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Aging Policy Listening Sessions

The NC Division of Aging and Adult Services will hold Aging Policy Listening Sessions around the state in May and June. These Listening Sessions, which are co-hosted by the NC Association of Area Agencies on Aging, will help identify the needs of the state’s older citizens, disabled adults, and their caregivers.  The information gathered will be used to inform North Carolina’s 2019-2023 Aging Services Plan. Attendees may register to speak upon arrival at the meetings or in advance by completing the on-line Listening Session Sign-Up Form. Speakers will be limited to three minutes and are encouraged to provide a written copy of their comments when registering.

The dates and locations of the listening sessions are as follows:

May 8, 2018
The Folk-Art Center
Milepost 382 Blue Ridge Parkway
Asheville, NC
10 a.m. - 12 p.m.

May 22, 2018
Piedmont Triad Regional Council
1398 Carrollton Crossing Drive
Kernersville, NC  27284
10 a.m. - 12 p.m.

May 30, 2018
New Hanover Senior Resource Center
2222 S. College Rd. Wilmington, NC 28403
Wilmington, NC
10 a.m. - 12 p.m.

June 19, 2018
Pitt County Community Schools and Recreation Building
4561 County Home Road
Greenville, NC 27858
10 a.m. - 12 p.m.

June 27, 2018
Centralina Council of Governments
9815 David Taylor Drive
Suite 100
Charlotte, NC 28262

  

Medicaid Managed Care Concept Paper - Therapists Not Included

DHHS Medicaid issued a managed care concept paper,Prepaid Health Plan Network Adequacy and Accessibility Standardsrecently to consider standards for perspectives of beneficiaries, plans and providers on what each defines as an “adequate and accessible” network. The proposed network does not include physical therapists, occupational therapists, respiratory therapists or speech/language pathologists.


NCPTA will be advocating for the inclusion of therapists in theAppendix B: Providers Subject to Specialty Care Access Standards. We are encouraging members to also comment on these standards. Comments can be emailed to Medicaid, through March 29, 2018, attransformation@dhhs.nc.gov.

 
NCPTA Officials Attend Medicaid Opioid Stakeholders Meeting

The Medicaid Outpatient Specialized Therapies Stakeholder Committee held  a committee meeting on February 1 to discuss adult therapy services. Flo Moses, Director for Payor Relations and Liz Reeser, Payor Relations Committee member attended the meeting on behalf of  NCPTA .Medicaid’s Outpatient Specialized Therapies staff have been charged with developing policy recommendations to address the opioid crisis. Due to the complicated clinical coverage policy for therapy services for adults the group was asked to make new recommendations for therapy services for adults. 


The results of  a survey on services for adults was presented. Overwhelming the survey respondents felt that adults should be asked to be charged a co-pay for therapy and that 2 visits a month were optimum rather than 1 visit per month. The goals are to simplify the policy to make it easier for providers, reviewers, recipients and Division of Medical Assistance (DMA) staff and to support the mandates from the Department of Health and Human Services (DHHS). 

T
wo proposals were presented and agreed upon:

  1. Visits: 24 visits per year or 30 visits per year, as well as, 1 evaluation per year for PT, OT , ST. Both proposals will be sent to Fiscal Research for each proposals fiscal impact which could be $15 million or higher and require a legislative budget appropriation.

  2. Co-pays: $3 as suggested by the stakeholders or $4 as proposed by DMA to be consistent with CMS policy. Both proposals will also need to be submitted to CMS for review and approval. The stakeholders will be kept informed as the proposals proceed.