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HC Update - December 2017

Key Highlights This Month:  

  • DHS is currently looking at an outcomes-based purchasing redesign and Next Generation Integrated Health Partnerships (see PowerPoint for more detail)
    • Anticipate an RFP in 2018 for contracts effective in 2019
    • Demonstration in the 7-county metro area
    • Will include Medicaid and MinnesotaCare families and children only
  • The planned merge of code and data of the SMRT Instance into the METS instance has been delayed
    • The project is not stopping – instead they will be re-drawing the project schedule to allow for time to address procedural concerns and business process impacts
  • Federal Payment Error Rate Measurement (PERM) Audits occur every three years – and they are coordinated by the Centers for Medicaid & Medicare Services (CMS).  Programs reviewed are Medical Assistance (MA), Medicare Savings Program (MSP) and Children’s Health Insurance Program (CHIP).  Auditors may begin requesting case file documents as soon as January 2018.
  • MinnesotaCare has a new phone system that clients can use to get information about the status of their renewal, payments, etc – it is linked to FileNet and MMIS

Requested Actions Needed From MACSSA:  None at this time

New Trends in This Area:  Counties have seen a significant decrease in Cost Effective Health Insurance (CEHI) cases over the past year.

Issues/Concerns Regarding This Topic:  

As the next METS release approaches (1/6/18), questions continue to swirl about the impact of Periodic Data Match – particularly the volume of work the counties should anticipate.  More information should be available after functionality is deployed into production and after some additional testing is done.  

Legislative Impacts:  None at this time.

Supporting Materials:  None

Contact(s):  Miriam Kopka (Anoka), Kari Ouimette (Scott), Kathy Johnson (Kittson), John Glisczinski (Sibley), Deborah Huskins (Hennepin)

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