Cooperative History
What year did Robin become President?
2024
How long is a Home Health Episode?
60 days
The Healthy Children and Youth program covers participants under what age?
21
What needs to be submitted to Medicare within 5 calendar days of the SOC? Must use full phrase not abbreviation.
Notice of admission
Who is an immediate family member according to DHSS?
Spouse, Parent, sibling, grandparent, child, grandchild, adoptive, in-law, and step versions of the same.
What day is Cooperative's birthday?
July 1st
What does PDGM stand for?
Patient driven groupings model
How often does a recert need to be completed?
60 days
Which government hourly payer reimburses the most for personal care services?
DMH
What is the total cost of a two hour private pay visit?
$100
How old is Cooperative Home Care?
39 years old
What does LUPA stand for?
Low utilization payment adjustment
What does MFAW stand for?
Medically fragile adult waiver
What is the goal gross margin for hourly services?
40%
What does PCSP stand for?
Person centered service plan
What is our original incorporated name?
Cooperative Attendant services
How many PDGM payment groups are there?
432
What state agency manages PDN?
Bureau of special healthcare needs
What is the modifier used for Pediatric services?
EP
Which MCO's pay for personal care?
UHC community, Homestate
Where were each of our offices previously located?
Fairview Heights IL, Herculaneum, St. Clair, St. Peters.
What % is being cut from Home Health payments in 2025.
6.4%
Who are the three MCO's that pay for PDN in MO?
UHC community, Healthy Blue, and Home state
What is the per unit reimbursement for DHSS respite?
$8.14
What are the MO In-home designated manager requirements?
Be a Licensed Practical Nurse (LPN) with at least one year of experience caring for the elderly, disabled, or infirm. Have at least three years of experience in direct care of the elderly, disabled, or infirm.
Pass the test from MMAC
Attend annual trainings