Care Coordination Models for Aged, Blind and Disabled Persons

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Background

 

Pursuant to House Bill 1566 passed by the Oklahoma Legislature and signed by Gov. Mary Fallin in April 2015, the OHCA will issue a Request For Proposal (RFP) for a care coordination model for the Aged, Blind and Disabled (ABD) populations. To comply with the new state regulation, the OHCA has and continues to solicit information and input from a wide variety of stakeholders including but not limited to members, advocates, providers, health care systems and the general public. OHCA went through a Request For Information (RFI) process in June of 2015, for the development and requirements of the RFP. 

The OHCA released a Request For Information (RFI) in June of 2015 and made it available for general input, comments and responses from interested stakeholders on its public website at http://www.okhca.org/about.aspx?id=3243. The RFI sought information on care coordination models that would be used for the development and requirements of the RFP.

Additionally, the OHCA has and continues to hold public stakeholder meetings and regional focus groups to gather input from a variety of stakeholder groups. The information gathered was reviewed and analyzed to develop the framework for the selection of a care coordination model. The model was announced on Nov. 30, 2015.

The OHCA is now developing an RFP for a fully capitated model of care coordination for SoonerCare ABD members. An initial draft is anticipated to be available in the spring, with final release in the summer of 2016. 

 

 


 

 

Issue Statements/Press Releases
 
  •   August 31, 2016

    OHCA Contacts: Jo Kilgore - (405) 522-7474, Jennie Melendez - (405) 522-7404 

    Health care model advances

    OKLAHOMA CITY – SoonerHealth+ has been selected as the name for the fully capitated, statewide model of care coordination that is being developed for Oklahoma Medicaid’s Aged, Blind and Disabled (ABD) populations.

    Work continues at the Oklahoma Health Care Authority (OHCA) on the Request for Proposal (RFP) for SoonerHealth+ as directed by House Bill 1566, which was passed during the 2015 legislative session. The OHCA is preparing to send the RFP to its federal partner, the Centers for Medicare & Medicaid Services, for review and approval. Upon approval, the agency plans to release the RFP later this year.

    Also, the actuarial consultant is determining payment rates for the program. This work will continue in conjunction with finalizing the RFP and the CMS approval process.    

    HB 1566 was passed with the intent of providing better access to care, improve quality and health outcomes, as well as control costs for the ABD populations. The OHCA has been conducting regular meetings to gather information and input from a wide variety of interested stakeholders such as SoonerCare members and providers, advocates and others.    

    The next SoonerHealth+ stakeholder meeting is scheduled Sept. 13 from 2 p.m. to 4 p.m. in the OHCA boardroom, 4345 N. Lincoln Blvd., Oklahoma City.

  •  June 1, 2016  

    OHCA Contacts: Jo Kilgore - (405) 522-7474,  Jennie Melendez - (405) 522-7404   

    ABD RFP development resumes

     The Oklahoma Health Care Authority (OHCA) will resume stakeholder meetings in July as part of the Request for Proposal (RFP) development for the ABD Care Coordination program. As a result of a successful 2017 budget agreement, activities to develop the RFP, including but not limited to evaluation of changes in the current health care environment as well as engagement of an actuary to develop rates, will continue. Revisions to the extended timeline of the ABD Care Coordination effort are now underway.

     The July stakeholder meeting will occur on Tuesday, July 26, from 2-4 p.m., at OHCA, Ed McFall Board Room, 4345 N. Lincoln Blvd, OKC. Stakeholders are welcome to attend in-person or via webinar to receive up-to-date information on next steps in the process. Information on this effort, including updated timelines and webinar connections, will be available on this page.