CCS - CMRO Monthly Webinar - Tuesday, April 6 

CMRO Monthly CCS Meeting & Meeting Minutes

April 6, 2021

Greetings

General

• Vaccination Clinics (Nick) 

• Policystat

• Individual’s name in the subject lines

• Program Reviewer Assignments 

• Review of policies/guidance released  

  • April 2: CCS-PCP Checklist (LTSS Alert) 

  • March 25: Checklist of recommendations for group home outbreaks 

  • March 15: Nursing Services-Telehealth and Telephonic guidance clarification 

  • March 11: DDA Appendix K Memo #12 

  • March 11: DDA Self directed clarification Setting services wages and rates & At a glance 

  • March 3: Error Update and new retainer day policy guidance 

  • February 24: Personal Supports Grace Period and Missing Time Limit and Missing Time Request (MTR) Submission Deadline (LTSS Alert) 

    • Beginning March 1, 2021 providers will now be held to the below policies:

      • 6 Missing Time Limit: MDH will only approve up to six Missing Time Requests per month unless a valid and verifiable reason is given. This is counted per individual Direct Support Professional.

      • Monthly Deadline: Missing Time Requests (MTRs) must be submitted within thirty (30) calendar days from the original Date of Service.

  • February 16: Amendment #3 Guidance memos and webinars 

• Check in weekly meetings

Provider Relations

• Introducing Novella Evans, New Executive Director from Forward Visions

• New Providers - Goshen Healthcare Services Inc. Residential Services, Personal Support Services, Respite Care Services, Nursing Services

  • Sterling Health Corp:  Personal Support Services, Nursing Services, Community Residential services

Waivers, Eligibility, and TY

• Email Melisha for initial plans

• EDD Memo from LTSS titled “Important CCS Waiver Application Requirements and Reminders - Revised March 8, 2021”

• Transfer reminders 

• AO2

Program 

• SD -HRST reviews for initial plans 

  • (Is  the nurse an HRST Trained reviewer? If she is please ask if she can review the plan so we can process it. Please ensure the plan has nursing included as a requested service (it is ok if it is new money, Please ensure you request enough funds for this review and the next one so it becomes a part of the budget) Once the plan is approved and the funds allocated, the nurse should be able to receive payment.)

• New Program Team supervisor 

• Hiring updates on open program team positions 

• PCP checklist 

• Major program team initiatives 

  • SDS plans 

  • Backlog 

  • PCP compliance 

LTSS Errors

• CSQ

• Troubleshooting Document

QE

Fiscal

• George Opran has returned

Forensic

Nursing

• Health Services/Regional RNs:    HRST as risk mitigation and identification tool.  Risks to be identified and mitigated in the PCP  --risk and health and wellness area when health related   Consider the RNCMDN NCP also has risks and mitigations that may be helpful when identifying in the PCP. 

• Issues: HRST reviews for folks in services but no nurse in plan:  Identify nurse--Regional nurses have lists of current and active RNCMDNs for each county These nurses are raters and reviewers, however--there is no nursing support service identified in the waiver for HRST review only.  If  HRST review indicated, there are significant risks to address.  If delegation needed  then this is the nursing support service.  If no delegation : consultative nursing support service or health case management..