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21 <br /> 1 Commissioner Dorosin asked if the state is doing constant reviews of files, or is there an <br /> 2 annualized review in Medicaid. <br /> 3 Lindsey Shewmaker said Medicaid is a different animal. She said there are single <br /> 4 county audits (some cases pulled every year); there are also a large federal review, where a <br /> 5 percentage of state cases are pulled; and a new piece that requires the state to have a QC plan, <br /> 6 which went into effect in January, and the state is pulling a certain number of applications, and a <br /> 7 certain number of reviews (from the review counties) each month. She said last process was <br /> 8 calculated based on a risk ratio, and Orange County is in year 3 of this process. <br /> 9 Nancy Coston said it feels like reviews are constantly taking place. <br /> 10 Lindsey Shewmaker resumed the presentation: <br /> 11 <br /> 12 Plan and Recommendations: <br /> 13 • Moving DSS data collection methods and measures to correspond with the state's <br /> 14 proposed areas of emphasis <br /> 15 • Utilize state and internal data to inform program improvement <br /> 16 • Participate in planning sessions with the State representatives to identify needed state <br /> 17 support and to influence the role of regional offices <br /> 18 <br /> 19 Other DSS Services, Programs, and Activities- hand out <br /> 20 • Food and nutrition services <br /> 21 • Work First <br /> 22 • Energy Assistance <br /> 23 • Emergency Assistance <br /> 24 • Disaster response and sheltering <br /> 25 • Adult services <br /> 26 • Child care subsidy <br /> 27 • Medicaid <br /> 28 • Health choice <br /> 29 • Veterans' services <br /> 30 • Adolescent parenting <br /> 31 • Adult and youth employment services <br /> 32 Prevention social work services <br /> 33 Fishing licenses <br /> 34 • Voter registration <br /> 35 • Youth enhancement fund <br /> 36 <br /> 37 Chair Rich said asked if there is any way to talk with clients about the census. <br /> 38 Nancy Coston said staff can do some of that, and they can have pop up census intakes <br /> 39 at DSS facilities as well. <br /> 40 <br /> 41 Medicaid Transformation: <br /> 42 • Medicaid will be changing from a primarily fee-for-service to managed care starting this <br /> 43 year <br /> 44 • Orange County will be in the first phase to roll out <br /> 45 • DHHS has selected the 4 statewide Prepaid Health Plans and an enrollment broker <br /> 46 • Medicaid clients will begin selecting a PHP in July of this year <br /> 47 • Staffing at DSS will be impacted <br /> 48 • Other impacts will be felt by Health, OPT, and Emergency Services on the provider-side <br /> 49 <br />