Training & Support

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Programs MICMT Supports

(Updated January 9th, 2019)

MICMT 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

Provider-Delivered Care Management Training Requirements

January 2019

 

Role

What Training is Needed?

Who can deliver the training?*

Care team members that deliver the G9001 code

  • Complex care management training
  • PDCM online billing course
  • 8 hours of continuing education per year, pro-rated based on when care team member started billing PDCM services
  • CCM can be delivered by any training entity in the state that is approved by MICMT
  • Online billing course available at https://micmrc.org/
  • Continuing education can be delivered by PO, MICMT, or independent training body

Care team members that deliver the other 11 PDCM codes

  • Complex care management training OR self-management support training (selection is at PO/provider/care team discretion and should be based on preference, interest, role in the practice, etc.)
  • PDCM online billing course
  • 8 hours of continuing education per year, pro-rated based on when care team member started billing PDCM services
  • CCM and self-management support training can be delivered by any training entity in the state that is approved by MICMT
  • Online billing course available at https://micmrc.org
  • Continuing education can be delivered by PO, MICMT, or independent training body

*If you are unsure about whether your preferred training vendor is approved, or to submit your training entity for approval to deliver training, please contact MICMT by clicking here

*For a list of approved self-management support courses, click here

All specialist physicians are able to bill for Provider-Delivered Care Management services, as long as they meet the criteria set forth by Blue Cross Blue Shield of Michigan.

Blue Cross Blue Shield of Michigan

Provider-Delivered Care Management Training Requirements

January 2019

 

Role

What Training is Needed?

Who can deliver the training?*

Care team members that deliver the G9001 code

  • Complex care management training
  • PDCM online billing course
  • 8 hours of continuing education per year, pro-rated based on when care team member started billing PDCM services
  • CCM can be delivered by any training entity in the state that is approved by MICMT
  • Online billing course available at https://micmrc.org/
  • Continuing education can be delivered by PO, MiCMRC, or independent training body

Care team members that deliver the other 11 PDCM codes

  • Complex care management training OR self-management support training (selection is at PO/provider/care team discretion and should be based on preference, interest, role in the practice, etc.)
  • PDCM online billing course
  • 8 hours of continuing education per year, pro-rated based on when care team member started billing PDCM services
  • CCM and self-management support training can be delivered by any training entity in the state that is approved by MICMT
  • Online billing course available at https://micmrc.org
  • Continuing education can be delivered by PO, MiCMRC, or independent training body

*If you are unsure about whether your preferred training vendor is approved, or to submit your training entity for approval to deliver training, please contact MiCMRC by clicking here

*For a list of approved self-management support courses, click here

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 MICMT-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.

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. 

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 MICMT Complex Care Management Course offered by MICMT. 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 MICMT-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 micmt-requests@med.umich.edu