14:00:45 From Fireflies.ai Notetaker Bob to Everyone: Talk to Fireflies: (Web-search enabled) • Say: Hey Fireflies how can you help? • Type: /ff help to get started. View real-time notes and transcription for this meeting here: https://app.fireflies.ai/live/01JYFB9452BW8DE803PNG2Y5FH?ref=live_chat 14:01:19 From Amy Sielaff to Everyone: Welcome everyone! Thank you for joining this call today 14:18:41 From Nancy Spargo to Everyone: Does eligibility include immigrant women who receive benefits upon becoming pregnant? Per my understanding they lose benefits upon the baby's birth. 14:19:12 From Emily van Schenkhof to Everyone: We will take that question back to MHD. Thank you Nancy. 14:21:52 From Kari Utterback to Everyone: Is there a max time per month for Medicaid to pay for a home visit (ex. 4x per month) 14:22:11 From Sommer Rose to Everyone: Can you clarify if the county is based off where the family lives or where the home visiting programs home-base is? 14:22:56 From Emily van Schenkhof to Everyone: Kari, there is no max established in the rules; we would hope the visits would follow the protocol established under the model. 14:23:48 From Emily van Schenkhof to Everyone: Let me check that one real quick Sommer. Not entirely sure. Let me look at language real quick. 14:24:25 From Jennifer Caldwell to Everyone: Are the only referrals eligible ones coming from CRIS? 14:24:44 From Lexi Wright to Everyone: Is remote only acceptable for rural families? (sorry if I missed the answer) 14:24:43 From Ron Tompkins to Everyone: Is the NOP based on ICD-9 codes 14:24:52 From Emily Siedlik to Everyone: Will there be any future consideration for those who would enroll postpartum? 14:25:09 From Melissa Gilstrap to Everyone: Would participating in this reimbursement affect our funding from the Head Start Home Visiting program? 14:26:00 From Theresa Glastetter to Everyone: What happens if we enroll a client that did not score as high risk but things occur during pregnancy, such as IPV, and now she is high risk. Would she then be eligible for coverage under this project? 14:27:33 From sarah birk to Everyone: Will there be a limited number of agencies accepted to provide HV services through this model? 14:28:08 From Liz Bender to Everyone: To jump on Melissa's question, I was going to ask if there were any resources from other states that have implemented this about how existing service providers incorporated this funding into their agency funding models. 14:28:25 From Theresa Glastetter to Everyone: You mention the Nurse based programs will get the high risk client subset. Does that mean the nurse-based programs will ONLY get the high risk referrals, or will they also be in a rotation for the mod risk clients with lack of support, or the risk of domestic abuse groups of clients? 14:28:37 From Emily Siedlik to Everyone: We often seen Medicaid coverage gaps during which folks have to reapply, would that lead to pause in reimbursement and how might we manage that? 14:29:14 From Sommer Rose to Everyone: They will go through to whichever CRIS is in their area of residence. It has to go through a special mechanism and will be identified as a referral coming through this partnership 14:29:58 From Liz Bender to Everyone: People can self refer to CRIS right now but I think it has to go through the MCO first 14:30:04 From Serene Wilkinson to Everyone: When is the ETA on a go-live-date? 14:30:31 From Sommer Rose to Everyone: Replying to "People can self refer to CRIS right now but I thin...": Yes, it doesn't come through the traditional self-refer way. 14:30:44 From Melissa Emel to Everyone: How will providers learn about this? In our area we have providers unfamiliar with Cris/PROMISE1000 14:30:55 From Kristen Mandrell to Everyone: will the data collected be input in our existing REDCap databases? or is there a separate REDCap database for this data 14:31:04 From Emma Sexton to Everyone: Will MCOs be trained on how to explain home visiting services and specific programs? Will they be notifying moms they are referring them to HV services? 14:31:51 From Kari Utterback to Everyone: So the agency providing the home visiting service will not be the one billing to the MCO's, CTF will be doing the billing to Medicaid? 14:32:45 From Theresa Glastetter to Everyone: We have pregnant clients on disability Medicaid for the pregnancy. Will they still go through the MCOs, even though they do not get pregnancy Medicaid? 