2020-2021 Long Term Care Advisory Council Charges

Charge 1: Long Path

Planning and problem solving strategy looking ahead 10, 15, 25, and 100 years. Develop a collaborative and innovative strategic plan visualizing a future based on shared values and beliefs on what Wisconsin’s long term care system will look like. 

Charge 2: Medicaid Long Term Care

Explore strategies to ensure Wisconsin’s Long Term Care (LTC) programs focus on the whole person including: access; choice; high-quality; collaborative relationships; efficient and cost effective; with Wisconsin leading the nation in LTC delivery and services and supports.

  • Provide advice and guidance on the number of Geographic Service Regions (GSRs). 
  • Provide advice and guidance on the number of Managed Care Organizations (MCOs), IRIS Consultant Agencies (ICAs), and Fiscal Employer Agents (FEAs) in each GSR.
  • Provide advice on procurement strategies for MCOs and ICAs.
  • Provide advice on benefit definitions, reimbursement models, rates, and value based purchasing strategies.
  • Provide advice and guidance on integrating or aligning long term care services with behavioral health services and acute and primary care services, including services provided through Medicare.

Charge 3: Transportation

Explore strategies to coordinate transportation in a more efficient and effective manner to improve access for medical, non-medical and social activities.

  • Provide advice on the option of a Transportation Summit to bring together the Department of Transportation (DOT), Department of Health Services (DHS), Department of Workforce Development (DWD), tribes and key stakeholders.
  • Explore the transportation activities of other councils and Departments.
  • Explore ways to coordinate transportation rides and funding strings to develop a new strategy to improve effectiveness.
  • Explore transportation to help caregivers reach consumers.

Charge 4: Health Equity

Develop strategies so everyone in Wisconsin’s Long Term Care programs has a fair and just opportunity to be as healthy as possible. Explore strategies to remove obstacles to health such as poverty, discrimination, and their consequences, including powerlessness and lack of access to good jobs with fair pay, quality education and housing, safe environments, and health care.

  • Provide advice and guidance on a cultural competency toolkit.
  • Provide advice and guidance on how to ensure access to technology is equitable.
  • Explore how the council can work with Division of Public Health (DPH) related to Wisconsin State Health Assessment.
  • Explore ways to engage with ethnically and geographically diverse groups.

Charge 5: Workforce

Develop strategies and data metrics to address workforce shortages in the long-term care system.

  • Explore ways to survey direct care workforce and providers regarding vacancies; salaries; and benefits. Provide advice and guidance on suitable wages and benefits for direct care workers. Provide advice and guidance on required financial reporting related to assessing workforce shortages.
  • Provide advice and guidance regarding how to measure workforce shortages by provider type.
  • Provide advice on the use of technology to improve the workforce shortage.
  • Explore tiered certification and universal worker to help with portability and a career ladder.
  • Liaison with the Governor’s Taskforce on Caregiving. Recommend strategies to the taskforce and implement recommendations from the taskforce.