Bill Summary for S 472 (2017-2018)
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AN ACT TO IMPLEMENT A PILOT PROGRAM AUTHORIZING TRILLIUM HEALTH RESOURCES TO MANAGE AND OPERATE, WITHIN ITS SPECIFIED CATCHMENT AREA, THE COMMUNITY ALTERNATIVES PROGRAM FOR CHILDREN, THE COMMUNITY ALTERNATIVES PROGRAM FOR DISABLED ADULTS, AND SERVICES CURRENTLY PROVIDED THROUGH CHILDREN'S DEVELOPMENTAL SERVICES AGENCIES.Intro. by Lee, Smith-Ingram.
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Requires the Department of Health and Human Services (DHHS), in collaboration with Trillium Health Resources, to implement a pilot program to coordinate the management of community‑based long‑term services and supports for children and adults with disabilities and fragile medical conditions. Specifies that Trillium Health Resources will assume (1) management and operation of the Community Alternatives Program for Children (CAP/C) and Community Alternatives Program for Disabled Adults (CAP/DA) for individuals within the catchment area in which Trillium Health Resources operates the 1915(b)/(c) waiver and (2) management of services required by Part C of the Individuals with Disabilities Education Act currently provided through the Children's Developmental Services Agencies (CDSAs) for individuals within the Trillium Health Resources catchment area. Requires capitation payments to be made to Trillium Health Resources for the management of these assumed services. Requires the pilot project to begin operating on January 1, 2018, or upon approval by the Centers for Medicaid and Medicare Services, whichever is later, and to last 36 months.
Requires DHHS to submit any appropriate waivers required for this pilot program as well as any State Plan Amendments, amendments to the 1915(b)/(c) waiver, amendments to the CAP/C waiver, amendments to the CAP/DA waiver, or any other documents to the Centers for Medicare and Medicaid Services.
Requires DHHS, by October 1, 2017, to submit a status report to the Joint Legislative Oversight Committee on Medicaid and NC Health Choice and the Joint Legislative Oversight Committee on Health and Human Services
Requires DHHS, no later than 24 months after operations begin, to submit the results of an independent evaluation of the initial operation of the pilot program to the Joint Legislative Oversight Committee on Medicaid and NC Health Choice and the Joint Legislative Oversight Committee on Health and Human Services. Requires DHHS, in collaboration with Trilium Health Resources, in selecting an independent evaluator, to select an institution in the UNC System, with the costs paid by Trillium Health Resources. Specifies required components of the independent evaluation.