2015 Supervisor’s Conference
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Timeframes
Determination of Need (DON) Scoring
Local, State, Federal Services
Person Centered Planning
Minimum POC to start including Service
Authorization Guidelines
Verification of Financial Information
Medicaid Policy
Verification of SSN
Participant Outcomes & Status Measures (POSM)
Electronic Visit Verification (EVV)
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Timeframes
◦ CCU had 5 calendar days to contact Ms. Smith after
referral
◦ CCU had 30 calendar days (without participant
delay) to determine eligibility from date of
referral=Eligibility Determination Date (EDD)
◦ CCU had 15 calendar days from EDD to send Plan of
Care Notification Form (POCNF)
◦ Provider(s) had 15 calendar days from date of
POCNF to initiate services
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Determination of Need (DON) Scoring
◦ Ms. Smith has no scores of 3; Side A DON score of 3
should be reserved for participant who cannot do any
part of the task at all or requires constant supervision
◦ If B side is 0, there should be no CCP services or
frequency indicated
◦ If B side is lowered from A side, notation should be
made in service by other column, including “self” or
“manages”
◦ Side B DON score should be adjusted for both formal &
informal supports
◦ Empower the participant to continue to do as much for
themselves as possible to maintain their independence
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Local, State, Federal Services
◦ Care Coordinators should explore all available
resources before authorizing CCP services
◦ CCU Supervisors should make sure resource
manuals are kept up to date
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Person Centered Planning
◦ Always keep what the participant needs in mind,
don’t assume or impose your values
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Minimum POC to start/utilize Service
Authorization Guidelines (refer to SAG slides
later in document)
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Verification of Financial Information
◦ Because Ms. Smith did not have financial
verification during initial home visit, eligibility could
not be determined
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Medicaid Policy
◦ Because Ms. Smith had greater than $4,000 assets
& the CCU obtained verification of assets & placed
them in her file, the CCU was not required to apply
for Medicaid for Ms. Smith
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Verification of SSN
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POSM
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Electronic Visit Verification (EVV)
◦ Need to verify SSN by seeing a card at initial assessment,
this will assist with new eCCPIS edits coming in the future
◦ Completed upon initial assessment & annual
redetermination
◦ Check eCCPIS report for POSM uploads
◦ Because Ms. Smith refused to allow her landline phone to
be utilized, the INH provider needs to use an alternate
means for EVV—installing a fixed visit verification in Ms.
Smith’s home or using a GPS enabled phone the agency has
provided the HCA
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All In-Home Service provider agencies & all
Homecare Aides (HCAs) are REQUIRED to
utilize EVV
For compliance for INH Quality Improvement
reviews, IDoA compares EVV with billing in
eCCPIS
Paper Hours of Service Calendars (HOSC) for
time in/out should NOT be utilized for billing
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For instances in which there was a problem
with the EVV system (e.g., GPS phone didn’t
work, HCA forgot to clock out), the INH
provider should produce documentation from
the EVV system of the discrepancy
◦ Paper HOSC may be utilized for these cases as back
up but should not be the norm
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HCA verification of tasks—policy “CCP Participant
Verification of Services—update January 2014”—
effective 4/1/2014
◦ All In-Home Service agencies required to have electronic
or paper format to verify tasks performed by Homecare
Aide at each provision of service
◦ If utilizing a paper form for verification of tasks do not
include in/out times as is difficult to match EVV times
◦ If utilizing a paper form, it must be collected & reviewed
by a supervisor minimally one time a month
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The homecare supervisor should contact the
CCU if tasks are consistently not completed in
accordance with the CCU POC
Deviations from CCU’s Plan of Care can be
documented in same format/form as
verification of tasks
When requested, electronic documentation,
including EVV & verification of tasks must be
able to be printed by the provider
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Annual must be <365 days
◦ From date of previous EDD
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POSM
◦ Required to be completed annually
◦ Check eCCPIS report for POSM uploads
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Reviewing old DON & POC
◦ Prior to visit, CC required to do so & document by
checking box on page 2 of Comprehensive
Assessment tool
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Options discussed
