April 24, 2015 Edition of ASAP

ASAP

A Weekly Publication Of HCA Home Care Association of New York State

Legislative Issues  Public Policy



News

Volume 20, No. 16 April 24, 2015

HCA Exclusive: Hear from NY’s Value Based Payment Contract Expert at Upcoming Annual Conference (May 6-8) In an HCA exclusive, our upcoming Annual Conference, on May 6-8, will feature Dr. Marc Berg, from the Global Center of Excellence for Health at KPMG, the state of New York’s lead contractor on how Value Based Payments (VBPs) work.

Dr. Berg is an expert in the methodology and implementation of value based measurement and contracting – two areas of major focus in New York State and, indeed, nationally.

See BERG p. 3

Dr. Marc Berg

HCA to Showcase New Digital Tools for Members at HCA’s Annual Conference Bring your tablets and smartphones!

HCA’s Annual Conference, beginning May 6 in Saratoga, is an important part of your membership experience, where you get to network with colleagues and learn about all of the major issues and themes affecting your work in home care – all in one place, all at one time.

Inside ASAP

See DIGITAL p. 2

HCA Exclusive: Value Based Payment Session at Annual Conference.......1 HCA to Showcase New Digital Tools at Annual Conference..............1 NEW: May 28 HCA Program on New Models of Care..........................4 Assembly Advances Essential Personnel Bill......................................5 CARE Act Passes State Senate..............................................................6 Developments on Veterans Home Care Initiative..............................7 DSRIP Update.......................................................................................7 Attention LTHHCPs: Join Us for May 19 Forum...................................8 Update on F2F Narrative Lawsuit....................................................8 Free Webinar on Executive Order 38 for Members Only: June 4..........9 Final Open Door Forum on Home Health-MD Clinical Template.......10 Compliance Guidance Issued for Governing Boards...............10 Managed Care Update.....................................................................11 CMS to Hold Forum on Home Health Star Ratings: May 7.................12 DOH Posts FIDA Training Requirement Info.....................................13 FIDA FAQs Released for Home Health Providers..........................14 Vaccination Reports Due May 1......................................................15 DFTA Issues Draft Case Management Program Concept Paper........16 TBI and NHTD Rates Update.........................................................17 CMS Issues Hospice Quality & Hospice CAHPS Survey Updates.....17 NGS: Resubmit Certain TPL Demand Bill Claims...............................18 New Version of PC Print: April 2015................................................19 Xerox to Replace CSC as State’s Medicaid Contractor...................19 Publications.................................................................................20

Helping New Yorkers Feel Right At Home

ASAP – a publication of the Home Care Association of New York State DIGITAL from p. 1 It is also an opportunity for HCA to check-in with you on a membership-service level, as you participate in HCA’s Board of Directors meeting, catch up with HCA’s expert policy team about concerns at your agency, and hear from HCA President Joanne Cunningham about all of the ways HCA is working on your behalf, during her annual address to the membership.

At this year’s conference, HCA will be presenting several new and exciting digital tools we are offering to better keep you informed, provide you with easy access to information and resources, to support your advocacy work, and to help you engage with policymakers on social media.

We are very excited about these new tools and want to demo them for you first-hand, in-person, so that you can see the various ways we are working to maximize your membership benefit. There is no better time or place to do so than at HCA’s Annual Conference on May 6-8.

Please join us to learn more about getting the most from your membership experience, while hearing from a premier lineup of speakers on: how to analyze and address

Volume 20, No. 16 April 24, 2015 

the health care needs of your entire patient population; understanding what is important to caregivers as they apply for jobs at your organization; the mechanics of value based payment models; strategizing on how to become a valued partner with physicians; and much more.

Please also be sure to register for our postconference Leadership Institute, where you’ll be able to burnish your leadership skills and gain accreditation.

As you prepare for your arrival in Saratoga, make sure you also pack your smartphones, tablets and other digital devices to take part in an interactive experience.

If you haven’t yet seen our conference brochure, you can download it from our conference website (www.hcaannualconference.com) to find out all of the great education programs and keynote speakers we’ll have on hand to inspire you and prepare you for the future of your organization.

This year’s conference offers you value like never before. Register today.

ASAP is a weekly publication of the Home Care Association of New York State (HCA). Unless otherwise noted, all articles appearing in ASAP are the property of the Home Care Association of New York State. Reuse of any content within this newsletter requires permission from HCA. President: Editor:

Joanne Cunningham, jcunningham@hcanys.org Roger L. Noyes, Director of Communications, rnoyes@hcanys.org Al Cardillo, Executive Vice President, Policy & Programs, acardillo@hcanys.org Patrick Conole, Vice President, Finance & Management, pconole@hcanys.org Andrew Koski, Vice President, Program Policy and Services, akoski@hcanys.org Laura Constable, Senior Director, Membership & Operations, lconstable@hcanys.org Lynda Schoonbeek, Director of Education, lschoonbeek@hcanys.org Mercedes Teague, Finance Manager, mteague@hcanys.org Jenny Kerbein, Director of Governance and Special Projects, jkerbein@hcanys.org Billi Hoen, Manager, Meeting and Events, bhoen@hcanys.org Teresa Brown, Administrative Assistant, tbrown@hcanys.org 388 Broadway, 4th Floor, Albany, NY 12207 Tele: 518-426-8764; Fax: 518-426-8788; Website www.hcanys.org

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ASAP – a publication of the Home Care Association of New York State

Volume 20, No. 16 April 24, 2015 

BERG from p. 1 Understanding how value based models work, how they are constructed, and becoming knowledgeable about VBP incentives are critical to your organization’s success as the state and federal governments pursue payment reform.

As extensively reported in recent editions of ASAP, HCA is a member of the state’s Value Based Payment Workgroup, which is examining VBP design in New York. The state’s draft program is detailed in a Roadmap document that policymakers are imminently sending to the federal government for its approval.

Under the special terms and conditions of its multi-billion-dollar federal Medicaid waiver, New York State must pursue non-fee-for-service payments – rewarding value over volume – for a targeted 90 percent of all Medicaid managed care payments by waiver year 5, a major initiative.

Put simply, value-based models are coming soon, and they will dictate virtually all levels of home care service payment. How better to learn about them than from Dr. Berg, the leading expert consulting with the state on its VBP design?

Read Dr. Berg’s bio and check out the video about him at http://www.kpmg.com/global/en/industry/ healthcare/center-of-excellence/pages/marc-berg.aspx.

Most importantly, make sure you have a front-row seat for his program at HCA’s Annual Conference – just one of several workshops, seminars and presentations offered to help you and your organization succeed.

Register for the conference today!

Look for the brochure at the back of this week’s ASAP or register online at https://www.eventville.com/Catalog/EventRegistration1.asp?EventId=1011491.

HIRING Jefferson County Public Health Service Director of Patient Services is responsible for the administrative, professional and financial operations of the home health programs. Minimum qualifications include licensure as a registered nurse with two years of experience as a Supervising Public Health Nurse; or two years of home care nursing experience plus a master’s degree in nursing, public health, business administration or another health related field. Master’s degree preferred.

Supervising Public Health Nurse is responsible for supervising a nursing team to ensure comprehensive home care services are provided to achieve positive patient outcomes. Minimum qualifications include BS degree in nursing, two years of experience as a public health nurse and licensed to practice as an RN in NYS. Physical Therapist is responsible for evaluating, planning and providing physical therapy treatment to patients in accordance with physician orders. Minimum qualifications include licensure and currently registration by the New York State Education Department as a Physical Therapist.

Applications Accepted At: Jefferson County Department of Human Resources, 175 Arsenal Street, Watertown, NY 13601, (315)-785-3147. EOE. http://www.co.jefferson.ny.us

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ASAP – a publication of the Home Care Association of New York State

Volume 20, No. 16 April 24, 2015 

NEW: May 28 HCA Program Will Help you Navigate New Models of Care & Strengthen Your Business Model to Compete DSRIP, FIDA, VBP … the alphabet soup is getting thick, and HCA members have asked for help navigating these and other new acronym-heavy payment models that are now with us and on the near horizon.

These new models will affect you; it’s only a matter of when, as the state juggles multiple waiver and Medicaid pilot initiatives with the federal government in an effort to construct incentive programs.

To help you, HCA will hold a daylong program in Albany on May 28 entitled Are You Ready to Navigate New Models of Care and Coverage? Registration is now open. Please see the registration form at the back of this week’s ASAP, or register online from HCA’s website.

This program is geared for home health provider and health plan CEOs, CFOs, COOs and those who need to gain a better understanding of emerging care models to position your organization successfully in a service and payment delivery environment of new models of care.

With the enactment of far-reaching health care reforms at the federal and state levels, changes to the health care delivery and payment systems are evolving quickly. It is important for home care providers to get up to speed on all of these fast-moving developments.

Speakers at this program will include top state health care program officials, expert consultants and more, including: State Medicaid Director Jason Helgerson; Value Based Payment Expert Dr. Marc Berg of KPMG; Greg Allen, Director of the Division of Program Development and Management within the New York State Office of Health Insurance Programs (OHIP); Tracy E. Miller, a health law expert at Bond Schoeneck and King; and others.

In addition to providing insights on these new models, how the incentives work, and their structure, this program will also focus on how to strengthen your business model to remain competitive.

Download the brochure and register online from HCA’s events page at http://hca-nys.org/events-education/upcoming-events.

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ASAP – a publication of the Home Care Association of New York State

Volume 20, No. 16 April 24, 2015 

Assembly Advances HCA Home Care-Hospice “Essential Personnel” The Assembly Governmental Operations Committee voted on Wednesday to advance HCA’s Home CareHospice “Essential Personnel” emergency response bill.

The Assembly bill, A.5125-A, sponsored by Assemblyman Michael Cusick, would ensure procedures for home care, hospice and other essential personnel to access patients during emergencies. It would also bring home care and hospice representatives into the formal emergency planning process at the local levels. This latter provision would ensure that the array of often unique emergency preparedness, response and recovery needs of home care and hospice are considered within local emergency management planning.

