confirmed – CA 6/22/10 Fee Simulation for Call 7/13/10 Use data from 2009, 7/19/10 Dr. 7/21/10 8/26/10 to KH As of 10/6/10 – – calculating the total Increased Care with CMS; Call Moon Alabama Medicaid No response # of person-months Management with Kathy Hall confirmed Analysis of Increased from Medicaid of coverage times 7/14ish that analysis is PMPM Care the change in PMPM for Patient 1st Management payment to clients only Payments for the determine the Patient Program increased costs that must be offset with reductions in E&M fees. Then we will calculate the total E&M payments for 2009 and apply an across the board % reduction in fees that maintains budget neutrality. Dental Savings 7/14/10 Medicaid to 7/20/10 we 8/9/10 Initial sent Multiple 9/16/10 – – – Recommendations Hall; call stop paying for a have a list of 8/25/10 query 8/23/10 C. Akin correspondence – by Dental 7/20/10 to series of services procedure runs wants all patients b/w Mdcd & JB Workgroup clarify need and increase codes with pt. and not just Pt. 1st end August, – services for other age groups; rerun all queries NOT mid-Sept. procedures - FY07 initial run for selecting for Program thru FY10 Pt. 1st only type 8/25/10 (projected)
– confirmed CA 6/22/10 Fee Simulation for Increased Care Management Call 7/13/10 with CMS; Call with Kathy Hall 7/14ish Use data from 2009, calculating the total # of person-months of coverage times the change in PMPM payment to determine the increased costs that must be offset with reductions in E&M fees. Then we will calculate the total E&M payments for 2009 and apply an across the board % reduction in fees that maintains budget neutrality. 7/19/10 – Dr. Moon confirmed that analysis is for Patient 1st clients only 7/21/10 8/26/10 to KH Alabama Medicaid Analysis of Increased PMPM Care Management Payments for the Patient Program As of 10/6/10 – No response from Medicaid Dental Savings Recommendations by Dental Workgroup 7/14/10 – Hall; call 7/20/10 to clarify need Medicaid to stop paying for a series of services and increase services for other procedures - FY07 thru FY10 (projected) 7/20/10 – we have a list of procedure codes with pt. age groups; initial run for Pt. 1st only 8/9/10 – 8/25/10 query runs Initial sent 8/23/10 – C. Akin wants all patients and not just Pt. 1st – rerun all queries NOT selecting for Program type 8/25/10 Multiple correspondence b/w Mdcd & JB end August, mid-Sept. 9/16/10
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