Senior care options massachusetts

• [PDF File]UnitedHealthcare Senior Care Options - LTQA

  https://info.5y1.org/senior-care-options-massachusetts_1_6e56f1.html

  Senior Care Options in Massachusetts Program Name Senior Care Options (SCO) Year Established 2004 Covered Populations Medicaid beneficiaries age 65 and older Population Carve-Outs Individuals with ESRD, residents of ICF/MR facilities, and inpatients in a chronic or rehabilitation hospital Enrollment Approach Voluntary, but participants must

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• [PDF File]ATTACHMENT A MASSHEALTH SENIOR CARE OPTIONS - CHCS

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  Aging Services Access Point (ASAP) - an entity organized under Massachusetts General Law (M.G.L.) c.19 §4B that contracts with the Executive Office of Elder Affairs to manage the Home Care Program in Massachusetts and that performs case management, screening, and authorization activities for certain long term care services.

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• [PDF File]Introducing UnitedHealthcare Senior Care Options (HMO SNP) - Massachusetts

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  Senior Care Options (HMO SNP) One plan. More coverage. At no cost to you. The benefit information provided herein is a . brief summary, not a comprehensive description of benefits. For more information contact the plan. UnitedHealthcare Senior Care Options is a voluntary MassHealth benefit in association with the Executive Office of Health and ...

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• Senior Care Options (SCO)! - Massachusetts

  Senior Care Options (SCO)! A health care plan that’s as individual as you are. If you decide to enroll in the SCO Program, here are some of the benefits. ... • Senior Whole Health (1-888-566-3526) • Tufts Health Plan Senior Care Options (1-855-880-0056) • UnitedHealthCare

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• Senior Care Options Evaluation Phase 2: Member ... - Massachusetts

  evaluation of member experience with the Senior Care Options (SCO) program in Massachusetts, using data gathered from focus groups and individual interviews. The first report, which detailed the results of the focus groups, was submitted to the Executive Office of Elder Affairs in December 2006. This report

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• [PDF File]One Care, Senior Care Options (SCO) and Duals ... - Massachusetts

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  COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES One Ashburton Place, 11th floor Boston, MA 02108 One Care, Senior Care Options (SCO) and Duals Demonstration 2.0 REQUEST FOR INFORMATION DOCUMENT # FY19EHSCBONECARESCODUALSRFI

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• Senior Care Options - Massachusetts

  RE: Nursing Facility Manual (Senior Care Options) Effective January 2, 2004, MassHealth members aged 65 and older will have the option of enrolling in a coordinated health plan called Senior Care Options (SCO). SCO is a comprehensive health plan that covers all of the services covered under Medicare and MassHealth, through a

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• [PDF File]Prior Authorization Requirements for Massachusetts Senior Care Options

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  Prior authorization is not required for emergency or urgent care. Out-of-network physicians, facilities and other health care providers must request prior authorization for all procedures and services, excluding emergent or urgent care. Procedures and Ser vices Additional Information CPT ® or HCPCS Codes and/or How to Obtain Prior Authorization

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• Tufts Health Plan Senior Care Options Notification List

  Tufts Health Plan Senior Care Options (SCO) requires inpatient notification for inpatient admissions and ... Commonwealth of Massachusetts MassHealth Provider Manual Series Adult Day Health Manual Adult foster care S5140, S5140-TF, S5140-TG, S5140-U5, S5140-U6, S5140-TG-

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• [PDF File]Frequently Asked Questions

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  as UnitedHealthcare® Senior Care Options (HMO D-SNP), a Dual Special Needs Plan (D-SNP), for individuals who are eligible for both MassHealth and Medicare. UnitedHealthcare Community Plan of Massachusetts manages the Medicare Advantage benefits and reimburses you according to your existing contracted rates. Eligibility and Benefits Q.

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• [PDF File]CCA Senior Care Options (HMO D-SNP)

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  A Senior Care Options Plan is a health plan that contracts with both Medicare and the Commonwealth of Massachusetts Medicaid program (Medicaid) to provide benefits of both programs to enrollees. It is for people age 65 and older with Medicare and MassHealth Standard coverage, and no other comprehensive health insurance. A Senior Care Options ...

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• [PDF File]Massachusetts Managed Care Program Features, as of 2013

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  of a Senior Care Organization. In CY 2103, the SCO program was available in most of Massachusetts, excluding the far west and the island counties. In CY 2013 a new Senior Care Organization began enrollment, Tufts Health Plan, and with its service area in the previously uncovered Barnstable county. The SCO program covers all medically

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• [PDF File]Tufts Health Plan Senior Care Options (SNP): Summary of Benefits

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  Tufts Health Plan Senior Care Options (SNP): Summary of Benefits . If you have questions, please call Tufts Health Plan Senior Care Options at 1-855-670-5934 (TTY: 711), Monday – Friday 8 a.m. – 8 p.m. (from October 1 – March 31 representatives are available 7 days a week, 8 a.m. – 8 p.m.). The call is free. For more information, visit

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• [PDF File]MassHealth Senior Care Options Contract for Senior Care ... - CHCS

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  MassHealth Senior Care Options Program. Contract Management Team - a group of EOHHS and CMS representatives responsible for the management functions outlined in Subsection 3.1 of the Contract. Contractor - any entity designated by CMS as a Medicare Advantage Special Needs Plan at the time of its application and approved by EOHHS as a Senior Care

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• [PDF File]CONTRACT FOR SENIOR CARE ORGANIZATIONS BY AND BETWEEN THE EXECUTIVE ...

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  SCO Contract Section 1: Definitions of Terms 2 Contract Year (CY) - a twelve month period commencing January 1, and ending December 31, unless otherwise specified by EOHHS. Covered Services - those services listed in Appendix A of the Contract delivered in accordance with Subsection 2.4 of the Contract. Cultural Competence - a set of congruent policies that enables effective work in cross-cultural

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• Tufts Health Plan Senior Care Options (SCO)

  Live in the following Massachusetts counties: Barnstable, Bristol, Essex, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk or Worcester Note: Members can check Tufts Health Plan’s provider and pharmacy directory on the website or call Member Services at 800.701.9000 to request a copy of these directories. PCP required

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• [PDF File]MassHealth: Senior Care Options Medicare/Medicaid Demonstration

  https://info.5y1.org/senior-care-options-massachusetts_1_357fe3.html

  Commonwealth Care Alliance is a non-profit consortium of PACE providers and 6 medical groups. Senior Whole Health: is a for-profit alliance between Caritas Christi, the Catholic Health System in Massachusetts, and a start-up managed care firm. Evercare Massachusetts is a for-profit health care insurer with commercial, M+C and

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• [PDF File]Tufts Health Plan Senior Care Options Care Model Training

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  The care model focuses on an integrated approach to care management, including medical, behavioral, social, and long-term needs. A SCO member’s Primary Care Team (PCT) includes a Primary Care Provider (PCP), a Geriatric Support Services Coordinator (GSSC) from an Aging Services Access Point (ASAP), and a Registered

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• [PDF File]Commonwealth Care Alliance Massachusetts

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  Commonwealth Care Alliance and prescription drug coverage at network pharmacies for both Senior Care Options and One Care. Please see an example card below. Senior Care Options . One Care . Please call Provider Services at 866-420-9332 to verify member eligibility and confirm that the membership is still active.

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