The Government Operations Committee vote advances the bill to the Assembly Codes Committee, which is expected to take up the bill shortly. From there, it is likely to go through one further Committee – Assembly Ways and Means – before reaching the Assembly Floor for a vote by the full chamber.

Last year’s version of the bill passed the Assembly and Senate unanimously. However, it was vetoed by Governor Cuomo in December, likely due to a misread on the part of those reviewing and commenting for the Governor. Several wording changes to this year’s reintroduced bill are intended to eliminate this misread.

Meanwhile, the Senate version of this bill, S.3482-A, sponsored by Senator Andrew Lanza, is before the Senate Committee on Homeland Security. HCA spoke with the sponsor’s office this week and anticipates Senate advancement soon as well.

HCA has been continuously working with the Home Base Care Alliance (HBCA) and the legislative sponsors for the past several years to research, document support, draft legislative language and advocate passage of this critical measure. The home care and hospice communities have consistently affirmed strong support and critical need for this bill to HCA. Providers and other concerned parties should call, e-mail and write letters of support to Assemblyman Cusick and Senator Lanza at the addresses below: Honorable Michael Cusick Member of Assembly NYS Assembly LOB 724 Albany, NY 12248 (518) 455-5526 CusickM@assembly.state.ny.us Honorable Andrew Lanza State Senator NYS Senate 708 LOB Albany, NY 12247 (518) 455-3215 lanza@senate.state.ny.us For further information, please contact Al Cardillo at acardillo@hcanys.org.

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ASAP – a publication of the Home Care Association of New York State

Volume 20, No. 16 April 24, 2015 

CARE Act Passes State Senate This week, the Caregiver, Advise, Record and Enable (CARE) Act passed the state Senate and was sent to the Assembly for further action.

The CARE Act (S. 676A-Hannon/A.1323A-Rosenthal) would require a hospital: 1) to allow a patient an opportunity to designate, upon admission to a hospital, a caregiver in the patient’s medical record who would be included in discharge planning; 2) to notify the patient’s caregiver in advance of the patient’s discharge or transfer to another hospital; 3) to consult with the caregiver and patient regarding the caregiver’s capabilities and limitations and issue a discharge plan that describes the patient’s after-care needs at home; and 4) offer instruction to the caregiver in all after-care tasks as described in the discharge plan.

The discharge plan is mandated to include: a description of all after-care tasks recommended by the discharging physician, taking into account the capabilities and limitations of the caregiver; and contact information for health care, community resources, and long-term services and supports necessary to carry out the discharge plan.

HCA strongly supports the intent and goal of this legislation to ensure that appropriate family or another designated informal caregiver is identified, informed and assisted in understanding post-discharge needs and procedures for the patient. Ultimately, provision of this information dovetails with appropriate hospital discharge planning, should contribute to effective care transitions, and facilitates the initiation of home care or hospice services when also needed.

HIRING Jewish Home Lifecare is currently hiring for the following positions: Associate Director of Rehabilitation Services, Part-Time Weekend RNs, Fee for Service Nutritionists, Fee for Service positions in OT, PT, SLP, and LMSW for our CHHA. We are also currently recruiting for an RN Instructor and Fee for Service RNs for our LHCSA. In addition to the above mentioned positions, we are looking for a Director to oversee Quality and Performance Improvement.

The Director of Clinical Excellence for QAPI (Quality Assurance Performance Improvement) is responsible for directing the development, implementation, and evaluation of the Quality Assurance Performance Improvement program for the organization’s Certified Home Health Agency (CHHA). This involves collaboration with the administrative and clinical leadership in order to effectuate a successful and regulatory compliant program. The Director of Clinical Excellence for QAPI fosters a culture that promotes a commitment to continually improving quality of care for clients and that empowers staff to build quality improvement processes into daily work activities.

License and current registration as a Registered Professional Nurse, Bachelor’s Degree in Nursing required. Minimum three years home care experience; knowledge of home health regulations, accreditation and quality standards.

We offer competitive compensation, excellent benefits, and a positive work environment. For further consideration, please send a cover letter and resume to: Victoria Izraylevsky, Director of Human Resources at vizraylevsky@jewishhome.org.

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ASAP – a publication of the Home Care Association of New York State

Volume 20, No. 16 April 24, 2015 

Developments on Veterans Home Care Initiative

DSRIP Update

HCA’s initiative with the New York State Health Foundation to support veterans’ home care saw several new developments this week.

This week, the state Department of Health (DOH) announced that the Delivery System Reform Incentive Payment (DSRIP) program Year 1 timeline has been updated to reflect recent changes made to DSRIP key deliverables.

The update is now available at http://www.health.ny.gov/ health_care/medicaid/redesign/ dsrip/timelines/ year_1_timeline.htm.

Since last fall, HCA has been working with the Foundation and our provider membership to explore avenues for support of veterans’ home care needs.

Our efforts have included: 1) an exploratory roundtable with the Health Foundation’s executive staff and board members, HCA provider members, HCA policy staff, veterans’ consumer advocates, the National Association for Home Care and Hospice and other experts; 2) outreach to U.S. Representative Lee Zeldin of New York, and a member of the U.S. House Committee on Veterans Affairs, to assist in acquiring federal data on VA covered home care services; 3) drafting of a veterans’ home care pilot program bill, which would create and test a federal/state integrated, interdisciplinary and comprehensive care management and delivery structure for veterans’ home care; and 4) outreach to the state Senate and Assembly Veterans Committee chairmen and the state Department of Health.

This week’s developments HCA Veterans Home Care Bill – HCA met further with the Legislature this week to discuss introduction of our veterans’ home care legislation. HCA received positive feedback that the bill is under active consideration and word on sponsorship is expected imminently.

Dates have changed for release of the revised Value Based Payment Roadmap (now early May); release of attribution for valuation (May 7); award letters sent to Performing Provider Systems/ PPSs (May 7); PPS Partner Networks posted (late May); and some other milestones.

Any questions related to the timeline may be directed to DSRIP@health.ny.gov.

Quarterly reports

VA Data on Home Care – U.S. Department of Veterans Affairs Under Secretary for Health, Carolyn Clancy, MD, provided program and quantitative information on home care provided under the Veterans Administration, responding to Congressman Zeldin’s request. Dr. Clancy’s letter was shared with HCA and we will be reviewing it and determining next steps together with the Foundation and the Congressman’s office.

DOH Meeting – HCA also met with and briefed the state Department of Health, seeking the Department’s support and collaboration on our work to date and further plans in this area.

HCA has received extremely positive feedback from the membership on the possibilities of these efforts, with providers strongly conveying their spirited desire to collaborate and actively participate in the advancement of home care for veterans and their families. We will keep you closely apprised of our progress.

For further information, please contact Al Cardillo at acardillo@hcanys.org.

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In other news, the DSRIP program requirements outlined by the U.S. Centers for Medicare and Medicaid Services (CMS) requires the state to prepare and submit progress reports to CMS on a quarterly cycle to describe DSRIP status, deliverables, and transformation milestones.

The state’s DSRIP Quarterly Reports for the reporting period beginning on April 14 through December 31, 2014 are now available at https:// www.health.ny.gov/health_care/ medicaid/redesign/dsrip/ quarterly_reports.htm.

ASAP – a publication of the Home Care Association of New York State

Volume 20, No. 16 April 24, 2015 

Attention LTHHCPs: Join Us for May 19 Forum to Discuss Role under Managed Care, FIDA, DSRIP, VBP and Other New Policy Developments HCA is holding a Statewide LTHHCP Forum for all LTHHCP members on May 19, from 10 a.m. to 2:30 p.m. in Albany.

The purpose of this statewide members-only forum is to examine issues to support LTHHCPs and assist their transition in an environment where payment and patient enrollment is moving toward or expanding under new models, such as Managed Long Term Care (MLTC), Fully Integrated Duals Advantage (FIDA), Delivery System Reform Incentive Payment (DSRIP), and Value Based Payment (VBP).

The Forum also gives HCA a chance to update LTHHCPs on several other concrete policy developments directly affecting your programs, including: a new Dear Administrator Letter on the applicability of home care Conditions of Participation (CoPs) for care management services under managed care; the prospect of billing and coding efficiencies long sought by LTHHCPs – and now supported in this year’s state budget – to assist in your work with managed care; and action on the LTHHCP waiver, which is due in September.

HCA has invited officials from the state’s Divisions of Managed Care, Home and Community Based Care and Health Care Financing to join HCA policy staff in providing these vital updates that will help LTHHCPs in their strategic planning and operational functions.

Please join us for this critical forum that is an important part of your membership in HCA. All LTHHCPs operating in New York, no matter what your current role in the delivery system, should participate in this important forum to learn the latest.

Download the registration form at http://hca-nys.org/wp-content/uploads/2015/01/ HCAStatewideLTHHCPForumMay192015.pdf.

Update on F2F Narrative Lawsuit The National Association for Home Care and Hospice (NAHC) recently provided an update on its Medicare face-to-face (F2F) narrative lawsuit.

NAHC is challenging the Medicare rule that required physicians to construct a “narrative” documenting the physician’s face-to-face encounter with the home health patient. While Medicare dropped the “narrative” requirement following the filing of the lawsuit (though it still requires face-to-face documentation to occur), NAHC continues to litigate the case as a potential remedy for the tens of thousands of claim denials already imposed on home health agencies and the risk of future retrospective claim audits.

The case is in the middle of briefing by the parties. The Department of Justice, on behalf on the Medicare program, recently filed its Motion for Summary Judgment and supporting Memorandum. NAHC’s crossmotion and brief are due on May 7.

Medicare’s brief argues that it has the authority to require a physician narrative under the law passed by Congress in 2010 as part of the Affordable Care Act (ACA). Its position is that the ACA provision does not 8

ASAP – a publication of the Home Care Association of New York State prohibit the U.S. Centers for Medicare and Medicaid Services (CMS) from requiring that the certifying physician – who certifies the Medicare patient eligibility for coverage – must support that certification with a narrative explaining what specifically in the face-to-face encounter demonstrates that the patient is homebound and needs skilled care.

