General ECM
The 5 counties where we are contracted for ECM
what are Los Angeles, Orange, San Bernardino, Riverside and San Diego?
The type of discontinuation survey for a member that lost MediCal coverage or is no longer with the health plan
what is non billable?
Populations of focus that Titanium provides ECM services for
What are Homeless, High utilizer, SMI/SUD, BE, Foster?
we are not contracted to service the child/youth population for this health plan
What is LA Care?
Our main EMR system that helps us manage electronic patient info and medical records.
What is ECW?
Is the county where we are contracted by most health plans. BSP, MOLINA, ANTHEM, LA Care
What is Los Angeles County?
IDC code prior to entering U8/U8GQ, U2/u2GQ (starts with G)
What is G9012?
Who needs to consent for ECM enrollment for an 18 year old
Who is the member?
Servicing San Diego County, this health plan requires a total of 6 outreach attempts, one of them being in person.
What is CHG (Community Health Group)?
Platform created to facilitate and improve documentation timing as well as to avoid documentation errors for the outreach team.
What is Care Management App?
Is the county where we service IEHP and Molina
What are San Bernardino and Riverside?
The CPT code that means Other specified counseling
What is Z71.89?
Influences the health of members experiencing SMI or SUD and they need to be experiencing one of this in order to be ECM eligible.
What is complex social factor?
The only health plan that we are contracted for ECM in Orange County
What is Cal Optima?
Platform used to submit out of pocket and mileage reimbursement claims
What is Divy / Bill?
The Regional Manager for San Bernardino, Riverside and San Diego County
Who is Evaenjelina Avalos?
The billing code use for an In-person outreach encounter
What is U8GQ?
The cut off age for an individual to qualify under the foster care pof.
What is 26?
For this health plan, Members require at least 1/6 in person outreach attempts before exclussion
What is CHG?
Software used to plan routes for in person outreach and increase driver productivity
What is Optimoroute?
The Regional Manager for Los Angeles and Orange county
Who is Ericka Lomibao?
The most common visit code we use for any not in person outreach encounter (telephonic, email, text etc)
What is U8
POF for a 19-year-old unhoused or at risk of losing housing individual
What is child/youth homeless?
For this health plan members need 15 outreach attempts before exclussion
What is IEHP?
Platform that provides patient care real time insights for patient hospital visits and other integrated care coordination
What is point click care?