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Health Homes • Clinical Care Advance • Clinical Care Advance-Practice Cases • Wrap up and Questions

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Health Homes • Clinical Care Advance • Clinical Care Advance-Practice Cases • Wrap up and Questions CCO Packet Contact Information Rena Cleland-Health Home Program Manager [email protected] 1-800-869-7175 ext. 144069 Ashley Mitchell-Health Home Senior Contract Specialist [email protected] 1-800-869-7175 ext. 144125 Sara Ashley-Health Home Trainer [email protected] 1-888-562-5442 ext. 142020 Molina Numbers Prior Authorization Call 1-800-869-7175 and ask for Prior Authorization Inpatient Prior Authorization Call 1-800-869-7175 ext. 141194 Community Connector Secure email [email protected] Case Management Secure email [email protected] Patient Review and Coordination (PR&C) Secure email MHWPR&[email protected] Disease Management Secure email [email protected] Pharmacy Call 1-800-213-5525 Option 1,2,2 (external phone line) 1/10/2018 Care Coordinator Training Healthcare Services| Molina Healthcare | January 2018 Molina Healthcare Inc AGENDA • Welcome-Housekeeping • Training purpose-objectives • Molina Overview o Utilization Management o Transitions o Community Connectors o Case Management o Disease Management • Break • Health Homes • Clinical Care Advance • Clinical Care Advance-practice cases • Wrap up and Questions 1 1/10/2018 Objectives • Comprehensive overview of Molina Healthcare programs and services • Learn and practice documentation in Clinical Care Advance Molina’s Mission Our mission is to provide quality health services to financially vulnerable families and individuals covered by government programs. In order to achieve our mission, it is essential that all team members have a clear understanding of all of the different services and departments interact and care for our members. It is through our partnerships and coordination of care that we ensure all members receive quality health services. 2 1/10/2018 Molina’s Values Molina strives to be an exemplary organization: • We care about the people we serve and advocate on their behalf • We provide quality service and remove barriers to health services • We are health care innovators and embrace change quickly • We respect each other and value ethical business practices • We are careful in the management of our financial resources and serve as prudent stewards of the public’s funds In order to achieve our mission, all of our team members need to be able to demonstrate the behaviors that bring our values to life. This training will assist you in doing this. Molina Lines of Business • Apple Health (AH) • Apple Health- Adults (AHA) • Apple Health-Family coverage (AHFAM) • Apple Health Blind disabled (AHBD) (SSI) • Apple Health Premium (AHPREM) • State Children’s Health Insurance Program (SCHIP) • Molina Medicare Options Plus-Medicare Advantage Special Needs Program (MMOP) (Possible Dual Enrolled) • Molina Medicare Options HMC • Molina Silver Plan-Market Place • Molina Gold Plan-Market Place • IMC • BHSO • FFS (Clark, Skamania, Chelan, Douglas and Grant) 3 1/10/2018 Statistics Approximately 1.6 million people in Washington state are eligible for Medicaid (WA Population 6,897,012) Molina Washington = 780,000 (2/2/2017) NPI Requirement. When calling into Molina to assist a member, you must provide your agencies NPI number. The one specifically associated with Health Homes. This is required for Molina staff to identify that they can speak with you regarding a member. You will get this number from your supervisor. Behavioral Health Substance Use In most areas of Washington Managed Care doesn’t include • Inpatient Detoxification • Outpatient Mental Health Services Behavioral Health Organizations (BHSO) covers above mentioned. Integrated Managed Care (IMC)- Behavioral Health Services and Substance Use Disorder Services are now a part of IMC in Clark, Skamania, Grant, Douglas and Chelan counties. By January 2020 all counties in Washington state will take part in IMC. 4 1/10/2018 Utilization Management-UM Prior Authorization • Out patient Service Authorization, such as DME, Home Health, Office Visits, Radiology, sleep studies and surgery. • Inpatient Prior Authorizations (this does not include emergent admits) • Appeal and grievance process if a request is denied is as follows; • Prior Authorization staff will complete a re-review if the provider submits additional documentation from original request and/or will initiate a Peer to Peer call between providers if requested by the providers office. • Prior Authorization questions can be directed to: Phone 1-800-869-7175 and ask for Prior Authorization If you are experiencing problems getting through please contact one of these supervisors: 800-869-7175 enter extensions below. Donna 141175 Lavern 144094 