Application Center Monthly Contact - April 2021 Training Sessions
In April 2021, Valerie McManus conducted various training sessions for the Application Center Program Monitor. The sessions covered topics such as uploading documents, registering for monthly meetings, following guidelines for paper applications and face-to-face interviews, and understanding notice of action and corrective actions. The training emphasized the importance of adherence to program policies and procedures to avoid non-compliance issues.
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Application Center Monthly Contact April 21, 2021 Valerie McManus: Application CenterProgram Monitor
Agenda Items Application Center Handbook Training CHIPRA 214 Uploading documents to the SSP Reminders Registering for Monthly Meetings
AC Handbook Training Refer to the AC Resource Library regularly Topics: Notice of Action Paper Applications Face to Face Interview Requirement Do s and Don ts
AC Handbook Training: NOTICE OF ACTION Performance Parameters and Notice of Action on page 10. LDH reserves the right to institute a 30 day period of corrective action through continued training so that we may address any deficiencies, or failure to adhere to the policies and procedures of the program. An AC or Trusted User may be decertified if counseling and training do not correct the program. Notice of Action May be issued by LDH due to non-compliance As a result of: Pursuing claims; Failure to adhere to performance parameters; Submitting too many paper applications; etc.
AC Handbook Training: PAPER APPLICATIONS Internet access is required. Application Centers are required to submit applications from the Self-Service Partner Portal. Paper applications should only be used in extraordinary circumstances and must be used as a last resort. The number of paper applications completed should not exceed 7 percent of the statewide average of paper applications. If there are system limitations and a paper app is the only alternative, Complete the application in permanent black ink, and Submit justification on the BHSF Clearance form.
AC Handbook Training: FACE TO FACE Face-to-Face interviews are required! Trusted Users must ask all questions on the application. Applicant s answers must be recorded as given. Rights and Responsibilities must be read in full. Please refer to the COVID guidelines if your facility is not seeing applicants.
AC Handbook Training: DOs and DONTs Do Read all application questions as written. Read Rights and Responsibilities word for word. Assist applicants with faxing or uploading requested verifications. Complete and fax all appropriate situational forms as required.
AC Handbook Training: DOs and DONTs Do Not Screen applicants for Medicaid. Coach applicants on how to respond. Modify the applicant responses. Solicit Medicaid applications based on unpaid claims. Violate HIPAA by taking photos of applications on personal devices. Conduct phone interviews. Mail applications to interested applicants so they may apply on their own.
CHIPRA 214: Medicaid & CHIP Coverage for Lawfully Residing Children Background The 2009 Children s Health Insurance Program Reauthorization Act (CHIPRA 214) gives states the option to provide coverage to lawfully residing immigrant children who are otherwise eligible using federal Medicaid and CHIP funds. Before CHIPRA, many lawfully residing immigrant children were subject to a five-year waiting period before federal Medicaid or CHIP funds could be used to provide health coverage to them.
CHIPRA 214: Medicaid & CHIP Coverage for Lawfully Residing Children Lawfully Present Defined Key categories of immigrant children who are considered lawfully residing but are subject to a five-year waiting period in states without the CHIPRA 214 option include: lawful permanent residents or green card-holders; children fleeing persecution with pending applications for asylum and special immigrant juvenile status; and children with certain temporary immigration statuses. Children who meet the definition set forth above of lawfully present also must be residents.
CHIPRA 214: Medicaid & CHIP Coverage for Lawfully Residing Children Implementation Beginning February 1, 2019, Louisiana elected to cover lawfully residing children up to age 19 under both Medicaid and LaCHIP. A special application is not required. As part of the normal application process, a child s eligibility for all Medicaid programs (through the CHIPRA 214 coverage option) will be reviewed. While eligible under the CHIPRA 214 Option, these children are eligible for the full range of Medicaid services covered under the children s program in which they are enrolled.
How to Upload documents to the Partner Portal After an application is submitted, you should see an Upload button that would allow you to submit documentation to Medicaid, such as, medical records, medical bills, or check stubs. It should appear under the Application and Payment Status column.
Reminders AC Resource Library Check it regularly Ensure you are in the PARTNER portal Follow our guidelines For issues with newborns send email to NEU@la.gov EMS Submit medical bills and records immediately upon denial due to non-citizen For aged EMS claims, email MEDT@la.gov and cc Kathryn.Loechelt@la.gov
Required Monthly Zoom Meetings AC Managers and Trusted Users shall attend one AC Monthly zoom meeting each month. 2 sessions will be held on the third Wednesday of each month: 9:00 AM 1:30 PM Meeting Registration Links are posted on the AC Resource Library. After registering, you will receive a link to access the meeting you selected. Monthly Meeting Reminders will no longer be emailed. PowerPoint presentations are currently housed in the Application Center Forms Library under the heading Application Center Monthly Contact Presentations .
Application Centers (AC) ApplicationCenter.Service@la.gov (225) 342 6312 Valerie McManus Optional State Supplement (OSS) OSS@la.gov (225) 342 1646 Paige Logan Medical Eligibility Determinations Team (MEDT) MEDT@la.gov (225) 219 7873 Miranda Winters Outstation Outstation@la.gov (225) 342 1646 Paige Logan Medicaid Outreach MedicaidOutreach@la.gov Newborn Eligibility Unit (NEU) NEU@la.gov 337-447-4145 EPO Programs Manager Kathryn.Loechelt@la.gov (225) 219 0912 US Consulting On-screen M WHT_R1.5V_1208.ppt
