The Oregon Health Authority (OHA) seeks public feedback about the progress of the Medicaid 1115 Demonstration Waiver renewal. OHA will conduct a public forum annually for the duration of the current demonstration (2017-2022) to offer Oregonians an opportunity to provide input on the 1115 Medicaid waiver’s progress. Please complete this questionnaire to provide your feedback on the progress of the 1115 Demonstration Waiver renewal. You may also provide additional feedback by email or mail. See instructions at the end of this form. We value your time and appreciate your contribution.
If you would like to review the forum materials you can access them at: http://www.oregon.gov/oha/HPA/HP-Medicaid-1115-Waiver/Pages/index.aspx

Oregon’s Medicaid program will continue the coordinated care model through the coordinated care organizations (CCOs) for the next five years, under the 1115 Medicaid waiver renewal. The coordinated care model is designed to achieve better health and better care at lower costs, by helping individuals, their health plans, and providers focus on primary care, prevention, and managing chronic conditions.

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* 1. What are the biggest opportunities you see for continuing to slow the growth in health care costs?

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* 2. What successes have you experienced or witnessed since the implementation of the coordinated care model through the CCOs?

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* 3. What challenges have you experienced or witnessed since the implementation of the coordinated care model through the CCOs?

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* 4. What would you identify as a continued priority to improve delivery of care through CCOs?

Health-related services (HRS) are non-covered services under Oregon’s Medicaid State Plan intended to improve care delivery and overall member health and wellbeing. The waiver includes changes that provide clarity on how HRS are accounted for in CCO global budgets and offers financial incentives for CCOs to invest in HRS.

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* 5. In your opinion, how will the HRS changes approved in the waiver improve the ability of CCOs and providers to address social determinants of health and alleviate health disparities?

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* 6. Please describe any information that would be helpful to better understand HRS and how they can be used.

The Coordinated Health Partnership pilot program was originally proposed to promote population health and address social determinants of health for those at risk of homelessness, but was not included in the approved waiver renewal.  However, OHA and OHCS (Oregon Housing and Community Services) are partnering to develop statewide recommendations around supportive and supported housing.

 

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* 7. How would an increase in capacity to offer supportive housing and services – which help individuals remain in housing – improve health outcomes in your community?



The approved waiver allows Oregon to auto-enroll dually eligible individuals (individuals eligible for Medicaid and Medicare) into CCOs, with the option to opt out.

 

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* 8. Please share suggestions on how to ensure that dually eligible individuals experience a smooth transition into CCOs as a result of auto-enrollment?

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* 9. Please share any other suggestions or feedback regarding advancing Oregon’s health system transformation?

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* 10. How did you hear about this opportunity to provide feedback?

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* 11. Optional: Name, organization and title

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* 12. If you are interested in submitting additional comments, please submit written comments and questions by email or mail to:

Margie Fernando
Oregon Health Authority
500 Summer Street NE, E-65
Salem, OR 97301
Email: Margie.fernando@state.or.us

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