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Prime Weekly Update | December 18, 2013

Addendum To SC Capitated Financial Alignment Demonstation Proposal Available Online

As discussed in the July 8, 2011 State Medicaid Director (SMD) letter, CMS evaluated state demonstration proposals against a list of standards and conditions that CMS requires all states to meet in order to participate in the Demonstration. After reviewing South Carolina's proposal, CMS posed several clarifying questions to determine whether the proposal meets these standards and conditions. The questions and responses are now available on the CMS Medicare-Medicaid Coordination Office (MMCO) website.

Link to Addendum

Care Coordination For Seniors: A Multidisciplinary Team Approach | Slide Decks And Participant Survey

Healthy Connections Prime, along with Palmetto Health Hospital systems hosted a seminar on "Care Coordination for Seniors: A Multidisciplinary Team Approach" on Wednesday, December 4, 2013, 9am-11am, at the Palmetto Health Richland Campus auditorium. This educational session had a targeted outreach to providers, specifically those within the physician community. The featured speaker was a nationally-recognized PACE speaker and Palmetto Senior Health Consulting's John Tucker, MHA. This free seminar included presentations featuring some of our industries' leading local providers on the multidisciplinary care approach. In addition, continuing education Social Work credits were available. Following the MDT training, we would like to invite participants to complete an online survey to gather feedback about the session.

Link to Slide Decks | Link to Survey

Healthy Connections Prime Provider Forums | Slide Decks And Participant Survey

Throughout November, we hosted regional provider forums concerning Healthy Connections Prime. During the upcoming forums, both SCDHHS and participating CICOs addressed the impact of Healthy Connections Prime on our health care system and on specific provider types. These targeted sessions gave over 200 providers the opportunity to ask questions regarding the implementation of this new program. The statewide forums were held in Charleston, Columbia, and Greenville. Following the forum, we would like to invite participants to complete an online survey to gather feedback about the sessions.

Link to Slide Decks | Link to Survey

CICO Contact Information For Providers

Absolute Total Care, Inc.:

Andrew Cain, Director of Contracting

E-mail:  ancain@centene.com

Phone:  (803) 587-4392

Advicare:

Dell Jeter

E-mail:  djeter@advicarehealth.com

Phone:  (888) 781-4371

Molina Healthcare of South Carolina, Inc.:

Jeffrey Damico, Director of National Contracting

E-mail:  Jeffrey.Damico@molinahealthcare.com

Phone:  (803) 514-5578

Select Health of South Carolina:

Kathy Williams, Provider Network Account Executive

E-mail:  kwilliams4@selecthealthofsc.com

Phone:  (843) 746-7499

Network Management Regional Map

WellCare of South Carolina:

Kathy Warner, State COO

E-mail:  Kathy.warner@wellcare.com

Phone:  (803) 561-4427

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