HL16008_brochure

SAVE up to $600 when you register by December 18, 2015
Latasha Bomar,
LMSW, CCM
Director, Long Term
Services and Supports
Advicare Advocate
Donna K. Harvey
Director, Department
on Aging
IOWA
Aquila Jordan,
JD/MPA
Director, Regulation
and Policy, Department
for Aging and
Disability Services
KANSAS
Pamela Mokler, MSG
Vice President,
Long Term Services
and Supports
Care1st
Health Plan
Kristen Pavle, MSW
Director, Long Term
Community Care
Alliance of Illinois
Gerianne Prom
Vice President,Long-Term
Care and Strategy Centers
for Independence
Milwaukee Center
for Independence
(MCFI) and affiliates
Marisa Scala-Foley
Team Lead, Business
Acumen and Health IT,
Office of Integrated
Care Innovations
Administration for
Community Living
Lauren Siegel,
MPP, MSW
Dual Demonstration
Project Coordinator,
Department of Human
Services, MINNESOTA
• Determine transition
strategies for states to meet
obligations to HCBS rules
and other regulations
• Discuss the need to and
importance of measuring
person-centered outcomes
• Develop strategies
for enhancing care
coordination staff regarding
housing resources
and housing programs
Organized by:Partners:
Dianne Kayala, MS
Deputy Director,Division of
Managed Care Plans,Disabled
and Elderly Health Programs Group
Centers for Medicare and
Medicaid Services (CMS)
cms keynote address:
Key take aways:
February 23-24, 2016 | Sheraton Pentagon City Hotel | Arlington, VA
Improve MLTSS Programs Through Innovation, Quality Measurement, and Care Coordination
T h e W o r ld C o n g r ess S u m m i t o n
Managed Long Term
Follow us on Twitter
@wrldhealthcare
Featured Stakeholder Perspectives
from Government, Health Plans,
and Provider Organizations:
To Register, Please Visit www.worldcongress.com/MLTSS • Call 800-767-9499 • Email wcreg@worldcongress.com
Gold
sponsor:
silver
sponsor:
UnitedHealth Center for
Health Reform & Modernization

C O N S I D E R A S P O N S O R S H I P P A C K A G E
• Present to Key Players in Your Target Market • Take Advantage of 1-on-1 Sponsor/Attendee Meetings Facilitated On-Site
To inquire about Sponsorship, Exhibit, Branding, and Executive Networking Opportunities, Contact:
David Capobianco, Vice President, Business Development, World Congress • Phone 781-939-2635 • Email David.Capobianco@worldcongress.com
Dear Colleague,
Increasingly states are looking to Medicaid managed care models for Long
Term Services and Supports (LTSS) programs. As states embark on this
transition, direct service providers, states, and managed care organizations
must work together to ensure the needs of those served by the LTSS
program are met.
The World Congress Summit on Managed Long Term Services and
Supports brings together stakeholders from CMS, state Medicaid
programs, Managed Care Organizations, and Long Term Services and
Supports providers to discuss innovative strategies to successfully
implement the shift to managed care.
Hear case studies and presentations that:
• Discuss how to integrate Long Term Services and Supports into
Managed Care
• Address barriers to Home and Community Based Services
• Share ways to implement quality measures to improve
member experience
Join us to gain insight and strengthen your Managed Long Term Services
and Supports Programs through innovation, care coordination, and
quality measurement.
Kenneth J. Smith
Kenneth J. Smith
CEO, Dual Eligible (DSNP) and Long Term Services and Supports (LTSS)
UnitedHealthCare Community & State
Managed Long Term
W h o sh o u l d at t e n d ?