The NAHC responsive brief is under development. It will argue that the plain language of ACA limits CMS’s requirement – only requiring the physician to document that the encounter occurred – thereby prohibiting a narrative mandate.

NAHC will also argue that the narrative requirement is arbitrary and capricious, as the standards for compliance are at best vague and the narrative requirement results in the irrational outcome of patients who are clearly homebound and in need of skilled care being denied coverage without a full record review.

Keep in mind that these legal questions about the “narrative” pertain to services before January 1, 2015 when the narrative component of F2F was in effect. Providers still remain vulnerable in such cases due to retrospective audits – and for audits that already occurred, for which NAHC is seeking remediation.

Complicating this issue is the fact that F2F remains in effect after January 1, 2015, albeit without the specific narrative requirement. The new requirement poses a whole new set of issues that the home care community is otherwise seeking to address.

HCA has long advocated for a legislative fix on the F2F documentation issue. We understand the burden it places on agencies and the exorbitant amount of resources expended to comply, whether in the case of the narrative requirement or the current requirements.

Short of repealing this problem regulation, the home care industry has asked, at a minimum, for Congressional action compelling CMS to streamline the face-to-face certification process. We have repeated this call in the most recent health care negotiations as Congress considered a fix to the physician fee schedule. (See HCA’s press release at http://tinyurl.com/ osg8u6u.)

HCA is offering a session on F2F documentation at our upcoming Annual Conference. See the brochure at the back of this week’s ASAP for details.

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Volume 20, No. 16 April 24, 2015 

Free Webinar on Executive Order 38 for Members Only on June 4 On June 4, HCA is holding a free, one-hour, members-only webinar, led by HCA Counsel Frank Fanshawe, who will provide an update on Executive Order 38, a mandate which limits executive compensation and administrative expenditures at organizations receiving state funds directly or indirectly.

In the nearest development, Executive Order (EO) No. 38 requires most agencies to submit a disclosure form by June 30, just two months away. Mr. Fanshawe will highlight this and other requirements of the complicated mandate, as well as new legal developments related to court actions challenging EO 38.

If you are a covered provider under EO 38, you will not want to miss this session and the opportunity to ask questions about this policy affecting expenditures at your organization.

This is an HCA members-only program and there is no charge to participate; however, registration is required by May 29.

Please complete the registration form (at http://hca-nys.org/wpcontent/uploads/2015/01/ EO38MemberWebinar6.4.15.pdf ) and log-in/dial-in information will be sent to you one day prior to the webinar at the e-mail address you provide in the form.

ASAP – a publication of the Home Care Association of New York State

Final CMS Forum on Home Health Template The U.S. Centers for Medicare and Medicaid Services (CMS) will hold the final Open Door Forum on its proposed Home Health Electronic Clinical Template and Home Health Paper Clinical Template on April 28, 2015 from 1:30 to 2:30 p.m.

This program should be of interest to all providers seeking a standardized approach to face-to-face documentation. (See related p. 8 story.)

To participate in the forum, dial 1-800-603-1774; the conference identification number is 78964234. No registration is required, but participants are advised to call in ahead of time.

As reported in previous editions of ASAP, CMS is considering a voluntary electronic clinical template and a voluntary home health paper clinical template to help reduce the burden on physicians and practitioners who order home health services.

The templates are posted at https://www.cms.gov/ResearchStatistics-Data-and-Systems/Monitoring-Programs/ Medicare-FFS-Compliance-Programs/Medical-Review/ Home_Health_Medical_Review_Update.html.

CMS is accepting comments on the draft templates at HomeHealthTemplate@cms.hhs.gov.

Once a draft of the template is completed, it will undergo the required Paperwork Reduction Act (PRA) approval process.

A release date for the template cannot be determined until the PRA process is complete. Once released in its final approved format, the use of this documentation tool will be voluntary.

HCA and our national partners continue to express our concerns with CMS’s efforts to implement the Medicare faceto-face (F2F) requirements, and a F2F fix remains a focus of our national advocacy efforts. (See related p. 8 story.)

At HCA’s Annual Conference, on May 6-8, we are offering a session on physician documentation, featuring a representative from New York’s Medicare Administrative Contractor, National Government Services (NGS). Shelly Bernardini, a Registered Nurse who is NGS’s Medicare Home Health Clinical Consultant, will provide attendees with a greater understanding of patient eligibility, face-to-face encounters and certification requirements for home health. Register for HCA’s Annual Conference today at www.hcaannualconference.com.

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Volume 20, No. 16 April 24, 2015 

Compliance Guidance Issued for Governing Boards The Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS), the American Health Lawyers Association (AHLA), the Association of Healthcare Internal Auditors (AHIA) and the Health Care Compliance Association (HCCA) this week released a joint educational resource to assist governing boards of health care organizations carry out their compliance plan oversight obligations.

The document, “Practical Guidance for Health Care Governing Boards on Compliance Oversight,” is at http://oig.hhs.gov/compliance/ compliance-guidance/docs/ Practical-Guidance-for-HealthCare-Boards-on-ComplianceOversight.pdf.

According to the OIG announcement, in addition to governing boards of health care organizations, the document will also assist internal auditors, lawyers, and compliance officers that report to those boards.

This new educational resource provides practical ideas that boards may consider implementing in their organizations. The guidance includes processes for identifying risks, tools for improving adherence to program objectives, and reporting tools for board meetings.

ASAP – a publication of the Home Care Association of New York State

Volume 20, No. 16 April 24, 2015 

Managed Care Update

provider training module on the Lewin portal.

At this week’s Managed Care Policy and Planning meeting, the state Department of Health (DOH) provided updates on the Fully Integrated Duals Advantage (FIDA) program; the transition to Managed Long Term Care (MLTC) plans; implementation of the Conflict-Free Evaluation and Enrollment Center (CFEEC); and enrollment of individuals who “age out” of Mainstream Medicaid Managed Care Plans into an MLTC plan.

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Two new modules (Behavioral Health and Cultural Competency) have been added to the portal. A new letter will be sent by plans letting providers know that the new modules are available.

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Two additional training modules are in development – supplementary IDT and Americans with Disabilities Act compliance training.

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A Frequently Asked Questions (FAQ) document on provider training and instructions was released to plans to be shared with providers at: http://tinyurl.com/ mzgno43. (See separate p. 13 story.)

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DOH is working with CMS on revising the FIDA rates.

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DOH has developed a participant friendly website at https://www.health.ny.gov/ health_care/medicaid/redesign/fida/.

FIDA Some information presented on FIDA included: •

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4,158 individuals are enrolled in FIDA as of April 1; 41,906 have elected to opt out of FIDA. 3,733 individuals will be “passively” enrolled into a FIDA plan starting May 1 after not selecting a plan or indicating an intention to opt out.

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No passive enrollment is scheduled for June but has been deferred to July 1.

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5,498 individuals will be passively enrolled into a FIDA plan starting July 1.

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DOH is planning this month to issue an MLTC/FIDA comparison chart for plans to share with current or potential participants, explaining the benefits of FIDA.

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DOH and the U.S. Centers for Medicare and Medicaid Services are making draft changes to the Interdisciplinary Team (IDT) provisions and will release them for discussion.

As of April 14, 2015, more than 9,200 providers have registered for the core

Managed Long Term Care •

135,028 individuals are enrolled in MLTC plans; this includes 113,456 in the New York City (NYC) area and 21,572 outside of NYC.

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Counties that have not yet transitioned to MLTC plans include: Chautauqua, Allegany, Seneca, Yates, Schuyler, Chemung, Jefferson, Lewis, St. Lawrence, Franklin, Clinton, Hamilton and Essex counties.

CFEEC The Conflict-Free Evaluation and Enrollment Center (CFEEC) will start in May in Oswego, Oneida, Herkimer and Madison counties.

Under the CFEEC, all new individuals who require more than 120 days of community-based long term care services must be assessed, using the Uniform Assessment (UAS-NY) tool, by the Medicaid Enrollment Broker, Maximus, to determine their eligibility for Medicaid 11

ASAP – a publication of the Home Care Association of New York State community based long term care and eligibility for enrollment in a Medicaid MLTC plan.

MLTC plans can no longer enroll an individual unless those individuals have first undergone a CFEEC UAS in those regions where the CFEEC policy is in effect.

After May, the remaining counties to implement CFEEC (expected in June) are: St. Lawrence, Franklin, Clinton, Essex, Hamilton, Seneca, Yates, Schuyler, Chemung, Jefferson, Lewis, Chautauqua, and Allegany.

Additional information on the CFEEC is at http://www.health.ny.gov/health_care/ medicaid/redesign/mrt_90.htm.

Mainstream Managed Care DOH has been receiving a lot of complaints recently from beneficiaries in Mainstream Medicaid Managed Care programs who have been disenrolled when they turn 65 and become dually eligible and they are not enrolled into a MLTC plan. (HCA has brought this issue to DOH’s attention.)

In response, DOH has established a policy wherein if the Mainstream Managed Care plan has a sister MLTC plan, the beneficiary who is “aging out or turning 65” will then be auto assigned to that sister MLTC plan. This is effective April 1, 2015.

For beneficiaries who do not choose an MLTC plan within the required timeframe and whose Mainstream Managed Care plans do not have a sister MLTC, DOH will auto assign them when they age out of the mainstream plan.

Questions on FIDA, MLTCs, CFEEC or mainstream Managed Care plans can be directed to Andrew Koski at akoski@hcanys.org or (518) 810-0662.

Volume 20, No. 16 April 24, 2015 

CMS to Hold Special Open Door Forum on Home Health Patient Survey (HHCAHPS) Star Ratings: May 7 The U.S. Centers for Medicare and Medicaid Services (CMS) will host a Special Open Door Forum on Thursday, May 7 from 1:30 to 2:30 p.m. to discuss the new set of Star Ratings for the CMS Home Health Compare website. The title of the Special Open Door Forum is “All About Home Health Patient Survey (HHCAHPS) Star Ratings.”

