CMO Corner: Lawrence Magras, MD, MBA, FHM, FAAPL

The Community Health Network of Connecticut, Inc.® (CHNCT) Project ECHO® Clinic - Behavioral Health Topics in Primary Care is launching on January 15th. Project ECHO, developed at the University of New Mexico, is a collaborative model of medical education. . . read more

The heart of the ECHO Model™ is its hub-and-spoke knowledge sharing network, led by expert teams using multi-point video conferencing technology to conduct virtual clinics with community providers. The model allows providers to retain responsibility for their patients while gaining the necessary knowledge, skills, and confidence to treat complex patients in their own practices. Each session begins with a brief didactic presentation followed by case presentations and discussions. The 2020 clinic will be held on the third Wednesday of every month throughout 2020 and will be led by a team of experts from various universities and practices throughout Connecticut.

The clinic will cover a range of topics including:

  • Motivational Interviewing
  • Cognitive Behavioral Therapy
  • Crisis Intervention in Primary Care
  • Attention-deficit/hyperactivity Disorder (ADHD) – New Pharmacotherapy
  • Screening, Brief Intervention, and Referral to Treatment (SBIRT)
  • Depression in Older Adults
  • Bullying/Teen Anxiety and Depression
  • Medication Assisted Treatment (MAT) for Alcohol Use Disorder
  • Anxiolytics
  • Adverse Childhood Events
  • Behavioral Health Integration

We hope you will join us at one of our upcoming sessions.

For more information about Project ECHO and to register, please visit the ECHO page on the HUSKY Health website.

How HUSKY Health’s Administrative Services Organizations Work for You

Most people know that the HUSKY Health program makes healthcare services available to Connecticut’s Medicaid population, but did you know that the components of the HUSKY Health program are made up of several organizations? read more

These administrative services organizations (ASOs) each focus on a specific area of HUSKY Health and work together to ensure that your patients have the coverage and care they need. Learn about each ASO below and the next time you need assistance in a specific area, you’ll save time by knowing exactly who to contact.

Community Health Network of Connecticut, Inc.® (CHNCT)

https://www.chnct.org

CHNCT, a quality improvement organization (QIO)-like entity, is the medical administrative services organization for the HUSKY Health program. As the medical ASO, CHNCT provides the main call centers for both members and providers who are looking for information on HUSKY Health benefits and other general information. Besides the call centers, CHNCT is also responsible for prior authorization, intensive care management, quality management, appeals and grievances, and works directly with practices who are becoming—and who are—person-centered medical homes. CHNCT runs the HUSKY Health provider website (visit portal.ct.gov/husky and click on “Information for Providers,”) and supports the secure provider portal and its portal reports. Provider Engagement Services can be reached Monday through Friday at 1.800.440.5071, from 8:00 a.m. to 6:00 p.m.

Benecare

https://www.benecare.com

Benecare is known as the Connecticut Dental Health Partnership (CTDHP) to HUSKY Health members and providers. CTDHP administers all dental benefits for HUSKY Health members. To learn more about what CTDHP offers, you can visit their website at www.ctdhp.org and click on “Provider Partners.” You can also reach their call center Monday through Friday at 1.866.420.2924, from 8:00 a.m. to 5:00 p.m.

Connecticut Behavioral Health Partnership/Beacon Health Options (CT BHP)

https://www.beaconhealthoptions.com

CT BHP provides behavioral health services for all HUSKY Health members. To find information on accessing and providing behavioral health services, visit their HUSKY Health provider site by going to www.ctbhp.com and selecting “For Providers.” To get in touch with the CT BHP call center, you can call 1.877.552.8247 Monday through Friday, from 9:00 a.m. to 7:00 p.m.

Other Vendors and Resources

DXC Technology

DXC Technology is the fiscal agent for the Department of Social Services (DSS) to support the HUSKY Health program. DXC Technology’s responsibilities include: processing claims; refunds and recoupments; payments and remittances; and provider enrollment and re-enrollment. You can find many resources for providers offered by DXC Technology, such as billing manuals, bulletins, billing training, and program information, by going to www.ctdssmap.com. This website is also where you would enter any practice changes, such as new providers or demographic changes, such as phone number or address. You can reach out to their provider assistance center by calling 1.800.842.8440, Monday through Friday, from 8:00 a.m. to 5:00 p.m.

Pharmacy Services

DSS administers the pharmacy benefit for HUSKY Health members. Visit the pharmacy website at portal.ct.gov/husky and click on “Pharmacy” in the box to the left, or call the Pharmacy Benefit Customer Call Center at 1.866.409.8430. The call center is open Monday through Friday, from 8:00 a.m. to 5:00 p.m.

Veyo

Veyo provides non-emergency medical transportation services for HUSKY Health members. Transportation will be provided to members who meet the requirements for transportation and who are traveling to a medical, dental, or behavioral health appointment. To learn more about how Veyo works with HUSKY Health, visit www.ct.ridewithveyo.com or call 1.855.478.7350, Monday through Friday, from 7:00 a.m. to 6:00 p.m.

