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The first 90 days from enrollment.
The Care Plan in Molina can be found in...
Member's Cases and Tasks
CCA will mail any letter you add on the system.
FALSE.
Members can be auto-disenrolled in Molina.
False. Members must meet criteria prior to disenrollment.
How often do you need to update Internet Explorer Compatibility Settings?
Every month.
The CA HRA needs to be updated...
care plans must be updated every six (6) months at a minimum, or more frequently upon changes in the member’s health status or condition such as hospitalization.
What should each care plan include?
Short-Term Goal, Intervention, Barrier and Outcome
Long-Term Goal, Intervention, Barrier and Outcome
Member Consent.
Which letters do you have to send after finishing the care plan?
ECM Care Plan Letter and ECM PCP Letter
What template must be completed for disenrollments?
ECM Disenrollment Form (Progress Note Template)
When you get assigned a member, what must you first do in CCA?
1. Assign yourself as the primary care manager
The CA HRA includes the PHQ-9 assessment
TRUE
Where do you have to go to download the Care Plan?
Custom Reports --> ECM ICP
What letter must be sent to member before we disenroll them and what letter must be sent if member declines services?
ECM UTC Letter and ECM Post-Opt in Decline
In order to be disenrolled, members must have...
Minimum of 4 attempts completed within a month (4 attempts include 3 non-mail attempts and the UTC letter). The outreaches should utilize different modes of contact at different times of day.
Where can you find alternative phone numbers and more patient demographic information?
Member Dashboard
CAGE AID questions are for....
substance use.
(must be included in the care plan if there's a severe SUD).
What is the time frame for short-term and long-term goals?
Short-Term less than or equal to 60 days. Long-Term greater than 60 days.
Which letters do you have to send using CCA?
ECM Care Plan Letter, ECM PCP Letter, ECM UTC Letter, ECM Post-Opt In Decline
If member returns your call after they have been disenrolled from ECM and want to continue....
Complete ECM Referral Form and send it to ECM Team.
How often do you have to update the Address Book in CCA?
ECM Providers must update the address book with their own contact information for any member they are working with.
When is the TOC Assessment completed and what needs to occur after assessment:
TOC -after member has been discharged, update HRA and update care plan.
Case Properties must include case acuity, which are..
Medium, High and Catastrophic.
What must you click on in order for letters to be marked complete on CCA?
Mark as printed local
Prior to disenrolling the member...
Close pending tasks, close ECM Care Plan, Unassign yourself and delete your name from Address Book