Care coordination news

January / February 2024

• Auditor Corner- Unable to Reach (UTR)/Refusal Process
• Benefit Guidelines are updated and will be posted
• Care Coordinator Success Stories
• Consumer Directed Community Supports (CDCS)
• Community engagement team planned events
• Department of Human Services (DHS) 5841 updated
• February is Heart Health Month
• Gaps in Care Resources
• January - Cervical Health Awareness Month
• Medica Behavioral Health (MBH)
• Medical Spenddown with Medicaid Redeterminations
• Member Transfer Responsibilities Reminder
• MNCHOICES
• New Depression & Diabetes PIP in 2024
• New Medica Member Services Phone Number – Effective 1/1/24
• Medica Provide-A-Ride (PAR) Transportation Directory coming soon
• New Medicaid Benefit as of 1/1/24
• Upcoming meetings & trainings

View January / February newsletter

March 2024

• Auditors Corner: Transition of Care
• Care Coordinator Concern Form
• Care Coordination (CC) HUB Updates
• Community engagement team March planned events
• Live Model of Care Training
• March is Social Work Month!
• MnCHOICES requirements for Phases 3 and 4
• Reminders from Support Specialist Team
• The state’s new Assisted Living Report Card goes live 
• Reports
• Transportation reminder
• Upcoming Provider Training Announcement
• Updated Policies and Forms
• Upcoming meetings & trainings
• Capitation Dates
• Personal Care Assistance (PCA) now covers driving provided by PCA workers

View March newsletter

April 2024

• Auditors Corner: Mode of Assessment
• Care/Support Plan Translation: Minnesota Senior Health Options (MSHO) & Integrated SNBC (I-SNBC) Members
• Community First Services and Supports (CFSS)
• Community Engagement team planned events
• Consumer-directed community supports (CDCS) budget changes for Elderly Waiver (EW) and Alternative Care (AC) Programs
• Consumer Directed Community Supports (CDCS) and Denials/Terminations
• MnCHOICES – Certified assessor recertification
• MnCHOICES Resources reminder
• MnCHOICES – April 1st begins Phase 3
• Reminders from Support Specialist Team
• Skilled Nursing Facility (SNF) Authorizations
• Stress Awareness Month!
• Upcoming meetings & trainings
• Community-Based Services Manual (CBSM) Updates
• Healthy Pregnancy Allowance
• Member Advisory Committee Meetings

View April newsletter

May 2024

• Auditors Corner: Support Plan
• Bridging Benefit Guideline
• Community engagement team - May planned events
• Department of Human Services (DHS) Explains Electronic Verification of Certain Assets for Minnesota Health Care Programs
• MnCHOICES – Certified assessor recertification
• MnCHOICES – Phase 3
• Nurse’s Week May 6 – 12
• Policy updates – Home Care policy
• QRyde Update
• Reminders from Provider Oversight
• Reminders from the Support Specialist Team
• Success Stories
• Upcoming meetings & trainings
• Denial, Termination, or Reduction (DTR) Reminders
• MnCHOICES - Changes to assessment process for personal care assistance (PCA) providers
• OBRA Level I Process Update

View May newsletter

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