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Verified financial information
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Medicaid Application completed
◦ Per Mandatory Medicaid policy, copy of application
placed in file
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$ Management referral made
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Provider notification to CCU
◦ CCP Providers are required to inform the CCU of
changes in the participant’s condition or
demographics or if the participant is hospitalized;
this communication should be documented in the
case notes
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Injury/Death Reporting Form
◦ Required to be completed when injury or death
occurs during the provision of service that results in
medical care
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Temporary Service Increase (TSI)
◦ CCU responsibility:
 Assessment completed by CCU within 3 days of
referral
 Forms needed: Comprehensive Assessment tool pages
1-3, 5, 8-10; CCP Consent Form, Client Agreement,
POCNF
 Notify provider(s)
◦ Provider responsibility:
 Service change implemented within 2 calendar days of
notification by the CCU
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TSI Follow-up
◦ Required to be completed 15 calendar days (if done
in hospital); 30 calendar days if community based
◦ Increase or remain the same?? (on the POCNF & the
CAT)
 Since Ms. Smith’s services did not change from
previous assessment (TSI), it is a remain the same
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Choices for Care/Prescreen Policy effective
10/01/14
◦ CCU is required to check CMIS & eCCPIS to see if an
assessment was completed within last 90 calendar days
 If assessment was completed CCU is not to complete a new
assessment but is required to complete HFS Verification
Form
 When completing HFS Verification Form, CCU should
complete the following sections of the form: resident name,
birthdate, Social Security Number, & entire “following to be
completed by CCU” section; CCU should also write in the
DON score on the form
 CCU is to send the HFS Verification Form to the hospital
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What if an assessment had NOT been completed
for Ms. Smith in the last 90 calendar days?
◦ CCU would complete the Choices for Care assessment
◦ CCU would leave copies of 2536 & OBRA Level I with
hospital; hospital is required to send these to the
nursing facility
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NH follow-up
◦ CCU should follow up with current participants once they
have entered the facility to see what future plans are
◦ CCU should also notify provider(s) of participant’s status
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NH follow-up DON creation
◦ DON completed to best of CCU knowledge, asking
questions about environment & supports
participant will be discharged to
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Transfer to a new CCU
◦ Transferring CCU makes a copy of the file, keeps
copy & sends original to receiving CCU
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Residing with family & scoring of the DON
◦ Consider what portion of tasks family is able to
assist with, HCA should only be assisting
participant, e.g., not cleaning the entire house
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New CCU picks up case
◦ Goal is to have as seamless transfer as possible so
participant has little interruption in service
◦ If the provider participant has been receiving service
from is in the new area, participant can keep that
provider
◦ Transferring CCU (with info provided by receiving CCU)
should assist participant with choosing new provider if
provider does not provide service in the new area
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Data Entry for case transfer
◦ Interstate CCU enters 40-048 CAT with EDD 9/3/14
◦ Capital City CCU enters 01-002 CAT with EDD 9/3/14
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Adult Day Service (ADS) initiated
◦ ADS is required to complete individualized plan of care
(IPOC), utilizing the CCU plan of care, no later than the
4th week of service
◦ ADS will discuss any concerns or difficulty following CCU
plan of care with the CCU
◦ ADS reviews medications Mrs. Smith takes, obtains
orders from physician, documents if any of the meds she
takes are self-administered while she is at the ADS
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Reinstall of EHRS
◦ Since Mrs. Smith has moved, the EHRS unit may need
reinstalled which would require the CCU to authorize
installation on the CAT & Client Agreement
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Update address & info with local Department of
Human Services (DHS) office
◦ Part of good case management includes reminding the
participant to notify & update DHS of any changes in
address or situation
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Creating a POC utilizing existing supports
◦ Since Mrs. Smith has moved, the resources available may
have changed. The new CCU will review all available
resources
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Should Capital City CCU complete a new POSM on
Ms. Smith?
