Managing a Non-Traditional Workforce Using Organized Health 管理一个非传统的劳动力使用组织健康.pptVIP

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2018-06-24 发布于四川
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Managing a Non-Traditional Workforce Using Organized Health 管理一个非传统的劳动力使用组织健康.ppt

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Managing a Non-Traditional Workforce Using Organized Health 管理一个非传统的劳动力使用组织健康

Managing a Non-Traditional Workforce: Appendix E: Participant Direction of Services Scott Pelham, CES NASDDDS Mid-Year Rapid City, South Dakota May 11, 2007 Topics within Appendix E: What types of Financial Management Services are available today Budget and employer authority for Consumers Factors that limit the choices States make on Appendix E: Participant Direction of Services: Concerns that participants cannot be supported to exercise adequate decision-making authority to be able to hire/manage their own workers Concerns that the State cannot provide the support and protection needed for participants to have more decision-making authority over their budgets Concerns that available Financial Management Services are insufficient to ensure legal compliance and fund accountability Concerns that overall information management and reporting will be unmanageable in a multiple FMS environment Services offered by CES that address these concerns for South Dakota: Online and manual time card and invoice controls with participant approval and Personal Agent/Support Coordinator or FMS closing features Automated Plan of Care management from authorization/amendments to payment for services (code, rate, time and cost controls; pre- and post-authorization) Real-time Service Code level budget utilization reporting (up to the last transaction) Controls minimize error and fraud and increase auditability - Single statewide database and reporting system; allows States to offer both Fiscal/Employer Agent and Agency with Choice models to meet participant’s needs Managing a Non-Traditional Workforce: Using Organized Health Care Delivery Systems Jean E. Tuller NASDDDS Mid-Year Rapid City, South Dakota May 11, 2007 Origins of the OHCDS Approach State Medicaid Director Letter: December 20, 1993 “ Many states established systems under which single providers subcontracted with providers of other waiver services and were paid by the state for furnishing the entire “package” of care to