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LTSS Roadmap - Step 5: Planning

Guidance for the LTSS roadmap planning model specific to step 5: planning.

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: August 03, 2016

Once your Tribe has identified a preferred LTSS model, it’s time to carefully analyze how this model can be implemented in your community and how it will be influenced by the many factors that shape community health planning and medical care.

Strategic planning, including revisiting the SWOT Analysis process, can help you gain a clear understanding of your community environment and take steps to anticipate problems and build on existing strengths.

Understand Your LTSS Model

  • Review program requirements (financing, certification, staffing, equipment, etc.)
  • Identify sources of funding for initial investment and ongoing operations
  • Outline certification requirements for 3rd party payors (e.g., Medicaid)
  • Determine financial commitment of Tribe

 

Plan Strategically for LTSS in Your Community

  • Inventory the internal and external factors that may affect your program
    • Perform a second SWOT Analysis, focused on your LTSS model, to identify challenges and opportunities in implementation (see Conducting a SWOT Analysis in Step 4)
  • Develop action items from your analysis
  • Clearly identify opportunities to leverage existing resources or create economies of scale
    • Example: share overhead costs across existing tribal clinic and new HCBS program

 

Prepare For Implementation

  • Develop timeline and workplan for implementation
  • Align internal and external resources
  • Proceed to implementation phase

 

After the planning process is completed, and influential internal and external factors have been identified and addressed, the LTSS plan is ready for implementation.

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.