Monica Christian, Network Performance Specialist for Care Compass Collaborative provides an overview of the navigation process in the Social Care Network.
The information provided in this webinar is subject to change with New York State Department of Health and the Centers for Medicare & Medicaid Services updated guidance. For the most up to date information, please reference the HRSN Fee Schedule for the Southern Tier and the New York State Department of Health Social Care Network: Program, Billing, and Data Governance Operations Manual Care Delivery Section.
Please view this webinar in the highest quality possible for your device.
TIMESTAMPS:
0:01:10 Section I: Navigation Overview
0:05:22 Time Keeping
0:06:28 Section II: Performing the Eligibility Assessment
0:09:20 Member Autonomy
0:10:04 Eligibility Assessment Overview
0:11:19 Eligibility Assessment Step 1
0:14:49 Eligibility Assessment Step 2
0:17:14 Eligibility Assessment Step 3
0:17:40 Eligibility Assessment Step 4
0:17:56 Eligibility Assessment Step 5
0:18:56 Enhanced Service Populations and Validation Criteria
0:31:36 Programmatic Changes to Eligibility Criteria for Enhanced HRSN Services Process
0:32:11 Eligibility Assessment Step 6
0:33:17 Eligibility Assessment Step 7
0:35:02 Validating Member Eligibility for Enhanced HRSN Services
0:41:42 Eligibility Assessment Step 8
0:43:01 Eligibility Assessment Step 9
0:45:32 Case Notes
0:46:32 Section III: Considerations for Certain Populations and Scenarios
0:51:22 Re-Authorization of Services
0:52:50 Major Life Events
0:57:00 Section IV: Referrals
1:06:10 Navigator Outreach
1:09:37 Section V: Logistical Considerations
Comments