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MO HealthNet Health and Wellness Program

APS
CareConnection®
User’s Manual

© 2009 APS Healthcare, Inc. 0


INDEX
P. 1 INDEX P. 46-47 Adding Additional Users
P. 2 User Names and Passwords P. 48-49 Payment Codes
P. 3 Connecting to P. 50 Provider Assistance
CareConnection® Contact Information
P. 4 Logging On P. 51 Index
P. 5 HIPAA P. 52 Your Provider Liaison
P. 6 Provider Page
P. 7 My Cases Page – Provider
Panel
P. 8-18 Updating POC’s (Plan of
Care) and Monthly Reviews
P. 19-20 POC History
P. 21-34 Hyperlinks (Dashboard, Risk
Level, Diagnosis, Patient
Demographics)
P. 35-38 Additional Services (Messaging,
Provider Information)Liaison
P. 39 Last Office Visit
P. 42-43 Sending Messages to Health
Coach
P. 44 Provider Help Desk – Contact
Information
P. 45 The Blue Task Bar

© 2009 APS Healthcare, Inc. 1


MO HealthNet Health and Wellness Program

 USER NAMES AND PASSWORDS


 User Names
– They cannot be changed

– Usually Last name, first initial (ie; SmithJ)

– Facilities are all caps (ie; TMCWEST)

 Passwords
– Can be re-set by the Provider Help Desk

– Must be re-set every 90 days (system will prompt)

© 2009 APS Healthcare, Inc. 2


MO HealthNet Health and Wellness Program

 Connecting to CareConnection

Go to: https://moccip.apshealthcare.com

Type In:User name and Password

Press Submit

Use Internet Explorer, no other Browser will work.

© 2009 APS Healthcare, Inc. 3


LOG ON

Enter User ID here

© 2009 APS Healthcare, Inc. 4


HIPAA

Click I agree

© 2009 APS Healthcare, Inc. 5


PROVIDER PAGE

Click on
Provider Tab

Identify name and address

•Demographics come from the


state and must be changed by the
state

© 2009 APS Healthcare, Inc. 6


MY CASES
Filters will allow you to
sort members as
needed

Red indicates ineligible at this time


and you will not be able to approve

Yes indicates patient has decided to


opt-out of the program and you will
not be able to approve..
Click on the Blue Name to enter into
patient information page

© 2009 APS Healthcare, Inc. 7


UPDATE POC’S AND MONTHLY REVIEWS

 Access each member


– My Cases page
– POC Pending tab
– Monthly review tab

POC’s – Once in a lifetime, the date will not change


Monthly Review – date will change each month when it is
updated.

© 2009 APS Healthcare, Inc. 8


INITIAL PLAN OF CARE APPROVAL
Click on POC PENDING

OR CLICK ON BLUE NAME (HYPERLINK)

© 2009 APS Healthcare, Inc. 9


POC PENDING PAGE

Click on member name

© 2009 APS Healthcare, Inc. 10


POC UPDATE

Click Show

Or Click Expand All

© 2009 APS Healthcare, Inc. 11


POC UPDATE

Adding comments
is similar to adding
information to a
patients chart

Add any comments


needed

Click Update All

© 2009 APS Healthcare, Inc. 12


POC UPDATE

Approval will also populate on the “my cases” page.


Make sure date is populated
under date approved

© 2009 APS Healthcare, Inc. 13


MONTHLY REVIEW
Click on Monthly Review
Pending

© 2009 APS Healthcare, Inc. 14


MONTHLY REVIEW
1. Click on Monthly Review Pending

2. Click on name

© 2009 APS Healthcare, Inc. 15


Monthly Review

1. Click calendar and enter


today’s date 2. Click submit review

© 2009 APS Healthcare, Inc. 16


Monthly Review completed

Date reviewed will be populated here

© 2009 APS Healthcare, Inc. 17


MY CASES SHOWS UPDATED POC AND UPDATED
REVIEW

POC and Last Review will also be


updated on the My Cases page

© 2009 APS Healthcare, Inc. 18


POC HISTORY

Click POC History

© 2009 APS Healthcare, Inc. 19


POC HISTORY

© 2009 APS Healthcare, Inc. 20


 Let’s look at the other functions of
the CareConnection® Tool

© 2009 APS Healthcare, Inc. 21


HYPERLINKS
 Dashboard – patient medication, diagnosis
and procedure history can be found here
 Risk Level -
 Diagnosis (last 12 months)
 Patient Demographics

© 2009 APS Healthcare, Inc. 22


DASHBOARD

Last 12 months of Medications, Diagnosis and


Procedures claims data. Click more to
expand data.

© 2009 APS Healthcare, Inc. 23


RISK LEVEL

Click on Risk Level

© 2009 APS Healthcare, Inc. 24


RISK LEVEL

Risk level can


increase or decrease
as time progresses
based on claims data.

© 2009 APS Healthcare, Inc. 25


Diagnosis Hyperlink

Click on Diagnosis

© 2009 APS Healthcare, Inc. 26


Diagnosis Hyperlink

© 2009 APS Healthcare, Inc. 27


Patient Demographic Information

Click on more

© 2009 APS Healthcare, Inc. 28


PATIENT DEMOGRAPHICS

© 2009 APS Healthcare, Inc. 29


EDIT PARTICIPANT INFORMATION

To add/change phone
number click edit
participant info.

