snp stakeholder meeting for seniors and people with ... · snp stakeholder meeting for seniors and...
TRANSCRIPT
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SNP Stakeholder Meeting for Seniors and People with Disabilities in Managed Care
11/4/19
Gretchen Ulbee, Manager of Special Needs Purchasing, DHS
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1. Welcome and Introductions
1. Welcome and introductions - Gretchen Ulbee, Special Needs Purchasing, DHS
2. Account Validation Service (AVS)
3. Annual health plan selection
4. Plans available for 2020 and update on procurement
5. Contracting update
6. Letters: Enrollees turning 65
7. Stakeholder comments and questions
8. Wrap up and next meeting
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2. Account Validation Service (AVS)
2) Sam Reyes, Health Care Policy, DHS
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Account Validation Service (AVS)
Health Care Eligibility and Access
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Agenda
• Overview of the AVS
• Authorization to obtain financial information
• Unreported financial accounts
• Transition group
• Questions?
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Account Validation Service (AVS)
Overview
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Background
• Federal law requires states to use an electronic asset verification system
(Section 1940 of the Social Security Act)
• Implementation in Minnesota September 1, 2019
• Minnesota’s system is called the Account Validation Service
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What is the AVS?
• A step in the eligibility process
• Validates the accounts reported
• Identifies unreported accounts
• 90% of the results should be returned within 10 days
• Results can be reported for up to 90 days
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The AVS is :
NOT a verification source
NOT able to do real time data exchange
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AVS Information
AVS will provide information about accounts held at participating financial institutions:
• Checking
• Savings
• Christmas club
• CDs
• Trust accounts
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AVS Information Continued
AVS will NOT provide information about:
• Life insurance issued by insurance companies
• Property
• Purchases through a brokerage firm
• Stocks
• Bonds
• Mutual funds
• Individual transactions such as deposits and withdrawals
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Impacted Groups
MA-ABD (Age 65+,
Blind, Disability)
MSP (Medicare
Savings Program)
MA-LTC (long term care)
Waivers and LTCF with an
ABD basis
EPD (Employed
Persons with Disabilities)
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When the AVS is Required
• Application
• Change in eligibility basis to MA-ABD with an asset test
• Renewal
10/28/2019 Minnesota Department of Human Services | mn.gov/dhs 13
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Authorization to Obtain Financial Information
Authorization to Obtain Financial Information
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Authorization to Obtain Financial Information
• To be eligible for MA, the applicant or enrollee must sign the Authorization to Obtain Financial Information from the Account Validation Service (AVS) form (DHS-7823).
• The form (DHS-7823) must also be signed by the following people, if their assets deem to the applicant or enrollee: • spouse • sponsor • sponsor’s spouse
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Authorization to Obtain Financial Information Continued
• No other authorization or release form may be used in place of the Authorization to Obtain Financial Information form (DHS-7823).
• Any person who has the authority to act on a person’s behalf may sign the authorization to obtain financial information form.
• The authorization must be kept in the person’s file.
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Authorization Duration
MA eligibility is closed for one
calendar monthor more
The MA basis of eligibility is no
longer MA-ABD
The MA application is
denied
The person withdraws the
authorization in writing
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Authorization Ends
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Unreported Assets
Unreported Assets
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Unreported Accounts
• Information received about an account through the AVS that was not reported is treated as inconsistent information.
• The worker must contact the applicant or enrollee to resolve the inconsistency.
• Workers must assist people to resolve the inconsistent information.
• The application remains pending or MA continues while the person is cooperating with resolving the discrepancy.
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AVS Transition Group
AVS Transition Group
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Current Enrollees
Enrollees who applied before September 1, 2019, are required to sign the authorization form as a condition of eligibility.
• DHS will send a request for information and the Authorization to Obtain Financial Information form (DHS-7823) to current MA-ABD, MA-EPD, MA-LTC, and MSP enrollees who have an asset test and who have a renewal due in 2020.
• Mailing will occur in monthly increments beginning in September 2019, with the final mailing in April 2020.
• The request for information will explain the requirement to authorize DHS to request information through the AVS and request the return of the signed authorization form (DHS-7823) to the agency within 10 days.
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Important Notes
• Enrollees must not lose MA eligibility due to not signing the authorization to obtain financial information before their mailing date.
• Workers must assist enrollees who are cooperating or attempting to cooperate.
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Questions
Questions
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3. Annual Health Plan Selection
3) Annual Health Plan Selection: Gretchen Ulbee, Special Needs Purchasing, DHS
- Open enrollment runs until December 5; letters started going out early October
- No change in health plans offered in most counties for SNBC and Seniors
- More options for Integrated SNBC in over 40 counties through existing plans
- People age 65 and older enrolled in SCHA must change health plan if residing in Todd, Morrison or Wadena counties; special letter sent to MSHO enrollees
- No health plans available in Morrison, Todd and Wadena for people under age 65 with disabilities enrolled in SCHA
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4. Plans Available for 2020 and Update on Procurement
4) Plans available for 2020 and update on procurement : Gretchen Ulbee, Special Needs Purchasing, DHS
• DHS issued request for proposals for the Seniors and Families and Children contracts for 2020.
• Proposals were submitted and scored, a lawsuit was filed and many counties requested mediations. DHS cancelled the 2020 procurement, resulting in no changes in health plan service areas due to procurement in 2020.
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5. Contracting Update
5) Contracting update: Gretchen Ulbee, Special Needs Purchasing, DHS
New requirement: Minimum payment rates for managed long term services and supports
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6. Letters: Enrollees turning age 65
6) Letters - Enrollees turning age 65: Gretchen Ulbee, Special Needs Purchasing, DHS
• Development work underway to automate letters for all people turning age 65
• Thanks to stakeholders for help in improving the wording of the letters
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7. Stakeholder comments and questions
7) Stakeholder comments and questions : Gretchen Ulbee, Special Needs Purchasing, DHS
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8. Wrap Up and Next Meeting
8) Wrap up and next meeting- Gretchen Ulbee, Special Needs Purchasing, DHS
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