◦ It is up to the CCU’s judgment. Since Ms. Smith is new
to the CCU one should be completed
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Monitoring call
◦ Capital City CCU in their Request for Proposal (RFP)
promised to complete monthly monitoring phone
calls
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Transfer to MCO
◦ Mrs. Smith became enrolled due to her move to an
MCO area
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Data Entry for MCO transfers
◦ CCU does 10-012 in Program Type 15 with an EDD
of 12/01/14
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Provider Notification Form
◦ CCU completes Provider Notification Form & sends
to ALL providers
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Provider(s) continue to provide services with
no interruption
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MCO case management
◦ MCO is responsible for all case management for the
participant
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MCO access to additional services (PT, Gym)
MCO & HDM referrals
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Exceeding Service Cost Maximums (SCM)
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Coordination of Medical & in-home services
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◦ The MCOs are required to work with the AAA to
determine what assessment/referral information is
needed
◦ MCOs are not required to follow IDoA SCMs
◦ MCOs are required to have a participant sign a statement
acknowledging that upon return to CCP, services will be
required to follow SCM
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APS referral
◦ CCP staff are mandated reporters of Adult Protective
Services (APS)
◦ Staff witnessing the alleged abuse are required to make
the call themselves; others can also call to add info
◦ What if the grandson had been the family homecare aide
(or an ADS staff)?
 If APS case substantiated as some indication or verified, file
will be sent to IDoA APS
 IDoA APS recommends HCA be allowed to serve but with
closer supervision, or no longer be allowed to serve CCP
participants.
 IDoA OCCS prepares letter to inform provider agency of one
of the above
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What if the grandson was not allegedly abusive to Ms. Smith, but was to
the HCA?
◦ Review 240.350 CCP rule on cooperation; CCUs & provider agencies work
together to implement suspension & Memorandum of Understanding
(MOU) as appropriate
◦ Remember that timeframes for establishing MOU must be adhered to
◦ If timeframes are not met, MOU should not be developed or executed and
provider reminded of timeframes
◦ Suspension of services may not be appealed because a suspension is not a
final decision
◦ Failure to sign an MOU shall be grounds for termination of or denial of
services
◦ An MOU remains in effect when a participant changes providers or CCUs;
new provider and/or CCU must sign the MOU
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Benefit of MCO case management
◦ The MCO case manager realized the confusion was
a new onset
◦ The MCO has access to the physician due to
medical coordination of services
◦ The MCO would have known if Mrs. Smith had not
followed through with the physician visit
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Opting out of MMAI
◦ Currently Mrs. Smith has the right to opt out of
MMAI & continue with her waiver services (this is
anticipated to change in late summer)
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Data Entry for MCO to CCP transfer
◦ Increasing the DON to accommodate SCM
◦ Participant Transfer Form is completed by the MCO
 What if CCU doesn’t receive Participant Transfer Form?
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CCU required to notify ALL providers within 3
calendar days of notice of transfer
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Full CCC assessment
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POC within DON’s SCM
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Good case management & person centered
planning includes:
◦ CCU required to complete within 30 calendar days of
MCO disenrollment date
◦ CCU is to score DON according to IDoA guidelines
◦ Participant now has to fall within SCM for her DON score
◦ Increase/decrease on CAT? For Ms. Smith this is a
decrease because services decreased from last
assessment done by the CCU
◦ Community Resources – Transportation & Housing
Options
◦ Encourage volunteer opportunities & independence
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Prescreening for SLFs
◦ Ms. Smith will need a current DON to enter the SLF;
her last assessment was 6/18/15 which is more
than 90 calendar days old
◦ A copy of the DON will be sent to the SLF with the
completed 2536 & OBRA Level I
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Referral & process for MFP:
◦ Referrals must be made through the MFP website
◦ Initial Outreach visit will be made to determine
eligibility & discuss transitioning out of the NH
◦ Prescreen evaluation is completed
◦ Becomes enrolled as an MFP participant
◦ Deinstitutionalization assessment is completed
◦ Housing options are discussed & worked on
◦ Pre-transition case review occurs prior to transition
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MFP One-Time services are available
365 days of post transition follow-up
required
Current MFP numbers
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(non-County CCUs as of 4/24/15)
56 1st contacts made by 15 CCUs
28 participants Enrolled or Considering
14 Transitions made by 8 CCUs (several Post-T case transfers)
19 CCUs have had 2 or less referrals
Since beginning of MFP, CCUs have facilitated *326 transitions (*including Cook).
