Managed Care Lessons Learned: The Provider Perspective

Hi everyone – I listened to the recording of this webinar and I highly recommend it.  It goes over the lessons learned by a NYC provider (ICL) in the transition to Managed Care.  You have heard a lot of this before in our trainings and workshops, but it is much more powerful coming from a provider after the fact.  In particular, I want to stress to the Rest Of State( ROS) that testing your claims is critical – two important takeaways here was that you MUST test but not all MCs will reach out to you to test.  If that is true, they recommend you reach out to the MC companies to insist that they let you test.  That said, there are many, many other important takeaways from this webinar. 

Of course this is for all programs going into Managed Care now (clinic, PROS, ACT, etc.).  Residential is not going in now, although they are still telling us that residential will go in eventually.  However, for those of you whose only Medicaid reimbursed programs are residential, it still makes sense to follow the MC issues so that you are not surprised later.

The webinar is around 1.5 hours long and includes the Q&A with the participants at the end.     

MCTAC

MCTAC’s weekly digest helps providers stay on top of training opportunities, managed care updates, resources, and more! 

This week: new managed care resource and upcoming offerings.

New Managed Care Resource for Providers 

We are pleased to announce the new Five Questions resource, compiled from the recent “Managed Care Lessons Learned: The Provider Perspective” webinar. This resource highlights critical areas of managed care readiness and tips. Access the resource here! Presentation materials from the webinar are available below.

Register Now for Upcoming Offerings

1) HCBS Foundations Webinar for ROS Adult BH Providers: June 29th, 3-4pm. Learn more and register here.

2) Children’s State Plan Amendment (SPA) Services Webinar Series: June 30th-July 28th. Learn more and register here.

3) In-Person HCBS Service Cluster Training Series for ROS Adult BH Providers: July 2016, Statewide. Learn more and register here.

Updates & Resources 

1) In Case You Missed It – Children’s System Transition Timeline Updateclick here for an important update from DOH, OCFS, OMH and OASAS outlining the revised implementation schedule.

2) NYS Medicaid Director, Jason Helgerson, featured as international keynote speaker at National Health Services (NHS) Confederation Conference in the UK: watch the video, available here.

3) “Zero Degrees of Separation: The Role of Social Determinants”: register now for a webinar series on the social determinants of health, held in collaboration with CTAC and the McSilver Institute for Poverty Policy and Research. Learn more and register here.

 

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