Utilization Management Cont. Inpatient Concurrent Review • All Inpatient Services require prior authorization. The member may be admitted emergently. The provider is required to notify Molina of the admission within 24 hours of the emergent admit for authorization and continued stay. • Inpatient Authorization questions regarding discharge issues can be directed to 800-869-7175 ext. 141194 • Appeal and grievance questions regarding a denial of inpatient services can be directed to Member Services 800-869-7175 ext. 141002 5 1/10/2018 MOLINA HEALTHCARE TRANSITIONS PROGRAM Molina Healthcare of Washington 2017 TRANSITIONS PROGRAM • Member Coordination of Care/High Risk to prevent re-admission • Encourage/Empower self-management of diagnosis o Provide Education/Teach Back • Follow members post discharge as indicated through ongoing Health Home engagement • Refer to Complex Case Management when indicated 6 1/10/2018 STATE Contract/Four Components • Face-to-Face visit prior to discharge-Notification via Pre Managed • Follow-Up Phone Call post discharge Within 2-3 working business days Medication Reconciliation Health Homes requirement - HAP updated with action items related to admission • Ensure Follow-up visit with PCP Within seven (7) calendar days Verify member has ability to make appt • Home Visit Within seven (7) calendar days Transitions Discharge Checklist 7 1/10/2018 Medication Reconciliation process If a Care coordinator requests that the Molina Pharmacy assist for medication reconciliation: Care coordinator documents on med rec form medications that are discussed or that they see in the home and emails to Molina Pharmacy. Med rec form scanned and uploaded into CCA and emailed to pharmacy Pharmacy completes form signature and email to [email protected] Documentation of Med Rec Not enough to state “No new meds post discharge” Documentation examples: • Med Rec completed by PCP • Care Coordinator emailed medication reconciliation order form to [email protected] for med rec completion • Care Coordinator completed Med Rec • Med Rec completed by Pharmacist 8 1/10/2018 MTM Pharmacy – Referral Form 9 1/10/2018 Community Connectors Community Connectors 10 1/10/2018 Molina Healthcare of Washington Disease Management and Prevention Program Goals: to prevent onset of disease and help stabilize existing disease progression. • MHW DM team of nurses (aka Health Managers) outreach and engage members who are at risk for developing one of our targeted chronic conditions; newly diagnosed; and those with existing disease but are still considered impactable*. *impactable members are those who are not too advanced in their DM-targeted condition or other medical condition(s) they cannot improve. For example, a diabetic member who has had amputations, or has been dx with end-stage renal disease is not considered impactable. • Level 1 and Level 2 members are typically those managed in this program. MHW DM Program – Targeted Chronic Conditions Asthma – members >= 5 yrs. of age Prediabetes – adult members only Diabetes (type 1 and type 2) – ages Congestive heart failure (CHF) – adult members only Coronary artery disease (CAD) – adult members only Hypertension – adult members only Overweight and obesity – adult members only o We also manage the Weight Watchers program which is eligible to members 15-17 yrs. of age. 11 1/10/2018 Health Managers: • Identify, outreach and assess members with DM targeted conditions • Develop customized care plans and goals with member and educate and coach member to be self- sufficient in managing their disease • Work with PCPs and other specialist to help reinforce and supplement information member is given • Can manage members independently or help co- manage with other Care Management staff (i.e. Health Homes Care Coordinators) How to Refer - Providers should submit a Care Management Referral form - Care Managers (ToC Care Coordinators, Health Homes Coordinators, Case Managers, etc.) can refer by: - Email [email protected]* - Warm transferring member to DM program: 888-562-5442, ext. 147121 *please provide details about what member needs help with specifically, and if you are transferring member or wanting help co-managing member. 12 1/10/2018 Questions? Please contact Elise Reich, MPH, Manager of the Disease Management and Prevention program Direct: 425-424-7145 [email protected] Principles & Practices of Case Management Case Management 101 Molina Healthcare of Washington Updated for Health Homes 8/25/2014 13 1/10/2018 Integrated Care Management Levels of Intervention Case & Disease Management are integrated. This includes Long Term Care [LTC] and Behavioral Health [BH]. This results in 4 levels of case management. Care Management Levels •Level I - Health Management •Level II - Case Management •Level III - Complex Case Management •Level IV
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