In response to feedback from the community and evolving guidance from the Centers for Medicare & Medicaid Services (CMS), the Department has decided to adjust the procurement timeline for Phase II of the ACC and begin the next phase on July 1, 2018.
The Department weighed numerous internal and external factors when considering the revision of the ACC Phase II procurement timeline. From the outset, the Department was aware that the original proposed timeline was aggressive given the time required to support a transparent procurement process, identify and receive the appropriate federal authority to implement the program, and incorporate stakeholder feedback.
By extending the timeline, the Department will be able to:
- Allow for adequate time to engage our partners across the state and review feedback.
- Drive performance and stage innovations within the existing contracts to prepare providers and the community for an increased focus on value-based payments as part of Phase II.
- Consider and anticipate future impacts of budget decisions, rules, and regulations, and ensure alignment with evolving federal payment reform guidance.
- Further gain a better understanding of the waiver(s) and State Plan Amendments that may be needed to implement the proposed Phase II concepts through ongoing conversations with CMS.
The Department is committed to continuing delivery system innovation as we work towards Phase II. Over the next two years, the Department will work with our providers and the current Regional Care Collaborative Organizations (RCCOs) and Behavioral Health Organization (BHOs) to innovate and transform our delivery system, including further implementation of:
- Cost savings measures,
- Financial transparency,
- Pay for performance and alternative payment methodologies (i.e., bundles of services and payments),
- Integrated care,
- Learnings from projects and pilots including the State Innovation Model (SIM), Comprehensive Primary Care Initiative (CPCI), 1281 Payment Reform Pilots, and Medicare Access & CHIP Reauthorization Act (MACRA),
- Local public health agency partnerships, and
- Systems to support innovation.
The Department is confident these ongoing innovations and the revised procurement timeline will help better meet the needs of our community.