Elena Nicolella, executive director of the New England States Consortium Systems Organization (NESCSO), knows first-hand the importance of eliminating silos in achieving population health goals. As Rhode Island’s Medicaid Director from 2009-2013 and director of policy innovation for Rhode Island’s Executive Office of Health and Human Services from 2014-2016, she oversaw numerous efforts that hinged on cross-sector commitments. Now, as head of NESCSO, she is focused on maximizing policy, program, and cost effectiveness across health and human service systems in New England states. CHCS recently spoke with Ms. Nicolella, a former fellow of CHCS’ Medicaid Leadership Institute, about opportunities to foster transformational cross-sector relationships.

 

Read More Here

The Center for Health Care Strategies (CHCS) recently announced that four pairs of state oral health leaders — from Louisiana, Minnesota, Nevada, and Rhode Island — have been chosen to participate in the second cohort of the State Oral Health Leadership Institute. The institute offers a unique opportunity for state Medicaid dental program directors and state oral health program directors to collaborate in pursuit of shared goals. The 10-month leadership program, made possible through the DentaQuest Foundation, will provide state oral health partners with the necessary leadership skills and policy knowledge to improve oral health access and outcomes for low-income children and adults. Two-person teams from each state will create a joint transformation project to address shared oral health goals, and develop their individual leadership competencies through implementation of their project.

Click here to learn more!

The Medicaid Technology Alliance is pleased to provide you with the information presented on the webinar hosted on September 21 at 1:00 EDT.

These materials were all developed with both State and Industry input and are intended to support adoption of Modularity.

 

Meeting Materials:

Webinar Recording

MTA_Deliverables Webinar_09212017

AdvMedIT_Precert MTA Briefing 09_18

Appendix 1 – Model Language and Playbook 8.22.17

MTA Governance Assessment Draft Template v.3_09122017

mta_charter_03222017

MTA_Deliverables Webinar_Draft 09202017

Poplin update 20170918 v2

State and Vendor Modularity Playbook v0.1

State and Vendor Playbook brief

Each of the below roles is in support of RI EOHHS’ use of the RIBridges system, and related to Information Technology at various levels.

A few types of backgrounds are being sought….Project Management, Business Analysis, Quality Assurance…even Data Analysis is

very helpful.   If someone possesses skills in any, or many, of those areas, we encourage the person to apply online.

 

Position Number             Title                                                                              Link

  1. 2020-10200-128      CHIEF FAMILY HEALTH SYSTEMS                      Quality Assurance Lead Role
  2. 2020-10200-129      CHIEF FAMILY HEALTH SYSTEMS                      Business Analyst
  3. 2020-10200-130      CHIEF FAMILY HEALTH SYSTEMS                       Business Analyst
  4. 2020-10200-131      INTERDEPARTMENTAL PROJECT MANAGER   UAT Project Manager
  5. 2020-10200-132      INTERDEPARTMENTAL PROJECT MANAGER   Project Manager
  6. 2020-10200-133      PROGRAMMING SERVICES OFFICER                Quality Control / Tester

 

Travel Reimbursement Program Forms

Guidelines: mesc-2017-travel-reimbursement-guidelines-051617

Pre-Travel Authorization Form: nescso-pre-travel-authorization-form-2017

State Decision Maker and Poster Session Reimbursement Form: mesc-2016-state-decision-maker-and-poster-participan-reimbursement-form-030717

NESCSO Member State Reimbursement Form: nescso-member-state-nonemployee-reimbursement-voucher-030717

90/10 Funding Reimbursement Form: mesc-2016-90-10-funding-reimbursement-request-form-030717

W-9 Form: umw-9

 

The Request for Proposal includes three components to support the Medicaid Eligibility Process, as briefly outlined below:

  • Services that enable States to comply with electronic asset verification requirements – The statutory (Supplemental Appropriations Act, 2008, Pub. L. No. 110-252; Section 1940 of the Social Security Act) asset verification program (AVP) provision requires states to have a mechanism in place to verify assets for purposes of determining or re-determining Medicaid eligibility for aged, blind and disabled or long-term care Medicaid applicants or recipients. The Affordable Care Act required AVP systems to be electronic (e-AVP).
  • Services that strengthen States’ discovery of real property assets of applicants for and beneficiaries of Medicaid benefits – This tool/service will provide further automation of the business processes and improve the operational effectiveness of determining eligibility assets.
  • Services that facilitate and streamline States’ review of financial documents as part of the process to determine of Medicaid eligibility – This tool/service will provide further automation of the business processes and improve the operational effectiveness by use of data analytics and services. This service will enhance the State’s ability to make more accurate financial eligibility determinations

The link below provide details and instructions.

NESCSO RFP0 12017 Final 061917

Responses are due July 31, 2017 by 5:00 PM EDT.

