Commonwealth Coordinated Care Update

Despite the fact that less than four weeks remain until the launch of the Commonwealth Coordinated Care (CCC) program for passively enrolled dual eligibles in the Tidewater region, many unresolved issues and questions remain.  Through an ongoing series of member workgroup meetings, VHCA continues to meet with representatives from the Department of Medical Assistance Services (DMAS) and the three Medicare-Medicaid Plans (MMPs) to gain common approaches to a number of core operational processes.  While the next workgroup meeting is scheduled for June 24th, representatives from the three MMPs will be sharing their own organization’s care coordination plans during VHCA’s upcoming educational conference scheduled for June 17th and 18th in Richmond (see separate article).

One development that should assist nursing facilities with identifying and better managing their residents that have been enrolled in the CCC is the availability of MMP assignment information from DMAS 270/271 reports.  Our understanding is that 270/271 information now utilized by nursing facilities may not reveal data fields that reflect CCC and MMP status.  Through their contractor, Xerox, DMAS will work with nursing facility technology vendors to provide the necessary guidance needed to modify reports to reflect the enrollment status information.  We expect to be able to provide Xerox contact information and web resources next week so that our members can coordinate with their application vendors.