New York State DOH
Health Home Care Management
Reporting Tool (HH-CMART)
Support Calls – Session #9
April 17, 2013
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Assessments Reporting: FACT-GP/HH Functional
Q+A Themes from previous calls
Questions and Comments
Feedback, Help, and Ongoing Support
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Please submit your questions in writing to the
webinar
 If you would like to ask your questions, raise
your hand (making sure you have entered
your audio pin code) and we will unmute the
call one at a time
 We are working on a Question and Answer
document that will be posted on the Health
Home website under the HH-CMART section
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First Report Due –
2012 FACT-GP Assessment
& HH Functional Questionnaire Data
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What to Submit
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FACT-GP Assessment / HH Functional Questionnaire data
from calendar year 2012 is due Monday, May 13, 2013
This first report will require only 2012 data collected for the
FACT-GP Assessment / Health Home Functional
Questionnaire for current members active in 2012 or for
those that are now ‘case closed’ but were active in 2012.
After the member completes the FACT-GP Assessment /HH
Functional Questionnaire, the answers are scored using
the Scoring Guidelines for the FACT- GP /Health Home
Assessment and FACT - GP and Health Home
Questionnaire Scoring Sheet.
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2012 Submission Data Requirement
The
scores are entered into the 2012 Excel Spreadsheet
template.( See next slide)
If a FACT-GP Assessment /HH Functional Questionnaire
has not been completed for the 2012 reporting period
for a member, then no 2012 data submission is required.
All subsequent HH CMART reports include ALL HH
CMART data elements, and are due no later than the
first Monday of the second month following the end of
the reporting period. The schedule is on the Health
Home website here:
http://www.health.ny.gov/health_care/medicaid/program/medicaid_health
_homes/assessment_quality_measures/reporting_periods_and_file_submiss
ion_dates.htm
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2012 data submission includes only elements # 2, 4, 7 and
35-49 of the Technical Specification’s document.
Below is an example of the 2012 partial Excel spreadsheet
template showing the required elements for the 2012 FACT-GP
Assessment / HH Functional Questionnaire data file due May 13,
2013.
How to submit
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2012 data will NOT be entered into or require submission of the
HH-CMART database tool. 2012 assessment data & scores will be
entered into the above Excel spreadsheet template and submitted
by the lead Health Home via the Health Commerce System (HCS)
Health Homes will send file using the HCS Secure File Transfer
application to ‘Laura Morris’
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If the Care Management Program has converted to Health Home
rate codes, the FACT- GP Assessment and HH Functional
Questionnaire were required to be completed on all active and
previously active clients. If you have not submitted information to
the Health Home you must do so immediately.*
If you completed both assessments in 2012, then those scores
should be put on the Excel spreadsheet template and submitted
to the lead Health Home to which the clients have been assigned.
If you did not complete them in 2012, you cannot submit the data to
the Health Home. Starting in 2013, collect complete HH CMART data
on all active clients (Legacy or Health Home) from here on out .
Then, report all the HH-CMART data to the lead Health Homes for
2013 using the method/format agreed upon with the Health Home.*
*Note: Sharing of data is permitted after an agreement is in place
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2 – HHID: This is the MMIS number and will be the same for all members in the
Health Home’s file.
◦ More than one FACT-GP + HH Questionnaire in 2012 – if a member had more
than one assessment in 2012, use the results from the earliest date the
assessment was completed as we are looking for the initial or baseline
assessment.
◦ More than one Care Management Provider - If a member changes care
management providers during the reporting period, the Health Home should
include the results from the earliest assessment in 2012. For example, if the
member did an assessment with CM Agency A in May 2012 and another with CM
Agency B for the August 2012, the results from the May assessment should be
included in the 2012 file for the Health Home.
◦ More than one Health Home - If the member changes Health Homes, the CM
provider should include the FACT-GP +HHQ results for the earliest assessment in
the file for the Health Home the member was engaged with at the time (or closest
to the time)of the assessment. For example, a FACT-GP +HHQ is completed in June
2012. The member was engaged in Health Home One from April to August 2012.
The member is engaged in Health Home Two from September to December 2012.
The June 2012 assessment results should be included in the file for Health Home
One. If another FACT-GP+HHQ is completed between September and December,
this result should be included in the file for Health Home Two. If only one FACT-GP
+HHQ is completed in 2012, it should be included in both Health Home files.
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2012 Required data, Element
Definitions
 4 – CIN: Medicaid Client ID Number-A valid CIN must be
provided for every record and should be the CIN from
the reporting period.