1,310 total transitions by all age/disability groups
Colbert- Cook county-
(through March, 2015)
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700 transitions- all age/disability groups (approx. 75% MFP-eligible)
111 individuals - housing/aging network
60 individuals- supported living (SLFs)
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MDS-Q Assessments as Referrals-
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◦ HFS looking to possibly share MDS-Q requests made by residents but not referred
by the NF. Will increase referrals throughout the state if implemented.
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Terminating not active MFP cases◦ MFP CCUs check Re-DE list & terminate inactive/closed cases
MFP Sustainability Plan
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(submitted to Federal CMS 4/30/15)-
Current MFP contracts for CCUs statewide thru September 30th, 2016
New contracts will be issued thru September 30th, 2020 (date extended for claiming)
◦ Last day to issue referral- July 1st, 2017
◦ Last day to transition a participant- December 31st, 2017
◦ Last possible 365 Post-T- December 31st, 2018
Waiver revisions?
◦ HFS and IDoA to explore Waiver revisions upon completion of sustainability
timeframes
◦ Aging Waiver to possibly add: Environmental Accessibility Mods & One-Time Services
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After MFP◦ HFS and IDoA stressing that CCUs foster continued positive relations with MCOs to
consider sub-contracting MFP-type deinstitutionalization activities with the CCUs
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CCU reviews being completed to:
◦ Verify compliance with Service Authorization
Guidelines (Public Act 098-0008)
◦ Verify Determination of Need (DON) scoring
compliance
◦ Verify compliance with CCP timeframes
◦ Verify compliance with CCP forms
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The CCU was provided technical assistance
regarding findings, with individual participant
files reviewed as needed
The CCU was sent the Quality Improvement
Review report with findings and corrective
actions outlined
Training to Care Coordinators is the primary
corrective action
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Since homecare aides are required to document tasks
completed during each provision of service, CCUs are
requested to specify frequencies in this column of the
DON; without frequencies indicated the amount of service
authorized may not comply with the Service Authorization
Guidelines
Care Coordinators should consider the number of days per
week service is to be provided when specifying frequencies
◦ For example, the frequency of “five times per week” should
be utilized if a participant receives service five times per
week, is incontinent and requires assistance with bathing
each time the homecare aide is present. A participant who
attends Adult Day Service three times a week and needs
assistance with taking medication at the ADS, should have
the frequency “three times per week” indicated under
“routine health.”
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“As needed” may be an appropriate frequency
for some tasks such as telephoning
A participant’s service can be flexible for which
days the service is provided, however, the InHome Service provider needs to know how
many times per week service is to be provided
The participant can direct the homecare aide
regarding which day a task is completed
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For “outside home” Care Coordinators should encourage
participants to utilize other transportation services besides the
homecare aide
Care Coordinators should authorize transport or escort for InHome Service no more than 1-2 times a week; exceptions should
be documented, including attempts to find other resources
Participants who are actively on Medicaid should utilize this
resource for transportation to medical appointments
Remember that In-Home Service agencies are not required to
provide transportation via the homecare aide’s personal vehicle.
Care Coordinators should refer to the In-Home Service agency’s
Service Specific Application for information indicated by the
agency for transportation/escort.
