Bridging the HCBS Data Gap

There has never been more focus on the importance of HCBS and social determinants of health. And it’s never been clearer that payers, providers, and consumers need ready access to meaningful data to succeed. LTCI has been busy helping organizations get data right – in Arizona with a 1915(c) HCBS Medicaid waiver program for developmental disabilities, in Missouri for AAAs and Adult Protective Services, in Massachusetts for 1915(c) HCBS Medicaid waiver, state-funded and Older Americans Act programs.

The LTCI team led an effort with the Arizona Department of Economic Security, Division of Developmental Disabilities to develop a strategic IT roadmap for management of its 1915 (c) HCBS Waiver, including plans for replacement of its legacy case management and billing systems. LTCI also spearheaded work to document requirements and explore potential solutions for aligning provider claiming with HCPCS and ICD-10 coding requirements. The initiatives focus on providing optimal support for more than 40,000 individuals and families served by the division.

In Missouri, LTCI has worked closely with the Missouri Association of Area Agencies on Aging (MA4) on strategic data and technology initiatives. These efforts have resulted in a uniform automated intake process being adopted statewide and pursuit of a strategic interoperability hub for all Missouri AAAs through Cumulus. Additionally, the LTCI team has worked closely with MA4 and the Missouri Department of Health and Senior Services Adult Protective Services (APS) program on their collaboration to deliver services and supports to clients of APS, with a goal of helping those clients remain in the least restrictive environment and improve their quality of life and health.

The Massachusetts Executive Office of Elder Affairs engaged LTCI to design and develop a series of fiscal dashboards and analytic reports to help monitor and optimize distribution of resources for $100+ million Medicaid and state funded HCBS programs. Working with a multi-disciplinary EOEA team LTCI operationalized a series of cloud-based interactive dashboards which help make complex measures accessible and actionable for EOEA stakeholders. Mass Home Care, the association of Aging Services Access Points (ASAPs), separately engaged with LTCI to assist with developing its strategic IT roadmap and data optimization efforts.