The dial-in number is 1-800-603-1774 and the conference identification code is 96436960.

During the forum, CMS will share how they plan to use Home Health CAHPS survey results to create Patient Survey Star Ratings for the Home Health Compare website.

CMS plans to publicly report the Patient Survey Star Ratings on Home Health Compare on www.medicare.gov starting in January 2016. The Patient Survey Star Ratings are in addition to the Quality of Patient Care Star Ratings which will start in July 2015.

CMS will also describe the rationale and overview of the HHCAHPS Patient Survey Star Ratings. It will give a detailed description of the methods for calculating the ratings and assigning stars.

PowerPoint Slides, a Technical Paper, and Frequently Asked Questions can be found on the following websites: •

ht t p : / / w w w.cm s . g o v / Me d ica r e / Qu a l it y Initiatives-Patient-Assessment-Instruments/ H o m e H e a l t h Q u a l i t y I n i t s / HHQIHomeHealthStarRatings.html

•

https://homehealthcahps.org

This week, the HCA Quality Committee, with participation

by Mary Carr (Vice President for Regulatory Policy at the National Association for Home Care and Hospice/ NAHC), extensively analyzed the star proposal and its particularly problematic aspects for New York’s providers and system. HCA will be further discussing responses and possible advocacy strategies with NAHC and other partners.

For further information, contact Patrick Conole at (518) 8100661 or pconole@hcanys.org.

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ASAP – a publication of the Home Care Association of New York State

Volume 20, No. 16 April 24, 2015 

DOH Posts FIDA Training Requirement Info The state Department of Health (DOH) has posted a Questions and Answers (Q&As) document on the training requirements for providers that participate in the Fully Integrated Duals Advantage (FIDA) program. https://www.resourcesforintegratedcare.com/sites/default/files/ The Q&As are at Provider%20Training%20Q%20%20A_3_30_2015_1.pdf.

According to the Q&As, All Physicians, Nurse Practitioners, Physician Assistants and other Practitioners and Providers that are normally credentialed by FIDA plans and responsible for the care of FIDA participants must take the training.

The clinical leadership and compliance or administrative staff in the organization are also required to take the FIDA training.

Furthermore, FIDA education of additional downstream staff would need to be determined by the organizational leadership depending on the internal structure, but it must take into account how the organization will comply with the FIDA requirements for FIDA participants. Any member of the Interdisciplinary Team (IDT) must complete the training.

Examples of downstream staff that can be trained internally by the organization, as deemed appropriate by the organization’s leadership, include Certified Home Health Agency and Licensed Home Care Services Agency nurses, home care workers, social workers, therapists, etc. that will provide care or support to FIDA participants.

Consumer Directed Personal Assistance Services aides must be trained by the FIDA participant only if the aide is on the IDT as decided by the participant.

The Q&As point out that as new staff and practitioners are employed, it is the responsibility of the organization to provide the appropriate FIDA training, either by directing them to complete it on the website portal, or through an in-service training within 60 days of the new staff and practitioners’ start date.

Three training modules (FIDA Overview; Cultural Competency, and Behavioral Health) are currently available and two additional ones (Disability and Supplemental IDT) will be available soon.

Providers only have to take each training module once to satisfy the FIDA training requirements for all of the FIDA plans. Each FIDA plan and vendor is able to download the listing of providers affiliated with their organization outlining who completed the training. Each provider should also receive an e-mail confirmation when each training is complete which will serve as a certificate of completion.

FIDA plans are expected to implement Corrective Actions with providers who have not complied with the training, up to and including termination of the provider’s contract.

Technical issues with the website portal training should be sent to RIC@lewin.com.

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ASAP – a publication of the Home Care Association of New York State

Volume 20, No. 16 April 24, 2015 

FIDA FAQs Released for Home Health Providers The state Department of Health (DOH) has posted Frequently Asked Questions (FAQs) for home health providers participating in the Fully Integrated Duals Advantage (FIDA) program.

The FAQs are at http://www.health.ny.gov/health_care/medicaid/redesign/faq_for_home_health_providers.htm.

Some important information includes: •

FIDA plans will pay for any covered items or services that are medically necessary and authorized when required. This applies to home health care services, too. However, unlike in managed long term care (MLTC) or Medicare Advantage managed care, home health services may be authorized either by the FIDA plan or by the individual’s care team (“Interdisciplinary Team,” or “IDT”).

•

All individuals new to a FIDA plan will have a transition period during which they can continue their current course of treatment with any home health providers they have seen in the past six months, regardless of whether those providers are in the FIDA plan’s network or not. The transition period will last for at least ninety days. During this period, FIDA plans are required to pay out-of-network home health providers at least the lessor of the providers’ charges or the Medicare fee-for-service rate.

•

More information on the continuity of care provisions is in Section 2.6.6 on page 68 of the FIDA ThreeWay Contract at http://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-MedicaidCoordination/Medicare-Medicaid-Coordination-Office/FinancialAlignmentInitiative/Downloads/ NewYorkContract.pdf.

•

In response to a question about whether home health providers must complete OASIS documents, obtain face-to-face documentation and follow Medicare coverage requirements, CMS writes: “Nothing in the FIDA program changes the Medicare certification requirements for home health agencies (HHAs).

Any HHA seeking Medicare certification is required to meet the Medicare Conditions of Participation (CoPs) prior to certification. This includes compliance with the OASIS (Outcome and Assessment Information Set) data set collection and transmission requirements.”

•

As in Medicare Advantage, a FIDA plan’s authorization for home health services may substitute for the Medicare fee-for-service (FFS) face-to-face certification requirement for the authorization of home health care services. In certain circumstances, FIDA plans are not required to follow Medicare FFS documentation requirements for the provision of Medicare-covered services, but may substitute methods they deem appropriate for ensuring that the services provided are medically necessary, so long as they are not more restrictive than the coverage standards that apply in Medicare FFS.

•

Under FIDA, home health providers will bill all home health services directly to the FIDA plan. If a determination of medical necessity is made for home health services, Medicare homebound requirements for coverage are not relevant.

•

Home health providers must give individuals a completed copy of the Notice of Medicare Non-Coverage (NOMNC) prior to termination of Medicare-covered home health (including psychiatric home health) services. Medicare Advantage NOMNC rules continue to apply in FIDA. However, in accordance with the Medicare rules, the NOMNC should only be issued when services are terminated. This means the NOMNC should not be issued if the FIDA participant continues to receive Medicaid home health services.

Questions about FIDA should be sent to fida@health.ny.gov.

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ASAP – a publication of the Home Care Association of New York State

Volume 20, No. 16 April 24, 2015 

Vaccination Reports Due May 1 HHA training information due April 30 HCA reminds members about two very important upcoming deadlines: one for the Healthcare Personnel Vaccination Report (due May 1) that must be submitted on the Health Electronic Response Data System (HERDS) and the other for submission of quality and evaluation information by Home Health Aide Training Programs/HHATPs (due April 30).

As mentioned in numerous editions of ASAP, this year’s Vaccination Report covers personnel employed by or affiliated with your agency from October 1, 2014 through March 31, 2015. Agencies are required to submit a single, longitudinal report through the Health Commerce System that is open from November 19, 2014 through May 1, 2015.

Detailed guidance on how to access, complete, and submit the report on HERDS, including instructions and a Frequently Asked Questions (FAQ) document, are available at www.health.ny.gov/FluMaskReg. Under the ‘flu mask’ requirement – in effect since December 11, 2014 for this current influenza season – home care and other health providers are mandated to ensure that their aides and other designated personnel who are not vaccinated against influenza wear a surgical or procedure mask while in areas where patients are present.

Questions about the report should be directed to the DOH Bureau of Immunization at either (518) 4734437 or immunize@health.ny.gov.

Technical questions about HERDS should be directed to the Health Emergency Preparedness Program at (518) 408-5163 or hseppny@health.ny.gov.

Questions about the flu mask regulation should be directed to flumaskreg@health.ny.gov.

HHATPs In early April, the state Department of Health (DOH) posted a Dear Administrator Letter (DAL) to remind HHATPs that they are required to have policies and procedures describing their quality management program and to conduct an annual evaluation of the training program.

The DAL is at http://hca-nys.org/wp-content/uploads/2015/04/AprilDALHHATP.pdf.

Program monitoring must be conducted on at least a quarterly basis; documentation of this monitoring must be included in the quality assurance minutes of the sponsoring agency. In addition, an annual evaluation report must be submitted to the sponsoring agency’s governing authority and to the applicable DOH Regional Office with the re-approval application.

This year, to ensure statewide compliance with the program monitoring component, the Division of Home and Community Based Services is requiring all HHATPs to provide a copy of the 2014 (or 2013) annual

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Volume 20, No. 16 April 24, 2015 

evaluation report by April 30, 2015 to: Marjorie Brier-Lynch, RN, NYS Department of Health, Division of Home and Community Based Services, 875 Central Avenue, Albany, NY 12206.

The DAL also reminds HHATPs to provide the applicable DOH Regional Office with a schedule of anticipated classes every six months (each April 1 and October 1). Any changes to the submitted schedule should be reported as soon as they occur.

The schedule must include the dates, times and location of each class and the name of the approved Nurse Instructor for each class. DOH has posted a form and instructions with the DAL to transmit information about training classes to the Regional Office and a list of these offices.

Any questions about the DAL should be directed to homecare@health.ny.gov.

DFTA Issues Draft Case Management Program Concept Paper The New York City Department For The Aging (DFTA) has issued a draft concept paper for its upcoming Case Management Program (CMP) request for proposals (RFP).

The concept paper is at http://www.nyc.gov/html/dfta/downloads/pdf/community/ CaseMgmtProgramConceptPaper033115.pdf.

