups to get input on concens, baies and oppotunities Develop elationships and build tust Fou lage public meetings aound the state in-peson and with call-in option; ~250 paticipants Afte eleasing the Request fo Solutions (CA pocuement) and Daft Demonstation Poposal held meetings to walk though them Posted all comments online and eleased ed-lined vesion to show changes between daft and final 4

5 Tanspaency & Building Tust Tust CA DHCS leadeship is committed to tanspaency: posting key documents with ed-lined edits afte public comment peiod 5

6 Develop a Communications Toolkit Toolkit CalDuals domain & addess: info@calduals.og Easy to emembe; monito taffic Constant Contact Manage & segment 2,300 peson list; plan meetings and conduct suveys Maesto Confeencing Platfom to conduct meetings via phone Adobe Acobat Make all documents accessible (Section 508 compliant) Social Media 6 Inteactive website Twitte Twitte

7 dinated C C ae Initi a tive Keeping Stakeholdes Infomed 7

8 CalDuals Website Activity Activity 8,200 total unique visitos 17,500 total visits 50% etun visits 8

9 Phase 2: Input to efine policies & implement Mach 2012 Winte 2012 Public stakeholde wokgoups LTSS Integation (+ IHSS) (490 people) Behavioal health coodination (290 people) Beneficiay Notifications, Appeals and Potections (300 people) Quality and Evaluation (285 people) Fiscal and Rate Setting (290 people) Povide Outeach (350 people) Each has its own web page; list Input eceived duing meetings, via website comments o ed to info@calduals.og 9

10 Ongoing Stakeholde Input Input As equied by the Legislatue, Medi-Cal (DHCS) will consult with stakeholdes on: A pogammatic tansition plan Demonstation evaluation scope and stuctue Quality and Fiscal Measues Enollment pocess and timelines Benefi ficiay notices and communication plan Quality assuance indicatos fo long-tem sevices and suppots Scope, duation, and intensity of HCBS plan benefits Any changes to population eligibility Development of an univesal assessment pocess 10

11 Phase 3: Education & Outeach Campaigns Fall 2012 all of 2013 (ovelaps with phase 2) Demonstation enollment will stat no soone than June 2013 Medi-Cal (DHCS) developing an education and outeach campaign with a tageted, etail appoach beneficiaies AND povides Leveage patneships with CBOs; egional offices offices of state and national legislatos; ethnic medical societies and pofessional oganization Taget ethnic media Collaboate with health plans, when appopiate 11 Ongoing stakeholde engagement & outeach thoughout the implementation will be citical citical

12 Moe Infomation Website: