Questions & Answers Regarding Tri-County CCO:A Care Coordination Organization

Tri-County Care Coordination, LLC (Tri-County Care) has developed this document to help you understand New York State’s (NYS) transition to conflict free service coordination.

You - First, Your Needs - Foremost, Moving-forward.

Your triumph is our success.

1 . What is Health Home Care Management?

Health Home Care Management is a new way to coordinate care, combining developmental disability services and supports with health and wellness services.

This new way of coordinating care is an enhanced version of the Medicaid Service Coordination (MSC) program, offering individuals more options, greater flexibility and better outcomes.

2 . How does Health Home Care Management work?

Health Home Care Management will be provided by Care Coordination Organizations (CCOs).

3 . What is a CCO?

CCOs are organizations formed by existing developmental disability service providers. These new organizations will be staffed by Care Managers with training and experience in the field of developmental disabilities.

4 . What is a Care Manager?

Many Care Managers will be former Medicaid Service Coordinators who have received additional training to become Care Managers in the new system. Care Managers will help coordinate services across systems, including OPWDD, the Department of Health and the Office of Mental Health, providing people with developmental disabilities one place to plan all their service needs.

5 . How can I become a Care Manager?

MSC’s currently working for provider agencies will have the opportunity to apply to become Care Managers and work for Care Coordination Organizations (CCOs).

6 . What are the qualifications to become a Care Manager?

Health Home Care Managers who serve adults and children with developmental disabilities must meet the following qualifications (as of July 1, 2018):

  • A Bachelor of Arts or Science degree with two years of relevant experience, OR
  • A License as a Registered Nurse with two years or relevant experience, OR
  • A Master’s degree with one year of relevant experience.

7 . Will current MSC Service Coordinators be grandfathered in to the Health Home Care Manager role?

Care Manager education and experience requirements will be waived for existing MSC’s who apply and are determined by the CCO to have the special skills and abilities necessary to provide Health Home Care Management. Core training will be required within the first six months of being hired by the CCO to help those coordinators develop skills in broader care coordination.

8 . Why is OPWDD switching from Medicaid Service Coordination to Health Home Care Management?

Health Home Care Management is an improved type of service coordination that will better support people, including those with complex needs. It will provide consistency in services and allow for better information sharing, resulting in more flexible and comprehensive service planning.

9 . When will the transition to Health Home Care Management take effect?

Care Coordination Organizations will begin providing Health Home Care Management services on July 1, 2018.

10 . Is Health Home Care Management a form of Managed Care?

No, Health Home Care Management should not be confused with Managed Care. Managed Care will take several years to develop in the OPWDD system and will be offered at a future date.

11 . What is a Life Plan?

The Life Plan will replace the Individualized Service Plan (ISP). It will be reviewed routinely and updated as needed based upon each individual’s goals and changing needs. As a Care Manager, you will work with each individual to create a plan based on their wants and needs. Each Life Plan will include coordination of developmental disability related supports, community resources, integration and other services, like medical, dental and behavioral health. The new services focus on holistic care. The Life Plan will be done completely online and will allow for members of the person’s team to have access through a portal and get updated information contemporaneously.

12 . What about my salary, benefits, and job security?

Tri County Care would like you to become a member of our team. Your current salary is guaranteed and we will provide competitive benefits and growth opportunities for you. We feel that the relationship between MSC’s and the people they provide services for, is vital to maintain. MSC’s will be trained and developed as they learn the new IT system and job requirements. We give you all the support you need to enhance your skill set and become a quality care coordinator. We look forward to working with you.

Your triumph is our success.