powerpoint template - connect-standard · powerpoint template - connect-standard author: debra...
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![Page 1: PowerPoint Template - Connect-standard · PowerPoint Template - Connect-standard Author: Debra Lincoln Created Date: 1/10/2018 8:50:01 AM](https://reader033.vdocuments.mx/reader033/viewer/2022050216/5f622f20b4c2be1ab9600fe7/html5/thumbnails/1.jpg)
UCare Connect
Monthly Activity Log Training January 2018
![Page 2: PowerPoint Template - Connect-standard · PowerPoint Template - Connect-standard Author: Debra Lincoln Created Date: 1/10/2018 8:50:01 AM](https://reader033.vdocuments.mx/reader033/viewer/2022050216/5f622f20b4c2be1ab9600fe7/html5/thumbnails/2.jpg)
Why Use Activity Logs?
• Increased focus on reporting of assessments Regulators. Health Plan.
• Provide consistency across products.
• Streamline processes.
![Page 3: PowerPoint Template - Connect-standard · PowerPoint Template - Connect-standard Author: Debra Lincoln Created Date: 1/10/2018 8:50:01 AM](https://reader033.vdocuments.mx/reader033/viewer/2022050216/5f622f20b4c2be1ab9600fe7/html5/thumbnails/3.jpg)
When To Use Activity Logs
• Logging Initial Assessments (Connect Expansion and Connect + Medicare).
• Logging Annual Reassessments (all Connect products).
• Communicating with UCare regarding members being returned to UCare (all Connect products).
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Log Review
• Log exists on UCare website.
• Pay attention to tabs- use Connect (regular), Expansion, or CT + Medicare.
• Review of columns and HS codes.
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Log Tip Sheet
• Located on UCare website (here) .
• Only report UCare Connect members/don’t combine products.
• Agency should submit only one combined log.
• Submit to UCare by 20th of following month.
• Save in required format (delegate/month/year).
• Do not modify spreadsheet formatting.
• Don’t forget UCare ID# and not PMI#.
• Do not log transfers between delegates.
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Logging Initial Assessments
• Log Initial Assessments for Connect Expansion and Connect+ Medicare products.
• Initial Assessments must be completed w/in 30 calendar days of enrollment date. Initial, ICCD, Unable to Reach, Refusal.
• Log as assessment or refusal/UTR.
• Submit log by 20th of following month.
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Logging Annual Reassessments
• Log annual reassessments for all Connect products – conduct for members on current enrollment roster.
• Complete annual reassessments within 365 days of previous assessment.
• Log as Reassessment, Unable to Reach, or Refusal.
• Could be any HS code type.
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Returning Members to UCare Via Monthly Activity Log
• Use log to return members back to UCare when: Member refuses ongoing case coordination services
after assessment, or CC no longer wanted. Unable to reach member for care coordination after
attempts (per requirement grids). Goals met – no longer needs CC. Member refuses annual reassessment, thus refuses
ongoing care coordination. Member becomes a long term resident in SNF. Member is on a community waiver. Do NOT use a Change Fax Form to return members to
UCare – as of 1/1/18.
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Members Returned to UCare
Initial and annual assessment HS code types • LU- on waiver, institutionalized• AN – assessed, not interested in CC• NR – unable to reach• NI- not interested in assessment• LM- assessed and not in need of in CC
These members will be returned to UCare and will not be on next month’s enrollment roster.
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Assessment Types and Codes
Current Assessment Type on log should correspond to Assessment Outcome on log.
Examples:Initial Assessment – assessment completedType = Initial, Status = Community, HS code = any
Initial Assessment – member refused assessmentType = Initial, Status = Community, HS code = NI
Initial Assessment – Member unable to reachType = Initial, Status = Community, HS code = NR
Annual reassessment
Type= Reassessment , Status =Community, HS code=HP, HM, HD, HB if
keeping, AN, LM if returning to UCare.
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Assessment Types and Codes, Cont.
Refusal of annual reassessment
Type = Refusal, Status = Community, HS code = HP, HM, HD, HB
Assessed, not interested in CC (member tells you they don’t want CC)
Type = Initial or Reassessment, Status= Community, HS code= AN
If unable to reach for initial or annual reassessment -
Type = Unable to Reach, Status = Community, HS code = NR
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Additional Information
• For Connect Expansion and Connect+ Medicare, All members should be recorded on next
month’s activity log as:› Initial assessment, OR› Annual reassessment, OR› Return to UCare- use following codes:
LU, AN, NR, NI, LM
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Additional Information
• For Connect NON Expansion, NON Connect+ Medicare Only record on log members with:
› Annual reassessments› Return to UCare for various reasons
LU, AN, NR, NI, LM
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Questions?
Submit Logs to:
[email protected] by 20th of following month.
Submit questions to: [email protected]