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Invest in Tools & Technology

The Need

The HCBS system is complex with a number of technology systems and an enormous data infrastructure. To adequately prepare for the future, these systems need continual maintenance and updates. The tools and technologies the Department uses not only impact our administrative functions, but each is integral to our providers’ ability to perform their contractual obligations and to provide care to our members.

In addition, technological advancement is necessary to support our members and their families who rely on our systems to access services, seek resources, and gauge provider quality. For these reasons, the Department proposes a package of investments to elevate our current suite of tools and technology and to develop new and emerging systems that will prepare us for the future.

Initiative 6.01 - Home Health/PDN Acuity Tool

 

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Assessment tool to determine skilled care hours needed for Medicaid members

 

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Initiative 6.02 - Specialty Search in Provider Specialty Tool

 

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Website and guide to assist Medicaid providers with HCBS enrollment and specialties

 

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Initiative 6.03 - Member Facing Provider Finder Tool Improvement
 

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Updated tool to help members find Medicaid providers by language, access, and location

 

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Initiative 6.05 - Member Tech Literacy

 

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Grants for training and tech access to help members use healthcare-related technology

 

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Initiative 6.06 - HCBS Provider Digital Transformation
 

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$26M invested in provider technology upgrades for better care and virtual service access

 

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Initiative 6.08 - Care & Case Management System

 

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Technology investments to support case managers and timely care delivery

 

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Initiative 6.09 - Updates to Salesforce Database

 

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System updates improved escalation tracking and complaint resolution for Medicaid services

 

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Initiative 6.11 - Centers of Excellence in Pain 

 

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Training grants for providers on best practices in pain management for HCBS members

 

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Initiative 6.12 - Systems Infrastructure for Social Determinants of Health 

 

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Infrastructure for connecting social care data to health systems in real-time

 

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Initiative 6.13 - Connect CMAs to ADT Data 

 

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Pilot to connect case managers to hospital data for faster service coordination

 

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Initiative 6.14 - Data Sharing with the State Unit on Aging
 

 

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Recommendations to improve care coordination and data sharing for older adults

 

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Initiative 6.15 - Interface with Trails
 

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Tool improvement reduced duplicate Medicaid cases and improved eligibility tracking

 

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