Comments are due May 6, 2015; they should be sent to Conceptpaper@aging.nyc.gov (with “Case Management Program Concept Paper” in the subject line).

DFTA expects to issue an RFP in late spring/early summer with contracts to begin on July 1. DFTA will be looking to procure 20 or more contracts; each contact would cover a designated catchment area (i.e. a predetermined group of community districts).

The concept paper highlights some of the defined and developing parameters, expectations and standards of the CMP funded by DFTA, as well as a description of the approach and vision for the program.

According to the concept paper, the primary purpose of DFTA’s case management program is to assist older adults who live with functional and/or cognitive impairment(s) in their efforts to remain safe at home and meaningfully engaged in their communities and to do so in a manner that takes into consideration that person’s uniqueness.

The core functions of the case management program include: 1. Identification of a client’s needs and capabilities through a comprehensive strength-based intake and assessment; 2. A financial assessment to determine whether clients are enrolled in or eligible for various city, state and federal programs and services; 3. The development of a comprehensive care plan, in collaboration with the client and caregivers, which identifies interventions that are based on the individual’s needs and preferences; Continued on next page 16

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Continued from p. 16 4. Activation of the care plan, including service authorization and/or linkages to services; 5. Care plan management including monitoring of the effectiveness of interventions and service delivery; and 6. Overall care coordination that enables clients and caregivers to make informed choices about longterm care options, costs and planning for future needs.

The core services provided by case managers include: intake; assessment; care planning; authorization of services; service agreements; linkages with other community partners; client and care plan monitoring; use of Senior Tracking, Analysis and Reporting System; and emergency planning.

TBI and NHTD Rates Update The state Division of the Budget (DOB) has approved retroactive rate increases for Traumatic Brain Injury (TBI) services for the period November 1, 2014 through March 31, 2015.

These are expected be loaded to eMedNY sometime this week. (HCA awaits confirmation that this has occurred.) An eMedNY alert is expected to be sent out to TBI providers informing them of the November 1, 2014 rate changes.

In December, eMedNY released an alert about an expected TBI rate increase effective November 1, 2014. That document is at https://www.emedny.org/listserv/HCBS-TBIWaiver/TBI_Rate_Increase_-_12-16-14.pdf.

Another set of rate increases for both TBI and Nursing Home Transition and Diversion (NHTD) services, effective April 1, 2015, is at DOB and, once approved, will be loaded into eMedNY. However, without approval by the U.S. Centers for Medicare and Medicaid Services (CMS), the increase will only be effective until October 1, 2015.

A second alert is expected to be sent to TBI and NHTD providers informing them when the April 1, 2015 rates have been loaded to eMedNY. For more information, contact Andrew Koski at (518) 810-0662 or akoski@hcanys.org.

CMS Issues Hospice Quality & Hospice CAHPS Survey Updates Hospices must submit CAHPS vendor authorization form by May 1 The U.S. Centers for Medicare and Medicaid Services (CMS) has recently issued new items on its Hospice CAHPS (Consumer Assessment of Healthcare Programs and Services) website related to the CAHPS Hospice Survey Vendor Authorization, a CAHPS Hospice Survey Fact Sheet, as well as a separate Hospice Quality update.

Continued on next page

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Continued from p.17 CAHPS Hospice Survey Vendor Authorization Form Due HCA strongly encourages our hospice members to make sure you submit the CAHPS Hospice Survey Vendor Authorization Form by the May 1, 2015 deadline to ensure ongoing compliance with the CAHPS Survey requirements.

Technical specifications on accessing the form are at: http://www.hospicecahpssurvey.org/Content/TechnicalSpecifications.aspx.

Additional information on the CAHPS Hospice Survey is at http://www.hospicecahpssurvey.org/Content/HomePage.aspx.

CAHPS Hospice Survey Fact Sheet The CAHPS Hospice Survey Fact Sheet contains an overview of the CAHPS Hospice Survey program, information regarding the CAHPS Hospice Survey measures and information for survey vendor participation. HCA members can download the CAHPS Hospice Survey Fact Sheet at: http://www.hospicecahpssurvey.org/Documents/ CAHPS_Hospice_Survey_Fact_Sheet_April_2015.pdf.

CMS Issues Hospice Quality Updates CMS has issued an update related to the Hospice Item Set (HIS) within the Hospice Quality Reporting Program (HQRP). Of particular note is the issuance of three new CASPER reports for the HIS including: 1) HIS Record Error Detail by Provider; 2) HIS Record Errors by Field by Provider; and 3) HIS Records with Error Number.

The CASPER reporting application and these reports are only available to hospice staff registered in the QIES Systems for Providers. (These are hospice staff registered to submit HIS data to the Quality Improvement and Evaluation System/QIES system.) For those eligible individuals, the reports are available on the CMS QIES Systems for Providers Hospice Welcome page at: https://mds.qiesnet.org/hospc/home.html. For specific questions concerning this information, contact the QTSO Help Desk at help@qtso.com or at 1-888-4777876.

For further information, contact Patrick Conole at (518) 810-0661 or pconole@hcanys.org.

NGS Asks that Providers Resubmit TPL Demand Bill Claims Rejected with Claim Code 38308 National Government Services (NGS), New York’s Medicare Administrative Contractor (MAC), has identified a system issue with some home health Third Party Liability (TPL) demand claims that has specifically impacted some home health agencies in New York.

Earlier this year, claims properly submitted with condition code 20 were not being suspended for additional documentation request (ADR); however, they were rejected with claim level reason code 38308.

NGS asks providers to resubmit any rejected demand claims that did not go through the ADR process, (i.e., your agency did not receive a request for medical records and the demand claim was not reviewed by Medical 18

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Volume 20, No. 16 April 24, 2015 

Review). Note: If the Request for Anticipated Payment (RAP) has been cancelled by the system, providers should resubmit the RAP, wait for it to process and then resubmit the demand claim.

New Version of PC Print: April 2015 Version 5.0.4 of PC Print is now available on the National Government Services (NGS) website. This version contains the following corrections and enhancements: •

Correction to a printing issue with the SC tab. The Single Claims report was only printing one claim at a time instead of multiple claims.

•

Correction to an Installation error encountered with some Users of v 5.0.2 who are also utilizing WINDOWS 7. The error is ‘ansi asc x12 835 viewer has stopped working.’

•

Addition of RARC N742 (ICD-10 ‘Warning’ RARC).

Please note, however, that PC Print version 5.0.4 is not compatible with Windows 8. For Windows 8 users, there is an option for compatibility mode when installing the software. One can perform the installation by using the right click of the mouse over the executable, and then installing the compatibility mode option. This may vary from system to system.

For further information contact Patrick Conole at (518) 810-0661 or pconole@hcanys.org.

Xerox to Replace Computer Science Corporation as State’s Medicaid Contractor The state Department of Health (DOH) recently announced the finalization of a five-year, $565 million deal with Xerox State Healthcare, LLC to implement and administer a new Medicaid Management Information System (MMIS).

The new system, called the New York Medicaid Management Information System (NYMMIS) will replace eMedNY, the current state Medicaid system.

This recent announcement comes almost a year after the contract was initially awarded by the Department to Xerox; however, two other companies, Computer Sciences Corporation (CSC), the current Medicaid contractor for the state, as well as Hewlett-Packard Corporation had protested the initial award of the contract, which prompted a lengthy review by the State Office of the Comptroller.

Among the concerns raised by the competitors were what they believed to be short timeframes for getting the new system up and running.

In the state’s award letter, Comptroller DiNapoli’s office said safeguards were taken to address some of those concerns, and DOH has taken ‘proactive steps’ to make sure milestones in the project are met. The contract is scheduled to take effect within the next couple of weeks.

Continued on next page 19

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Continued from p. 19 The NYMMIS will utilize a web-based core platform, called Health Enterprise, as well as commercial off-theshelf rules components configured to meet New York State’s requirements. Health Enterprise uses a webnative architecture that is scalable to serve future New York Medicaid needs.

The new agreement will have no immediate impact on eMedNY or providers’ billing requirements. Configuration and implementation of the NYMMIS is scheduled to take approximately eighteen months and will consist of the following two phases: •

Phase I: Issuing Provider Management services, Pharmacy Benefits Management, a provider call center and the Electronic Health Records (EHR) Incentive Program.

•

Phase II: Activation of a member call center, remaining claims processing and related services including prior approval, coordination of benefits, capitation payments and specific benefit carve-outs for Medicaid managed care members.

HCA will update the membership as additional information becomes available on the implementation process.

For further information, contact HCA’s Patrick Conole at (518) 810-0661 or at pconole@hcanys.org.

Publications •

“Medicaid Fraud Control Units Fiscal Year 2014 Annual Report,” by the Office of the Inspector General http://oig.hhs.gov/oei/reports/oei-06-15-00010.pdf

•

“Changes Needed To Fulfill The Potential Of Medicare’s ACO Program,” Health Affairs Blog http://healthaffairs.org/blog/2015/04/08/changes-needed-to-fulfill-the-potential-of-medicares-acoprogram-2/print/

•

“Key Themes From Delivery System Reform Incentive Payment (DSRIP) Waivers in 4 States,” by the Kaiser Family Foundation http://files.kff.org/attachment/issue-brief-key-themes-from-delivery-system-reform-incentivepayment-dsrip-waivers-in-4-states

•

“Clarification of Ordering and Certifying Documentation Maintenance Requirements,” by the U.S. Centers for Medicare and Medicaid Services http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R587PI.pdf

•

“Demonstrations to Improve the Coordination of Medicare and Medicaid for Dually Eligible Beneficiaries,” by the Kaiser Family Foundation http://files.kff.org/attachment/report-demonstrations-to-improve-the-coordination-of-medicareand-medicaid-for-dually-eligible-beneficiaries

For more information, contact Andrew Koski at (518) 810-0662 or akoski@hcanys.org.

20

Are You Ready to Navigate New Models of Care and Coverage?

