The MiCMRC Complex Care Management course is designed to prepare the healthcare professional for the role of Complex Care Manager. Read More
MiCMRC provides training and support for the following statewide Care Management initiatives:
Provider-Delivered care Management (PDCM) is part of Blue Cross Blue Shield of Michigan's Patient-Centered Medical Home program, which is a core element of Value partnerships' Physician Group Incentive Program
Summary of BCBSM PDCM programs and the care management training criteria. For details about the criteria to participate in the PDCM programs, please see the PDCM Frequently Asked Questions document, available by emailing firstname.lastname@example.org.
The Comprehensive Primary Care Plus (CPC+) program is a Centers for Medicare & Medicaid Services (CMS) five-year (2017 to 2021) payment and care delivery model. Over 440 primary care practices in Michigan were selected to participate in the program. As per CMS, no additional practices will be added to the demonstration. CMS maintains a portal for practice reporting and a national CPC+Connect site for users authorized by CMS within CPC+ practices.
The State Innovation Model (SIM) focuses on the development and testing of multi-payer health care payment and service delivery models in order to achieve better care coordination, lower costs, and improved health outcomes for Michiganders. The Michigan Department of Health and Human Services (MDHHS) is implementing this initiative.
High Intensity Care Model is a program designed to help the most complex BCBSM Medicare Advantage PPO patients manage their health conditions, coordinate their health care, and achieve optimal health. Services include, care management, in-home assessment by an RN and SW, as well as other support services delivered face-to-face, often in the patient’s home, and over the telephone by a trained team of interdisciplinary health care professionals who work collaboratively with the patient, the patient’s family, and the patient’s primary physician. These professionals deliver HICM services that address patients’ medical, behavioral, and psychosocial needs. Integrating care management into the clinical practice setting is a key component of the patient centered medical home care model fostered by BCBSM in its efforts to transform Michigan’s health care delivery.
Welcome to the Michigan Care Management Resource Center online program, focused on building care management skills and quick tools for daily work. The online eLearning series is open to all care managers and physician office team members at no cost. Each lesson is stand-alone and may be completed at a time that works for you!
Medication Management describes the medication reconciliation process, the importance of medication adherence, and the role of the care manager. In addition, you will be introduced to guidelines for Potentially Inappropriate Medications (PIM) and tools to identify alternatives to PIM.
Introduction to Advance Care Planning and Palliative Care describes the advance care planning process, how to approach the discussion, and document types. Care mangers will be exposed to the fundamentals of palliative care, including facilitating the discussion, and defining the difference between palliative care and hospice.
The Care Manager learner will be able to identify key elements of Transitions of Care, identify care manager's role in the Transitions of Care process in the primary care setting, identify interventions used by the care manager to address complications with Transitions of Care, and apply knowledge learned to a case study. Literature review, and other tools and resources for the care manager in managing transitions of care for their patients in the primary care setting are also provided.
The Five Step Process describes the care management process as it relates to assessment, planning, facilitation, care coordination, evaluation and advocation. This module will focus on each step and the care manager's role with each.
Care Planning provides the learner with the necessary elements, purpose, framework and skills for care management team members to develop a high quality patient-centered plan of care. The learner will also be able to apply knowledge from the care planning lesson to a case study.
The Role of the Care Manger seeks to define the roles and services provided to patients, which include medication management, transitions of care, care plan development and advance care planning. Additional tools and resources will be available thorughout the module.
Patient and Family Engagement is designed to help the care manager encourage patients along with their family to take part in their healthcare. This course provides the learner with resources and tools to help motivate patients by developing skills via interventions to increase activation and promote positive patient behavior.
Welcome to the Care Mangement BIlling Resource Page. Here you will find billing resources as they relate to specific programs. To access the documents simply click on the link provided for easy access.