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Communicating With HCBS Providers: Key Considerations For Health Plans
As more states contract for managed long-term services and supports (LTSS), health plans increasingly will be required to arrange for home- and community-based services (HCBS). Establishing a written protocol for clear and effective communication methods with your HCBS providers should
[...]Published Date: April 1, 2019 -
Monitoring the Delivery of Personal Care Services: Key Considerations for Health Plans
Health plans increasingly will be required to provide oversight for a broader range of services as more states contract for managed long-term services and supports. These services may include personal care services delivered by direct service workers (DSWs). Monitoring the
[...]Published Date: April 1, 2019 -
Oversight of Transportation Services: Key Considerations for Health Plans
Health plans increasingly will be required to oversee non-emergency transportation services as more states contract for managed long-term services and supports (LTSS). Oversight often refers to preventing fraud and abuse, which requires ensuring that the services being billed are actually
[...]Published Date: April 1, 2019 -
Training and Credentialing for Behavioral Health-Focused LTSS: Key Considerations for Providers
Increasingly, health plans are assuming responsibility for providing behavioral health long-term services and supports (LTSS) for your Medicaid clients. In particular, health plans that serve Medicare-Medicaid enrollees may need to address the care needs of individuals with mental illness, developmental
[...]Published Date: June 10, 2016 -
Training and Credentialing: Resources for Health Plans
As states expand managed long-term services and supports (LTSS) for their Medicaid enrollees, your health plan may need to engage or contract with a variety of LTSS providers, including existing licensed home and community-based service providers and direct service workers
[...]Published Date: March 31, 2016 -
Core Training Needs for Direct Service Workers: Key Considerations for Health Plans
As your health plan expands its capacity to provide long-term services and supports (LTSS), it will need to consider contracting with provider agencies that utilize core competency training for the direct service workers (DSW) who provide services to your members.
[...]Published Date: May 13, 2015 -
RIC Event: Geriatric-Competent Care: Geriatric Assessment
You can view the webinar recording below. Supporting documents such as webinar slides, transcript, and additional resources are available to download by scrolling to the attachments section below. This second webinar presents an interdisciplinary geriatric assessment which can promote older
[...]Published Date: August 28, 2014 -
RIC Event: Geriatric-Competent Care: Introduction to Geriatric-Competent Care
You can view the webinar recording below. Supporting documents such as webinar slides, transcript, and additional resources are available to download by scrolling to the attachments section below. This first webinar presents universal competencies that are fundamental to quality geriatrics
[...]Published Date: August 20, 2014 -
Transitioning to Managed LTSS: Key Considerations for Providers
As more states move to managed long-term services and supports (LTSS), your provider organization may need to change how it structures its operations and care delivery. Instead of contracting directly with a state, your provider organization will contract with health
[...]Published Date: July 17, 2014 -
Oversight of Personal Care Services: Key Considerations for Health Plans
Health plans increasingly will be required to provide oversight to a broader range of services as more states contract with health plans for managed long-term services and supports. Oversight often refers to preventing fraud and abuse, which requires ensuring that
[...]Published Date: October 10, 2013