Care Coordination / Integration Services

Contracted Accountable Care Organizations (ACO), Behavioral Health (BH) and Long Term Services and Supports (LTSS) organizations have been working toward the goals and requirements of the new Community Partners (CP) program that launched on July 1, 2018. Some preparations have included:

  • Enhancing internal and external communication mechanisms,
  • Establishing staffing processes and protocols to support engagement, assessment, and care management,
  • Training staff on new procedures, and
  • Developing strategies for outreach and engagement.

Now that the CP program is underway, member assignments have started, and the new protocols, processes, and procedures are being put to the test. Gaps and inefficiencies have likely been identified. Based on the first 90 days of the program, typical issues organizations encountered include:

  • Complications with receipt and management of accurate information regarding enrollment and referrals,
  • Challenges with member/client outreach and engagement,
  • Timely receipt and/or completion of assessments and care plans, and
  • Coordinating timely PCP sign-off.

With State funds available to pay for improvements to better align operations with program goals and contractual requirements, now is the time to review your implementation and address challenges and barriers. You might also be looking to improve your progress toward demonstrating the CP program TA competencies with regard to improved care coordination and integration.

Ninestone is prepared to assist you in evaluating issues within your program implementation and partner with you to plan and execute enhancements. Our consultants have the operational experience, creative problem-solving skills, and technical expertise to successfully deliver the results you are looking for.

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