LTCIP Planning Committee

Meeting Agenda

November 10, 2004

I. Welcome and Introductions

II. Announcements

  • CA DHS Office of Long Term Care releases Request for Applications
  • Board of Supervisors will be asked to support efforts toward implementation by January 1, 2007
  • No December Planning Committee Meeting
  • Next meeting: January 12th with 2 meeting format
  1. Dr. Mark Meiners, Professor and Director, Center for Health Policy, Research & Ethics, George Mason University
  • New position
  • Introduction of presentation and how “Medical Home Visits” fit within the three LTCIP strategies
  1. Presentation: “Medical Home Visits”
  • James Brinkman, M.D.
  • Martie Lynch, Physician Assistant
  • Cyndi Hasz, Care Manager

IV. Group Discussion

V.Adjourn - Next Planning Committee Meeting:

January 12, 2005, 10:30--Noon

Sharp Healthcare Operations

8695 Spectrum Center Ct., San Diego, CA 92123

Highlights of Request for Application (RFA) for Long Term Care Integration Implementation Grant

The Department of Health Services (DHS), Office of Long Term Care (OLTC), is soliciting applications from qualified entities for Long Term Care Integration (LTCI) Pilot Project implementation grants:

  • up to two grant contracts of $450,000 to $500,000 with at least a 20% match required of grantees
  • competitive applications will show evidence of resources, administrative capacity and commitment to implement a comprehensive, integrated Medi-Cal and Medicare LTCI system by January 1, 2007
  • to enroll seniors and persons living with disabilities who are eligible for Medi-Cal only AND those who are dually eligible for Medicare and Medi-Cal (not mandatory)
  • grant funding is scheduled to begin 1/1/05 and must be spent by 6/30/05
  • grantee must identify other resources that can sustain activities resulting in implementation if none are available from the State between June 30, 2005 and January 1, 2007
  • integration will include Medicare services and funding (for those dually eligible) with Medi-Cal services and funding to provide the full continuum of services including mental health and home and community services
  • requires health plan partnership with plan(s) willing to accept capitated payments from Medi-Cal and Medicare and to assume financial risk (San Diego has forwarded request for clarification that GMC model is acceptable under this RFA)
  • Board of Supervisors must provide a Resolution to demonstrate commitment to the LTCI effort and start date (January 1, 2007) to be filed with the Application on November 30, 2004. (State has been asked to extend this date until the date of Notice of grant award on Dec. 15, 2004.

http://www.sdcounty.ca.gov/cnty/cntydepts/health/ais/ltc/