VBP Toolkit Outline – feedback requested

HCA and Manatt are seeking feedback on their proposed VBP Toolkit Outline. Specifically they are looking for feedback on the following:

  1. Utility of proposed suite of VBP (Value Based Payment) TA tools and resources

  2. Identification of VBP TA tools that are most valuable

  3. Roles of provider-supporting entities and the modes of delivering VBPtechnical assistance or other foundational support, including training

See the slide deck for more details.

Please send any feedback to sarah@betterhealthtogether.org by Friday, March 8 and we will forward it on to the Manatt team.

Rapid Response Call Notes

Notes from the Rapid Response will be posted here after each call. Check back for updates.

These calls are a place to troubleshoot IMC issues with HCA and MCOs as they arise. More information here.
Dates & call-in information can be found under “Meetings” on the IMC main page.

BHT Question Tracker updated 2/20

HCA Rapid Response Question Trackerupdated 2/22, for questions received Jan. 2-Feb. 15

MCO Contact Listupdated 02/12/19

Call notes
Jan. 2 call notes
Jan. 4 call notes
Jan. 5 call notes
Jan. 7 call notes
Jan. 9 call notes
Jan. 11 call notes
No call Sat. Jan 12 – email Alice.Lind@hca.wa.gov with questions over the weekend
Jan. 14 call notes
Jan. 16 call notes
Jan. 18 call notes
No call Monday, Jan. 21 due to the holiday. If you have questions or need help over the long weekend, email Jessica.Diaz@hca.wa.gov or the IMC inbox HCAintegratedMCquestions@hca.wa.gov.
Jan. 23 call notes
Jan. 25 call notes
Jan. 28 call notes
Jan. 30 call notes
Feb. 6 call notes
Feb. 13 call notes
Feb. 20 call notes

Other resources from calls

MCO FAQ grid – updated 2/13/19

The MCOs have put together a Frequently Asked Questions (FAQ) grid compiling provider questions from various regions and the MCOs’/HCA’s responses.

The MCOs also put together an IMC FAQ Summary of the most repeated questions with MCO-aligned answers.

MCO FAQ Compilation, Version 2 – added 2/13/19, includes symposium questions

MCO FAQ Compilation, Version 1*

MCO FAQ Summary

If you have questions you would like answered by the MCOs or HCA, email sarah@betterhealthtogether.org and we will pass them on.

*Note: This is the first version of the FAQ – the MCO group will continue to update the FAQ grid as they receive additional questions. Additionally, they are still working on responses to some of the questions in the grid and those responses will be added to later iterations of the FAQ. The grid only includes questions asked through the end of September, so some of the blanks will be filled in based on questions received after Sept. 30 and during the Symposiums.

MCO Shared Roster Template

In an effort to ease the administrative burden on providers, MCOs have approved a shared roster template. Providers can complete the roster template below and submit the same document to all MCOs. See where to submit to each MCO below.

Shared Roster Template

Note from MCOs on updating Provider Rosters, 1/30/19:
Once you’re credentialed, you’re good for 3 years – you only need to update the provider roster if there are changes. In order to process correctly in system, we need to rosters updated as you have changes. We would accept monthly, but would rather be notified of changes as they come. If we don’t have one of your providers loaded for the correct facility, then run the risk of being rejected. Let the MCOs know as soon as you have someone new coming on.

Amerigroup
waopsrequest@amerigroup.com

CHPW
provider.changes@chpw.org

Coordinated Care
contracting@coordinatedcarehealth.com

Molina
MHWProviderInfo@MolinaHealthcare.com

 

WISe forms & monthly tracker submission

Forms & information about submitting Wraparound with Intensive Services (WISe) to MCOs will be posted here as it is received.

MCO WISe Provider Education update PPT – includes contact information

Molina

WISe members are submitted monthly to Molina via the “Member Summary” tab on each BH Agency’s WISe invoice.

Coordinated Care

From Mindy Watson (Mindy.L.Watson@coordinatedcarehealth.com)

I would like to take this opportunity to go over Coordinated Care specific monthly WISe tracker that will be completed each month by our contracted WISe providers:
WISe Reporting Tracker excel
WISe Notification Form 2019_Fillable

Please refer to our website https://www.coordinatedcarehealth.com/providers.html for the most up to date forms.

 WISe monthly tracker  

  • This monthly spreadsheet will be completed by each WISe provider.

  • The WISe provider will list all of the Coordinated Care members currently receiving or waiting for WISe services for the specified month.

  • This is used to track and report WISe numbers; capacity and is in some contracts used for payment purposes. Please refer to your contract on any questions or specifics in regards to billing. 

  • The Wise tracker will be completed each month. This is due by the 10th of the following month of service. For example, for the month of January, the WISe tracker will be due no later than February 10th.

  • The WISe tracker will be submitted to the following email SOCTeam@coordinatedcarehealth.com.

If your agency is not able to send an encrypted/secure email and would like to set up a SFTP web portal for submittal, please contact John Cooper (JOCOOPER@coordinatedcarehealth.com) by email to make this request and CC Mindy.L.Watson@coordinatedcarehealth.com in this email.

The MCO’s have worked together to have a similar reporting format and spreadsheet to simplify this process for WISe providers.

Please feel free to reach out to the identified contacts within each MCO for additional information.

Amerigroup

To be received

CHPW

To be received