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Care Coordinators should document
exceptions to Service Authorization
Guidelines in case notes
Service Authorization Guidelines must be
utilized for all In-Home Service authorization,
including Family Homecare Aides
Service Authorization Guidelines do not apply
to Adult Day Service
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Eating
◦ Seek adaptive utensils that can assist
◦ Recommend preparation of foods that do not
require cutting
◦ If the participant cannot feed themselves, there has
to be back up support as CCP cannot be there for
all 21 meals a week
◦ HDM is not a service by other for eating
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Bathing
◦ Bathing, grooming, dressing A side scores should
be similar
◦ Encourage use of assistive devices, such as bath
seats, grab bars, etc.
◦ Daily personal care is not essential unless
incontinence is an issue
◦ Do not impose your hygiene standards onto the
participant
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Grooming
◦ Bathing, grooming, dressing A side scores should
be similar
◦ Encourage use of assistive devices, such as
weighted or large grip brushes—can use foam or
duct tape to modify
◦ Homecare aides can only file and clean nails—no
cutting of nails
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Dressing
◦ Bathing, grooming, dressing A side scores should
be similar
◦ Encourage clothing with Velcro, elastic, etc. so
participant can remain as independent as possible
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Transferring
◦ Consider the use of assistive devices, such as a
walker, lift chair, etc.
◦ A back up support is needed as CCP cannot be
there 24 hours/day—how is the participant
completing this task when CCP not present?
◦ For a participant who scores 3-3 & lives alone a
safe care plan may not be able to be developed
◦ Homecare aides cannot do total lifting; the
participant must be able to assist with the transfer
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Continence
◦ Encourage use of assistive devices, such as bed side
commodes, continence products, etc.
◦ A back up support is needed as CCP cannot be
there 24 hours/day—how is the participant
completing this task when CCP not present?
◦ Homecare aides cannot do catheter or ostomy care
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Managing Money
◦ Getting out to pay bills should be scored under
outside home instead of managing money
◦ Utilize IL Volunteer Money Management Program
(IVMMP) if available in your area
◦ In-Home Service providers must have a policy on
receipt handling; receipts must be returned to
participant & documented
◦ Homecare aides cannot be responsible for money
management
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Telephoning
◦ If the participant has no phone that is not
considered an impairment
◦ Encourage use of assistive devices, such as a
magnifying glass, large number phone, etc.
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Preparing Meals
◦ Encourage meals that can be prepared ahead or
extras made
◦ A participant who lives alone should not have a 3-3
score on the DON—3 on the A side of the DON
means the participant cannot even warm a meal &
no one is there to prepare
◦ If Home Delivered Meals in service by others is
indicated, B side score should be lowered
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Laundry
◦ Laundry & housework A side scores should be
similar
◦ A participant who can do part of the task such as
folding should not be scored a 3 on the A side
◦ Consider location of laundry facilities when
authorizing time to complete the task
◦ A participant with continence problems may need
laundry completed more frequently
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Housework
◦ Housework & laundry A side scores should be similar
◦ Basic housekeeping tasks, not heavy seasonal cleaning,
are to be completed by the homecare aide
◦ The homecare aide is to complete tasks for the
participant, not the entire family
◦ Unless there is documentation in the CCU case notes of
a medical necessity, housework should not be
authorized more than 1 x a week
◦ The participant can direct the homecare aide regarding
which day a task is completed
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Outside Home
◦ Distinction should be made between transport &
escort; escort is needed when the participant is
either physically or cognitively unable to leave the
residence alone
◦ See slide under Service Authorization Guidelines
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Routine Health
◦ Homecare Aides cannot set up or administer
medication; Adult Day Service can
◦ Consider how many days service provided: if
participant needs reminded to take medications
what happens when CCP not there? Back up support
will be needed for those times
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Special Health
◦ Is something a licensed professional needs to
perform
◦ B side should be 0 unless participant going to a
facility (Choices screen) or ADS will perform;
homecare aides cannot perform special health
functions
◦ Watch over-scoring of this function: when scoring
A side consider frequency of professional visits
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Being Alone
◦ For a participant who scores 3-3 & lives alone a
safe care plan may not be able to be developed
◦ Can the participant recognize danger & alert others?