From Managed Care Organizations
• LTSS Providers
• LTSS Service Coordinators
• Chief Medical Officers
• Vice Presidents and
Medical Directors of:
– LTSS
– Clinical Operations
– Case Management
– Quality
From Provider Organizations
• Vice President and Directors of LTSS
• LTSS Coordinators
• LTSS Providers
From Government
• Vice Presidents and Directors
of LTSS
• LTSS Providers
• Advocacy Groups
Gold
sponsor:
silver
sponsor:
co-located with:
Partners:UnitedHealth Center for
F e b r u a r y 2 3 - 2 4 , 2 0 1 6 • S h e r a t o n P e n t a g o n C i t y H o t e l • A r l i n g t o n , V A
T h e W o r l d C o n g r e s s 9 t h A n n u a lT h e W o r l d C o n g r e s s 9 t h A n n u a l
Medicaid Managed
Care summit
Coordinate Transitions of Care, Integrate Behavioral and
Community Health Services, and Understand New CMS
Regulations in order to Manage Costs and Improve Care

Day On e — T u e s d ay, F e b r u a r y 2 3 , 2 0 1 6
7:00 am –
8:00 am Workshop Registration and morning coffee
P r e - S u m m i t W o r ksh o ps
8:00 am –
11:15 am WORKSHOP A:
Transition to Managed Care in LTSS for Individuals with Intellectual and Developmental Disabilities
Historically, individuals with intellectual and developmental disabilities (IDD) receiving Long Term Services and Supports in the United States have been
served under a fee-for-service model. Nationally, many states are now moving towards providing LTSS for the IDD population under managed care. In
this interactive workshop, hear from a state that is in the process of carving LTSS services for the IDD population into managed care with an employment
first focus.
• Discuss the planning and implementation of one states’ MLTSS program with an employment first focus
• Hear the process that one state went through to prepare stakeholder and advocacy groups
• Learn the importance of strategically partnering with state Medicaid agencies
• Discuss best practices, how feedback was utilized to improve the program, and lessons learned thus far
Rachel Turner
Director, Long Term Services and Supports
AmeriGroup
WORKSHOP B: Implement Managed Care Models that Promote Medicare and Medicaid Integration
A challenging task for managed care plans is moving dually eligible members, including LTSS members, into managed care models. By taking an
in-depth look at integration, learn about successful strategies for shifting members to managed Medicaid programs.
• Examine the challenges of moving Duals into Medicaid and how to manage both Medicaid and Medicare benefit structures
• Discuss models of care that work to integrate supports for Duals with LTSS
• Unify quality metrics between Medicaid and Medicare
• Learn ways to integrate and simplify member materials
• Identify how to integrate Medicare and Medicaid claims data
Bill Henning
Executive Director
Boston Center for
Independent Living
Jeffery T. King, RN, MBA
Vice President,
Health Care Services
Molina Healthcare
Nathaniel Patterson,
DrPH, MHA
Program Director, Health
Services, Department of
Health and Human Services
South Carolina
Lauren Siegel, MPP, MSW
Dual Demonstration
Project Coordinator,
Department of
Human Services
Minnesota
WORKSHOP C: Analyze the Implementation of Medicaid Expansion and its Implications for Managed Care
While most states have determined whether or not to expand, the next challenge lies in examining the issues that arise with the implementation of
expansion, and the implications of how systems and members will be affected.
• Evaluate how to improve access issues due to low provider rates
• Educate members how to access care and understand the services they are eligible to receive
• Determine utilization patterns with new groups and discuss strategies for managing accumulated demand
• Discuss innovative strategies for serving new members in expansion states
• Identify ways to improve operational infrastructure to support managed care
• Understand common challenges that states face in shifting care systemically
• Explore how specialty services like behavioral health are affected in expanded populations
Zane Chrisman
Insurance Deputy Commissioner, Insurance Department
Arkansas
11:15 am –
12:30 pm Lunch on your own / main summit registration
12:30 pm –
12:45 pm Chairperson’s Welcome and Opening Remarks
Kenneth J. Smith
Thereisa30minutecoffeeandnetworkingbreakfrom9:30am-10:00am

CMS KEYNOTE ADDRESS:
Day On e — T u e s d ay, F e b r u a r y 2 3 , 2 0 1 6 ( c o n t i n u e d )
S ha r e d s e ss i o ns w i t h m e d i c a i d m ana g e d c a r e s u m m i t
12:45 pm –
1:30 pm
Understand the Current Regulatory Environment and the Effect on MLTSS Programs
Hear directly from CMS as to the agency’s current proposed principles that are critical to strong Managed Long Term Services and Supports Programs.
