Training and Program Planning States may consider combining sample codes 4 and 5 in the Reference Document. Combining training and program administration functions as one code allows staff to focus on whether the activity relates to Medicaid, a non-Medicaid program, or no specific program. Coding for program planning can include activities related to establishing and maintaining documentation, internal processes, and policies related to the provision of LTSS, health care services and other supports. For example, analyzing data to identify and close service gaps, working with partner agencies and planning advisory or interagency committee meetings in order to improve coordination and delivery of services. Additional Codes for Consideration NWD/ADRC staff may receive direct reimbursement for certain Medicaid-related services on a per unit basis. To avoid duplication, States may develop a code for activities reimbursed directly by another source. Activities coded this way include case management services for Medicaid programs, nursing home transition coordination, etc. Consider a code category for general administration or personal time off. This is a way for staff to document when they are conducting related activities, such as “non-work” answering phone calls and emails, conducting personnel related activities, such personal as time sheets/work schedules, payroll or HR activities, etc. A general administration code also accounts for time off away from work, i.e. breaks, lunch, vacation, sick days, holidays, or any other type of leave. Examples provides examples of CMS approved codes. The code category refers to the Exhibit 2 samples provided in Exhibit1. Exhibit 2: State Time Study Codes Code Maryland Oregon Wisconsin Category Outreach Outreach (Medicaid Related, Outreach (Medicaid, Food Medical Services Not Medicaid Related, Not Stamps, OAA, MMA, Admin Tied to a Specific Program) Other) Non-allowable Medical Services Activities Referral, Referral, Coordination and NWD Information and Medical Services Coordination Monitoring (Medicaid Referral Coordination and eligible, Individuals at Risk of (MA) Monitoring Institutionalization and
Training and Program Planning States may consider combining sample codes 4 and 5 in the Reference Document. Combining training and program administration functions as one code allows staff to focus on whether the activity relates to Medicaid, a non-Medicaid program, or no specific program. Coding for program planning can include activities related to establishing and maintaining documentation, internal processes, and policies related to the provision of LTSS, health care services and other supports. For example, analyzing data to identify and close service gaps, working with partner agencies and planning advisory or interagency committee meetings in order to improve coordination and delivery of services. Additional Codes for Consideration NWD/ADRC staff may receive direct reimbursement for certain Medicaid-related services on a per unit basis. To avoid duplication, States may develop a code for activities reimbursed directly by another source. Activities coded this way include case management services for Medicaid programs, nursing home transition coordination, etc. Consider a code category for general administration or personal time off. This is a way for staff to document when they are conducting “non-work” related activities, such as answering personal phone calls and emails, conducting personnel related activities, such as time sheets/work schedules, payroll or HR activities, etc. A general administration code also accounts for time off away from work, i.e. breaks, lunch, vacation, sick days, holidays, or any other type of leave. Examples Exhibit 2 provides examples of CMS approved codes. The code category refers to the samples provided in Exhibit1. Exhibit 2: State Time Study Codes Code Category Maryland Oregon Wisconsin Outreach Outreach (Medicaid Related, Not Medicaid Related, Not Tied to a Specific Program) Outreach (Medicaid, Food Stamps, OAA, MMA, Other) Medical Services Admin Non-allowable Medical Services Activities Referral, Coordination and Monitoring Referral, Coordination and Monitoring (Medicaid eligible, Individuals at Risk of Institutionalization and NWD Information and Referral Medical Services Coordination (MA)
Workbook%20Tool%20Five%20-%20Time%20Study%20Code%20Development%20Guidance%207-21-17.docx