The Wisconsin Long-Term Care Coalition, comprised of representatives of LTC system stakeholders that include participants, Aging and Disability Resource Centers, managed care organizations, provider agencies and others, has released its blueprint for Wisconsin’s long-term care system redesign.
The coalition is submitting the blueprint to the Wisconsin Department of Health Services and state legislators for consideration during the development of the Family Care 2.0 system that is currently underway.
“After the public comment period ended, we reviewed the major themes that were raised at the hearings and incorporated them into this single, coherent Blueprint,” the document states. “The themes are reflected in the Key Elements of this Blueprint. We hope the ideas in the Stakeholders’ Blueprint will be considered by DHS and the legislature in the next stage of the long term care redesign process.”
The coalition blueprint calls for:
- Improving the existing system, rather than building a new system entirely.
- Continuing a regional model of long-term care.
- Retaining the existing model of locally-based Aging and Disability Resource Centers (ADRCs).
- Implementing major changes in the long term care system using a staged process that allows enough time to pilot the new model in some parts of the state, evaluate and refine it, and then systematically expand.
- Incentivizing innovation.
- Requiring integrated health agencies (IHAs) to publicly report and annually update data associated with providing services and quality of care.
- Having IHA contracts incentivize the least restrictive settings.
- Requiring IHA contracts to have performance standards.
- Having the new system minimize the level of bureaucracy and red tape in self-direction to avoid costs resulting from unnecessary professional involvements and paid services not needed in self-direction.
- Following general principles for serving participants with behavioral health needs.
- Including mental health and substance use in the screening process for long-term care services.
- Requiring IHAs to establish protocols with counties on how and when participant involved/centered Crisis Plans shall be developed, reviewed, and updated for participants with mental health and/or substance use disorder needs.
- Ensuring that IHAs, ADRCs, and providers have culturally competent staff and services that consistently meet the long term care, health care, and behavioral health needs of people of diverse identities.
DHS plans to publicly release its plan for state long-term care system changes in early March, then to the legislature’s Joint Finance Committee on April 1.