LTSS Roadmap - Step 6: Implementation

Guidance for the LTSS roadmap planning model specific to step 6: program implementation.

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

Issue Date: August 03, 2016

Implementation Checklist

Financing Establish LTSS billing system Secure funding from Tribe Educate State Medicaid officials on all-inclusive rate	Accreditation Satisfy requirements of accrediting agency Submit application for accreditation Gain or renew accreditation
Buildings Build, renovate, or lease space	Staffing Recruit, hire, and train staff Coordinate respite support Contract with outside providers

Service Development

Many national resources are available to help tribes develop LTSS services. Some national programs have tribal initiatives that will be seeking tribes to work with. The organizations below can assist with service development.

Accreditation for Medicare and Medicaid

There are many kinds of certification that facilities and programs can apply for. Certification for Medicaid and Medicare through CMS is very important.This information can provide a starting point for learning about other types of certification and accreditation

Learn about Medicare and Medicaid certification at CMS.gov - check the list on the left side for info for different services and facility types

Accreditation can be a very time consuming process, requiring planning, commitment, and focus. Be sure to factor time for accreditation into your workplan.

Create a Workplan

To help plan the many steps that are required to create an LTSS program, it is helpful to develop a work plan that shows the activities you need to accomplish and when they should take place. The chart below shows a simplified example work plan for implementing a HCBS Program.

(PDF)
Example: Simplified Work Plan

Execute strategies

Leverage existing resources
- Streamline new or expanded LTSS services with existing tribal health services
- Collaborate with other Tribes that have developed and implemented similar programs and services
- Create or improve elder safety code
- Establish elder taskforce
Maintain communications with key stakeholders
- Recruit and use LTSS champions
Establish and leverage partnerships
- Contract with other tribal and nontribal providers

After the implementation of an LTSS program has begun, it is important to evaluate how the program is performing, how it is meeting its goals, and how it is benefitting elders in your Tribe and community.

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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.