New York State DOH
Health Home Care Management
Reporting Tool (HH-CMART)
Support Calls – Session #4
March 13,2013
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Q+A Themes from March 6th Call
Reporting Schedule, 2012 - 2017
Reminder: 2012 Data Excel Template
Definitions of Elements 24–26
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 HH
website under the HH-CMART section
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Distribution of the Excel template for 2012 data submission –
The excel template was distributed to those on the Health
Homes CMART Master distribution list. If you have not received
the template please email Health Homes at
[email protected]
FACT GP on TCM Legacy Clients – Clients that did not have a
FACT-GP / HH Functional Assessment in 2012.
◦ There should be an initial assessment done now and submitted for
2013 first & second quarter data (part of the August 5th, submission
date)
◦ You do not need to report using the excel spreadsheet or the CMART
tool for the TCM clients served during 2012 if you do not have the FACTGP or HH functional assessments to report.
◦ If still a HH member receiving services, do the initial FACT-GP and HHFunctional assessment and report it during for the August 5th
submission date
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Email and ‘CountMail’- Email interventions may be
counted under ‘CountMail’ as long there is a direct
conversation for the purpose of care management,
involving care management staff for or with the
member during the reporting period.
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Text message & ‘CountPhone’ – Text message
interventions may be counted under ‘CountPhone’ as
long there is a direct conversation for the purpose of
care management, involving care management staff for
or with the member during the reporting period
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The first report will only require data collected by the FACT-GP and
Health Home Functional Assessment
◦ Specifications document required data are elements # 2, 4, 7, and #35-49
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Below is an example of the FACT-GP data to be submitted for 2012
data, formatted from the excel template.
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Additional Information about the FACT-GP is available on the Health
Home website here:
http://www.health.ny.gov/health_care/medicaid/program/medicaid_h
ealth_homes/assessment_quality_measures/index.htm#func_quest
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Chart can be found on Health Home Website:
http://www.health.ny.gov/health_care/medicaid/program/medicaid_health_homes/assessment_quality_mea
sures/reporting_periods_and_file_submission_dates.htm
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Each element is color coded by data collection needs for each
element by reporting period
◦ Green = changes each reporting period
◦ Red = Once in, remains the same always
◦ Orange = Needs to be reviewed for new information
each report
◦ Blue = DOH will fill in
* Color Coding See slides from Feb. 20, 2013 Webinar
power point:
http://www.health.ny.gov/health_care/medicaid/progra
m/medicaid_health_homes/meetings_webinars.htm
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24 – CaseClosed: Indicates whether the care
management was closed during the reporting period.
◦ Occurs when a person refuses to continue to participate in CM or are
disenrolled from CM- either voluntarily or involuntarily
◦ Follow HH policies regarding criteria for disenrollment
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25 – ClosureDate: The date that the care management
was closed.
◦ Equivalent to ‘End date’ on Patient Tracking System (PTS)
◦ Based on HH Policies regarding criteria for closure
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26 – ReasonClosure: Indicates reason for closure of care
management.
◦ Equivalent to ‘Segment End Date Reason Code ‘ on Patient Tracking System
◦ HH CMART Groupings with corresponding PTS Codes in parenthesis
◦ Met program goals (21),Disenrolled from Health Home (01,03,07,23),
Refused to continue (02,12,15,17,18),Lost to follow-up (14,16),Not eligible
(04,05,06,08,09,10,11,13,19),Moved insurance coverage (20,22)
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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 is planned for March 20th
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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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