PCG Public Partnerships Case Study, TN DIDD program

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case study: Financial Administration and Support Brokerage Services for a Medicaid Waiver Program in Tennessee PCG Public Partnerships, LLC | 148 State Street, Tenth Floor, Boston, Massachuses 02109 | tel: (855) 243-8775 fax: (617) 717-0085 Copyright Public Consulting Group, Inc. www.publicpartnerships.com THE OPPORTUNITY The Self-Determination waiver self direction program was implemented in 2006 and because of its popularity DIDD anticipated that the program would double in size within a year. The state of Tennessee sought a vendor with experience managing similar large projects and also needed a contractor that could provide statewide support brokerage. In January 2007, DIDD awarded PCG Public Partnerships, LLC (PPL) a three-year contract (with two option years) to provide fiscal administration services and supports brokerage services to individuals participating in the self-direction portion of the Self- Determination waiver. PPL subcontracted with The Arc of Tennessee, and together we developed a system specific to the state’s needs. THE PPL APPROACH Along with The Arc, the PPL team provided services including Statewide launch of PPL services with on-site consumer information sessions to explain the transition, program requirements, and tax requirements to consumers, their employees, and their representatives; Development of program rules with DIDD and IT staff members; Enforcement of state and federal program requirements; Configuration of PPL information technology platforms to fit the state’s unique program requirements; Development of materials and processes to support program participants; Customization of reports to fit the state’s program requirements; Monthly meetings and quarterly on-site meetings with the state to improve program efficiency; and Electronic timesheets and 24/7 Web-based access to the system for case managers, consumers, providers, and supports brokers. THE RESULT Since January 2007, the number of consumers in the program has increased by 350% from 89 to more than 400 consumers. Although the waiver is closed to new participants, the program continues to grow each month by about 5 participants. On average, PPL customer service staff members field 900 calls per month. TennCare, the state’s Medicaid agency, used this program as a model for a new waiver program for elders. Estimated savings to DIDD of $1.5 million over traditional agency services. Vital employment of over 300 FTEs providing personal care services. 97% of consumers report good or excellent satisfaction with the program. DIDD exercised two option years for the program. THE CLIENT Tennessee Department of Intellectual and Developmental Disabilities (DIDD) THE PROJECT Financial administration and supports brokerage services to individuals participating in the Self-Determination waiver program. “I like being able to chose who I want to hire and fire and be empowered to have control over my services. I like being the boss and responsible one.” -Self-directing consumer in Tennessee “I can continue to live my life style without any ongoing stress and be able to be with family and a familiar environment that I am accustomed to.” -Self-directing consumer in Tennessee

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Case study released by PCG Public Partnerships on the Tennessee Department of Intellectual and Developmental Disabilities (DIDD) program.

Transcript of PCG Public Partnerships Case Study, TN DIDD program

Page 1: PCG Public Partnerships Case Study, TN DIDD program

case study:Financial Administration and Support Brokerage Services for a Medicaid Waiver Program in Tennessee

PCG Public Partnerships, LLC | 148 State Street, Tenth Floor, Boston, Massachusetts 02109 | tel: (855) 243-8775 fax: (617) 717-0085

Copyright Public Consulting Group, Inc.

www.publicpartnerships.com

THE OPPORTUNITY The Self-Determination waiver self direction program was implemented in 2006 and because of its popularity DIDD anticipated that the program would double in size within a year. The state of Tennessee sought a vendor with experience managing similar large projects and also needed a contractor that could provide statewide support brokerage.

In January 2007, DIDD awarded PCG Public Partnerships, LLC (PPL) a three-year contract (with two option years) to provide fiscal administration services and supports brokerage services to individuals participating in the self-direction portion of the Self-Determination waiver. PPL subcontracted with The Arc of Tennessee, and together we developed a system specific to the state’s needs.

THE PPL APPROACH Along with The Arc, the PPL team provided services including

• Statewide launch of PPL services with on-site consumer information sessions to explain the transition, program requirements, and tax requirements to consumers, their employees, and their representatives;

• Development of program rules with DIDD and IT staff members;

• Enforcement of state and federal program requirements;

• Configuration of PPL information technology platforms to fit the state’s unique program requirements;

• Development of materials and processes to support program participants;

• Customization of reports to fit the state’s program requirements;

• Monthly meetings and quarterly on-site meetings with the state to improve program efficiency; and

• Electronic timesheets and 24/7 Web-based access to the system for case managers, consumers, providers, and supports brokers.

THE RESULT • Since January 2007, the number of consumers in the program has

increased by 350% from 89 to more than 400 consumers. Although the waiver is closed to new participants, the program continues to grow each month by about 5 participants.

• On average, PPL customer service staff members field 900 calls per month.

• TennCare, the state’s Medicaid agency, used this program as a model for a new waiver program for elders.

• Estimated savings to DIDD of $1.5 million over traditional agency services.

• Vital employment of over 300 FTEs providing personal care services.

• 97% of consumers report good or excellent satisfaction with the program.

• DIDD exercised two option years for the program.

THE CLIENT Tennessee Department of Intellectual and Developmental Disabilities (DIDD) THE PROJECTFinancial administration and supports brokerage services to individuals participating in the Self-Determination waiver program.

“I like being able to chose who I want to hire and fire and be empowered to have control over my services. I like being the boss and responsible one.”

-Self-directing consumer in Tennessee

“I can continue to live my life style without any ongoing stress and be able to be with family and a familiar environment that I am accustomed to.”

-Self-directing consumer in Tennessee