Thursday, May 28, 2015 Empire State Plaza – Albany NY Meeting Room 2-4

AGENDA 9:00am

Who should attend Home health provider and health plan CEOs, CFOs, COOs and those who need a better understanding of emerging care models to position successfully in a new service and payment delivery environment.

With the enactment of far‐ reaching health care reforms at the federal and state levels, changes to the health care delivery and payment systems are evolving quickly. To jump‐ start these initiatives, policymakers are incentivizing the creation of new models that focus on the seamless integration of health care delivery, providing value, high quality care and targeted outcomes.

It is critical for the home care community to understand how these new models work, how they are financed, and how they are constructed. In addition, the provider community needs to be prepared to position themselves competitively and effectively in these new models.

This workshop is designed to be informative, thought‐ provoking and relevant as you position your organization in this environment of change and in this environment of health care service delivery and payment reform evolution. Don’t miss this opportunity!

Welcome and HCA Update Joanne Cunningham, President 9:15am to 10:30am

The State’s Roadmap on New Models of Care New York State continues to rapidly reform its Medicaid program and work collaboratively with the federal government on introducing and facilitating the adoption of new models of care, coverage, service delivery and financing. Hear from New York’s health care and Medicaid reform leader about the state’s vision in the adoption of new models of care delivery, as New York State’s Medicaid program evolves with a focus on care delivery through Managed Long Term Care plans, Fully‐Integrated Duals Advantage plans, Delivery System Reform Incentive Payments (DSRIP) and others. This session will help you understand the state’s continued priorities, areas of focus, and expectations for how you can fully participate in these and emerging models.

Jason Helgerson, State Medicaid Director, Deputy Commissioner, New York State Department of Health 10:30am to 11:30am

Value Based Payment – Positioning for Home Health Providers State and federal reforms are prompting massive and far‐reaching changes that affect how health care and home care services are delivered. These reforms are also driving change in the financing of and payment for care. Understanding how new payment models work, how they are constructed and how the payment incentives function is critical as you plan for a successful future. With the advent of Value Based Payment Models, successful providers are compelled to learn ways of positioning themselves competitively. Hear from the State of New York’s lead contractor about how VBP models work, how outcomes are measured and how this model aims to improve value and outcomes while reducing the costs of care.

Marc Berg, MD, Ph.D., Partner, Global Center of Excellence for Health, KPMG 11:45am to 12:45pm

DSRIP Lessons Learned and Next Steps One of the most recent innovations in delivery system reform came in the form of a waiver with the federal government that set in motion the plan for a larger focus on outcomes, payment and service delivery integration. This initiative, the Delivery System Reform Incentive Payment (DSRIP) program, aims to promote collaboration among health care and community care providers, transform health care service and reduce re‐hospitalizations while offering incentives and rewards for high quality outcomes. Hear from the state’s DSRIP implementer about how DSRIP is transforming payment and services for patients and the lessons learned in the rollout and adoption of this innovative initiative.

Greg Allen, Director of the Division of Program Development and Management within the New York State Office of Health Insurance Programs (OHIP).

AGENDA 12:45pm to 1:30pm

Lunch and the Opportunity to Share Ideas with Your Peers 1:30pm to 2:30pm

Re‐Tooling Your Operation to Achieve Success in New Models of Care and Service Delivery DSRIP implementation poses unprecedented challenges and opportunities for performing providers systems (PPSs) and the providers who participate in them. This session will focus on assisting participating providers to anticipate, understand, and tackle DSRIP developments in the first year, including fund flow models and potential funding opportunities emerging from PPSs, project participation, regulatory waivers, and PPS compliance and HIPAA requirements.

Tracy E. Miller, Bond Schoeneck and King Ms. Miller practices health care and not‐for‐profit corporate law, focusing on corporate, regulatory and compliance matters for health care providers, health systems, managed care plans and charitable organizations.

2:30pm to 3:30pm

Strengthening Your Business Model in an Era of New Models Successful health care organizations in a new environment of evolving service, coverage, payment and delivery system reforms must challenge themselves to make necessary changes to their business models in order to adapt and successfully partner. The future success of home health as critical partners in new models will depend on the ability to become more efficient, streamline functions, and provide a high level of care with excellent outcomes at a competitive cost. In this final session, learn what others across the nation are doing to strengthen their business models and boost their offerings of support to their partners.

Presenter TBA

Are you Ready to Navigate New Models of Care and Coverage?

Thursday, May 28, 2015 Empire State Plaza, Meeting Rooms 2-4, Albany NY REGISTRATION FORM – Fax to (518) 426‐8788 or Mail to the address below.

Please register by May 22 to guarantee your seat, lunch and handout materials.

Name: _____________________________________________________________________________________________ Title:_______________________________________________________________________________________________ Agency:_____________________________________________________________________________________________ Address:____________________________________________________________________________________________ City/State/Zip:______________________________________________________________________________________ Phone:______________________________________ Ext.________________ Fax: __________________________________________________________ Email: ___________________________________________________

REGISTRATION FEE HCA Members

$229 per person ________

Non‐Members

$329 per person ________

PAYMENT Please check method of payment:

____MasterCard ____VISA ____ American Express ________ Check* *Make checks payable to HCA Education and Research and mail to:

388 Broadway, 4th Floor, Albany, NY 12207 (checks must be received one week prior to program)

Please print clearly.

Credit Card #: ____________________________________ Exp. Date:__________ Security Code: ____________ _____________________________________________________________________________________________________ Name and/or Company Name on Card _____________________________________________________________________________________________________ Billing Address of card (including City, State and Zip Code) _____________________________________________________________________________________________________ Authorized Signature

Cancellations received by May 18 are refundable less a 25% administrative fee. Cancellations must be received in writing via e‐mail to info@hcanys.org. No refunds after that time or for no shows. Substitutions are permitted. Questions? Call HCA at (518) 426‐8764.

FAX TO: (518) 426‐8788

Webinar June 4 11:00am to 12noon

On June 4, from 11:00 am to 12 Noon, HCA is holding a member webinar led by HCA’s Counsel, Frank Fanshawe, who will provide an update on Executive Order 38. This program will include an overview of the requirements, the disclosure form agencies that don’t file a cost report have to submit by June 30, and any new legal developments. There will be an opportunity for participants to ask questions during the program.

As extensively reported to members, Executive Order 38 places limits on executive compensation and administration costs for entities, including home care and other health providers that receive state funds directly or indirectly.

This is an HCA members only program and there is no charge to participate, however, registration is required by May 29. Log‐in/dial‐in information will be sent one day prior to the webinar to the e‐mail address provided below.

Sponsored by:

REGISTRANT INFORMATION Registration deadline is May 29.

Name: __________________________________________________________________ Title:____________________________________________________________________ Agency:_________________________________________________________________ Address:________________________________________________________________ City/State/Zip:___________________________________________________________ Phone:______________________________ Ext._________ Fax: __________________ Email: __________________________________________________________________ (Required)

Return your registration form by: • Fax to: (518) 426‐8788 • Scanning and emailing to: info@hcanys.org • Mail to: HCA, 388 Broadway, 4th Floor, Albany NY 12207

Frank Fanshawe, Esq., is an integral part of the Health Care law practice at the Albany office of Wilson Elser Moskowitz Edelman & Dicker, LLP. He has practiced health care law for more than 20 years and served as a senior adviser to the New York State Senate Health Committee Chair on legislative and public policy issues in connection with New York's Health Care Reform Act and other major health care initiatives.

STATEWIDE LTHHCP FORUM 19th

Tuesday, May 10:00am-2:30pm Location

Albany Hilton State and Lodge Streets Albany, NY 12207

This is an HCA Members-Only session.

There is a $40 fee per person for this session to cover the costs of meeting material and lunch.

The Forum provides LTHHCP representatives, state policymakers, other invited guest speakers and HCA staff the opportunity to discuss the salient issues affecting the LTHHCP at the local, state and federal levels, as well as the program’s priority advocacy needs.

Preliminary Agenda Items Include: • Mandatory MLTC Enrollment, FIDA, DSRIP, Value Based Payments and Other Critical Developments and Implications for LTHHCP • Status, Developments and Reports of LTHHCPs locally, regionally and statewide

Statewide implementation of mandatory managed care enrollment is continuing, FIDA is ramping up, DSRIP is being implemented, and simultaneously the state and federal governments are moving the health care payment system to “Value Based Payment.” Meanwhile, a new DAL on care management has just been issued, the state regulatory reform workgroup is considering recommendations for additional regulatory streamlining, the state budget includes a new uniform coding/billing system for home care‐ managed care, action on the LTHHCP waiver is due this September, a series of new home care quality innovations is being explored, and many other developments are in full swing.

Attend this important Forum opportunity to discuss these and critical LTHHCP program and operational issues, opportunities, and needs amid these changes and developments.

Registration

Once complete, please fax to (518) 426-8788. You must provide us with an email address in order to receive your confirmation. _________________________________ Name

_________________________________ Name

_________________________________ Title

_________________________________ Title

_________________________________ Agency

_________________________________ Agency

_________________________________ Phone

_________________________________ Phone

_________________________________ Email (Required)

_________________________________ Email (Required)

Payment of $40 per person _______ VISA

• Discussion with State Long Term Care, Division of Home and Community Based Services, Division of Managed Care and Division of Health Care Financing Officials re LTHHCP program, operation and policy issues.

• More

_________ MC

_______ AM EX

Credit Card No._____________________________________________________________ Expiration Date:________________________ Sec. Code:___________________________ Card Billing Address:_________________________________________________________ __________________________________________________________________________ Name on Card:______________________________________________________________ Signature:__________________________________________________________________ Or, make checks payable to: HCA and mail to 388 Broadway, 4th Floor, Albany, NY 12207

Cancellation Policy: Cancellations received by May 12 will receive a full refund, less 25% of total due as an administrative fee. Cancellations received on May 13 or later will forfeit their registration fee, along with those who register and do not attend. Substitutions are permitted. Please contact Teresa Brown at (518) 426-8764 or tbrown@hcanys.org to cancel.

