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UCare Connect
Monthly Activity Log Training January 2018
Why Use Activity Logs?
• Increased focus on reporting of assessments Regulators. Health Plan.
• Provide consistency across products.
• Streamline processes.
When To Use Activity Logs
• Logging Initial Assessments (Connect Expansion and Connect + Medicare).
• Logging Annual Reassessments (all Connect products).
• Communicating with UCare regarding members being returned to UCare (all Connect products).
Log Review
• Log exists on UCare website.
• Pay attention to tabs- use Connect (regular), Expansion, or CT + Medicare.
• Review of columns and HS codes.
Log Tip Sheet
• Located on UCare website (here) .
• Only report UCare Connect members/don’t combine products.
• Agency should submit only one combined log.
• Submit to UCare by 20th of following month.
• Save in required format (delegate/month/year).
• Do not modify spreadsheet formatting.
• Don’t forget UCare ID# and not PMI#.
• Do not log transfers between delegates.
Logging Initial Assessments
• Log Initial Assessments for Connect Expansion and Connect+ Medicare products.
• Initial Assessments must be completed w/in 30 calendar days of enrollment date. Initial, ICCD, Unable to Reach, Refusal.
• Log as assessment or refusal/UTR.
• Submit log by 20th of following month.
Logging Annual Reassessments
• Log annual reassessments for all Connect products – conduct for members on current enrollment roster.
• Complete annual reassessments within 365 days of previous assessment.
• Log as Reassessment, Unable to Reach, or Refusal.
• Could be any HS code type.
Returning Members to UCare Via Monthly Activity Log
• Use log to return members back to UCare when: Member refuses ongoing case coordination services
after assessment, or CC no longer wanted. Unable to reach member for care coordination after
attempts (per requirement grids). Goals met – no longer needs CC. Member refuses annual reassessment, thus refuses
ongoing care coordination. Member becomes a long term resident in SNF. Member is on a community waiver. Do NOT use a Change Fax Form to return members to
UCare – as of 1/1/18.
Members Returned to UCare
Initial and annual assessment HS code types • LU- on waiver, institutionalized• AN – assessed, not interested in CC• NR – unable to reach• NI- not interested in assessment• LM- assessed and not in need of in CC
These members will be returned to UCare and will not be on next month’s enrollment roster.
Assessment Types and Codes
Current Assessment Type on log should correspond to Assessment Outcome on log.
Examples:Initial Assessment – assessment completedType = Initial, Status = Community, HS code = any
Initial Assessment – member refused assessmentType = Initial, Status = Community, HS code = NI
Initial Assessment – Member unable to reachType = Initial, Status = Community, HS code = NR
Annual reassessment
Type= Reassessment , Status =Community, HS code=HP, HM, HD, HB if
keeping, AN, LM if returning to UCare.
Assessment Types and Codes, Cont.
Refusal of annual reassessment
Type = Refusal, Status = Community, HS code = HP, HM, HD, HB
Assessed, not interested in CC (member tells you they don’t want CC)
Type = Initial or Reassessment, Status= Community, HS code= AN
If unable to reach for initial or annual reassessment -
Type = Unable to Reach, Status = Community, HS code = NR
Additional Information
• For Connect Expansion and Connect+ Medicare, All members should be recorded on next
month’s activity log as:› Initial assessment, OR› Annual reassessment, OR› Return to UCare- use following codes:
LU, AN, NR, NI, LM
Additional Information
• For Connect NON Expansion, NON Connect+ Medicare Only record on log members with:
› Annual reassessments› Return to UCare for various reasons
LU, AN, NR, NI, LM
Questions?
Submit Logs to:
[email protected] by 20th of following month.
Submit questions to: [email protected]