Intensive Care Management (ICM) Referrals

ICM provides a wide range of care coordination services for members with multi-morbid conditions and social determinants of health needs. These services help to reduce missed appointments and unnecessary trips to the Emergency Department (ED), and improve member self-care between provider visits. . . read more

ICM nurses work directly with you and your patients to manage chronic and multi-morbid conditions through a person-centered plan of care. By meeting members “where they’re at,” ICM nurses provide focused care coordination, resulting in improved patient participation for better health. ICM nurses conduct a comprehensive assessment to determine barriers to care such as a lack of transportation, or unmet basic needs like housing or food insecurity which are impacting members’ abilities to focus on their health needs. Assessments can occur over the phone or in-person at the member’s home, as well as other community settings like providers’ offices, shelters, and hospitals.

ICM has specialty programs to meet your patients’ unique needs including programs for individuals with asthma, diabetes, Sickle Cell Disease, and a program for your pregnant, postpartum, and Neonatal Intensive Care Unit (NICU) patients. All ICM programs are focused on providing evidence-based coaching to increase your patients’ understanding of their condition, and a plan of care to improve their health outcomes.

To refer patients to ICM, call 1.800.440.5071, x2024.

You can also go to portal.ct.gov/husky, click “Information for Providers,” “Reports & Resources,” “Provider Forms,” then “ICM Referral Form.” Fax a completed ICM Referral Form to 866.361.7242.

Reach for Escalation!

The HUSKY Health Member Engagement Escalation Unit is available to help when your HUSKY Health patients have complex access-to-care issues such as locating providers, making appointments, or coordinating services with multiple providers. . . read more

The services the Escalation Unit provides include:

  • Locating a hard-to-find provider or specialist your HUSKY Health patient may need
  • Helping patients who need multiple providers and appointments
  • Transitioning a patient to an alternative provider when necessary
  • Connecting your patients with community resources for shelter, food, clothing, utilities, as well as with other free or low-cost services not covered by HUSKY Health
  • Referring to and coordinating with other departments at Community Health Network of Connecticut, Inc.® (CHNCT) including Intensive Care Management and Community Health Workers

If you have HUSKY Health patients who would benefit from the help of the Escalation Unit, contact Provider Engagement Services at 1.800.440.5071 and ask for the Escalation Unit. You can also complete and return the Escalation Referral Form by clicking here, or by visiting portal.ct.gov/husky, and clicking “Information for Providers,” “Reports & Resources,” then “Provider Forms.” Fax the completed form to 203.265.3197, or email to reachforescalation@chnct.org.

Once the referral is received, the Escalation Unit will contact the member and begin to work on the request. We will stay in touch to keep you informed as your patient’s issue is addressed by the Escalation Unit.

Avoid Payment Interruptions–Keep Your Provider Information Up-to-Date

Has your practice undergone any changes in the last four months? If so, please take the time to update your information with the Department of Social Services (DSS). . . read more

All demographic changes for you and your practice, including additions and terminations of physicians, nurse practitioners, and physician assistants, need to be made in a timely fashion to ensure the integrity of the provider directory. These updates assist physicians and clinical staff, call center staff, and members when searching for, or referring to, a provider to access and coordinate care.

The accuracy of your provider information may: 1) impact the payment of claims; 2) lead to misdirected payments or the loss of provider eligibility; and/or 3) impact the recoupment of previously paid claims.

Any changes in address, licensure, provider specialty, certification, business name or ownership, group/clinic affiliation, and Federal Employer Identification Number (FEIN) of all National Provider Identifier (NPI)/medical providers must be communicated to DXC Technology.

Please review and update your information by logging into the DSS Provider Portal by clicking here, or by going to www.ctdssmap.com and clicking “Secure Site” on the left-hand navigation menu.

More information about managing and updating your provider information is available by accessing the DSS Provider Manual by clicking here, or visiting www.ctdssmap.com. Click “Information,” then “Publications.” You may also submit any changes on your letterhead by mail to:

DXC Technology
P.O. Box 5007
Hartford, CT 06104

Person-Centered Medical Home (PCMH) Program Providers Please Note: If you are a provider participating in the DSS PCMH program, you should not update your address through the DSS Provider Portal. Please contact your Regional Network Manager directly or call 203.949.4194 to avoid any missed enhanced payments.

Learn More: The Home Health Services Prior Authorization Process

All HUSKY Health members are eligible to receive healthcare services or goods from providers enrolled in the Connecticut Medical Assistance Program (CMAP). Given that, we want to ensure that all HUSKY Health providers understand our person-centered prior authorization (PA) process for home health services. It is also our goal to reduce our providers’ administrative burden while increasing their satisfaction with the PA process. To learn about how the HUSKY Health PA process works for you, please review our webinar: Overview of the Home Health Services Prior Authorization Webinar.1

Community Health Network of Connecticut, Inc.® (CHNCT) offers webinars on many useful topics. To see what else is available, please visit our Provider Webinar web page by visiting www.portal.ct.gov/husky, clicking “Information for Providers,” followed by “Reports & Resources,” and “Provider Webinars.”

1 You can download this webinar’s companion slides by clicking here.