2015 Annual Membership Conference May 6 & 7, 2015 ACHE Leadership Institute May 8, 2015 Saratoga Hilton – Saratoga Springs, NY

Dear Members and Friends of HCA,

Who Should Attend Chief Executive Officers, Executive Directors, Administrators, Finance Managers, Clinical Leaders or any other department leader who plays a key role in the success of your operation.

Why not use the HCA Annual Conference as an educational retreat for your team?

Let us know if we can help make that happen!

NAB Continuing Education Clock Hours This educational offering has been reviewed by the National Continuing Education Review Service (NCERS) of the National Association of Long Term Care Administrator Boards (NAB) and approved for 12.25 clock hours and 8.25 participant hours.

A sea of change is happening in health care, and we all have weathered its rough waters over the past two years. But with change comes renewed purpose. Today you are no doubt seeing this outcome as you run a tighter ship, diversify what you offer your community, and extend new lines of outreach well beyond the deck of your organization, engaging new players and partners in an increasingly coordinated system.

On this new course, home care needs to ride the wave of opportunity, and avoid getting overwhelmed by the flow of new information, expectations and shifting currents. This takes skill, intelligence, strategic thinking, patience and courage. HCA’s 2015 Annual Membership Conference aims to support you in this effort by bringing you tips, tools and strategies to help you successfully point your ship in the right direction and embark on a course of positive change.

Our conference is now a two-day event, on May 6 and 7, reducing the cost to you and limiting the amount of time spent away from your office while offering you the same caliber of excellent learning and networking opportunities that have always been a signature of our conference. Also new this year, we are adding a half-day Leadership Institute on May 8, brought to you by the American College of Healthcare Executives. You can choose to attend both programs – the HCA Annual Conference and the Leadership Institute – or only one. All programs will take place at the Saratoga Hilton, in Saratoga Springs, where we’ll have an exciting lineup of world-renowned speakers and industry experts offering thought-provoking ideas and valuable learning opportunities.

The Annual Conference is an ideal setting to network with your peers, pay tribute to outstanding individuals in the industry through our awards program, and visit with an assortment of vendors who will be on hand showcasing their latest products or services. If you are new to home care, new to your agency or if your agency just recently joined HCA, the Annual Conference is a perfect way to get your feet wet, meet HCA’s team, make new contacts, and learn. To broaden your team’s learning experience, HCA is also offering one of your staff members the opportunity to attend the conference at half price and the leadership institute at the lowest price possible if they’ve never attended HCA’s conference before. To take advantage of this “first-timer” opportunity, you must register yourself and your staff person by April 6. This is a great way to show your appreciation to a valuable member of your staff. (Online registration for this offer is not available; please use the registration form in this brochure.)

So what are you waiting for? Check out the agenda and register today! I look forward to seeing you there.

Joanne Cunningham President HCA

We also extend a special thanks to HCA’s Board of Directors who donate their time and talents for the success of HCA.

Hotel Information The Saratoga Hilton, Saratoga Springs, NY is the site of the HCA Annual Conference. Rooms at the Saratoga Hilton are per night. This discounted rate is available until April 5. After this date, higher rates will prevail. Parking is $5 per night.

$162

To make a reservation, call 888-866-3596 or register online at https://resweb.passkey.com/go/HCANYS2015 The hotel’s check-in time is 4 p.m. and check out is 11 a.m. Luggage storage is available should your room not be ready prior to check-in time.

HCA graciously thanks those Sponsors and Exhibitors who have already committed to support you and this signature educational event.

Marie Andreacchio Allen Health Care Services Susan Brett, People Care, Inc. Maura Cahill-Bordas Hebrew Hospital Home, Inc. Anne Calvo, Winthrop University Hospital Home Health Agency Susan Caputo, Individual Member Northport, NY Shelly Eggleton Lourdes At Home/Hospice At Lourdes Michael Feinman Any-Time Home Care, Inc. Ann Frisch, New York City HHC – Health & Home Care Bridget Gallagher Jewish Home Lifecare Ginger Hall, Jefferson County Public Health Services Pamela Joachim, Montefiore Medical Center Home Health Agency Orael Keenan Visiting Nurse Association of Long Island

Additional Sponsors Arthur J. Gallagher Risk Management Services, Inc. Bassett Healthcare Network, At Home Care Brookhaven Memorial Hospital Medical Center Byram Healthcare Dominican Sisters Family Health Service, Inc. Hinman Straub, P.C. People Care, Inc. RBC Limited Healthcare and Management Consultants VNS Westchester Winthrop University Hospital

Kenneth Kilroy Progressive Home Health Services Sue Larman, VNA Home Health Russell Lusak Selfhelp Community Services Irina Mitzner, North Shore – Long Island Jewish Health Care Network Laurie Neander Basset Healthcare Network: At Home Care Karen O’Kane, Brookhaven Memorial Hospital Medical Center

Exhibitors AccuPoint, LLC Avanti Health Care Services Black Tree Healthcare Consulting Bosch Healthcare Brinster & Bergman, LLP Cardiocom, a Medtronic Company ContinuLink The Corridor Group Delta Health Technologies, LLC Fazzi Associates Forcura Friedlander Group Grassi & Co. CPA’s Homecare Homebase

Homecare Software Solutions. LLC LCG Community Trust Mobile Health MobilexUSA Mom’s Meals Nourish Care MyCNAjobs Philips Hospital to Home Quality in Real Time Senior Planning Services MLTC Simione Healthcare Consultants Stay at Home Solutions TSG Financial Total Program Management United Healthcare Community Plan

Mary Kate Rolf, VNA Homecare Paul Rosenfeld, CenterLight Health System Brian Schiel, Bestcare

Rae Szymanski, Visiting Nurse Association of Hudson Valley Vivian Torres-Suarez, Individual Member Bayside, NY Joseph Twardy, VNS of Northeastern NY Mary Wagner Metropolitan Jewish Health System

Sponsorship and Exhibitor opportunities are still available. Visit

Mary Zagajeski Dominican Sisters Family Health Service

www.hcaannualconference.com

Elizabeth Zicari, HCR Homecare

to learn about all the benefits you will receive as a supporter.

Wednesday, May 6 10:00am – 5:00pm Hotel Lobby

HCA Registration Opens At the registration desk, you will obtain your conference program, name badge and directions to your first session.

1:00pm to 1:30pm

HCA Annual Meeting of the Corporation (Note New Time) All HCA members are invited to attend the Annual Meeting of the Corporation. This brief meeting of the HCA corporation will include membership review and passage of the 2014 audit and financials, a synopsis of the year’s activities, and ratification of the Slate of Board of Directors members. (The HCA Board of Directors meeting, which all members are encouraged to attend, will be held on Thursday, May 7, from 4:15pm to 6:00pm.)

1:30pm to 1:45pm – HCA Welcome 1:45pm to 2:45pm

The Healing of America: Opportunities for Home Care T.R. Reid, author of the national best-seller ‘The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care,’ will examine why all other industrialized democracies manage to provide high-quality universal health care but still spend half as much as the U.S. does. Mr. Reid’s PBS documentary, ‘U.S. Health Care: The Good News,’ reveals how some U.S. communities have found ways to improve the quality of care, and contain costs, by orchestrating their local health care providers to work together, rather than waiting for Washington to tell them what to do.

T.R.Reid has become one of the nation’s best known reporters through his books, articles, and documentary films. His work includes reporting for the Washington Post, NPR’s Morning Edition and PBS. 3:00pm to 4:30pm

You Can Never NOT Communicate We all understand the importance of communicating effectively in the health care field.

But do you realize that you can never NOT communicate? In this presentation, Janene Schneider will help you bring communication to the conscience level by focusing on nonverbal communication and providing you with tips to enhance your professional interactions.

Janene Schneider is chair of the English Department for Franklin Academy in Wake Forest, NC. With a Master’s in Communication from the University of Iowa, she has developed a passion for nonverbal communication and is a frequent speaker for Duke University’s Population Care Coordinator Program.

3:00pm

Exhibit Gallery Opens HCA is pleased to have 31 exclusive vendors on hand to showcase the latest home health products and services expressly for HCA conference participants. Take advantage of this one-stop shopping opportunity – no appointment needed.

Wednesday, May 6 – continued 4:30pm to 6:00pm

Welcome Reception Before heading out to dinner at one of Saratoga’s many fine restaurants, be sure to take the time to visit with old friends and new, peruse the exhibits of our home health vendors and register for their great raffle prizes.

Dinner is on your own this evening.

8:30pm to 11:00pm

PAC Beach Party and Trivia Night Join in the fun at this fundraiser for HCA’s Political Action Committee (PAC). Attendees who make a $50 minimum personal donation will get to enjoy drinks and light refreshments while making their best guesses for prizes in response to questions on pop culture, sports, geography, science, history and more. Anyone who has attended HCA’s popular PAC fundraisers in the past will know what a great time to expect at this year’s event, so please encourage your peers to join you.

Thursday, May 7 7:00am

Registration Opens The registration desk is open bright and early for those who haven’t yet obtained their conference program, name badge and directions.

7:30am to 8:30am

Exhibit Gallery Enjoy coffee while meeting with vendors to learn more about their latest products or services that support home health.

8:30am to 9:30am

HCA’s Breakfast of Champions During this morning’s breakfast, HCA pays tribute to recipients of the Ruth F. Wilson Award, the Caring Award and the Advocacy “Giraffe” Award – a highlight of our annual conference.

Join your peers as we recognize these champions over an elegant breakfast.

9:30am to 10:00am

Catching the Wave – An Address by HCA’s President, Joanne Cunningham Home care is a vital line of support for the patients you serve, and HCA’s ongoing goal is to help you navigate potential obstacles, tie-up alongside partner organizations in integrated models, and keep home care in its flagship role as the driver of community-level support services.