© 2009 APS Healthcare, Inc. 30


Change or Add Patient information

No phone number

Make sure patient has a last


appt. date, if not add to patient
information or let HC know.

No Health Coach assigned

© 2009 APS Healthcare, Inc. 31


CHANGING/ADDING PATIENT INFORMATION

Left click on scroll bar to see


more information. You can
change/add address, phone
number, etc, here

© 2009 APS Healthcare, Inc. 32


CHANGING/ADDING PATIENT INFORMATION

Add phone number and contact the provider


help desk if there is no Health Coach assigned.

© 2009 APS Healthcare, Inc. 33


Hyperlinks

 Essentially, anytime you see a


blue/purple “hyperlink” you will be
able to get more information.

© 2009 APS Healthcare, Inc. 34


ADDITIONAL SERVICES
 Provide information from/to the Health Coach
 Provide an opportunity to add additional
information on the patient
 Give provider information

© 2009 APS Healthcare, Inc. 35


PROVIDER INFORMATION

Click on Providers

© 2009 APS Healthcare, Inc. 36


PROVIDER INFORMATION

Here you can see all


providers attached to
this patient

© 2009 APS Healthcare, Inc. 37


ADDITIONAL SERVICES

Click on View All Episode


Notes to see nurses notes

© 2009 APS Healthcare, Inc. 38


VIEW ALL NOTES

Here you will see all


contacts (touches) the
call center has had
with the patient

© 2009 APS Healthcare, Inc. 39


 Some important information
essential to the success of the
partnership between you, your
patient and the Health Coach.

© 2009 APS Healthcare, Inc. 40


LAST OFFICE VISIT
 Important to assure patient has been seen
within the last 12 months
 To ensure that patient is being seen as needed
based on current medical status
 Contact Health Coach via messaging to alert
of Last Office Visit or lack of one
 Make sure current contact information is
updated

© 2009 APS Healthcare, Inc. 41


SENDING MESSAGES TO HEALTH COACH

Click on the 2 white


circles

© 2009 APS Healthcare, Inc. 42


SENDING MESSAGES TO THE HEALTHCOACH

Highlight the name

Send any information you would like the


Health Coach to know including any Click Send
address or phone number changes.

© 2009 APS Healthcare, Inc. 43


Contact Us

 Provider Help Desk

Telephone: 1-877-845-7469
Fax: 1-800-464-9184
e-mail: mohealthandwellnessprovider@apshealthcare.com

• Scheduling additional training


• Password reset
• Changes in staff
• Health Coach assignments
• CareConnection® issues

© 2009 APS Healthcare, Inc. 44


THE BLUE TASK BAR
 Quality Management Center – Not used at this time
 My Cases – A list of all patients on your panel.
 Search Member – You can search any member in the
system with their ID and last name
 POC Pending – This tab will give you all your POC’s that
need to be approved.
 Monthly Review Pending - This tab will give you all
your monthly reviews needing updates
 My InBox – Any messages from the Health Coach can
be received here
 Manage Users – You can add users under each user ID
here.

© 2009 APS Healthcare, Inc. 45


ADD USERS

© 2009 APS Healthcare, Inc. 46


ADD USERS

© 2009 APS Healthcare, Inc. 47


Pay For Participation

Independent Clinics, CMHCs, Rural Health Clinics

*POC Initial Approval


CPT: 99090
Amt: $50.00
When: 1 x patient’s lifetime

*Monthly Review
CPT: 99091
Amt: $25.00
When: Every calendar month after POC initial approval

*Reference the November, 2008 Division of Medical Services


Provider Bulletin for additional information

© 2009 APS Healthcare, Inc. 48


Pay For Participation

Federally Qualified Health Centers

*POC Initial Approval


CPT: 99404
Amt: $51.55
When: 1 x patient’s lifetime

*Monthly Review
CPT: 99402
Amt: $25.78
When: Every calendar month after POC initial approval

*Reference the November, 2008 Division of Medical


Services Provider Bulletin for additional information

© 2009 APS Healthcare, Inc. 49


Provider Assistance
 Webinars
Tuesday 11:00 am – 12:00 pm
Thursday 2:00 pm – 3:00 pm

Phone: Dial in: 888-242-1836


» Code: 1212538
Webinar: https://www.teleconference.att.com/servlet/AWMlogin
» Meeting Number: 8882421836
» Code: 1212538

 Materials
CareConnection® Training Manual
Program Billing Manual
MO HealthNet Provider Bulletins

© 2009 APS Healthcare, Inc. 50


INDEX
 POC – Plan of Care - Nursing based,
educational care plan; not a treatment plan
 Initial POC is completed 1X only then monthly
reviews will follow
 Monthly reviews are based on calendar month
 State mandates patients be seen at least every
12 months

© 2009 APS Healthcare, Inc. 51


CONTACT INFORMATION
 Your Provider Liaison is
– Carol Tsiames
– ctsiames@apshealthcare.com
– 913-515-3840

© 2009 APS Healthcare, Inc. 52

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