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Community HealthChoices: Recap Third Thursday Webinar (April 18, 2018)

May 04, 2018
Reimbursement By Jennifer Matoushek, Consultant

On April 18, 2018, the Department of Human Services (DHS) held its monthly webinar and is still seeing signs of a successful first launch of Community HealthChoices (CHC). DHS has the corresponding goals for the Southwest (SW) region: Assuring no interruptions in participant service or provider payment, as well as a successful first phase launch.

Community_HealthChoices_Recap

Plan distributions are relatively close when compared to prior month.  UPMC still has the highest number of participants.

DHS’s areas of current focus are the following:

  • HHAeXchange/Data Integrity
  • Medicare/Medicaid Participant and Provider Education
  • Person-centered Service Planning Process
  • Reviewing Changes in Person-Centered Service Plans
  • Transportation
  • Compliant and Grievance processes and notices for HCBS Services
  • Continuity-of-care period ending
  • Lessons Learned for the Southeast

DHS feels that with these areas of focus, we will continue to see success with CHC.

DHS has announced they will provide provider summits—educational conferences for providers to learn more about CHC. Below are the counties and dates listed:

  • Philadelphia: June 4-8
  • Chester County: June 18
  • Delaware County: June 19
  • Montgomery County: June 20
  • Bucks County: June 21

Southeast has more than double in participants. Per DHS, the total population is 127,726, with Philadelphia County holding the largest population and Chester County being the smallest.

Besides having payment issues with the managed care organizations (MCOs), transportation reimbursements are another problem SW nursing facilities are facing. According to DHS, this is a major change for nursing facilities and they hope to have all the kinks worked out before the next implementation of CHC. 

To read our last recap of CHC's Third Thursday webinar, click here.

With only 8 months left before the next implementation Phase of CHC, how should your nursing facility prepare?

Call Jennifer Matoushek at 717-213-3130 or email JMatoushek@LW-Consult.com to see how we can help.