LeadingAge PA, PHCA, and PACAH are offering an educational session for all Medical Assistance (MA) participating nursing facilities in Phase 3 of Community HealthChoices, which will implement on January 1, 2020. Attendees will hear presentations from each of the CHC MCO plans – Keystone First/AmeriHealth Caritas, Pennsylvania Health and Wellness, and UPMC Community Health choices. Lunch will be provided by the MCOs.
The MCOs will cover:
· Billing Process and System Review (submission requirements, patient pay, exceptional DME, Medicare deductibles and coinsurance, claim adjustments)
· Service Coordination (MDS data, prior authorization, care planning, safe discharge, nursing home transition)
· Behavioral Health Services
· Transportation Services
The sessions will provide time for question and answer with each MCO. There is limited capacity so please limit your facility’s participation to 3 individuals. Registration is required and will be on a first come, first serve basis. You do not need to be a member of LeadingAge PA to attend, but you will need to create an account/login in order to register for the event. If you have questions, or need assistance with CHC, please contact LeadingAge PA or PHCA.