Council on Medical Assistance Program Oversight s2
Total Page：16
File Type：pdf, Size：1020Kb
Council on Medical Assistance Program Oversight Consumer Access Committee Legislative Office Building Room 3000, Hartford CT 06106 (860) 240-0321 Info Line (860) 240-8329 FAX (860) 240-5306 www.cga.ct.gov /ph/medicaid
The Consumer Access committee will work to improve consumer access to health care. The Subcommittee will elicit consumer input and gather information, identify barriers to care, consider remedies and make recommendations to the Medicaid Managed Care Council.
Co-Chairs: Christine Bianchi & Heather Greene
Meeting Summary for February 15, 2012
Meeting convenes at 10:00 AM Introductions and Attendance:
Christine Bianchi (Co-chair), Gail Digioia CHNCT, Debra Gould, Kristin Dowty DSS, Malone Smith, Marty Milkovic, Robert Zavoski MD DSS, Yulia Chillington DSS, Mike Towers ACS, Evan Dantos, Shatia Kendall Husky InfoLine, Marilya Denny, Mark Schafer DSS
Adobe Acrobat 1. Pharmacy Update Document
. Evelyn led the pharmacy update discussion in regards to the survey they are
distributing to prescribers and pharmacists. The surveys want to look at
access and prior authorization. HP is ready to move forward to get survey
out on Surveymonkey.com.
. The survey link will be communicated to providers and pharmacists through
the electronic provider bulletin. CHN and DSS will help distribute the survey
link.
. The initial timeframe indicated to be 2 weeks with frequent reminders.
. Questions were raised about determining what satisfactory responses and benchmarks are.
. HP will monitor and report activity.
. Internships for survey research were discussed as a possibility for UConn
Pharmacy students. Tabled until it is identified that current proposed
methods are unsuccessful.
. March Meeting will discuss pharmacy initial results.
2. Consumer Protections
Husky Health Program Rights and Responsibilities
Adobe Acrobat Document The draft document is in the attachment.
. Dr. Mark Schaefer discussed the document of rights and responsibilities for
the Husky Health Program. There has been a group meeting to discuss the
document and its contents. There were concerns raised about the language
of rights and responsibilities. There was discussion about having freedom to
choose their provider, regardless if it’s Primary Care, Dentists, Specialists,
Etc.
. There was discussion about how a person would go about receiving these
rights. There is going to be a complaint section of the member handbook
where there are instructions on how to file a complaint with CHN.
. There was discussion about how this document is going to be distributed. The
Consumer Protections will be in the handbook and distributed electronically.
The document will be electronic so future changes can be made. There was
discussion about having alternative resources and information available such as CHN and Office of Healthcare Advocate. There hasn’t been concrete
distribution plans yet. The document will be reviewed annually. A member can
file a formal grievance electronically get a quick response back by CHN. The
electronic grievance section will mirror the system Value Options has in place
currently. Email is becoming a better way to communicate with the
consumer.
. The responsibilities’ are discussed in regards to what additional
responsibilities a consumer should have to fulfill.
-Obtain regular preventive care
- Usual Source of Care- Dental/Medical
- (Change of language) Follow a plan of care- agreed between you and provider
-Let DSS know of change of email, address, phone number, etc.
3. Delays in Enrollment
. There was discussion of the overload in pending cases and the lack of timely
decisions for applicants. There was brief discussion of the extensive hiring
necessary to compensate for the overload in enrollment.
4. Next Meeting Date and Items
There was discussion on possible items for April and March agenda.
. Follow-up with Modernization
o Fran Freer currently leading the project for the department. M.
Schaefer to consider the role of the committee.
o Future discussion on how Consumer Access will be able to contribute
to Modernization . Duals demonstration issues
. April Meeting- Complaint information
. Jan-March- evaluate Complaint Trends- Quarterly
o School based Health Centers- to be handled in the Care Management
committee
. March Items
o Pharmacy Update
o Duals
o Modernization-Future
. April-March
o Dental update
o Trends in Complaints
Next Meeting March 21, 2012 9:30-11:00
Meeting ends at 12:00 PM.