14. The direct service will assist the consumers to call Maximus before their regional 45 days Direct Service before live” date” and request a change in their MCO assignment, if they so desire. Staff & Sups “go live” “go date 15. Designated CSB staff will track and record final MCO assignments/selections and 2 weeks prior Direct Service Staff & to live” update billing & reimbursement processes prior to the regional live” date. “go Sups, Finance, & IT “go date 16. The CSB direct service staff will assist their consumers to notify their PCP, 2 weeks prior Direct Service Staff & to live” pharmacy, and all other providers involved with the consumer prior to the live” “go Sups “go date date in their region about the change in their new Medicaid insurance plan and new insurance number. Direct service staff will also remind consumers to carry their new Insurance cards with them at all times. Designated Admin Team members will facilitate regular meetings 17. with the MCO BH Ongoing Admin Team Supervisor and selected CSB staff to monitor the progress all parties have made in coordinating CCC Plus related care. Additionally, all parties will use these meetings to address any systemic issues that may arise, and to monitor CSB specific outcome data. *All eligible individuals will be into CCC Plus on the live” dates for their regions “go except for the following individuals: * dual eligible individuals (have full Medicaid and Medicare coverage), & * those categorized as ABD who are currently enrolled in a Medallion 3 MCO. These individuals will transition into CCC Plus on 1/1/18.
14. The direct service will assist the consumers to call Maximus before their regional “go live” date” and request a change in their MCO assignment, if they so desire. 45 days before “go live” date Direct Service Staff & Sups 15. Designated CSB staff will track and record final MCO assignments/selections and update billing & reimbursement processes prior to the regional “go live” date. 2 weeks prior to “go live” date Direct Service Staff & Sups, Finance, & IT 16. The CSB direct service staff will assist their consumers to notify their PCP, pharmacy, and all other providers involved with the consumer prior to the “go live” date in their region about the change in their new Medicaid insurance plan and new insurance number. Direct service staff will also remind consumers to carry their new Insurance cards with them at all times. 2 weeks prior to “go live” date Direct Service Staff & Sups 17. Designated Admin Team members will facilitate regular meetings with the MCO BH Supervisor and selected CSB staff to monitor the progress all parties have made in coordinating CCC Plus related care. Additionally, all parties will use these meetings to address any systemic issues that may arise, and to monitor CSB specific outcome data. Ongoing Admin Team *All eligible individuals will be into CCC Plus on the “go live” dates for their regions except for the following individuals: * dual eligible individuals (have full Medicaid and Medicare coverage), & * those categorized as ABD who are currently enrolled in a Medallion 3 MCO. These individuals will transition into CCC Plus on 1/1/18.
CSB-CCC-Plus-Implementation-Teams-Recommended-Tasks-2-1-1.docx