◦ For a participant who cannot be left alone, a back
up support should be in place in case CCP service
unavailable—e.g., homecare aide late, ADS closed
due to weather
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Referral is made (request for services)
◦ CCU has 5 calendar days from the referral date to
respond to the referral by contacting the participant
(preferably a phone call)
◦ The CCU should document the date the referral was
received by the CCU, including if the referral was a
fax from another agency
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Initial Assessment
◦ CCU has 30 calendar days to complete an Initial
Assessment from the date of the request for
services.
◦ If participant delay occurs, the CCU should
document this in the case notes, e.g., awaiting
financial verification, participant not wanting to
choose provider at time of assessment
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Initial Assessment (continued)
◦ If a supervisor’s signature is required to approve an
assessment, the supervisor must sign and date
page 20 (Goals of Care) of the Comprehensive
Needs Assessment. The date of the supervisor’s
signature is the Eligibility Determination Date
(EDD). Unless participant delay occurs, this must be
within 30 calendar days from the date of request
for services.
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The date the Care Coordinator signs the
Client Agreement is the EDD; it may be
different than the date the
participant/authorized representative signed
If eligibility not determined at the
assessment, the participant can sign & date
the CA but the Care Coordinator should not
do so until the EDD
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The EDD is the date shown on section D of
the Plan of Care Notification Form (POCNF)
“Eligibility Finding” which is entered on the
POCNF Input screen
The EDD on the Client Agreement & POCNF
must match
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Implementation of Goals of Care
◦ CCU has 15 calendar days to make referrals &
implement goals of care from the date the
participant signed the Goals of Care on page 20 of
the CCC tool. This includes all referrals to CCP
providers and to non-CCP providers.
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Implementation of Goals of Care
◦ The Eligibility Notification date which is entered on the POCNF
Input screen is the date the CCU provides copies of the POCNF to
the participant and all CCP providers.
◦ The CCU can leave the POCNF with the participant if eligibility is
determined the date of the visit and all providers were notified
◦ The eligibility notification date must be within 15 calendar days of
the EDD.
◦ If there was an adverse action and the CCU leaves the POCNF, the
CCU can obtain a signed receipt from the participant/authorized
representative rather than send the POCNF certified mail
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Service Start Date
◦ CCP Providers have 15 calendar days from the date of
notification to begin providing services to a participant.
◦ CCP providers have 5 calendar days to return the signed
Client Agreement to the CCU after the initiation of
services. Both CCUs and providers should monitor
assure this is completed.
◦ Service start date is the date services initially began or
were increased. If service remains the same the provider
should utilize the same date the Care Coordinator
signed the Client Agreement.
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Client delay
◦ Participant has 60 calendar days from the signature
on the Goals of Care to provide documentation
verifying eligibility. Client Delay only pertains to
CCP cases.
