Copy
Advance Care Alliance of New York

Provider E-News | February 2023

the Comprehensive Assessment Process 
 

Comprehensive Assessment Process

Many of you have shared your questions about the Comprehensive Assessment Process. It’s a complex topic that impacts providers and members alike. To help you better understand the assessment process and support those you serve, we will break down the process and its tools below. If you wish to learn more, we invite you to join us for the February Provider Relations webinar. 
 

Webinar:
COMPREHENSIVE ASSESSMENT PROCESS

Tuesday, February 21, 2023 | 3 p.m. - 4:30 p.m.

Register here
 

The Comprehensive Assessment
Process: What is it?  

The Comprehensive Assessment Process helps members move toward a meaningful and productive life. Care Managers listen, discover, and understand each member’s strengths, needs, and interests. This person-centered planning is at the heart of each assessment process. Information gathered from assessments is used to develop a member’s Life Plan.  

 

ASSESSMENT TOOLS


CANS/CAS

CANS (Child Adolescent Needs and Strengths) is the tool required by OPWDD to assess members under 18.

CAS (Coordinated Assessment System) is a comprehensive assessment tool required by OPWDD for members 18 or older to identify their strengths, needs, and interests.  

An assessor contracted by OPWDD coordinates with the Care Manager to review records and schedule an assessment interview with the member, guardian, and other supports the member would like to include. After completing the assessment, the assessor uploads the results into a secure Internet system, CHOICES, where the Care Manager can access them.  

The Care Manager reviews the completed CANS or CAS with members and their supports within 30 days of making the assessor making the summary available. Information from the CANS or CAS is added to the Life Plan as appropriate. Visit the MyCompass Knowledge Center  to learn more. 
 

DDP-2 (Developmental Disabilities Profiles-2) 

The DDP-2 is a state-approved assessment used to identify the skills and challenges of a member that relate to their service needs. The Care Manager completes the DDP-2 in CHOICES following initial enrollment. The DDP-2 is completed every two years to update a person’s capabilities or when there is a significant life change. Each waiver service provider must also complete a DDP-2 for members they serve. The DDP-2 assessment results in an overall numerical score called an ISPM (Individual Service Planning Model). The ISPM score helps to determine the service needs of the member.


LCED (Level of Care Eligibility Determination) 

The LCED is a federally required document used for members’ eligibility to receive HCBS waiver services and care coordination. This is done upon enrollment and then annually. Since all members are required to have LCED redetermination every 364 days, LIFEPlan and ACA/NY have implemented a systemic plan that allows Care Managers to complete LCEDs for all members every 11 months. This guarantees that LCEDs always remain current. On completion, the LCED results are distributed to waiver providers. 


PATHS (Personal Assessment Tool
for Health and Services) 

PATHS is an individual assessment tool that determines a member’s health, wellness, interests, and abilities, to make recommendations aimed at helping members achieve their hopes and dreams. Before the annual Life Plan review, Care Managers review supporting documentation and get updates from family and providers. The Care Manager updates the PATHS using information gathered and current knowledge of the member. The Care Manager then meets with the member or representative to complete the PATHS. Specific questions within PATHS generate goals, POMS (Personal Outcome Measures), and safeguards in the member’s Life Plan. 

Coming soon! Provider Fairs 


In the coming months, LIFEPlan and ACA/NY will host opportunities to connect Care Managers with service providers in their regions. These events will give providers the opportunity to showcase their programs and services to Care Managers.  

Events will be hosted at local CCO hubs or other regional locations to best accommodate attendees. LIFEPlan and ACA/NY directors will reach out soon with more details.

Updates For Providers


Medicaid Program Changes 

Please note that as of April 1, 2023, continuous Medicaid coverage will change as mandated under the PHE (Public Health Emergency). All Medicaid renewals, with authorization dates ending on June 30, 2023, will be subject to review based on pre-pandemic standards. All Medicaid renewals with authorization end dates before May 31, 2023, will be extended, but any renewal date of June 1, 2023, or after will require a full review based on pre-pandemic standards. The full details about Medicaid changes can be viewed here.
 

OPWDD Updates CCO/HH Consent Policy 

OPWDD recently released information clarifying the streamlined Care Coordination Organization/Health Home enrollment and disenrollment consent forms for children and adolescents under 18. For more details, read the full message online


We are here to help!

The Provider Relations Team aims to build positive relationships
with our provider partners.

Visit online for the latest news and events
Read previous newsletters
 

Connect With Us:

Advance Care Alliance of New York's Facebook
Advance Care Alliance of New York's Instagram
Advance Care Alliance of New York's Youtube
Advance Care Alliance of New York's LinkedIn
Copyright © 2023 Advance Care Alliance New York, All rights reserved.


Want to change how you receive these emails?
You can update your preferences or unsubscribe from this list.