AHI PPS Survey Q & A

March 15, 2016 Web Conference Questions

Q1: How do we make a request for a waiver from the Financial Stability Survey requirement?

A:     The Waiver form, and directions for submission, cannot be released until the AHI PPS Finance Committee approves them.  As such, the waiver process will not be announced until after the March 21 deadline for submission of the surveys.  If your organization is planning to file a waiver, please indicate your intention in the body of your e-mail message when returning the other documents – project impact matrix template, Business Associate Agreement (BAA), and W-9 form.  The e-mail should be directed to: [email protected].

Q2: What if we are unsure of our role for one of the projects?  Do we submit a proposal on how we can participate with tentative financial needs that result?

A:     Yes.  Outline your anticipated or preferred role, and make projections of impact on revenue and resources that correspond with the role you propose for your organization.

Q3: When and how do we receive the Financial Stability Survey and Project Impact Matrix Template that are due March 21?

A:     An email was sent to the identified DSRIP Lead Contact for your organization.  The documents to be completed and returned can be found on the website at AHI PPS Contracting.  For a copy of the personalized message that was sent to your organization’s DSRIP Lead Contact, please contact us at [email protected].

Q4: Are there any capital funds available through this process if we want to participate in a project that was not funded through CRFP?

A:     The DSRIP Program funds are not an alternative funding source to CRFP.  We will work directly with project teams to determine the impact of CRFP funds, or lack thereof, on the project plan.

Q5: If an organization gets a waiver for the Financial Stability Assessment they are not eligible for Sustainability Funds.  Would that organization still be able to receive reimbursement for participation in projects that achieve milestones?

A:     Yes. Any PPS Partner who participates in a projects must sign the Master Participation Agreement and corresponding Project Schedule which will be sent to your DSRIP Lead Contact in Q2.  Participating organizations will receive performance based payments for completion of the project activities outlined in the schedule, regardless of their Financial Stability Survey Waiver status.

Q6: Will AHI be releasing the waiver from the Financial Stability Survey prior to the March 21 deadline?

A:     No, the waiver will not be available prior to March 21.  Organizations planning to file a waiver should indicate their intention in the email with the other required documents.  See Answer to Question #1.

Q7: If a provider had not planned to participate in a particular project is it too late to sign up now?

A:     No, it is not too late.  Intentions should be communicated to AHI at [email protected] so that the appropriate project schedules are included with your organization’s contract package.

Q8: Will written, detailed instructions for completing the Project Impact Matrix Template be distributed?

A:    No.  The instructions for completing the Project Impact Matrix Template are included in the tool itself.  Today’s webinar (March 15, 2016) provided an opportunity to ask questions, and any additional questions should be submitted via e-mail to [email protected].  This Q & A document will be updated as additional questions are received and answered.  We strongly advise Partners to work closely with their CFO / Financial Office to prepare a response to the Project Impact Matrix.

Q9: Are the budgets that we submitted last year for these projects still relevant?  Is this an update to the budgets already submitted for each project?

A:     Budgets submitted previously may be relevant and useful to you as you complete the Project Impact Matrix.  Regardless of any prior budget submission, it is the responsibility of each Partner to review and answer the questions in the template and submit by March 21.  If the budget you previously submitted remains an accurate representation of how the project impacts your organizations expenses and revenue, you may find it helpful to use it as your basis for completing the Project Impact Matrix.  The current survey provides an opportunity to adjust your previous submission, as needed, and collects some additional information.

Q10: Counties are automatically granted Waivers for the Financial Stability Survey.  Are counties eligible to apply for Sustainability Funds?

A:     No. Counties wishing to remain eligible for Sustainability Funds should complete the Financial Stability Survey.

The following QUESTIONS were received via email after the March 15 web conference

Q11: My organization has several separate Tax IDs, which do not roll-up into the financial statements of a single parent or umbrella organization.  How do I complete the Financial Stability Survey?

A:     Each legal entity that anticipates entering into a contracted agreement with the AHI PPS should also complete a Financial Stability Survey.

Q12: Can PPS partners contact Peter Epp directly with questions?

A:     No.  Questions may be submitted via [email protected].  Questions will be routed to the appropriate subject matter expert, the person submitting the question will receive an individual response, which will also be added to this Q & A document for the benefit of all partners.

Q13: Are the engagement funds currently proposed considered sustainability funds or is that yet a different pot of funding?

A:     Engagement Funds are entirely separate from Sustainability Funds.  The Sustainability Fund will be accessed via an RFP process, organizations with demonstrated “financial fragility” will be eligible to apply for dollars.  The organizations will need to propose a path towards sustainability, and may request dollars to offset their cost to develop and/or implement the sustainability plan.

Q14: Is the Project Impact Matrix essentially the project budget?  If so, should it match the budget I submitted previously?  Will I be held to these numbers?

A:     No. The information you submit on the Project Impact Matrix is at a higher level than a typical budget and does NOT need to match the budget you submitted previously. The Project Impact worksheets are in no way to be considered a “budget” that the PPS is either approving or disproving.  If you have prepared a budget, it should be relatively straightforward to use that information to fill out the Project Impact Matrix.

If you have not prepared a budget, we recommend the CFO or other financial leader and the project leaders in the organization work together to establish the projection of resources needed, and revenues generated or lost, as a result of the project. Focus only on the resources needed by your organization to support your specific role in the project.

Q15: Will the PPS reimburse my organization for the expenses, and the net revenue loss, that I outline in the Project Impact Matrix?

A:     The overall goal of DSRIP is to catalyze the transition from a fee-for-service system to a value-based system. DSRIP funding can support transformational activities that will help partners create value as they become better able to succeed in a value-based system. Given the AHI PPS’ potential value, and the at-risk nature of DSRIP funding at the state and local level, our belief is that DSRIP funds will not cover the full costs of project implementation and related transformational activities for all PPS partners.

Partners that choose to participate in a project, via a performance-based project contract with the PPS, will be expected to carry some of the financial responsibility for the project.  Since the project contracts are performance-based, you will achieve dollars based on the completion of project activities, and it will be up to your organization to determine which expenses are offset by the dollars you earn on your contract.

Q16: How will the information gathered from the Project Impact Matrix be used?

A:     The Project Impact information is an important consideration in PPS financial planning and contracting.  We want to balance the need for funding with the need to distribute funds in a thoughtful, fair, and equitable manner. The PPS needs to understand if the amount of dollars that a partner has the opportunity to earn on a performance based project contract comes close to offsetting the financial impact to the partner.

The PPS also needs to determine if there are other mechanisms, outside of the project contracts, that can be used to address the impact.  The PPS is responsible for designing a funds flow and contracting process that offsets, in part, the impact of the Project.  PPS dollars are not intended to literally reimburse partners for specific costs, rather, the dollars are for achieving project activities.