Consumer Reports and Program Descriptions Updates
View the latest updates on consumer reports and program descriptions for waiver/Act 150 programs including active consumers, employment statistics, and transfers between services. Stay informed on data pertaining to active participants in various care programs.
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Data Review LTC Sub-MAAC June 13, 2017 Updates 4/16/2025 1
Consumer and Churn Reports Snap Shot Waiver/Act 150 Program Descriptions Mar-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 as a % Budget A Active Consumers authorized for services at the end of the period 1,749 27,889 1,703 29,571 1,708 29,442 1,707 29,410 1,705 29,194 14,093 1,687 30,305 14,131 1,680 30,366 14,296 1,671 30,099 14,577 2% 43% 21% 1,705 36,421 Act 150 Aging Attendant Care 12,899 13,642 13,847 13,964 12,892 934 937 942 952 1% COMMCARE 877 915 923 928 884 14,658 1,456 14,673 1,458 5,468 68,659 14,799 1,465 15,038 1,470 5,492 69,299 22% 2% 8% 100% Independence OBRA LIFE 13,415 1,396 5,468 63,693 14,123 1,439 5,377 66,770 14,405 1,446 5,417 67,188 14,529 1,452 5,412 67,402 13,309 1,694 5,451 67,491 5485 69,033 Total Active Authorized Consumers 66,905 B Consumers added 4 9 9 9 6 6 7 2 0% 48% 22% Act 150 Aging 312 220 577 261 609 251 326 383 789 528 528 529 Attendant Care 369 234 234 207 7 11 9 13 1% COMMCARE 16 10 10 8 173 207 10 133 1,205 188 12 137 1,213 280 17% 1% 11% 100% Independence OBRA LIFE 307 238 11 166 238 11 138 187 8 8 9 7 139 1,151 138 133 858 130 Total Consumers added 1,623 1,196 1,168 1,087 C Consumers that left 20 5 3 1 3 14 549 86 11 592 104 7 2% 65% 10% Act 150 Aging 687 45 831 79 632 436 554 531 Attendant Care 101 334 95 91 0 5 2 1 1% COMMCARE 3 10 8 10 13 64 6 117 841 43 3 119 874 18 8% 1% 14% 100% Independence OBRA LIFE 95 306 18 80 62 45 1 - 6 2 4 135 1,071 141 823 96 82 103 827 Total Consumers that left 939 1,189 845 D Transfers from Attendant Care to Independence 48 58 47 44 34 53 57 47 4/16/2025 2
Employment Note: This is the total number of waiver/program participants employed (Source: CIS employment data) 2016 2017 Waiver/Employment Mar Jul Aug Sep Oct Nov Dec Jan Feb Mar ACT 150 Full Time Employment Part Time Employment Self Employment 10 17 7 34 11 15 1 27 12 18 1 31 10 17 1 28 12 19 8 39 11 15 8 34 12 19 9 40 12 18 8 38 12 17 9 38 11 18 9 38 Total Attendant Care Full Time Employment Part Time Employment Self Employment 22 129 53 204 23 126 31 180 29 130 31 190 28 137 33 198 29 142 57 228 34 144 53 231 33 154 57 244 34 158 58 250 33 152 57 242 36 150 61 247 Total COMMCARE Full Time Employment Part Time Employment Self Employment 3 3 3 2 2 2 2 3 3 3 49 2 54 44 0 47 49 0 52 52 0 54 56 4 62 54 4 60 57 4 63 57 6 66 57 5 65 59 5 67 Total Independence Full Time Employment Part Time Employment Self Employment 44 167 55 266 37 176 19 232 37 175 18 230 36 175 16 227 38 188 61 287 38 186 60 284 41 192 59 292 47 199 61 307 48 197 59 304 53 193 61 307 Total OBRA Full Time Employment Part Time Employment Self Employment 14 89 2 105 663 14 89 0 103 589 14 89 0 103 606 13 91 0 104 611 15 94 5 114 730 16 93 3 112 721 16 101 15 102 16 106 16 108 5 5 4 4 Total 122 761 122 783 126 775 128 787 All Waivers 4/16/2025 3
NHT and MFP Transitions % NHT Transitions who also had MFP NHT02 Service Deliveries Count Number of those who were also MFP* Participants who were MFP only** Month 2016 June July August September October November December 2017 January February March TOTAL for Period 99 104 142 133 121 94 94 42 39 35 41 27 24 10 29 26 27 18 28 15 12 29.3% 25.0% 19.0% 13.5% 23.1% 16.0% 12.8% 73 76 88 15 13 13 12 13 6 20.5% 17.1% 14.8% 1024 196 249 19.1% 4/16/2025 4
Updated Participant Data Flow Chart by System *There is not always a referral 1A. IEB receives referral (IEB System)* Facility Begin Date (CIS) 1B. IEB sends PA600 (non-MA) and Freedom of Choice (already MA and non-MA) 2. AAA conducts LCD (SAMS) 5. Participant entered into HCSIS (under 60) and file to SC 5. Participant entered into SAMS (over 60) and file to SC 4. Financial Eligibility approved and 162 Issued(CIS) Eligibility Run (Data Load Date) 3. IEB sends 1768 & 600L to CAO with Waiver Program 6. SC starts plan in HCSIS 6. SC starts plan in SAMS 7. Service Plan Approved HCSIS 7. SP Approved SAMS 8. Service Performed / Billed (PROMISe) 4/16/2025 5