• Discuss key elements of Person Centered Planning and Care Coordination
• Review the requirements of the HCBS final rule and understand the rule’s implications
Dianne Kayala, MS
Deputy Director, Division of Managed Care Plans, Disabled and Elderly Health Programs Group
Centers for Medicare and Medicaid Services (CMS)
1:30 pm –
2:15 pm Manage Carved-Out Services by Deinstitutionalizing Care into Community-Based Settings
Carved-out services take away from treating the total health of the patient. By leaving out key specialty programs like LTSS and behavioral and mental
health, patient care is fragmented and harder to coordinate. Learn ways to address situations where key services are carved out of managed care, and
how to incorporate aspects of essential services into managed plans.
• Discuss the most common services lacking due to carve-outs and the impact this has on patient care
• Determine platforms for how carved-out services fit in under managed care regulations
• Integrate carved-out services to best utilize resources and coordinate care
Gary Jessee
State Medicaid Director, Health and Human Services Commission
Texas
2:15 pm –
3:00 pm Formulate Strategies to Integrate LTSS into Managed Care
As state Medicaid programs shift their LTSS programs from fee-for-service to managed care, organizations are challenged to ensure that people
receiving LTSS are seamlessly transitioned to managed care while retaining a person-centered focus. By integrating this approach with LTSS, states
and managed care plans can achieve better health outcomes and improve quality of life while reducing program costs.
• Identify managed LTSS (MLTSS) best practices around the development and implementation of care and service plans
• Discuss strategies for shifting frail populations from FFS into managed care
• Explore important program design elements that states should consider in moving to MLTSS
• Learn about synergies between LTSS and health care and how the two systems support each other
• Consider the impact of promoting long term care integration into managed care
Rhys W. Jones, MPH
Senior Director, Medicaid Business Development
Anthem
Donna K. Harvey
Director, Department on Aging
Iowa
3:00 pm –
3:30 pm Networking and refreshment break
3:30 pm –
4:15 pm Case Studies: Improve Access to Home and Community Based Waiver Services (HCBS)
HCBS Waiver Programs, authorized by the Centers for Medicare and Medicaid Services (CMS), are available to states to allow the provision of long
term services and supports (LTSS) in home and community based settings under the Medicaid Program. Through 1915(c), 1915(i), 1915(k), and 1115
Demonstration projects, states can offer a variety of services to aging and disabled individuals within the state outside of the traditional state plan.
Over the years, Medicaid waivers have taken a number of different shapes and sizes, but most individuals face similar hurdles to accessing HCBS
waiver services, including confusing and siloed application processes, trouble finding the “right” waiver or services, and experiencing enrollment
delays. Most recently CMS and other federal agencies have developed regulations that may impact access to and utilization of HCBS waiver services.
• Determine transitions strategies for states to meet obligations to HCBS rules and other regulations
• Develop strategies for addressing the barriers to HCBS utilization and surviving changes within legacy systems
• Create options to sustain and enhance care coordination for members for hard-to-engage members
Aquila Jordan, JD/MPA
Director, Regulation and Policy,
Department for Aging and Disability Services, Kansas
Latasha Bomar, LMSW, CCM
Director, Long Term Services and Supports
Advicare Advocate
C O N S I D E R A S P O N S O R S H I P P A C K A G E
• Present to Key Players in Your Target Market • Take Advantage of 1-on-1 Sponsor/Attendee Meetings Facilitated On-Site
To inquire about Sponsorship, Exhibit, Branding, and Executive Networking Opportunities, Contact:
David Capobianco, Vice President, Business Development, World Congress • Phone 781-939-2635 • Email David.Capobianco@worldcongress.com

Day On e — T u e s d ay, F e b r u a r y 2 3 , 2 0 1 6 ( c o n t i n u e d )
S ha r e d s e ss i o ns w i t h m e d i c a i d m ana g e d c a r e s u m m i t
4:15 pm –
5:00 pm CASE STUDY: Integrate Behavioral Health Services for Medicaid Members
Hear how one state has worked to carve in behavioral health for one million people, and discuss the lessons learned as a result of this program and shift
in services covered.
