Agenda - 09-20-1994 - Laserfiche WebLink

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5 Health Check Reimbursement August 31, 1994 Page 2 Since all Medicaid eligibles in a county under the age of 21 receive Health Check Coordination services (except those who receive MCC, CSC, HIV case management and D33 at-risk case management) , reimbursement is capitated based on the number of full-time Health Check Coordinators employed by the month.health department as of the last Friday of the oot� Thos each -' will have a provider specific re m u�omeo�i b , e ac coou�y rate as follows: Number of Health Check Annual Fee Per Coordinators Cost 1 $35,073 $2,922 2 $70, 146 $5,845 Under this reimbursement system, the cost per eligible child will vary month to month as the number of Medicaid eligibles under 21 fluctuates. However the Coordinator-based fee is fixed. Thus, each month the local ^eultb ' health will be reimbursed 1/12tb the total annual cost per Coordinator per agency. DMA will issue payments monthly Health Check Coordinator services ^ provided the previous month. ' the Department of Environment,zoeoe payments will go to the Budget Office of Health and Natural Resources (DEHNR) , and DEHNR will then distribute payments to the local health departments.' ` The first payment will be made to DEHNR on September 7, 1994, for August 1994 Health Check Coordination services. Each health department will be reimbursed for 1 or 2 Health Check Coordinators, based on the current Coordinator count for your county. 000ty ^Tbeoe Coordinators must be fully-dedicated to the Health Check program, "'meaoiug they can not be assigned non-Health Check responsibilities. If you questions about whether an activity is "Health Check related", please Mary Ann Chap or Sandra Ciauo±olo, Each Coordinator position must also o be full-time, as DMA will not make payments for part-time positions. We are in the process of developing additional guidance and documentation requirements for Health Check Coordinator services, so we can be assured the services are scope of Health Check Coordination i ` re being provided in each couoty. We will be conducting site visits in September and early October in county to review these requirements with Health Check staff. In a separate memo, Tom will provide instructions on the budgeting of fees you for Health Check Coordination. Please contact us if ou bave any questions regarding the reimbursement process. • ' • _ _ � ~ cc: Carolyn Sexton Sandra '� ~ / " 7:77 rZk�' ' Mary Ann Chap - Marcia Roth Carol Goldberg DMCH Regional Nursing and Social Work Consultants - --- Allen Gambill Geoff Elting