The Situation Report: the Home Care Association of New York State
Volume 2, No. 18 May 1, 2017
Continued from previous page Enrollees who are unable to utilize mass transit must ask their medical practitioner to request their transportation from MAS for their first trip. Subsequent trip requests will require medical practitioners to complete and sign a medical justification form (2015 form). Upon receipt of the 2015 form from the medical practitioner, the information will be reviewed and the request for prior authorization for non-emergency transportation will be approved or denied based upon state Medicaid program criteria. The 2015 form and associated documentation will be uploaded and retained in the MAS system for future reference. MAS will seek a new medical justification form for an enrollee anytime a change in their health status necessitates a change to their mode of transport. If a medical practitioner has previously requested transportation for an enrollee and has already completed the 2015 form, and the medical needs of the enrollee have not changed, the enrollee may book the ride directly with MAS. MAS can be contacted at 1-844-666-6270; its website is www.medanswering.com. More information is in a NYC Human Resources Administration April 26 Medicaid Alert at http://a069marc.nyc.gov/marc/default.aspx (registration required).
VBP Prep/Strategy Session for LHCSAs on May 18 Andrea Brown, President and CEO of AB Coaching and Consulting, is back on May 18 in New York City, presenting for a LHCSA-focused program to help your organization seize opportunities and meet the challenges of value-based care. The program, Moving Beyond Personal Care to Meet the Challenges and Opportunities of Value-Based Care, is part of HCA’s popular bootcamp series. To gain visibility and leverage in the new payment and care-delivery paradigms, LHCSAs, with Andrea Brown’s help, should consider fine-tuning their operations to make them congruent with the structures of reimbursement models governing managed long term care. On May 18, she’ll:
Review managed care plan metrics and their rating system to identify specific metrics that LHCSA operations can positively impact as part of the LHCSA value-proposition pitch to plan managers;
Help delineate the various roles, standards of service, and documentation in the coordination of LHCSA and MLTC plan operations; and
Review clinical operations and other changes that clinical staff can make in the delivery of care, paraprofessional staff supervision, and paraprofessional education to enhance operational efficiency, ensure compliance with regulations, and enhance quality.
More information and a registration form are in the flyer at http://hca-nys.org/wp-content/uploads/2017/ 03/HCA-Bootcamp-Moving-Beyond-Personal-Care-May-18-2017.pdf.
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