 7 – Date of Birth: of member, format is mm/dd/yyyy
 35 –DateFactHH:Date that the FACT-GP Assessment +HH
Functional Questionnaire were completed
 36 –ReasonFACTHH: Indicates the reason the FACT-GP
Assessment +HH Functional Questionnaire was
completed
 Response Value of either Initial, Annual, or Discharge
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 Each section of FACT- GP questions result in a
subscore
 Subscores are put on the Excel Spreadsheet template
for each appropriate element
 37 – PWB: Physical Well Being subscore
 38 – SWB : Social Well Being subscore
 39 – EWB : Emotional Well Being subscore
 40 – FWB : Functional Well Being subscore
 41 – FACTGP : FACT- GP Total Score –All Subscores are
added to get the total FACT- GP score
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2012 Required data, Element Definitions –
FACT- GP Assessment & HH Functional Questionnaire
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HH Functional Assessment Scoring- each answer is
scored, and the score is recorded for each
correlating element on the Excel spreadsheet
template.
42 – HH1: Health Home question # 1 Score
43 – HH2: Health Home question # 2 Score
44 – HH3: Health Home question # 3 Score
45 – HH4: Health Home question # 4 Score
46 – HH5: Health Home question # 5 Score
47 – HH6: Health Home question # 6 Score
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2012 Required data, Element Definitions –
FACT- GP Assessment & HH Functional Questionnaire
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48 – HHSubscale: Scoring sheet adds the HH
Functional Assessment scores together to come up
with the HHSubscale Score
49 – HHFACT GP: Scoring sheet adds the Health
Home FACT-GP Total Score + HH Subscale Score to
come up with the Total FACT- GP / HH Functional
Assessment Score
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FACT-GP Assessment /HH Functional
Questionnaire Resources
The FACT- GP Assessment and Health Home Functional Questionnaire
are on the Health Home website under the Assessments and Quality
Metrics HH-CMART menu at this location:
http://www.health.ny.gov/health_care/medicaid/program/medicaid_hea
lth_homes/assessment_quality_measures/index.htm
The FACT- GP and Health Home Questionnaire Scoring Sheet and
Scoring Guidelines are located on the same page or at this location:
http://www.health.ny.gov/health_care/medicaid/program/medicaid_hea
lth_homes/assessment_quality_measures/docs/factgp_sccoring_sheet_hh_locked_mod.xls
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Distribution of the Excel template for 2012 data
submission – The excel template was emailed to those
lead Health Homes on the Departments HH CMART
Master distribution list.
If you have not received the template please contact
the lead Health Home to arrange for submission of the
2012 data .
If needed, email the Department’s Health Home
program at [email protected]
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Question and Answer Themes
Can the FACT-GP/Health Home Functional scoring be tabulated straight
forward by adding the scores?
No, the FACT-GP is a research validated tool developed by FACIT for assessing
quality of life
 We are not allowed to make changes to the questions or the scoring due to
its prior validation.
 FACT- GP Assessment / HH Functional Questionnaire on clients that are ‘case
closed’ – If a case has been closed and you have the data collected, then submit
the assessment data on all former and currently active Health Home members
(i.e. case re-opened) to the assigned Lead Health Home
Examples:
 If a FACT- GP Assessment and HH Functional Questionnaire are completed
by the member, and later in the quarter the case is closed, report the scores
to the lead Health Home. Submit also if case had been closed and is now reopened.
If the case is closed before the member completes the FACT-GP Assessment
and HH Functional Questionnaire, then the scores cannot be reported.
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FACT-GP & HH Functional scoring influence on acuity score – The
results of the FACT-GP Assessment and HH Functional
Questionnaire will not directly impact the acuity score of the
member. We are collecting this information and will be using it to
get a more global sense of the population, including
understanding the overall health of the population. We will be
evaluating the data to determine its future utility in evaluating our
members.
Homelessness scoring on the FACT-GP/HH Functional –
Homelessness is scored on a Yes and No basis. A higher score
represents better health, a score of “0” indicates that the member
was homeless in the last 7 days; if they are housed, the score is
“8”.
 8 points for NO
 0 for YES
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Next Health Home Bi Weekly Webinar
*IMPORTANT*
Topic: Health Home Billing Questions and
Answers presented by the Department’s Health
Home program Data Staff
Date: Wednesday, April 24, 2013
Time: 1:00 PM to 2:30 PM
Sign up information on the What’s New section
of the Health Home website at this location:
http://www.health.ny.gov/health_care/medicaid/pro
gram/medicaid_health_homes/
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We encourage your feedback
◦ Case Scenario development
◦ Clarify fields so that the thinking behind how a question is answered in
the HH-CMART is the same across the board
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Email the Health Home Team at
[email protected]
with the Subject : HH-CMART
Or Call the Health Home provider line – 518.473.5569
Health
Home website, Assessment and Quality Metrics menu, Process
Measures section:
http://www.health.ny.gov/health_care/medicaid/program/medicaid
_health_homes/assessment_quality_measures/process_measures.ht
m
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Weekly call every Wednesday from 10 a.m. to 11 a.m.
◦ The next call for April 24th, 2013 will be announced via email
and information will be posted on the HH Website under
“What’s New” menu
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Slides from all webinars can be accessed by visiting
the Health Home website at:
http://www.health.ny.gov/health_care/medicaid/program/me
dicaid_health_homes/meetings_webinars.htm
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