ConneXion

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The Division of Developmental Disabilities has long identified the need for an integrated electronic case management system to standardize, centralize, and automate the service planning process for individuals with an intellectual or developmental disability receiving Medicaid Waiver and other State plan services.

The Division is seeking a new electronic case management system to support the lifecycle of consumer care including: information and referral; intake; assessment and reassessment; care planning and service authorization; service delivery and payment; case closure; and reporting. Additionally, the enterprise case management solution will support fraud, waste and abuse detection.

The Division is currently in the Planning & Procurement phase of the project. The Division anticipates a Request for Proposal will be released for bid in Summer 2025.

Project Objectives and Anticipated Benefits
  • The high-level objectives for the new case management solution are listed in the table below.

    Project Objectives and Anticipated Benefits of Case Management Solution
    a. Improve efficiency and effectiveness of HCBS waiver programs that will lead to increased productivity and better customer service.
    b. Improve health outcomes for individuals with development disabilities through appropriate supports and services to enhance quality of life.
    c. Improve capability to prevent and reduce fraud, waste and abuse.
    d. Increase staff, client and provider satisfaction by providing on-line capabilities and automated processes.
    e. Improve access and services to clients through more consistent and efficient processes and automated workflows.
    f. Increased program transparency, accountability and reporting capabilities through more robust data collection/analytics and automated management tools.
    g. Facilitate compliance with CMS waiver requirements including specific quality improvement performance measures.
    h. Facilitate efficient data interchange and effective communication among waiver stakeholders and partners.
  • The Division has summarized the key benefits from an enterprise case management solution:
    • Decrease processing time for ISP development and authorization,
    • Decrease the percentage of Individual Support Plans (ISP) finalized after the implementation date,
    • Improve ability to enforce rate methodology in ISPs finalized and service authorizations based on required assessments,
    • Provide online, real-time information for staff, providers and individuals/families on ISPs and services delivered,
    • Eliminate the need to route paper documentation to support case management processes,
    • Provide online, real-time dashboards and/or reports for supervisors, managers and Quality Assurance staff,
    • Reduce time needed to track and report quality improvement measures and increase accuracy of quality performance measures,
    • Provide online, real-time status of applications for DD services to individuals and their family/guardians and provide online, real-time status of contract enrollment applications to providers.
Project Team
  • Meet the Division’s ConneXion Project Team:
  • For questions or concerns related to the project, please reach out to Toi Wilde, Project Director.
Project OwnerInterest or role
Val HuhnDMH Executive Sponsor
Cynthia HasslerITSD Executive Sponsor
StakeholderInterest or role
Jessica BaxDMH Project Sponsor
Wendy WitcigDMH Business Sponsor
Angie BrennerDMH Business Sponsor
Molly BoeckmannDMH Director of Administration
Richard KliethermesDMH IT Director Liaison
Toi WildeDMH Project Director/Manager
Travis WestDMH Deputy Project Manager
Shannon HoerschgenDMH Configuration Architect
Adil KhanDMH Solution Architect
Gary SchanzmeyerDMH Billing/Claims Specialist
Rick ShueyDMH Systems & Data Specialist
Micheale KroegerITSD PM Oversight
Randy LockITSD Project Manager
Project Timeline

 

Scope

The ConneXion - DD Case Management system will support comprehensive case management from the initial inquiry for services to case closure, including information and referral, intake, assessment and reassessment, care planning and service authorization, provider enrollment and management, service delivery and payment, case closure, quality assurance, and reporting.

End-users of the ConneXion system will include DMH and Division of DD staff, Service providers, and Targeted Case Management (TCM) providers. Individuals will have limited access to the system via the person portal.

  • The scope of this project includes:
    • The case management solution will be utilized for DDD’s HCBS Waiver and additional programs including Case Management Only, Information Support, Choices for Families, Children’s Division, Traumatic Brain Injury Waiver, Autism and other Non-Waiver programs.
      • In Fiscal Year 2021, 15,009 individuals with developmental disabilities received services through HCBS Waiver programs.  Services are provided by over 600 contracted community service providers.
  • The scope of the project does not include:
    • Applications supporting internal operations for Division state operated programs at habilitation centers, Northwest Community Services and Southwest Community Services.
    • Full CIMOR Replacement (We are not completely replacing CIMOR)
      • EMT (Event Management Tracking)
      • Consumer Banking functions
      • Pay and Chase claim adjudication
      • Room and Board services
      • SAMII interface for non-Medicaid services.
      • Provider administrative payments (shared unit)
    • Electronic Visit Verification
Communication and Resources

Please see below resources pertaining to ConneXion project communications, presentations, and other applicable resources.

Connexion Overview - DD Case Management Procurement and Implementation Project