New York State DOH
Health Home Care Management
Reporting Tool (HH-CMART)
Support Calls – Session #7
April 3,2013
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Q+A Themes from Previous Calls
FACTGP + HH-Functional Assessments
HH-CMART Reports
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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Question and Answer Themes
How do I count for Care Management elements #21- 23 ,
‘CountMail’,’CountPhone’, ‘CountPerson’?
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Elements
21, 22, and 23 capture counts of intervention conducted for or with
the member during the reporting period. Count includes interventions
conducted by CM & staff with or on behalf of the member/legal representative/
family . Count does not include interventions conducted by health care
providers, other organizations or health plans. Each intervention should be
assigned to one of the three following categories
21 – CountMail: Individualized letters or emails sent during reporting
period. Mailings or email message or ONLY pre-written materials not
specific to individual should not be included
22 – CountPhone: Count phone call interactions or texting made during
reporting period.
Both incoming and outgoing phone call interactions count
Automated voice messages, attempted phone calls or texting, or
leaving voice mail messages should not be counted
23 – CountPerson: Count each in-person interaction during the reporting
period
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Fact GP & Functional Questionnaire scoring sheet influence on
acuity score – The results of the FACT-GP and HH Functional
Assessment 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 FactGP/HH Functional Assessment
– 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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If the Care Management Program has converted to Health Home
rate codes, the FACT GP and HH Functional Assessments are
required to be completed on all active clients. If you have not
submitted information to the Health Home you must do so
immediately.
If you completed the assessments in 2012, then those scores
should be put on the partial spreadsheet template and submitted
to the Lead Health Home to which the clients have been assigned.
( see Webinar Session #4, Slide 6, 3/13/13)
If you did not complete them in 2012, you should be completing
them on all active clients (Legacy or Health Home) from here on
out and report those scores with the rest of the HH-CMART data
for 2013 using the method agreed upon with the Lead Health
Home
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Question and Answer Themes
Care Management Programs lacking agreements with Lead Health
Homes – Care Management Programs that do not have agreements with a
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Health Home, but have “converting TCM to Health Home members” should
collect & keep the FACT GP and HH Functional Assessments to send to HH after
an agreement is in place.
Fact GP / HH Functional Assessments 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 and HH Functional Assessments 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 and HH
Functional Assessments, then the scores cannot be reported.
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FACT GP/HH Functional Assessments
The Health Home FACT-GP / HH Functional Assessments should
be collected to assess every member upon engagement, annually
and at discharge.
The scores are tabulated using the FACT GP and Health Home
Questionnaire Scoring Sheet.
 The scoring sheet scores are entered into the HH CMART tool or
whatever agreed upon method between the Lead HH & CM Program
Data Vs. Billing - The HH-CMART tool is for data submission
purposes only and is not to be intended to be used for billing
purposes.
HH CMART completion & Member Tracking System - Data must
be sent in on the Member Tracking System in order for the HHCMART data to be complete.
See elements represented as blue font and descriptions in Technical
Specifications document.
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HH-CMART Reports
The
first report will only require data collected by the FACT-GP and
Health Home Functional Assessment
This
data will NOT be entered into the HH-CMART tool. This data
will be entered into an excel document and submitted via the HCS
system by the Health Home ( see Webinar Session #4, Slide 6,
3/13/13)
The
date for submission of 2012 FACT GP / HH Functional
Assessments data has NOT changed. Calendar year 2012 data is still
due Monday, May 13, 2013, & is submitted by HH to DOH
All
other reports containing ALL HH-CMART 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/me
dicaid_health_homes/assessment_quality_measures/reporting
_periods_and_file_submission_dates.htm
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Health Home CMART RESOURCES
Slides
from all webinars can be accessed by
visiting the Health Home website at:
http://www.health.ny.gov/health_care/medicaid/progra
m/medicaid_health_homes/meetings_webinars.htm
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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HH-CMART ASSESSMENTS
Resources
The FACT GP and Health Home Functional Assessments
Questionnaires 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/me
dicaid_health_homes/assessment_quality_measures/index.ht
m
The FACT GP Scoring and Health Home Questionnaire Scoring
Sheet is located on the same page, or directly at this location:
http://www.health.ny.gov/health_care/medicaid/program/me
dicaid_health_homes/assessment_quality_measures/docs/fact
-gp_sccoring_sheet_hh_locked_mod.xls
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Announcement of
Upcoming Webinars
Health Home Bi-Weekly Policy Implementation
Webinar Series
Session 14 – Wednesday, April 10 2013 at 1:00 PM-2:30 PM
Topic: Data Exchange
Presentor: Caryl Shakshober & DOH legal
Registration Link:
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https://www1.gotomeeting.com/register/886369472
All Previous Webinars can be found here:
http://www.health.ny.gov/health_care/medicaid/program/medicaid_health_ho
mes/meetings_webinars.htm
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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/progra
m/medicaid_health_homes/assessment_quality_measur
es/process_measures.htm
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Weekly call every Wednesday from 10 a.m. to 11 a.m.
◦ The next call for April 10th, 2013 will be announced via email
and information will be posted on the Health Home Website
under “What’s New” menu
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