Section 240.1960 Care Coordination Fixed Unit Reimbursement Rates

Section 240

Section 240.1960  Care

Coordination Fixed Unit Reimbursement Rates

Care Coordination Units under

contract with the Department shall be uniformly reimbursed for the provision of

CCP care coordination services at the rates established by the Department.  The

reimbursable CCP care coordination service activities subsequent to a procurement

as follows:

a)         completion of each initial eligibility determination for CCP

services;

b)         completion of each redetermination of CCP eligibility not to

exceed one redetermination per month per participant;

c)         completion of each face-to-face screening of a participant;

d)         completion of each HFS Interagency Certification of Results – Determination

of Imminent Risk form, following prescreening by Choices for Care screeners;

e)         completion of each HFS Level I Screen;

f)         availability to receive participant inquiries and requests, by

telephone or in person, and to respond to those requests and inquiries for each

active participant per month;

g)         completion of each Deinstitutionalization assessment;

h)         completion of one face-to-face visit between initial

assessment and annual reassessment that is to occur between four and eight

months after the last determination or redetermination of eligibility.