New York State DOH
Health Home Care Management
Reporting Tool (HH-CMART)
Support Calls – Session #11
May 8, 2013
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Technical Specifications Updates
Purpose of the HH-CMART- Clarify Outreach vs
Interventions
Assessments Reporting: FACT-GP/HH Functional
Questions and Answer Session
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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Page 5 – Outreach Effort:
Outreach activities are conducted by Health Home or care management
subcontractor staff to engage (or re-engage) members in Health Homes.
Attempts to contact members in person, via phone/text, or with
individualized mailings/emails are included in the counts of outreach
effort.
Outreach activities also include verbal interactions with members to
establish relationships necessary for engagement (or re-engagement) and
active case management.
Activities conducted prior to engagement (or re-engagement) are
considered outreach.
Activities that continue after the member agrees to participate in the
Health Home should not be included in the counts for this element.
Even though the Health Home cannot bill for services during the second
three months ( hiatus) of the Outreach Period, any activities undertaken
during this time to engage the member should be documented.
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Technical Specifications Change
Page 8 – Element Field 12, OutreachEffort
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HH CMART is intended to capture information about the processes
involved in care management service delivery and about the amount and
type of care management services the person received
Outreach and Interventions capture different pieces of information and
are used differently in analyses
◦ Outreach for the Health Home population is critical and often resource intensive. The
OutreachEffort element is intended to capture the work involved in locating members,
establishing relationships and engaging the members. OutreachEffort includes attempts
made to locate and engage members. This data will be used by the Health Home
Program to quantify the effort needed to engage this type of complex individuals.
◦ Interventions are quantified AFTER the member engages in care management and only
completed interventions are counted. Interventions (mode #21-23) and care
management services (category #30-34) quantify the care management services a
member received. This information is used in analyses looking at correlations between
the quantity and types of services provided with changes in utilization, cost and
outcomes.
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The data captured in the HH CMART is not intended to support billing or
to verify billing.
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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 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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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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We encourage your feedback
◦ Case Scenario development
◦ Clarifiy 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_he
alth_homes/assessment_quality_measures/process_measures.htm
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Weekly support calls will be changed to Bi Weekly, on
Wednesday from 10 a.m. to 11 a.m.
◦ The next call 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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