14:36:36 From Melissa Gilstrap to Everyone: Replying to "Would participating in this reimbursement affect o...": Thank you! 14:38:43 From Emily Siedlik to Everyone: Can you share anymore about the volume of data collection? I know you shared which benchmarks may be areas of focus. Do you have a sense of how many data points that includes and expectations for cadence of data entry? 14:39:30 From Jennifer Caldwell to Everyone: Will the moms be informed of this upon pregnancy? Our MCO reps have many counties to cover, and all of the benefits offered are so confusing to families, most of my moms throw away rewards debit cards, don't understand the free breast pumps, milk bags, meals after delivery etc., and don't access Walmart+ benefits because they just don't understand it. How could we help families understand it. 14:39:42 From Serene Wilkinson to Everyone: Replying to "Can you share anymore about the volume of data col...": I 2nd this question! 14:40:01 From Andrea McAdam to Everyone: To clarify- these eligible CRIS referrals would show up as MCO and highlighted in orange on the referral form, correct? Otherwise, other CRIS referrals would not be eligible for Medicaid reimbursement? 14:41:07 From Sommer Rose to Everyone: The referrals will go to the nurse-based HV programs FIRST and then if they are unable to take them it would go to another program. 14:43:20 From Crystal White to Everyone: Just thought it would be nice to clarify that there could still be referrals from MCOs that won't be eligible within CRIS. (And that these would all be round robin in assigning to home visiting programs) 14:44:21 From Tracy Smith to Everyone: Much appreciated! 14:44:48 From Theresa Glastetter to Everyone: If there are 2 nurse home visiting programs in a county, will the round robin be part of the algorithm used when assigning the level 1 risk moms? 14:45:17 From Kerry Caverly to Everyone: That is very much appreciated Emily! Doing the billing through CTF is HUGE for community based orgs. Thank you! 14:46:18 From Tracy Smith to Everyone: Will the organization "know" when they are receiving a referral that is a Medicaid referral? 14:46:43 From Lexi Wright to Everyone: Will this be a yearly or multi year contract with you all? 14:47:09 From Sommer Rose to Everyone: Replying to "If there are 2 nurse home visiting programs in a c...": Yes, it would go the nurse-led HV program that is up next to get a referral then if they couldn't take them it would go to the second nurse-led HV program. If both couldn't take them it would enter the general round robin for other types of programs. 14:50:49 From Kristen Mandrell to Everyone: How does the REDCap entry work? Is it a separate account from our existing because it is different funding? 14:52:16 From Serene Wilkinson to Everyone: Are there any special data points that are needed for this specific funding that is different than what we already put in Redcap? 14:52:38 From Sommer Rose to Everyone: Replying to "How does the REDCap entry work? Is it a separate ...": If you are already state funded or participating in collective impact then you would be using your same REDCap project for this and are already collecting the data points. 14:55:01 From Emily Siedlik to Everyone: Can agencies apply if they do not currently document in REDCap? 14:57:23 From Sommer Rose to Everyone: Replying to "Are there any special data points that are needed ...": For you all Serene, no. 🙂 But we can let each partner know. We are using the existing data collection for those using it. 14:57:24 From Kari Utterback to Everyone: How will billing CTF work for our eligible home visits? 14:57:59 From Heather Wall to Everyone: If a MCO referral is received and we have other funding for it which funding should be used? 14:58:44 From Lexi Wright to Everyone: will we be sent this recording? (please say yes!) 14:59:57 From Lexi Wright to Everyone: Thank you!!! 15:00:23 From Amy Sielaff to Everyone: We appreciate these questions! Thank you for your time today. amy.sielaff@oa.mo.gov 15:00:24 From Connie Pendley to Everyone: Thank You! 15:00:24 From Nancy Spargo to Everyone: This is an exciting development! 15:00:27 From Jennifer Caldwell to Everyone: Thank you!! 15:00:29 From Kerry Caverly to Everyone: Thank you so much!! This is very exciting for MO! 15:00:30 From Jennifer Caldwell to Everyone: Thank you for advocating and working hard for home visiting!!! 15:00:21 From Celeste Souza to Everyone: Thank you. This is very exciting! 15:00:32 From Theresa Glastetter to Everyone: Thank you