The proposed bill seeks the Council's approval for a contract with Liberty Healthcare Corporation, valued at a maximum of $1,490,974.42, to provide Long Term Care Support Services from November 17, 2024, through January 31, 2025. The services include intake, assessment of programmatic eligibility, determination of care levels, recommendation of service hours, and referrals to home and community-based services. This contract, classified as an Indefinite Delivery Indefinite Quantity (IDIQ) agreement, aims to enhance the quality and integrity of the assessment process while reducing fraud, waste, and abuse in the program. The bill also outlines reforms to the delivery of Home and Community-Based Long Term Services and Supports (LTSS) through the DC Medicaid program, emphasizing the importance of a comprehensive assessment process to ensure individuals receive appropriate care based on their needs.
Additionally, the bill introduces specific requirements for contractors involved in the LTSS assessment process, including tracking electronic Prescription Order Forms and conducting assessments to determine eligibility for various LTSS programs. It mandates that contractors ensure timely communication regarding assessments and referrals, establish a Quality Improvement and Program Integrity plan, and provide 24/7 customer support. The bill also emphasizes hiring District residents, requiring that at least 51% of new employees be local residents and that 35% of the contract's dollar volume be subcontracted to qualified small business enterprises. Furthermore, it proposes the deletion of Article 25, which pertains to Cost and Pricing Data, to streamline the contracting process by removing outdated requirements.