New York State DOH Health Home Care Management Reporting Tool (HH-CMART) Support Calls – Session #4 March 13,2013

1. New York State DOH Health Home Care Management Reporting Tool (HH-CMART) Support Calls – Session #4 March 13,2013

2. AGENDA • Q+A Themes from March 6th Call • Reporting Schedule, 2012 - 2017 • Reminder: 2012 Data Excel Template • Definitions of Elements 24–26 • Questions and Comments • Feedback, Help, and Ongoing Support

3. Questions? • Please submit your questions in writing to the webinar • If you would like to ask your questions, raise your hand (making sure you have entered your audio pin code) and we will unmute the call one at a time • We are working on a Question and Answer document that will be posted on the HH website under the HH-CMART section

4. Question and Answer Themes From March 6 Call • Distribution of the Excel template for 2012 data submission – The excel template was distributed to those on the Health Homes CMART Master distribution list. If you have not received the template please email Health Homes at hh2011@health.state.ny.us • FACT GP on TCM Legacy Clients – Clients that did not have a FACT-GP / HH Functional Assessment in 2012. • There should be an initial assessment done now and submitted for 2013 first & second quarter data (part of the August 5th, submission date) • You do not need to report using the excel spreadsheet or the CMART tool for the TCM clients served during 2012 if you do not have the FACT-GP or HH functional assessments to report. • If still a HH member receiving services, do the initial FACT-GP and HH-Functional assessment and report it during for the August 5th submission date

5. Question and Answer Themes From March 6 Call • Email and ‘CountMail’- Email interventions may be counted under ‘CountMail’ as long there is a direct conversation for the purpose of care management, involving care management staff for or with the member during the reporting period. • Text message & ‘CountPhone’ – Text message interventions may be counted under ‘CountPhone’ as long there is a direct conversation for the purpose of care management, involving care management staff for or with the member during the reporting period

6. 2012 Data Requirement – Excel Template • The first report will only require data collected by the FACT-GP and Health Home Functional Assessment • Specifications document required data are elements # 2, 4, 7, and #35-49 • Below is an example of the FACT-GP data to be submitted for 2012 data, formatted from the excel template. • Additional Information about the FACT-GP is available on the Health Home website here: • http://www.health.ny.gov/health_care/medicaid/program/medicaid_health_homes/assessment_quality_measures/index.htm#func_quest

7. Chart can be found on Health Home Website: http://www.health.ny.gov/health_care/medicaid/program/medicaid_health_homes/assessment_quality_measures/reporting_periods_and_file_submission_dates.htm

8. HH-CMART Submission Elements Each element is color coded by data collection needs for each element by reporting period • Green = changes each reporting period • Red = Once in, remains the same always • Orange = Needs to be reviewed for new information each report • Blue = DOH will fill in * Color Coding See slides from Feb. 20, 2013 Webinar power point: http://www.health.ny.gov/health_care/medicaid/program/medicaid_health_homes/meetings_webinars.htm

9. Element Definitions • 24 – CaseClosed: Indicates whether the care management was closed during the reporting period. • Occurs when a person refuses to continue to participate in CM or are disenrolled from CM- either voluntarily or involuntarily • Follow HH policies regarding criteria for disenrollment • 25 – ClosureDate: The date that the care management was closed. • Equivalent to ‘End date’ on Patient Tracking System (PTS) • Based on HH Policies regarding criteria for closure • 26 – ReasonClosure: Indicates reason for closure of care management. • Equivalent to ‘Segment End Date Reason Code ‘ on Patient Tracking System • HH CMART Groupings with corresponding PTS Codes in parenthesis • Met program goals (21),Disenrolled from Health Home (01,03,07,23), Refused to continue (02,12,15,17,18),Lost to follow-up (14,16),Not eligible (04,05,06,08,09,10,11,13,19),Moved insurance coverage (20,22)

10. Feedback and Help • We encourage your feedback • Case Scenario development • Clarify fields so that the thinking behind how a question is answered in the HH-CMART is the same across the board • Email the Health Home Team at HH2011@health.state.ny.us with the Subject : HH CMART Or Call the Health Home provider line – 518.473.5569 • Health Home website, Assessment and Quality Metrics menu, Process Measures section: http://www.health.ny.gov/health_care/medicaid/program/medicaid_health_homes/assessment_quality_measures/process_measures.htm

11. Ongoing support • Weekly call every Wednesday from 10 a.m. to 11 a.m. • The next call is planned for March 20th • Slides from all webinars can be accessed by visiting the Health Home website at: http://www.health.ny.gov/health_care/medicaid/program/medicaid_health_homes/meetings_webinars.htm