10:15am to 11:15am

The Art of Audacity Can one person really change the world? National Geographic journalist Tom Clynes will bring us along on assignment to some of the most dramatic and intriguing places on Earth. Through his provocative stories and stunning photos, we’ll meet the extraordinary people who dared to challenge and change the status quo: The explorer whose Congo Basin expedition led to the biggest African conservation victory in decades … the “elephant whisperer” who rescued the animals in the Baghdad Zoo … as well as virus hunters, Ebola doctors, climatologists, and a pre-teen nuclear physicist.

Along the way we’ll discover the life lessons behind the success of those who dared to follow their audacious dreams, and to shape once-ordinary lives into world-changing adventures.

Tom Clynes is an author and photographer who covers the adventurous side of science, the environment and public health. He writes regularly for National Geographic and Popular Science where he is a contributing editor.

Thursday, May 7 – continued 11:15am to 3:00pm

Three Workshops in Two Sessions Session 1 (11:15am to 12:15pm) Session 2 (2:00pm to 3:00pm) All three of the programs summarized below are held concurrently from 11:15 a.m. to 12:15 p.m. (Session 1) and then repeated, again concurrently, from 2 to 3 p.m. (session 2). These workshops will help you gain further knowledge on: specific regulatory compliance issues like the Medicare face-to-face requirement, workforce recruitment and retention, and population health – all of which are vital to the success of your organization.

Session 1 & 2 Descriptions Certifying Home Health Services On January 1, the U.S. Centers for Medicare and Medicaid Services (CMS) changed the requirements for the face-to-face documentation mandate. New York’s Medicare Administrative Contractor, National Government Services (NGS), is your main point of interaction for Medicare payment and is empowered with enforcement activity related to face-to-face. Hear directly from a representative of NGS who will help you gain a greater understanding of patient eligibility, face-to-face encounters and certification requirements for home health. Attendees will receive NGS/CMS resources and the opportunity to ask questions.

Shelly Bernardini, RN, CPHM, is the Medicare Home Health Clinical Consultant for Jurisdictions K and 6 at NGS where she provides outreach and education.

A Caregiver’s Perspective: Data-Driven Recruitment Get under the hood to discover the perspective of Certified Nursing Assistants and Home Health Aides on working in home care. This session will unveil key insights from a caregiver's point of view – gleaned from thousands of survey results – alongside key strategies to drive more caregivers to apply to your jobs, show up for the interview, entice them to want to work for you, and stay with your organization for the long run.

Maggie Keen is Director of Customer Success for myCNAjobs. She is a national caregiver recruitment speaker, and key researcher behind The Caregiver Trend Report. Her team consults with home care recruiters across the country to optimize local recruitment efforts.

Population Health Explore how multilevel care coordination can help your organization be best positioned to improve clinical and financial outcomes by increasing communication across settings, effectively analyzing patterns and addressing health care needs for your entire patient population.

Sharon Rushton, MSN, MS, RN, CCM is Assistant Professor at Duke University School of Nursing.

Her interests include care coordination of complex patients, transitions of care, resource utilization and patient/family education.

Thursday, May 7 – continued 12:15pm to 1:15pm

Networking Buffet Lunch 12:30pm to 2:00pm

Desserts in the Exhibit Gallery While enjoying dessert, take advantage of this last opportunity to meet with vendors who are showcasing their products and services exclusively for you.

2:00pm to 3:00pm

Session 2 – Workshops Workshops from Session 1 (held at 11:15am) are repeated. Please refer to previous page for session descriptions.

3:00pm to 4:00pm

Physicians and Home Health: Partners in Care In this closing segment, you’ll discover new strategies for working more collaboratively with your local physician groups in achieving the same goals: better coordination of care for the patients you serve and reduced re-hospitalizations.

Linda Lambert, CAE, is Executive Director for the New York Chapter of the American College of Physicians, the state's largest medical specialty organization representing over 12,000 internal medicine physicians dedicated to advancing the specialty of Internal Medicine and improving patient care through education, advocacy and quality improvement.

4:15pm to 6:00pm – HCA Annual Board of Directors Meeting All HCA members are encouraged to attend the HCA Board of Directors meeting, which will focus on Board discussion and debate of federal and state policy and advocacy strategy as well as organizational and operational priorities. This event is an important tradition and includes an invited guest speaker from the public policy arena.

Dinner is on your own this evening at one of the many fine restaurants Saratoga Springs has to offer.

8:00pm – Pat’s Pub Crawl After dinner, join HCA Staff and your peers for our first-ever Saratoga Pub Crawl. Visit a variety of venues that offer something for every taste including the upscale atmosphere of wine bars, authentic brew pubs and jazzy lounges. Free drink coupons for all pub crawl participants. Watch for further details coming soon.

Friday, May 8 - Bonus Session!

7:30am to 8:45am

Value Based Payment Workshop and Breakfast Enjoy a full buffet breakfast and the opportunity to learn more about an emerging policy and payment priority at both the State and the National level focusing on value-based payment. Hear from expert faculty on how value based payments are developed, and how home health agencies can position themselves to benefit in value based payment models.

Be sure to take advantage of HCA’s Leadership Institute on Friday, May 8th!

Program Agenda Friday, May 8 7:30am to 8:45am

Breakfast and Value Based Payment Workshop Enjoy a full buffet breakfast and the opportunity to learn more about an emerging policy and payment priority at both the State and the National level focusing on value-based payment. Hear from expert faculty on how value based payments are developed, and how home health agencies can position themselves to benefit in value based payment models. (Coffee will be available beginning at 7:00 am.)

9:00am to1:00pm

The Courage to Lead: Critical Skills for Healthcare Leaders This session, presented by the American College of Healthcare Executives (ACHE), is exclusively for HCA onlocation.

Leadership is an applied skill, but too often it is left to chance as something to be picked up on the job.

Progressing as a successful leader requires more. In this half-day session, designed for health care leaders at all levels of their careers, you will use proven tools and techniques to identify and develop your leadership philosophy and to develop your leadership skills even if you have little formal authority.

You will also learn how to: • Create an action plan using course content through an illustrative case study, leadership tools and integrative discussions.

• Increase your influence and effectiveness by becoming a quiet but strong leader.

• Practice ways to recognize and reward employee contributions and build a winning team.

This program is presented by Jody Rogers, PhD, FACHE, visiting professor in the health care administration graduate program, Trinity University, San Antonio, TX. He has more than 30 years of experience as a health care executive in public and private health care organizations and is a certified master facilitator of The Leadership Challenge.

Accreditation Participants will receive ACHE Face-to-Face Education credits as well as contact hours from the National Association of Boards of Examiners of Long Term Care Administrators (NAB).

About the American College of Healthcare Executives The American College of Healthcare Executives is an international professional society of more than 40,000 health care executives who lead hospitals, healthcare systems and other healthcare organizations. ACHE offers its prestigious FACHEÂŽ credential, signifying board certification in healthcare management. ACHE's established network of 80 chapters provides access to networking, education and career development at the local level. In addition, ACHE is known for its magazine, Healthcare Executive, and its career development and public policy programs. Through such efforts, ACHE works toward its goal of being the premier professional society for healthcare executives dedicated to improving healthcare delivery.

HCA’s Leadership Institute can be purchased in conjunction with the Annual Conference registration which offers the best value. The Leadership Institute is also available for purchase separate from the HCA Annual Conference. See the registration form for fees and discounts.

2015 ANNUAL CONFERENCE REGISTRATION Catch the Wave! Are You Ready for the Turn-Around?

Return this completed registration form with your payment by fax to (518) 426-8788 or mail it to 388 Broadway, 4th Floor, Albany, NY 12207. You may duplicate this form for additional attendees. Please save a copy for your records.

Register online at: www.eventville.com/hcanys CONFERENCE PARTICIPANT REGISTRATION NAME ______________________________________________________________

TITLE ____________________________________________________

AFFILIATION ____________________________________________________________________________________________________________________ ADDRESS ______________________________________________________________________________________________________________________ CITY/STATE/ZIP _________________________________________________________________________________________________________________ PHONE _____________________________________________________________ FAX _____________________________________________________ E-MAIL ________________________________________________________________________________________________________________________

METHOD OF PAYMENT:

REGISTRATION FEE:

Please select your method of payment: ________MasterCard

________Visa

________American Express

Credit Card No.________________________________________________

We encourage you to attend both the Annual Conference and ACHE Leadership Institute for the best value. No credits can be given for meals not taken or unattended education programs.

REGISTRATION FEE Seven Registration Options Please indicate your registration choice below:

Name on Card_________________________________________________

Expiration Date __________________ Security Code _________________ _____________________________________________________________ Billing Address for Card _____________________________________________________________ City, State, Zip Authorized Signature____________________________________________

_____Check* Make payable to: HCA Education and Research Mail to: 388 Broadway, 4th Floor, Albany, NY 12207 Checks must be received by May 2.

Cancellation Policy: Cancellations received by April 22 will receive a full refund, less 25% of total due as an administrative fee. Cancellations received on April 23 or later will forfeit their registration fee, as will those who register and do not attend. Substitutions are permitted.

1. HCA Member – Annual Conf. and Leadership Inst.

$768 

2. HCA Member – Annual Conference Only

$489 

3. Non-Member – Annual Conf. and Leadership Inst.

$948 

4. Non-Member – Annual Conference Only

$599 

5. Leadership Institute Only (Members and Non-Members)

$349 

6. *First Time Attendee HCA Member – Annual Conf. Only

$244 

7. *First Time Attended HCA Member – Ann. Conf. & Ldr. Inst. $523  *Must register by April 6.

TOTAL DUE: $__________

Beach and Trivia Night HCA PAC Party Wednesday, May 6th – Saratoga Hilton Lounge

I will attend the HCA PAC Fundraiser



My personal donation will be submitted separately.

In accordance with the Americans with Disabilities Act or special meal needs, please let us know how we can accommodate you: ___________________________________________________________ ____________________________________________________________ I will attend the Pat’s Pub Crawl

FAX THIS FORM TO (518) 426-8788



388 Broadway Fourth Floor Albany, New York 12207