New York State DOH Health Home Care Management

New York State DOH Health Home Care Management Reporting Tool (HH-CMART) Support Calls – Session #4 March 13, 2013 1

AGENDA � Q+A Themes from March 6 th Call � Reporting Schedule, 2012 - 2017 � Reminder: 2012 Data Excel Template � Definitions of Elements 24– 26 � Questions and Comments � Feedback, Help, and Ongoing Support 2

Questions? �Please submit your questions in writing to the webinar �If you would like to ask your questions, raise your hand (making sure you have entered your audio pin code) and we will unmute the call one at a time �We are working on a Question and Answer document that will be posted on the HH website under the HH-CMART section 3

Question and Answer Themes From March 6 Call � Distribution of the Excel template for 2012 data submission – The excel template was distributed to those on the Health Homes CMART Master distribution list. If you have not received the template please email Health Homes at hh 2011@health. state. ny. us � FACT GP on TCM Legacy Clients – Clients that did not have a FACT-GP / HH Functional Assessment in 2012. ◦ There should be an initial assessment done now and submitted for 2013 first & second quarter data (part of the August 5 th, submission date) ◦ You do not need to report using the excel spreadsheet or the CMART tool for the TCM clients served during 2012 if you do not have the FACT -GP or HH functional assessments to report. ◦ If still a HH member receiving services, do the initial FACT-GP and HHFunctional assessment and report it during for the August 5 th submission date 4

Question and Answer Themes From March 6 Call � Email and ‘Count. Mail’- Email interventions may be counted under ‘Count. Mail’ as long there is a direct conversation for the purpose of care management, involving care management staff for or with the member during the reporting period. � Text message & ‘Count. Phone’ – Text message interventions may be counted under ‘Count. Phone’ as long there is a direct conversation for the purpose of care management, involving care management staff for or with the member during the reporting period 5

2012 Data Requirement – Excel Template � The first report will only require data collected by the FACT-GP and Health Home Functional Assessment ◦ Specifications document required data are elements # 2, 4, 7, and #35 -49 � Below is an example of the FACT-GP data to be submitted for 2012 data, formatted from the excel template. Additional Information about the FACT-GP is available on the Health Home website here: � http: //www. health. ny. gov/health_care/medicaid/program/medicaid_ health_homes/assessment_quality_measures/index. htm#func_quest � 6

Chart can be found on Health Home Website: http: //www. health. ny. gov/health_care/medicaid/program/medicaid_health_homes/assessment_quality_me asures/reporting_periods_and_file_submission_dates. htm 7

HH-CMART Submission Elements Each element is color coded by data collection needs for each element by reporting period ◦ Green = changes each reporting period ◦ Red = Once in, remains the same always ◦ Orange = Needs to be reviewed for new information each report ◦ Blue = DOH will fill in * Color Coding See slides from Feb. 20, 2013 Webinar power point: http: //www. health. ny. gov/health_care/medicaid/progr am/medicaid_health_homes/meetings_webinars. htm 8

� 24 Element Definitions – Case. Closed: Indicates whether the care management was closed during the reporting period. ◦ Occurs when a person refuses to continue to participate in CM or are disenrolled from CM- either voluntarily or involuntarily ◦ Follow HH policies regarding criteria for disenrollment � 25 – Closure. Date: The date that the care management was closed. ◦ Equivalent to ‘End date’ on Patient Tracking System (PTS) ◦ Based on HH Policies regarding criteria for closure � 26 – Reason. Closure: Indicates reason for closure of care management. ◦ Equivalent to ‘Segment End Date Reason Code ‘ on Patient Tracking System ◦ HH CMART Groupings with corresponding PTS Codes in parenthesis ◦ Met program goals (21), Disenrolled from Health Home (01, 03, 07, 23), Refused to continue (02, 15, 17, 18), Lost to follow-up (14, 16), Not eligible (04, 05, 06, 08, 09, 10, 11, 13, 19), Moved insurance coverage (20, 22) 9

Feedback and Help � We encourage your feedback ◦ Case Scenario development ◦ Clarify fields so that the thinking behind how a question is answered in the HH-CMART is the same across the board � Email the Health Home Team at HH 2011@health. state. ny. us with the Subject : HH CMART Or Call the Health Home provider line – 518. 473. 5569 � Health Home website, Assessment and Quality Metrics menu, Process Measures section: http: //www. health. ny. gov/health_care/medicaid/program/medicaid _health_homes/assessment_quality_measures/process_measures. ht m 10

Ongoing support �Weekly call every Wednesday from 10 a. m. to 11 a. m. ◦ The next call is planned for March 20 th �Slides from all webinars can be accessed by visiting the Health Home website at: http: //www. health. ny. gov/health_care/medicaid/program/m edicaid_health_homes/meetings_webinars. htm 11