• Assess the impact of integration on members, providers, and MCOs
• Analyze lessons learned regarding the processes and operations necessary for integrating behavioral health services
• Hear how specific regulations influence how behavioral health services are rendered
• Strategize ways to sustain and enhance care coordination for hard-to-engage members
J. Ruth Kennedy
Medicaid Director, Department of Health and Hospitals
Louisiana
5:00 pm –
6:00 pm Cocktail and networking reception
Day t w o — W e d n e s d ay, F e b r u a r y 2 4 , 2 0 1 6
Mana g e d l o n g t e r m s e r v i c e s an d s u pp o r t s s u m m i t
7:30 am –
8:00 am Morning coffee
8:00 am –
8:15 am Chairperson’s Welcome and Review of Day One
Kenneth J. Smith
8:15 am –
9:00 am Learn about Innovations in Providing Person-Centered Planning to Improve Delivery of LTSS
The Affordable Care Act mandates “person-centered” delivery of LTSS, which is an approach to care planning which recognizes that members are
not merely passive recipients of medical care, but are in fact the individuals who can best determine what it means to be well and what is needed to
achieve wellness. A person-centered approach is not limited to health status, but also encompasses values of independence, control, and autonomy.
In this session, learn how person-centered planning provides the necessary support to help people to live the life they desire, while improving patient
satisfaction and outcomes.
• Discuss what a “person-centered” plan should encompass
• Learn how some organizations are incorporating person-centered care planning principles in their work
• Understand the structure needed to conduct person-centered care planning
• Discuss the need to and importance of measuring person-centered outcomes
Erica Anderson
Senior Health Care Analyst, Quality Measurement and Research Group
NCQA
9:00 am –
9:45 am Support LTSS Member Integration through Meaningful Employment
Employment benefits within managed care programs are becoming more common. This is in part due to recent CMS guidance on inclusion of
employment within LTSS programs and due to the increased interest in managed care for individuals with IDD and other disabling conditions.
Providing meaningful employment should be focused towards all LTSS members and not just those with IDD.
• Integrate employment into the person-centered planning process
• Implement employment specialists to support care coordinators
• Build relationships with individuals, families, and other stakeholders to identify gaps and opportunities for improvement
Alexis D. Henry, ScD., OTR/L
Director, Disability, Health and Employment Policy Unit, Center for Health Policy and Research
University of Massachusetts Medical School
Gold sponsor: silver sponsor:
Sponsored by:
Partners:Exhibitors:

Day t w o — W e d n e s d ay, F e b r u a r y 2 4 , 2 0 1 6 ( c o n t i n u e d )
9:45 am –
10:15 am Networking and refreshment break
10:15 am –
11:00 am Understand the Correlation between Housing, Health Care and LTSS for Seniors, Persons with Disabilities
and the Homeless
Without housing, MCOs responsible for LTSS services have limited options for the populations that have the highest health care utilization: older adults
and people with disabilities residing in nursing homes, and those who are homeless. Affordable and accessible housing is critical to reducing health care
costs and to helping our vulnerable populations live and age with dignity.
• Gain an overview of barriers to integrating housing into our health care and LTSS systems
• Explore strategies for developing relationships with housing authorities, property management companies, and housing developers/owners
• Hear recommendations on how MCOs and the housing network can work together
• Discuss how specialized staff is needed at all levels to make housing, health care, and LTSS collaborations work
• Identify promising models and strategies for integrating housing into our health care and LTSS systems
Pamela Mokler, MSG
Vice President, Long Term Services and Supports
Care1st Health Plan
11:00 am –
11:45 am Gain Insight into the Implementation of the Money Follows the Person Demonstration
Money Follows the Person (MFP) is a federally-funded national demonstration program operating in 44 states and the District of Columbia that helps
Medicaid clients transition from institutions, such as nursing facilities, to home and community-based services (HCBS). In addition to offering more
independence and better quality of life for individuals who participate, the program shifts spending from more costly institutional care to less costly
HCBS. MFP has also provided flexibility for states to address special population issues. For example, people with mental health and substance use
disorders face particular challenges in returning to the community from long term care institutions.
