Explore resources for successful relationships between health plans and CBOs

[From Our Partners]

Resources for Health Plans and Community-based Organizations Partnering to Provide Supplemental Benefits

The recently released 2020 Medicare Call Letter<http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwNDI1LjUxMzY5NTEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwNDI1LjUxMzY5NTEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzEwMzg5MyZlbWFpbGlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdXNlcmlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdGFyZ2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&100&&&https://www.cms.gov/newsroom/fact-sheets/2020-medicare-advantage-and-part-d-advance-notice-part-ii-and-draft-call-letter> provides guidance to Medicare Advantage (MA) plans on new non-health supplemental benefits for chronically ill individuals. MA plans will have greater flexibility to offer a range of supplemental benefits tailored to the specific needs of these individuals, if the benefits have a reasonable expectation of improving or maintaining the health or overall function of the individual as it relates to their chronic condition or illness. Supplemental benefits can include providing meals beyond a limited basis, transportation for non-medical needs, and home environment services.

Resources for Integrated Care (RIC) invites you to explore the resources linked below that may assist health plans and community-based organizations (CBOs) in building successful contractual relationships.

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RIC Briefs for Health Plans

  *   Contracting with Providers<http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwNDI1LjUxMzY5NTEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwNDI1LjUxMzY5NTEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzEwMzg5MyZlbWFpbGlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdXNlcmlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdGFyZ2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&101&&&https://www.resourcesforintegratedcare.com/sites/default/files/Contracting_with_Providers.pdf>: Considerations for health plans as they enter into contractual agreements with LTSS and HCBS providers.
  *   Identifying & Engaging Behavioral Health-Focused LTSS Providers<http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwNDI1LjUxMzY5NTEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwNDI1LjUxMzY5NTEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzEwMzg5MyZlbWFpbGlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdXNlcmlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdGFyZ2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&102&&&https://www.resourcesforintegratedcare.com/sites/default/files/Identifying_Engaging_Behavioral_Health_Focused_LTSS_Providers_Key_Considerations_for_Health_Plans.pdf>: Key considerations for identifying and engaging community-based behavioral health direct service worker programs.
  *   Identifying Community-Based Resources<http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwNDI1LjUxMzY5NTEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwNDI1LjUxMzY5NTEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzEwMzg5MyZlbWFpbGlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdXNlcmlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdGFyZ2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&103&&&https://www.resourcesforintegratedcare.com/sites/default/files/Identifying_Community-Based_Resources.pdf>: Examples of community-based resources health plans may consider engaging to address member needs.

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RIC Briefs for LTSS and HCBS Providers

  *   Contracting with Health Plans<http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwNDI1LjUxMzY5NTEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwNDI1LjUxMzY5NTEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzEwMzg5MyZlbWFpbGlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdXNlcmlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdGFyZ2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&104&&&https://www.resourcesforintegratedcare.com/sites/default/files/Contracting_with_Health_Plans.pdf>: General considerations for organizations when contracting or entering into agreements with health plans.
  *   Billing for Services<http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwNDI1LjUxMzY5NTEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwNDI1LjUxMzY5NTEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzEwMzg5MyZlbWFpbGlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdXNlcmlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdGFyZ2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&105&&&https://www.resourcesforintegratedcare.com/sites/default/files/Billing_for_Services_Key_Considerations_for_Providers.pdf>: Key issues for LTSS providers to consider when billing or submitting claims to health plans.
  *   Issues HCBS Providers may Negotiate with Health Plans<http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwNDI1LjUxMzY5NTEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwNDI1LjUxMzY5NTEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzEwMzg5MyZlbWFpbGlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdXNlcmlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdGFyZ2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&106&&&https://www.resourcesforintegratedcare.com/sites/default/files/Issues_HCBS_Providers_may_Negotiate_with_Health_Plans.pdf>: Issues that may be addressed and negotiated in contracts health plans offer to LTSS providers.

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Learn More: Health Plan & CBO Partnership

  *   View all RIC Briefs<http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwNDI1LjUxMzY5NTEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwNDI1LjUxMzY5NTEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzEwMzg5MyZlbWFpbGlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdXNlcmlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdGFyZ2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&107&&&https://www.resourcesforintegratedcare.com/CBO_Campaign/Resources_for_Integrated_Care_Briefs>
  *   Visit ACL's HCBS Business Acumen Center<http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwNDI1LjUxMzY5NTEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwNDI1LjUxMzY5NTEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzEwMzg5MyZlbWFpbGlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdXNlcmlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdGFyZ2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&108&&&http://www.hcbsbusinessacumen.org/>

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