CFSP
Which populations are not eligible for CFSP?
Children in DSS custody, Former Foster Youth, Members receiving adoption assistance or family members of CFSP eligible members.
NCQA
National Committee for Quality Assurance (Accredits our Complex CM program).
Bonus: Accreditation is good for how long?
True CCNC works with 11-Medicare Advantage (Humana, Blue), Traditional Medicare, Blue Commercial, PHP (Healthy Blue, Amerihealth, Carolina Complete, Wellcare, United Healthcare), Medicaid Direct, HBCT
What is the name of the CM documentation platform?
VH (Helios) for most programs
APCM uses Innovaccer.
What is the name of CCNC's Intranet?
Connects
CFSP launch date
What is December 1, 2025?
PCM
What is Primary Care Manager? (could be a nurse, LCSW or CM 1 under just CFSP)
Transitional Care Score (TC)
Complex CM score (CCM)
What are CCNC Impactibility Scores?
What are the acronyms and names of the screenings and assessments used in CFSP?
INS: Immediate Needs Screener
CFSP CA: Children/Family Specialty Plan Comprehensive Assessment
One must be connected to this in order to access CCNC's platforms and private server?
When auto enrollment starts
What is October 3, 2025
CFSP
What is Children & Family Specialty Plan (CCNC manages adoptive assistance under a contract with Healthy Blue Care Together)
True or False?
CCNC is new to performing Care Management
False.
CCNC has been doing Care management for decades.
Subjective vs Objective
Member was yelling at CM, stating 'I am overwhelmed and there is too much happening to review this...'
Subjective
Bonus: Is this the correct way to document this?
Drive where one can access all the Professional Development & Education materials along with the most up to date specific programmatic materials.
What is the Gdrive?
True or False
The CM1 is ALWAYs a licensed clinician for CFSP
FALSE. The CM 1 is, by definition, a non-clinician.
VH
Virtual Health (Our primary Care management documentation platform)
True or False:
CFSP is a time-limited Care management program
FALSE, the member stays on Care management until they are no longer eligible/age out. You will get more details from your program specific NHO.
True or False
It is ok to wait 4-5 days after member contact to do the documentation.
False, our policy is no more than 3 business days.
System where one enters hours worked or PTO Requests
What is ADP?
True or False
CCNC is able to manage Tailored Plan eligible CFSP members.
CCNC is able to manage Tailored Care Management eligible members. (These members are not covered by TpCM; they will be covered by HBCT)
CCNC
Community Care of North Carolina
True or False
Every CM program has supervisors and CMDs (Directors)
True
What is the name of the assessment used for Complex Care management?
Comprehensive Needs Assessment (CNA)
The best place on your computer to save documents so that they are backed up by the system
What is your Hdrive? (If you save to your desktop and the system crashes, you will lose the information as desktop is not backed up)