{"id":6632,"date":"2017-08-24T21:59:36","date_gmt":"2017-08-24T21:59:36","guid":{"rendered":"http:\/\/arknews.org\/?p=6632"},"modified":"2017-08-24T22:10:55","modified_gmt":"2017-08-24T22:10:55","slug":"dhs-reshuffles-to-create-one-stop-shop-for-medicaid-providers","status":"publish","type":"post","link":"https:\/\/arknews.org\/index.php\/2017\/08\/24\/dhs-reshuffles-to-create-one-stop-shop-for-medicaid-providers\/","title":{"rendered":"DHS reshuffles to create \u2018one-stop shop\u2019 for Medicaid providers"},"content":{"rendered":"<figure id=\"attachment_6634\" aria-describedby=\"caption-attachment-6634\" style=\"width: 600px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-6634\" src=\"http:\/\/arknews.org\/wp-content\/uploads\/2017\/08\/NIK0754_3000-600x752.jpg\" alt=\"\" width=\"600\" height=\"752\" srcset=\"https:\/\/arknews.org\/wp-content\/uploads\/2017\/08\/NIK0754_3000-600x752.jpg 600w, https:\/\/arknews.org\/wp-content\/uploads\/2017\/08\/NIK0754_3000-768x962.jpg 768w, https:\/\/arknews.org\/wp-content\/uploads\/2017\/08\/NIK0754_3000.jpg 1000w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><figcaption id=\"caption-attachment-6634\" class=\"wp-caption-text\">DHS Director Cindy Gillespie<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p><span style=\"\">On Thursday, Arkansas Department of Human Services Director Cindy Gillespie announced an internal reorganization of the DHS that will shift 171 employees to a newly created division, impact more than 40 DHS contracts and streamline the agency\u2019s oversight of thousands of Medicaid providers across the state.<\/span><\/p>\n<p><span style=\"\">The DHS is comprised of nine divisions that perform a wide range of functions, from managing the state\u2019s foster care system to administering the Arkansas Works insurance program to inspecting daycares and nursing homes. As part of their duties, five of the DHS\u2019 divisions oversee Medicaid funds and Medicaid providers; often, a single provider must answer to multiple divisions. For example, a child care facility that provides specialized care for children with autism would be subject to inspection from both the Division of Developmental Disabilities Services and the Division of Child Care and Early Childhood Education. <\/span><\/p>\n<p><span style=\"\">Gillespie said DHS administrators realized upon reviewing their requirements last fall that there was an \u201castounding\u201d degree of redundancy and determined a need to \u201cmake this a more streamlined, effective operation.\u201d<\/span><\/p>\n<p><span style=\"\">\u201cThey were each certifying, in many cases, the same provider groups. They each had separate policies ... We were actually duplicating what we were doing all over the place,\u201d Gillespie said. A DHS working group recommended creating a new, centralized division that will certify, license, monitor and inspect all Medicaid providers for all of the DHS: the Division of Provider Services and Quality Assurance, or DPSQA. Legislation passed in the 2017 regular session of the Arkansas General Assembly paved the way for the change, which should be fully implemented by early 2018. The DHS hired a consultant, Leavitt Partners, to assist in designing the new division.<\/span><\/p>\n<p><span style=\"\">The change will be revenue neutral in the current fiscal year, Gillespie told reporters, and may save the state money in the future by increasing efficiency. By January, 171 DHS workers from the five divisions will be transferred to the newly created DPSQA. No employees will be laid off, although Gillespie said some positions eventually may be eliminated through attrition. The DHS will also review over 40 contracts this fall that will be transferred from the existing divisions to the new one.<\/span><\/p>\n<p><span style=\"\">The division will be headed by Craig Cloud, who previously served as director of the Division of Aging and Adult Services. The organizational change will not require approval from federal authorities that disburse Medicaid funds, Gillespie said.<\/span><\/p>\n<p><span style=\"\">Dawn Stehle, the DHS Deputy Director for Health and Medicaid, said providers would welcome the creation of a \u201cone-stop shop\u201d for compliance.<\/span><\/p>\n<p><span style=\"\">\u201cUnfortunately, it\u2019s not uncommon today where a provider, sometimes on the same day or the same week, can have multiple people from DHS on site actually inspecting those different programs and services,\u201d Stehle said. \u201cIt\u2019s not beneficial to us or to the provider to have six different people looking at that. \u2026 Let\u2019s set up a structure where we have one team go out and look across multiple programs.\u201d <\/span><\/p>\n<p><span style=\"\">Stehle said the change would also benefit Medicaid beneficiaries and their families \u201cfrom a client and consumer choice perspective\u201d by increasing transparency. Combining inspection and oversight of providers into a single division should \u201chelp provide information to parents and others [asking] \u2018Is this a facility or a program where I want to have my child or loved one served?'\u201d<\/span><\/p>\n<p><span style=\"\">The DPSQA should also allow for better quality control of providers, Gillespie said, by ensuring that information from surveys and inspections isn\u2019t \u201csiloed\u201d within the various divisions of the DHS. \u201cWe have today an ad hoc system\u201d regarding the sharing of data from provider inspections, she said. \u201cBy putting it together, we\u2019re going to be able to do a much more effective job,\u201d she said.<\/span><\/p>\n<p><span style=\"\">The new division will also be tasked with health care workforce development in Arkansas, which has a shortage of nurses and other medical professionals. Gillespie noted the long-term shift away from reliance on institutions such as nursing homes and toward home- and community-based services. \u201cWe do not have the workforce to meet needs for home- and community-based services,\u201d she said. \u201cThis [new division] would be a perfect place to do that.\u201d<\/span><\/p>\n<p><span style=\"\">Pathfinder, Inc., a Jacksonville-based nonprofit, is one Medicaid provider that would be affected by the change. Pathfinder provides a variety of services to children and disabled adults, including preschool for ages 0-5, adult developmental day treatment, in-home waiver services, group homes and outpatient mental health. CEO Mike McCreight said the nonprofit is currently subject to inspection and oversight by multiple DHS entities: the Division of Developmental Disabilities Services, the Division of Behavioral Health Services, the Division of Child Care and Early Childhood Education and the Office of Long Term Care.<\/span><\/p>\n<p><span style=\"\">\u201cYou can have two or three sets of standards that have gaps, redundancies or sometimes even conflicts,\u201d McCreight said. Different divisions have different inspectors, different policies and different paperwork that must be filled out.<\/span><\/p>\n<p><span style=\"\">\u201cIt would be better if you didn\u2019t have different licensure people coming in at different times,\u201d he said. \u201cIt would be nice if that was all together.<\/span><\/p>\n<p><span style=\"\">McCreight, who was once director of the Division of Developmental Disabilities Services, said the creation of a new arm of the DHS would be a \u201clogistical challenge\u201d for the agency, but he praised the move as a positive one. \u201cOf course, you have to see what the end product looks like, but it\u2019s a great opportunity.\u201d<\/span><\/p>\n<p><em>This reporting is courtesy of the <a href=\"http:\/\/www.arknews.org\">Arkansas Nonprofit News Network<\/a>, an independent, nonpartisan news project dedicated to producing journalism that matters to Arkansans.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>On Thursday, Arkansas Department of Human Services Director Cindy Gillespie announced an internal reorganization of the DHS that will shift 171 employees to a newly created division, impact more than 40 DHS contracts and streamline the agency\u2019s oversight of thousands of Medicaid providers across the state.<\/p>\n","protected":false},"author":2,"featured_media":6634,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[111],"tags":[],"class_list":["post-6632","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-care"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.3 - 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