A BILL TO BE ENTITLED
AN ACT to implement a pilot program authorizing trillium health resources to manage and operate, WITHIN ITS SPECIFIED CATCHMENT AREA, THE COMMUNITY ALTERNATIVES PROGRAM FOR CHILDREN, the community alternatives program for disabled adults, and SERVICES CURRENTLY PROVIDED through CHILDREN'S DEVELOPMENTAL SERVICES AGENCIES.
The General Assembly of North Carolina enacts:
SECTION 1.(a)  The Department of Health and Human Services (DHHS), in collaboration with Trillium Health Resources, shall implement a pilot program to coordinate the management of community‑based long‑term services and supports for children and adults with disabilities and fragile medical conditions. Under this pilot program, Trillium Health Resources shall assume management and operation of the Community Alternatives Program for Children (CAP/C) and Community Alternatives Program for Disabled Adults (CAP/DA) for individuals within the catchment area in which Trillium Health Resources operates the 1915(b)/(c) waiver. Further under the pilot program, Trillium Health Resources shall assume management of services required by Part C of the Individuals with Disabilities Education Act currently provided through the Children's Developmental Services Agencies (CDSAs) for individuals within the Trillium Health Resources catchment area. Capitation payments shall be made to Trillium Health Resources for the management of these assumed services.
The pilot project authorized under this section shall begin operating on January 1, 2018, or upon approval by the Centers for Medicaid and Medicare Services, whichever is later. The pilot program shall last for 36 months.
SECTION 1.(b)  DHHS shall submit any appropriate waivers required for this pilot program as well as any State Plan Amendments, amendments to the 1915(b)/(c) waiver, amendments to the CAP/C waiver, amendments to the CAP/DA waiver, or any other documents to the Centers for Medicare and Medicaid Services that are necessary to implement this section.
SECTION 2.  No later than October 1, 2017, DHHS shall submit to the Joint Legislative Oversight Committee on Medicaid and NC Health Choice and the Joint Legislative Oversight Committee on Health and Human Services a status report on the implementation of the pilot program authorized under Section 1 of this act. The report shall include a time line for implementation, any identified funding needs, and any legislative recommendations.
SECTION 3.  No later than 24 months after operations begin, DHHS shall submit the results of an independent evaluation of the initial operation of the pilot program authorized in Section 1 of this act to the Joint Legislative Oversight Committee on Medicaid and NC Health Choice and the Joint Legislative Oversight Committee on Health and Human Services. In selecting an independent evaluator, DHHS, with the collaboration of Trillium Health Resources, shall select an institution in the University of North Carolina System. The contract for the independent evaluation shall require that the costs be paid by Trillium Health Resources. The independent evaluation shall include all of the following:
(1)	General information on the population served under the pilot project, including a comparison of the pilot program population with the population being served prior to operation of the pilot program.
(2)	Outcome data for the population served under the pilot project, including any key indicators or measures used for assessing the outcome. This outcome data for the pilot project population should be compared to any available outcome data available for the populations served prior to operation of the pilot program.
(3)	A comparison of spending on services provided through CAP/C, through CAP/DA, and through the CDSAs prior to the pilot project and during the operation of the pilot project. Where possible, the evaluation should identify the services provided and the costs associated with each service.
(4)	Receipts by source and fund transfers by source prior to and during the pilot project.
(5)	A discussion of any problems encountered and solutions implemented or recommendations for solutions.
SECTION 4.  This act is effective when it becomes law.