URGENT: Training for Virginia Providers participating in the CCC Dual Eligible Program

I urge all Virginia providers who will be participating in the Commonwealth Coordinated Care Dual Eligible pilot program to attend this training by the VHCA.  

Please join us for the Virginia Health Care Association's conference on June 17th & 18th at the DoubleTree by Hilton Hotel Richmond - Midlothian. This educational program, T-Minus: Preparing for the Launch of the Commonwealth Coordinated Care Program is designed to bring the latest information about Virginia's Commonwealth Coordinated Care (CCC) program to our members.

Nursing facilities will hear directly from the care management teams for the three Medicare-Medicaid Plans (MMPs) about their own perspectives and plans for care management and coordination for dual eligible beneficiaries enrolled in the CCC.  Attendees will also hear about important legal considerations that providers should understand about this new program. On day two, leaders from the Department of Medical Assistance Services and the Office of the Secretary of Health and Human Resources will brief attendees on key CCC operational and implementation developments. The program will conclude with a discussion of important managed care operational strategies that nursing facilities should evaluate.

At the conclusion of this program, participants will be able to:

• Identify key Commonwealth Coordinated Care operational and financial issues of importance to nursing facility providers.
• Understand the core legal documents and agreements that serve as the foundation for the Commonwealth Coordinated Care program.
• Be aware of how the Commonwealth Coordinated Care will impact beneficiary post-acute care options for skilled services.
• Understand how the Commonwealth Coordinated Care program launch will impact the facility's resident population receiving long term care services.
• Describe the care management approaches of each of the three MMPs contracted for the Commonwealth Coordinated Care program.
• Identify important operational strategies for successful participation in the Commonwealth Coordinated Care program.

Who Should Attend?  Administrators, DONs, MDS Coordinators, Therapy Managers, Social Workers, Discharge Planners, Corporate Clinical, Operations and Finance Staff.

Registration and brochure information for T-Minus: Preparing for the Launch of the Commonwealth Coordinated Care Program is now available online.

Here is the latest update on the project by VHCA:

Commonwealth Coordinated Care Update

On May 28th, the Department of Medical Assistance Services (DMAS) communicated that problems had been discovered in the beneficiary assignment approach utilized to assigned dual eligibles to an individual Medicare-Medicaid Plan (MMP) within the Tidewater region of the Commonwealth Coordinated Care (CCC) program.  As a result, it appears that an unspecified number of individuals now receiving services in nursing facilities located within the Tidewater region will receive letters from the CCC enrollment broker, Maximus, indicating that they have been reassigned to a new MMP.  Based upon earlier DMAS projections of the number of dual eligible beneficiaries receiving nursing facility services in Tidewater, we estimate that as many as 600 individuals could be subject to the MMP reassignment.  The May 28th communication indicates that for the individuals being reassigned, their CCC coverage will begin August 1, 2014, one month later than previously announced.  The DMAS communication does not indicate how, or if, providers will be notified about which of their residents have been reassigned.

The DMAS announcement further indicates that the effective date for the start of coverage for beneficiaries automatically or passively enrolled in the Richmond/Central CCC region has been moved back one month to September 1, 2014.  Launch dates in the three remaining CCC regions remain the same.