The Complex Care Committee of CT’s Medicaid Council has made
recommendations
to DSS for care plans in the Medicaid program. The importance of effective care
plans has arisen often throughout the committee’s work diving deep into
barriers to care for Medicaid members with complex health needs. Effective care
plans ensure that people are driving decisions about their own care, that
everyone is on the same page, and can be an important tool in evaluating care
and holding stakeholders (including patients) accountable. The committee spent
months searching for best practices within Connecticut and beyond. The
recommendations include ensuring the person is the center of care planning,
that the plan is clear, complete, actionable and measurable, that the plan is
helpful not burdensome, for providers, privacy is protected, and anticipates
future needs. The Committee will be following up with DSS to see how the
recommendations can be used to improve care for people with complex conditions.