Aging Milestones with Dates Process Points Referral Systems / Tools IEB / Excel Report SAMS / Crystal Reports SAMS / Crystal Reports HCSIS / DW Fields Availability Allowable Time Variable Referral Date Weekly Application Starts Application Start Date SAMS WH Weekly Day 1 Eligibility Starts Care Plan Start Date SAMS WH Weekly By Day 90 Care Plan Approved First Date of Service Initial Service Plan Start* FDOS HCSIS Within 30 days Any time after initial CP PROMISe / DW Weekly *SAMS gives new SP date each month; initial plan date must be determined 6 4/16/2025
Aging Waiver Utilization First Time Utilizers PAS for Aging Waiver only Calendar Year 2016 Jan Feb Mar Apr May June July Aug Sep Oct Nov Dec 619 594 700 779 759 584 667 676 609 536 578 692 First Time PAS Participants 2016 900 800 700 600 500 400 300 200 100 0 Jan Feb Mar Apr May June July Aug Sep Oct Nov Dec 4/16/2025 7
Current IEB Report Under 60 2015 QTR1 5041 2867 2351 161 88% 73 2015QT R2 5407 2944 2645 116 94% 62 2015 QTR3 5577 3020 2702 129 94% 65 2015 QTR4 5719 3150 2788 119 94% 72 2016 QTR1 6677 3198 2850 169 94% 66 2016 QTR2 7191 5068 4258 162 87% 56 2016 QTR3 6688 3957 3631 95 94% 41 2016 QTR4 8476 5635 5007 120 91% 48 2017 QTR1 Grand Total Complete Complete in 90 Days Complete > 90 Days With Excuse Compliance Percentage Average Days To Complete 7264 4407 3605 112 84% 56 1. All unduplicated applications in process this quarter 2. Total unduplicated applications completed this quarter 3. Total unduplicated applications completed during the quarter in 90 days 4. Total unduplicated applications completed during the quarter and over 90 days, but with excuse 5. Using the above fields = (row 3 + row 4)/ row 2 6. Average to complete excluding excused applications Note: 2016 QTR 2 was revised to remove Aging waiver applications. Note: Reapplications removed 4/16/2025 8
Current IEB Report Over 60 2016 QTR 4 2017 QTR 1 12624 8358 5907 146 72% 67 Grand Total Complete Complete in 90 Days Complete > 90 Days With Excuse Compliance Percentage Average Days To Complete 10705 6409 4824 145 78% 64 Question from last meeting: What does Complete mean? Answer: The date the 162 is received. Question: Do any OLTL waivers have a waiting list? Answer: No. 4/16/2025 9
IEB Report with Reapplications Included Reapplications included 4/16/2025 10
IEB Questions 4/16/2025 11
IEB Questions Number over 60 mailed applications: Total April 2016 - March 2017 April 2016 May 2016 June 2016 July 2016 Aug 2016 Sept 2016 Oct 2016 Nov 2016 Dec 2016 Jan 2017 Feb 2017 Mar 2017 April 2017 May 2017 Measure >60 PA 600 Sent to recipients over the age of 60 716 2038 2634 1839 2306 997 654 1351 608 378 1989 1804 1363 1121 19798 PA 600 Sent to recipients over the age of 60 Not Returned % Not Returned 517 1416 2059 1247 1608 381 161 871 222 175 1444 1402 1076 867 13446 72% 69% 78% 68% 70% 38% 25% 64% 37% 46% 73% 78% 79% 77% 68% 4/16/2025 12
IEB Questions Number under 60 mailed applications: Total April 2016 - March 2017 April 2016 May 2016 June 2016 July 2016 Aug 2016 Sept 2016 Oct 2016 Nov 2016 Dec 2016 Jan 2017 Feb 2017 Mar 2017 April 2017 May 2017 Measure < 60 PA 600 Sent to recipients under the age of 60 359 480 588 498 464 293 235 443 285 238 539 424 252 225 4422 PA 600 Sent to recipients under the age of 60 Not Returned % Not Returned 236 317 451 323 291 142 114 305 161 178 271 287 174 158 2789 66% 66% 77% 65% 63% 48% 49% 69% 56% 75% 50% 68% 69% 70% 63% 4/16/2025 13
IEB Questions 4/16/2025 14
IEB Questions 4/16/2025 15
IEB Questions Month January February March April May June July August September October November December 2014 2015 2016 2017 346 256 589 573 389 526 484 498 611 594 409 483 474 463 628 533 402 545 644 873 749 654 492 556 477 681 946 856 814 857 285 495 538 730 867 1207 774 882 1003 942 893 4/16/2025 16