• The national MFP Demonstration and how it has provided incentive for systems transformation
• Discover how to use the MFP to address special population needs
• Learn the potential for further HCBS innovation under Medicaid state plan and waiver options
Deborah Krider, EdD
Chief Operating Officer
Granite State Independent Living
Dena Stoner
Senior Policy Advisor
Texas Department of Health and Human Services
11:45 am –
12:30 pm Promote Integration of the IDD Population with Supported Decision Making
Supported decision making is a system of supporting a person with a disability to make his or her own choices. These choices can vary in levels of
support and come from a variety of sources including doctors, lawyers, family, support groups, etc. Supported decision making promotes integration of
the IDD population into society and supports a more independent way of life.
• Hear how supported decision making help individuals with IDD
• Learn the consequences of long term presumed incompetence
• Discuss the difference between supported decision making and guardianship and the isolating effects associated with guardianship
Gerianne Prom
Vice President, Long-Term Care and Strategy
Centers for Independence, Milwaukee Center for Independence (MCFI) and affiliates
12:30 pm –
1:45 pm Luncheon
1:45 pm –
2:30 pm Manage Long Term Services and Supports for the Older Adults and Persons with Disabilities in
Your Plan
Organizations sometimes struggle to meet the long term services and supports needs of community-dwelling members. Community-based aging and
disability organizations can serve as “eyes and ears” in the home and add value to efforts to keep members living at home where they overwhelmingly
prefer to be. This session addresses some of the questions raised when discussing how to approach the demand for community-based LTSS.
• Discuss the kinds of supports older adults and families need when making decisions about LTSS
• Develop strategies for ensuring an adequate workforce with the knowledge and skills necessary to support an increasing population of older adults
• Discuss how to address cost issues
• Implement technology to assist older adults with long term services and supports
Mike Isaacson, MPP, BSW
Chief Executive Officer
Northeast Iowa Area Agency on Aging
Marisa Scala-Foley
Team Lead, Business Acumen and Health IT,
Office of Integrated Care Innovations
Administration for Community Living

Day t w o — W e d n e s d ay, F e b r u a r y 2 4 , 2 0 1 6 ( c o n t i n u e d )
2:30 pm –
3:15 pm Understand Contracting and Billing for Standard and Non-Standard LTSS Providers
The transition from a FFS framework to a MLTSS framework has not only proven challenging for LTSS providers, but for managed care entities as well.
The process of negotiating contractual agreements with managed care entities is more formal and complex than the process by which LTSS providers
become qualified to participate in state Medicaid programs and negotiate payment rates, while MCOs are used to paying claims for medical services
such as births, hospitalizations, etc.
• Discuss providers’ increased need to asses risk in contract negotiations
• Develop strategies to overcome LTSS providers’ lack of experience in contracting with MCOs
• Overcome providers’ challenges with stringent billing practices
Deborah Krider, EdD
Chief Operating Officer
Granite State Independent Living
Jessie Conlin
Manager, LTSS Provider Services, Family Health Network
Community Care Alliance of Illinois
3:15 pm –
4:00 pm Panel Discussion: Implement Quality Measures to Improve LTSS Member Experience
Quality measures in clinical settings are highly developed as compared with quality measures for LTSS, which are in the early stages of standardization
and development. Many LTSS providers do not have the capacity to collect timely, reliable, and valid outcomes data that MCOs are required to collect
for CMS, the state, etc. LTSS providers need to change their business model and conduct services, collect data, and provide reports to meet MCO
requirements. If a shift does not occur, MCOs potentially will not contract with the small and/or not-profit organizations, but will look to for-profit
corporations that can do this.
• Discuss how outcome data can encourage and enable LTSS providers to focus on more effectively meeting beneficiaries’ expressed needs
• Learn how similar outcome measures are used across programs, how service settings data can be used by consumers to make choices, and by
advocates and policy makers to identify programs with the best outcomes
• Discuss current quality measure tools that can be implemented for immediate use
Kristen Pavle, MSW
Director, Long Term
Community Care Alliance
of Illinois
Reba Landry
Aging and Disability Resource
Connection and Long Term Support
Service Coordinator
Community Resources for
Independent Living (CRIL)
Marybeth McCaffrey, J.D.
