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October 21st, 2014
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CCHAP Practice Manager Newsletter
Colorado Children's Healthcare
Access Program
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Dear Lisa,

UPDATED! There is great news for Colorado Medicaid primary care providers!


We have received additional information in regards to the future of the supplemental Medicaid payments that bring reimbursement rates up to Medicare rates for primary care evaluation and management services and vaccine administration.

 

HCPF requested and received authority to continue the increased reimbursement for office visits and vaccine administrations beginning January 1, 2015 until at least July 1, 2016.  The rate increase will be added to the actual Medicaid fee schedule rates rather than being a lump sum quarterly payment as is currently paid.


This fee schedule increase will result in higher payments for any provider that bills office visit E&M codes and vaccine administration codes. No attestation will be required. More information will be in the November Medicaid Provider Bulletin.



New! Medicaid Synagis & Influenza Vaccine Bulletin


Practice Transformation Success Story

Is your practice challenged with determining which patients have received the flu vaccPediatrics West 2ine, especially if received at another location such as a pharmacy? Pediatrics West is a Certified Medical Home for Children and an ACC contracted practice in RCCO Region 6. Pediatrics West successfully implemented a process to identify and outreach all of their patients who had received the vaccine or were still in need of receiving one. Read more about their efforts and the positive outcome.


Enhanced Primary Care Program

Effective July 1, 2014, Medicaid and the Regional Care Collaborative Organizations (RCCOs), will recognize and reimburse Primary Care Medical Providers (PCMPs) who offer services beyond the traditional fee-for-service primary care model of care.  Providers who meet five of the nine following factors will be eligible for an additional payment of $0.50 per member per month (PMPM). This will be a lump sum payment made after July 1, 2015. Click here for additional incentive payment details.

DETAILED DESCRIPTIONS OF THE 9 FACTORS - Click here
CHECKLIST, EXAMPLES & HOW TO DOCUMENT - Click here


Each of the Regional Care Coordination Organizations (RCCOs) are responsible for assisting practices in their region with this program and reviewing documentation.
Click here for a list of contacts.



Accountable Care Collaborative

SDAC Dashboard Training (for practices in all RCCO regions)

Treo Solutions/3M, the Statewide Data Analytics Contractor (SDAC) for the Accountable Care Collaborative (ACC) is continuing bi-weekly Dashboard training from 12:00 pm – 1:00 pm MDT on Wednesdays. Please email ajmondo@mmm.com to register for one of these sessions using the subject line: “Dashboard Training Registration Date of Session”. If the meeting is canceled or moved, you will only be notified if you have sent a registration email.


To access a meeting, dial 1-800-937-0042 and then enter the access code 4185855 when prompted. Once you are connected to the conference line, click this link below to start the web meeting.


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Sign Up to Receive Our CCHAP Newsletters!

Our Medical Director, Steve Poole, M.D. publishes a monthly CCHAP Clinical Newsletter geared toward providers. Please make sure we have your provider emails so they can receive this clinically focused information. Thanks!


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SUBSTANCE ABUSE QUESTIONNAIRE

Screening, Brief Intervention & Referral to Treatment (SBIRT) is a program to help identify substance abuse among your patients. A questionnaire tool like the CRAFFT can be used in the primary care setting to identify substance use risk. Medicaid reimburses more than $30 for this screening. More information can be found in this summary document and in the SBIRT Billing Manual. Contact Patrece Hairston at CCHAP with any questions.



MEDICAID PROVIDER BULLETIN
OCTOBER 2014


AFFORDABLE CARE ACT NEWS AND RESOURCES

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OCTOBER IS HEALTH LITERACY MONTH

HELPING PATIENTS BECOME SMARTER ABOUT HEALTHCARE
Low health literacy among patients and families affects your practice every day. The term is a little misleading as it brings to mind reading and writing abilities, but actually has a broader scope. The term refers to a patient or caregiver's understanding of the health care system and the ability to understand health care instructions. Read more...

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Cross-cultural education, publications, and resources for health care professionals.


VISIT OUR WEBSITE AT:

AND...LIKE CCHAP ON FACEBOOK!
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Tel: (720) 777-6309
Fax: (720) 777-7338
Email: kevin.heckman@childrenscolorado.org



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Colorado Children's Healthcare Access Program
13123 E. 16th Ave., B085
Aurora, CO 80045
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