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 email@example.com.
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.
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:
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.
The training requirements for New HICM Care Managers who work with complex patients includes:
HICM specific self-study module - Coming Soon
HICM specific case study - Coming soon!
For questions regarding courses or for additional information, please contact firstname.lastname@example.org