The new STAR+PLUS Managed Care/MCO structure is now a fact of life in Texas. Here are 3 important things we learned during Week 1.
1) SimpleLTC customers are adapting to the new workflow… but still have a ways to go
Customers are quickly becoming familiar with the new requirements. Here are a few metrics from how customers utilized the SimpleCFS MCO functionality in Week 1:
- 578 MCO notification forms were started and 494 were submitted, covering all 5 MCOs
- 190 individual facilities and 33 total companies submitted forms
- Most forms were completed in 4 minutes or less
While this is a good start, about 77% of our customer facilities have not yet submitted an MCO notification, so we expect these numbers to increase rapidly.
2) MCO functionality is working as planned… but we’re not done yet
- MCO notification form history: You’ll be able to click on a row learn who did what, when (similar to how 3618/3619 form history works).
- Improvements to MCO notification workflow, including tracking MCO receipts, i.e., what happens if a form doesn’t get received.
- Additional managed care reports to clarify MCO data.
3) Several new questions have popped up
There will definitely be a learning curve, so we’ve created a new MCO FAQ support document to cover several new customer questions, such as:
- “An MCO Service Coordinator told me I can’t submit a Service Coordination Notification (SCN) form through SimpleLTC and that it must instead be faxed directly to them. Is this true?”
- “How does the new MCO structure affect our 3618s, 3619s and LTCMI workflow? We’ve heard MCOs will not be able to access 3618s or 3619s.”
- “In what situations do we need to submit a Service Coordination Notification (SCN) form?”