Slide 1
A Framework for Developing and Sustaining a Part C Finance
SystemAnne KarasekUS Department of Education Office of Special
Education Programs
+1 gain an understanding of the importance of developing a State
specific finance framework and the logical progression of adhering
to a strategic plan. have an understanding of how to use the
framework to meet their individual state needs. work with content
experts to tailor a State finance plan to their needs.
SESSION OUTCOMES
Participants will+ Implementation Science Cycle: plan, do,
study, act
2Building the PlaneIt sometime feels like you are building the
plane while you are flying it!!
3
+Key Phases of Development4+5A Framework for Developing and
Sustaining a Part C Finance SystemDemographic InformationFiscal
ResourcesPolitical and Economic ContextDesign a Finance
SystemAgreements for Use of ResourcesInfrastructurePolicies and
ProceduresGuidance and SupportSystem MonitoringVISIONPhase IPhase
IIPhase IIIPhase IVPhase I: DEMOGRAPHIC INFORMATIONEligibility
Definition What are the preexisting or potential
eligibilities?Child FindDelivered vs Planned Services Regional
Differences
What proportions of children are likely to be eligible for which
resources andsupports?
Where are they in the state?+Phase I:Fiscal
ResourcesMedicaid/CHIP AccessFamily FeesPrivate InsuranceAffordable
Care Act Medicaid Expansion, Insurance Coverage Plan Requirements
(eligibility and reporting )?What can each support or pay for?Who
is eligible? What is the cost benefit ratio? How does your State
include all EI services under Part C as part of essential health
benefits?+Phase I: POLITICAL AND ECONOMIC CONTEXTState budget
cutsSequestrationInteragency RelationshipsBilling systems central
reimbursement/billing
Where are existing resources andsupports?
What are the traditional and currentuses of resources and
supports?
Competing priorities?
Anticipated political changes?+Phase II: SYSTEM DESIGNTransition
PlanCost StudyMedicaid utilization and flowUsing data to plan and
implement the transitionCost dataGaps in revenue dataPlanned vs
Delivered services dataVerification of payments
Design a system based on demographics, current and potential
resources,reflecting the political and economic context of the
state and utilizing a public participation process+Phase III:
NECESSARY AGREEMENTS, NEGOTIATIONS AND APPLICATIONS
InfrastructureInteragency AgreementsPolicies and proceduresGuidance
and SupportShared responsibilities
MOUs?Interagency Agreements?Waivers?+Phase III:
INFRASTRUCTUREIdentify a mechanism for billingData
systemInteragency CoordinationResources and Supports provided where
funds may not change handsSupport the documentationof use of
resources, supports and/or billing+Phase III:
DEVELOPMENT/REVISION OF POLICIES AND PROCEDURES System of
Payments PoliciesInteragency coordinationEmbracing the visionUse of
reported data as a management tool
Clear guidelines for accessing resources and supports and/or
billing+Phase III:
DEVELOPMENT/REVISON OF GUIDANCE TrainingTechnical
SupportFeedback from the FieldProvision of ongoing support for
regions and service providers in implementing policies and
procedures+Phase IV:
ONGOING MONITORINGData-based decisionsMeasuring progress/delays
against your visionSupporting or changing your VISIONChanging
demographicsChanging political and economiccontext?Need new
interagency agreements?Need new resources/supports?Revised
policies?Better support and guidance?More state funding?Changes in
Part C eligibility criteria?+Comments?
Questions?
Clarifications?http://ectacenter.org/~pdfs/pubs/nnotes23.pdf
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