The State of Vermont released a request for proposals from qualified vendors to assist the State of Vermont in conducting a comprehensive review of the State’s Health-IT Fund, Health Information Technology planning, and Vermont Information Technology Leaders (Vermont’s HIE vendor, who is written into statute). The State requires the vendor to develop a report on this evaluation which we will present as a report to the Vermont State Legislature no later than November 15, 2017.

 If you are interested in this opportunity, please follow the link: http://dvha.vermont.gov/administration/hit-evaluation-services-final.pdf.

FOR IMMEDIATE RELEASE

March 21, 2017

Contact: Jennifer Rosinski

508-421-5869

Jennifer.rosinski@umassmed.edu

NESCSO and Myers and Stauffer LC survey finds $10.59 is median cost of dispensing medications to Medicaid beneficiaries in New England

 SHREWSBURY, Mass. – A recent survey of New England pharmacies found the median cost to dispense one prescription to a Medicaid beneficiary is $10.59. The survey was completed by the New England States Consortium Systems Organization (NESCSO), a nonprofit organized by the health and human service agencies of the New England states and UMass Medical School, in partnership with the accounting firm of Myers and Stauffer LC.

State Medicaid agencies have been directed by the federal Centers for Medicare and Medicaid Services (CMS) to review the way they pay pharmacies for dispensing medications. New rules released in January 2016 require states to adopt fee-for-service pharmacy payment policies designed to pay pharmacies for the cost of acquiring the drugs as well as an additional professional dispensing fee. The survey results will help each state Medicaid program determine an appropriate professional dispensing fee.

“I am grateful for the effort undertaken by NESCSO to procure a vendor to conduct the cost of dispensing survey for my state and the New England region as a whole,” said Herman Kranc, RPh, medical administration manager, Division of Health Services for the Connecticut Department of Social Services. “The process was organized and efficient, providing a high level of value for my state.”

Efforts to promote survey participation and pharmacy cooperation led to an overall survey response rate of 71.8 percent. Surveys were distributed to approximately 2,900 Medicaid-enrolled pharmacies across New England in early September 2016.

Myers and Stauffer reviewed completed surveys to ensure completeness, accuracy and reasonableness. The average cost of dispensing per prescription for each pharmacy was calculated using appropriate accounting standards. The $10.59 per prescription is the median value, weighted by Medicaid prescription volume.

A comprehensive report detailing the survey methodology as well as regional and state-specific averages for the cost of dispensing prescriptions was provided to NESCSO and member states.

This joint effort of New England states is the first of its kind in the nation. Undertaking a regional survey allows states to save money and time, and provides comparable data.

“I was pleased with how the project was able to move forward in a timely manner given that each of the six states has their own perspectives and needs,” said Margaret A. Clifford, RPh, pharmacy director, Office of Medicaid Services, New Hampshire Department of Health and Human Services.

Read the final regional report here: new_england_2016_cod_report_final

About NESCSO

The New England States Consortium Systems Organization (NESCSO) is a non-profit corporation organized by the New England state health and human service (HHS) agencies and the University of Massachusetts Medical School. NESCSO’s Board is composed of the member states’ HHS secretaries or their designees. NESCSO’s mission is to foster communication and collaboration among its members through information sharing and joint projects. NESCSO seeks to support the needs of the state HHS Secretaries by providing a framework for knowledge exchange in order to maximize policy, program and cost effectiveness.

Annually NESCSO convenes the Medicaid Enterprise Systems Conference and markets “MAGI in the cloud” for states to use in determining income eligibility under the Affordable Care Act.

 

About Myers and Stauffer LC

Myers and Stauffer LC is a Certified Public Accounting firm with 18 offices nationwide and over 700 employees. The firm is strongly focused on assisting government health care agencies with audit, rate-setting, program integrity, consulting and other support services. Since the late 1970’s, Myers and Stauffer has performed over 100 Medicaid pharmacy cost of dispensing surveys in more than 20 states. The firm is also a leader in assisting state Medicaid programs with pharmacy reimbursement based on actual acquisition cost. In addition to working with state Medicaid programs directly on actual acquisition cost reimbursement, Myers and Stauffer has been the contractor to CMS since 2011 to develop and maintain the National Average Drug Acquisition Cost (NADAC) benchmark.

 

About the University of Massachusetts Medical School

The University of Massachusetts Medical School, one of five campuses of the University system, is comprised of the School of Medicine, the Graduate School of Biomedical Sciences, the Graduate School of Nursing, a thriving research enterprise and an innovative public service initiative, Commonwealth Medicine. Its mission is to advance the health of the people of the Commonwealth through pioneering education, research, public service and health care delivery with its clinical partner, UMass Memorial Health Care. In doing so, it has built a reputation as a world-class research institution and as a leader in primary care education. The Medical School attracts more than $249 million annually in research funding, placing it among the top 50 medical schools in the nation. Commonwealth Medicine provides a wide range of care management and consulting services to government agencies and health care organizations.

###