MassHealth 101
The best way to get assistance for your member when calling the MassHealth Customer Service Center
Conference calling and ask for the Community Partners Customer Service Department?
The top 3 health centers that are part of C3
Family Health Center of Worcester, Edward M Kennedy, Community Health Connections?
What is the amount of time we have to complete a comp assessment including the CAC note
90 Days
Who is the enrollment Manager?
Marqui Dusoe
You use this tool to determine negative or positive screenings for SDOH
Health Related social needs screening
Per our MassHealth contract engaged members are required to be seen
Offered to be seen monthly, required to be seen quarterly and within 7 days of any inpatient discharge.
Members with these assignment plans can still be enrolled in CCHP without an ACO/MCO.
ACCS & PACC
The documentation that is completed after care plan has been signed by all parties.
CPC note
Which Staff is known as the Candy Man
Brad
SDOH stand for?
social determinants of health
The amount of LTSS Community Partners in Massachusetts
8 LTSS community partners
This ACO/MCO offers a $25.00 gift card when a member attends an appointment with a BH provider within 7 days of discharge of an ED visit and/or inpatient hospitalization for a BH diagnosis.
Steward
What documents need to be reviewed with members when they agree to participate in the CP Program
Grievance Procedure, Notice of Privacy Practice, Enrollee Rights, Consumer Advisory Board Information, contact information for the Ombudsman Program, ROIs and Participation Form
Can you name all the Nurses at CCHP
Tracey, Abigail, Amanda, Akua, Beatrice, Jessica and Lyndsay
When is CCHP's anniversary and how many years will it be?
July 1st 2018 was the first day and 6 years
The 4 types of Masshealth that cover the community partner program.
Masshealth Standard, Family Assistance, Common Health, and Care Plus
This ACO/MCO requires that the completed Person-Centered Treatment Plan (signed by both member and PCP) is sent to them.
Steward (via SFTP& Fallon)?
A member is engaged in CCHP after the care plan is signed by who?
Care manager
What is Jonida's Favorite Holiday
Christmas
Name 3 ways you can obtain a med list for your member
Pharmacy, PCP/EMR, Member self reports
Members with these assignment plans can still be enrolled in CCHP without an ACO/MCO.
QA manual
Which ACOs or PCPs do we have access to their health record
C3-Arcadia, Reliant-EPIC, MGB-EPIC, UMASS-Epic
The amount of time that a completed Critical Incident Report needs to be sent to the ACO/ MCO of a member
24 hours of staff being notified of the incident
What 3 staff members have the same Birthday?
Jim, Chris , and Tracey
How many days do nurses have to review assessments and care plans
5 Days