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News & Press: Regulatory

LTC Advisory Council Summary

Friday, November 17, 2017   (0 Comments)
Posted by: Sarah Bass
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From Forbes McIntosh, Government Policy Solutions, WALA Lobbyist


The Wisconsin Department of Health Services Long Term Care Advisory Council met Tuesday in Madison. A few of the items of discussion at that meeting:
  • Advisory Council composition: DHS Secretary Linda Seemeyer is revising the composition of the council in 2018 and reducing slightly the number of people on the council. There will be a reduced number of providers and contractors represented on the council, so that each of the council member categories are equally represented. The council for 2018 will be four appointments each for: providers (was 7), contractors (was 5), advocates (was 4), consumers (was 4) and experts (was 4) - totaling 20 council members.
  • Advisory Council charge: The charge of the council will not change for 2018. They will continue working on making recommendations relating to the following subjects: quality metrics, workforce shortages, community development strategies and communications strategies.
  • Dementia summit: The DHS will lead a dementia summit in Wisconsin in March. More details will be forthcoming.
  • Children's wait list: The 2017-19 state budget passed this summer provided funding to eliminate the wait list for the Children's Long Term Support (CLTS) Waiver Program. Because county waiver agencies (CWA) have expertise in local program operations and knowledge of the children waiting for CLTS services in their county, each CWA is responsible for developing a local plan to eliminate their program wait list. Statewide enrollment will be achieved at the conclusion of the wait list elimination period. DHS has now asked all 72 counties what their transition plan is for next year to eliminate their children's wait list. The state is expecting a flux of one-time high-cost expenses in relation to this transition effort. Dane County currently has the largest children's wait list - even larger than Milwaukee County.
  • Workforce pay increases: The 2017-19 state budget also included money for direct-care workforce pay increases. DHS officials say they have been clear with managed care organizations that this additional state funding is to go directly to the care workers, not kept by the MCOs for administrative costs. There is currently a workgroup meeting to try to figure out the best way to push out this money to the workers - whether by recruitment bonuses, longevity bonuses, etc.
  • Transportation: The council also brainstormed ways to address lack of transportation for the elderly, disabled and also LTC workers throughout the state. Topics discussed included: transportation coordination on MCO contracts, mobility management across the state, the use of autonomous vehicles and ride-sharing services such as Lyft/Uber and much more. The list will be further refined and distributed at the next council meeting.


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