◦ The CCU must document participant delay in case
notes
◦ Providers must also document participant delay,
especially when initiating or increasing services &
should report this to the CCU
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Review your agency’s policies at least
annually to be certain all required policies are
in place & up to date
Review your agency’s pre-service curriculum
to assure it covers all required topics & hours
in CCP 240 rule
Plan your agency’s in-service in advance to
assure all required topics & hours in CCP 240
rule are covered for the calendar year
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Determination of Need Analysis (from December 2014
In-Home Service participant data)
◦ State-wide average DON score=47; last year=48
◦ State-wide average monthly authorized units=60;
last year=59
◦ State-wide average monthly provided units=48;
◦ last year=49
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Determination of Need Analysis (from October 2013 In-
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Action Steps:
Home Service participant data)
◦ CCUs should review your agency’s data with your Care
Coordinators & supervisors
◦ CCUs should utilize CMIS to periodically run “Active CCP
Averages” report by Care Coordinator
◦ CCUs should consider training and/or monitoring for
Care Coordinators who have excessively high averages
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CCU Medicaid Analysis Report from December 2014 data
◦ For each CCU contract number, the report shows number
& percentage of participant with 0 & less than $2,000
assets on Case Authorization Transactions (CATs)
◦ Report also shows ratio of CCP participants with
Medicaid ID to those with less than $2,000 assets;
greater percentage equates to increased opportunity to
generate FFP (federal match)
◦ CCUs are required to document actual assets—do not
assume someone has 0 assets if they are on Medicaid
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CCU Medicaid Analysis Report from December 2014
data
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Action Steps:
◦ IDoA may complete another Root Cause Analysis
◦ CCUs encouraged to utilize PACIS to obtain
Medicaid status about participants
◦ CCUs encouraged to continue to communicate
concerns with local FCRC to IDoA
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Active Caseload & Redetermination List (generated 5/1/15)
◦ For each CCU contract number, the report shows number
of authorized participants, redeterminations due, &
analysis of time rede is past due
◦ State-wide 35.2% of authorized CCP participants have a
rede past due per eCCPIS data; last year 31.2%
◦ State-wide average days late for CCP participants (of
overdue redeterminations) is 462; last year was 378
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Active Caseload & Redetermination List (generated 5/1/15)
◦ This year’s reports also have an additional page for MCO
participants
 MCO participants for each CCU contract number were determined
by current initial & redetermination assessments under program
type 15
 For each CCU contract number, the report shows number of
authorized participants, redeterminations due, & analysis of time
rede is past due
◦ State-wide 7.3% of authorized MCO participants have a rede
past due per eCCPIS data
◦ State-wide average days late for MCO participants (of overdue
redeterminations) is 109
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Active Caseload & Redetermination List (generated 5/1/15)

Action Steps:
◦ CCP participants are required to have annual
redetermination of need completed; Eligibility
Determination Date of rede must be within 365 days
of previous EDD
◦ CCUs should utilize CMIS to frequently run the “Next
Assessment Report” to assure redeterminations
being completed timely


CCUs: please do not put other information in
name & address lines in CMIS; this info is
utilized for mailings & other data analysis; the
notes section in CMIS can be utilized
CCUS & providers: for any changes in contact
information, please send email to
aging.occs@illinois.gov and notify IDoA’s
Office of Service Development & Procurement
aging.osdp@illinois.gov

CCUs: please thoroughly explain the reason a
participant’s services are denied, decreased,
or terminated
◦ Document the reason in the case notes & POCNF



IDoA will advise CCUs & providers of the date by
which FY 15 billings must be submitted, this date
is usually in August
Billings past that date will need to be submitted
through Court of Claims
CCUs: if your agency requires a supervisor review
& approve the file prior to the file being
processed, please factor this in to assure
person(s) entering CATs has time prior to cut off
date



CCUs: assessments not entered into CMIS &
transmitted to IDoA cannot be billed by you or
your provider(s)
Providers: delete any rejected payments for which
you have already been paid, i.e. duplicate billing
accidentally submitted
eCCPIS has edit checks which compare submitted
billings by providers & CCUs to the Public Health
(IDPH) date of death records
◦ If the face to face date on the CCU’s CAT is greater than
the IDPH date of death, the CAT rejects
◦ If the service date on a provider’s billing is greater than
the IDPH date of death, the billing rejects

IDoA has developed trainings for the network
which are located in eCCPIS, menu option
Information/Webinars
1.CCP Providers MCO Training
2.MCO Managed Care Coordination
Conference
3.Reapplication and Redetermination
4.MCO Case Managers CCP 101
5.Provider Billing using eCCPIS
6.CMIS and eCCPIS Billing for CCUs
 Have
a safe trip home
 Thanks
for all you do