Download presentation
Presentation is loading. Please wait.
Published byLeonard Rogers Modified over 9 years ago
1
New York State DOH Health Home Care Management Reporting Tool (HH-CMART) Bi Weekly Support Calls – Session #13 June 12, 2013 1
2
First Submission Date Next Submission Date HH-CMART Data Entry Reminders Questions Since Last Webinar Questions and Answer Session 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 Health Home website under the HH-CMART section 3
4
The Department is currently reviewing the data. ◦ If there are issues with your data submission the Department will be contacting you to resolve them. Any programs that have questions about the 2012 FACT GP / HH Functional Assessment Data should email us at hh2011@health.state.ny.us 4
5
What to Submit Data for ALL elements in the HH-CMART tool This will include all data for the first two quarters of 2013 (January – June 2013) The report date field for this report is 2/2013 All dates in HH CMART elements (#11, 15, 35) are the actual dates of service When to Submit Monday, August 5, 2013 How to Submit Lead Health Homes will send data on all members in the HH CMART tool using the HCS Secure File Transfer application to ‘Laura Morris’ 5
6
Member-level elements can be entered manually or imported into the tool ◦ HH must compile all downstream provider information into one spreadsheet prior to importing into the HH CMART tool ◦ Manual entries and previous imported data will be replaced by any new imported information ◦ Manual additions should be saved for last Elements 5, 6, 8, 18, 19, 25, 26, and 28 are to be left blank and DOH will complete them using the HH Patient Tracking System information All members of the Health Home should have elements (#1-17) completed 6
7
Only members who are engaged in the Health Home should have elements (#18-48) completed/ updated Leave elements #11[Contact Date] and #15 [Assess date] blank if it does not apply to the member *Elements that change each reporting period include (#3, 12, 20-23, and 29-34) for engaged member of the Health Home [*Green fields] *Update elements (#1, 10, 24, 27, 35-49) with new information for each reporting period [*Orange fields] *See HH CMART webinar presentation Feb. 13, 2013 found at this location: http://www.health.ny.gov/health_care/medicaid/program/medicaid_heal th_homes/meetings_webinars.htm 7
8
Q: If a CMART audit occurs and it pertains to a member in a Health Home, who is accountable? Is it the Health Home or the Plan? A: The Health Homes is ultimately responsible for the care management of the member Q: What if a client has a Managed Care Organization that is not in the PlanId drop down list (Field #1)? A: The Health Home CMART allows manual entry in fields. If a PlanId is not in the drop down list, enter it manually. Contact the Health Home Program via email to let us know what is missing. * Reminder: uploading data into the HH CMART tool will wipe out any manual entries, so save those for last. 8
9
Q: What do I do when a subscore for the FACT-GP is a fraction? A: The Department will only be accepting whole numbers for FACT-GP scores. However, there are instances when answers create a fractioned subscore. If this happens the score should be rounded to the nearest whole number. ◦ EXAMPLE: Subscore = 4.50 round this up to 5.0 Subscore = 4.49 round this down to 4.0 We will be editing the Scoring Guidelines on the Health Home website to reflect this information soon. 9
10
Reminder – As long as the CM agency & the HH have a signed contracted agreement in place, a member does not need to sign the Health Home consent for the CM agency to share the HH CMART data w/the HH ◦ The FACT GP/ HH CMART data can be shared with the Health Home as long as there is a DEA/ subcontract agreement in place between the Health Home and the CM organization. Consent of the patient is not necessary. ◦ Most of the data exchanged includes information about care management of the individual such as counts of contacts, dates, assessment scores and other non- PHI data ◦ The department will be using this data to support the operations of the Health Home program. 10
11
We encourage your feedback ◦ To aid in Case Scenario development in order to clarify fields so that there is similar thinking behind how to fill in HH-CMART data similarly across all Health Homes ◦ E mail 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_he alth_homes/assessment_quality_measures/process_measures.htm 11
12
Weekly support calls are now Bi-Weekly, Wednesdays from 10 a.m. to 11 a.m. ◦ The next call will be June 26,2013 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 12
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.