Training & Support

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Programs MiCMRC Supports

(Updated May 1, 2017)

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 valuepartnerships@bcbsm.com.

Blue Cross Blue Shield of Michigan's Provider Delivered Care Management-Specialist program will begin on July 1, 2017. This program was previously called PDCM Oncology, which is being incorporated into the new PDCM-specialist program.

Practitioners in the following specialty types who meet the Patient-Centered Medical Home-Neighbor capability, training, and care plan requirements may bill PDCM codes.

  • Oncologists
  • Cardiologists
  • Pulmonologists
  • Nephrologists
  • Endocrinologists
  • Palliative care specialists

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.

SIM PCMH Initial Training Requirements

SIM Care Coordinators and Care Managers are required to complete the following initial training:

A. Each Care Manager and Care Coordinator must complete a Self-Management Support Program approved by the PCMH Initiative/MiCMRC within six months of hire.

  • The MiCMRC-Approved Self-Management Support Program Summary provides a list and description of these programs.
  • The PCMH Initiative has partnered with the Michigan Center for Clinical Systems Improvement (MiCCSI) to offer Self-management Support training. Through this partnership, Care Managers and Coordinators embedded within participating organizations and serving patients attributed to the PCMH Initiative can enroll in this required learning activity at no charge to the organization/practice. For more information Click Here.

B. Each Care Manager (in addition to the Self-Management Support Program as stated above) must complete the following Complex Care Management Course:

C. In addition to the above, both Care Managers and Coordinators, newly hired or existing must complete self-study modules as indicated in the table below. The self-study modules are recorded webinars. Access to the required self-study modules are located at the bottom of this page.

PCMH Initiative Care Manager and Care Coordinator intial training requirements:

 *Care managers are strongly encouraged to complete this course prior to registering in the MiCMRC CCM Course

Note: Exisitng Care Coordiantors and Care Managers that have completed the MiCMRC approved self-management course and/or the MiCMRC Complex Care Management course are not required to attend the courses again.

CPC+ is a regional, multi-payer, five-year CMS-supported initiative intended to strengthen primary care through efforts to transform payment reform and the care delivery system. CPC+ starts on January 1, 2017. Michigan is a participating region. For detailed information on CPC+ please visit the CMS Innovation website.

 

Care Management Billing Resources Click Here.

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.

(Updated December 21th, 2016)

The training requirements for New HICM Care Managers who work with complex patients includes:

  • Completion of the MiCMRC Complex Care Management Course offered by MiCMRC. Online registration. See the CCM Course Flyer (PDF) for more information.
    • HICM specific self-study module - Coming Soon

    • HICM specific case study - Coming soon!

  • Completion of an approved self-management support training program is not required. For more information on this training, the MiCMRC-Approved Self-Management Support Program Summary (PDF) provides a list and description of these programs.

For questions regarding courses or for additional information, please contact micmrc-requests@med.umich.edu