1	Medicaid Adult Care Home Personal Care Services Restructuring: Kick-Off Meeting September 26, 2006 Greensboro
2	Why does the State need to restructure Medicaid ACH/PCS? CMS (Federal) disapproves of the current financing and policy structure for Medicaid’s ACH/PCS Since 1995, when CMS first approved the structure, additional regulations have been developed CMS wants us to treat the adult care home as a person’s home and we cannot treat the ach resident different from a person living in a private residence
3	Why does the State need to restructure Medicaid ACH/PCS? CMS push for person centered planning, consumer directed care and individual plans of care Need to provide Medicaid recipients the services that meet their medical needs; no more and no less Quality initiatives for Medicaid services to meet the CMS quality requirements
4	Why does the State need to restructure Medicaid ACH/PCS? Numerous state studies that point out need for ACH quality and performance issues and the need to upgrade provider capacities
5	Process for Restructuring CMS supports this initiative to restructure the ACH/PCS program Impact of restructuring is broad Medicaid policies and processes DFS rules and regulatory functions Laws and requirements Roles and responsibilities CMS emphasizes stakeholder involvement and an open process
6	Process for Restructuring Stakeholders State staff from DMA, DFS, DAAS ACH providers Home Care Providers State Associations Consumers and their families
7	Restructuring Process Core Planning Group Three Work Groups Policy Work Group Rate-setting Work Group Rules and Legislation Work Group Identify changes needed and provide recommendations to DMA
8	Restructuring Process Charge to Work Groups: To produce a cohesive draft Medicaid policy for the provision of personal care services that will address the needs of the adult care home residents and recipients living in a private residence; To craft a single rate-setting methodology; To identify the changes needed in rules and legislation; AND
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