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

2.  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

3.  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

4.  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 hh2011@health.state.ny.us hh2011@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 HH- Functional assessment and report it during for the August 5 th submission date 4

5.  Email and ‘CountMail’- Email interventions may be counted under ‘CountMail’ 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 & ‘CountPhone’ – Text message interventions may be counted under ‘CountPhone’ 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

6.  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_h ealth_homes/assessment_quality_measures/index.htm#func_quest 6

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

8. 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/progra m/medicaid_health_homes/meetings_webinars.htm 8

9.  24 – CaseClosed: 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 – ClosureDate: 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 – ReasonClosure: 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 (02,12,15,17,18),Lost to follow-up (14,16),Not eligible (04,05,06,08,09,10,11,13,19),Moved insurance coverage (20,22) 9

10.  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 HH2011@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

11.  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/me dicaid_health_homes/meetings_webinars.htm 11