One of the major challenges I/DD executives face is the changing way in which stakeholders across systems of care need to collaborate in this new arena. With the landscape morphing, stakeholders are forced to both think and work differently with Medicaid, managed care, payers, state workers, elected officials, and other partner organizations just to survive. This session was delivered by OPEN MINDS Chief Executive Officer, Monica E. Oss on June 3 at The 2019 I/DD Executive Summit . . .