Principal, Center for Health Law
and Economics
UMass Medical School
4:00 pm Close of summit
C o - locat e d with :
The 2nd Annual
Biosimilars
Market Access summitDesign a Successful Commercial Strategy for Entry into the U.S. Biosimilars Market
by Ensuring Appropriate Pricing, Education, and Value Proposition to Customers
Feb. 23-24, 2016
Sheraton Pentagon City Hotel • Arlington, VA
February 23-24, 2016 • Sheraton Pentagon City Hotel • Arlington, VA
World congress presents
Medicaid Drug RebatesPricing, Contracting, and Reporting Strategies and Insights on
340B, the AMP Final Rule, and Medicaid Expansion
Medicaid Managed
Care summit

PRSRT STD
U.S. Postage
PAID
Gallery
World Congress
500 West Cummings Park, Suite 5200
Woburn, MA 01801
HL16008
Register Now!
WEBSITE
WorldCongress.com/
MLTSS
E-MAIL
wcreg@
worldcongress.com
PHONE
800-767-9499
781-939-2400 outside the U.S.
Follow us on Twitter:
@wrldhealthcare
Registration Fee: Register By
12/18/2015
Register By
1/22/2016
Register By
2/23/2016Standard
Conference $ 1795.00 $ 2095.00 $ 2395.00
Conference + 1 Workshop $ 2095.00 $ 2395.00 $ 2695.00
Workshop Only $ 500.00
Health plans
Conference $ 1195.00 $ 1495.00 $ 1795.00
Hospitals Health Systems
Conference $ 595.00 $ 895.00 $ 1195.00
Government
Conference $ 395.00
Conference + 1 Workshop $ 595.00
Fee for conference includes welcome coffee, reception, refreshments, and web-
based conference documentation available pre- and post-event, accessible through
password-protected website. Checks in U.S. funds drawn from U.S. bank payable to:
WC Research Inc. No personal checks accepted. Verification may be required for rate
approvals. Please contact us should you have any special needs.
SPECIAL TEAM DISCOUNTS: Your organization may send
ONE executive FREE for every three delegates registered.
All registrations must be made at the same time to qualify.
To register your team, contact us at 800-767-9499.
Participant Substitution and Cancellations: Your registration may
be transferred to a member of your organization up to 24 hours in advance of the
conference. Cancellations received in writing on or before 30 days prior to the start
of the event will be refunded, less a $395 administrative charge. No refunds will
be made after this date; however, the registration fee less the $395 administrative
charge can be credited to another World Congress conference if you register within
6 months from the date of this conference. In case of conference cancellation,
World Congress’ liability is limited to refund of the conference registration fee only.
World Congress reserves the right to alter this program without prior notice.
Satisfaction guaranteed: World Congress stands behind the quality of its
conferences. If you are not satisfied with the quality of the conference, a credit will
be awarded towards a comparable World Congress conference of your choice.
Best Value
F e at u r e d c as e s t u d i e s :
Co-located with:
SAVE up to $600 when you register by December 18, 2015
Managed Long Term
T o p r eas o n s t o at t e n d :
• OVERCOME
barriers to
advance
affordable
and accessible
housing options
• MANAGE
long term
care services
for the aging
population
• HEAR
innovations
and quality
measures in
person-centered
community
based care
• TRANSITION
to managed
care in LTSS
for individuals
with IDD
• DISCUSS
managed
care models
that promote
Medicaid
and Medicare
integration
Medicaid Managed
Care summit
The 2nd Annual
Biosimilars
Market Access summitDesign a Successful Commercial Strategy for Entry into the U.S. Biosimilars Market
by Ensuring Appropriate Pricing, Education, and Value Proposition to Customers
Feb. 23-24, 2016
Sheraton Pentagon City Hotel • Arlington, VA
February 23-24, 2016 • Sheraton Pentagon City Hotel • Arlington, VA
World congress presents
Medicaid Drug RebatesPricing, Contracting, and Reporting Strategies and Insights on
340B, the AMP Final Rule, and Medicaid Expansion
Venue: Sheraton Pentagon City Hotel
900 S Orme St., Arlington, VA 22204
P: (703) 521-1900
Room Rate: $179
Room rate includes breakfast at the hotel restaurant.
Information will be given at the time of check in.
Cut-off date: 1/30/16
Please visit the conference website for
information to receive this special rate.

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