Administrative Care Coordination

Public Group active %s

The Administration Care Coordination Unit (ACCU) is available to provide assistance to all individuals who have Maryland Medical Assistance, including those recipients in a managed care organization.

Group Admins

Health Improvement Strategy

Administrative Care Coordination

https://mygarrettcounty.com/groups/administrative-care-coordination/

Goal:

To assist Medicaid/Health Choice eligible beneficiaries to access and appropriately use their Medicaid benefits.

Strategy Description:

  The following strategies will be implemented to achieve the identified goal: Receipt of and prioritization of referrals and activities will be provided to: Pregnant & postpartum woman Newborns and children under two Children with special health care needs Children 2-21 years of age Adults with special needs Family Planning beneficiaries. All recipients will have a minimum of three contacts prior to proceeding to unable to locate status (phone calls, mailings, and home visits as necessary). Adequate attempts of reaching the client will be completed within the 30 day timeframe. The initial attempt to contact a pregnant woman will be within (7) business days of the referral. An attempt to contact a beneficiary will be made within (15) business days. An additional strategy will include coordinators conducting general information sessions for Medicaid recipients by increasing awareness of Medicaid programs. Potential medical assistance eligible clients will be encouraged to apply for programs. Awareness to the public may include phone calls, bulletin board postings, mailings, letters, newspaper articles, etc. At initial contact with Medicaid recipient, information will be provided regarding the HealthChoice Helpline and complaint resolution services. There will always be a Care Coordinator available during working hours to assist with care coordination. The information provided to a beneficiary will be limited to that which will enable the beneficiary to access covered Medicaid services in an appropriate, timely, and cost-effective manner. Coordinators will be knowledgeable about Managed Care Complaint and Grievance and Appeals process. Prenatal risk assessments are received from four prenatal clinics, strategies to increase the number of assessments include: provider education by visiting the prenatal clinics (at least quarterly), contacting them by phone (weekly).  

Level of Change:

Programs

Primary Focus Area:

Maternal, Child, and Adolescent Health

Data Category Tag:

GCHD Personal Health

Strategic Planning Alignment:

Education

Estimated Implementation Date:

2017-01-02

Estimated Completion Date:

2022-06-30

Estimated Ease of Implementation:

Moderate

Estimated Cost of Implementation:

Moderate

Potential Community Benefit:

High

Health Equity:

Every pregnant women has the right to be as healthy as possible during their pregnancy.

Research:

https://www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/index.html

Last Modification

Tiffany Fratz edited this group on November 26, 2024.
Tiffany Fratz edited this group on October 29, 2024.
Tiffany Fratz edited this group on October 01, 2024.
Tiffany Fratz edited this group on September 26, 2024.
Tiffany Fratz edited this group on August 28, 2024.
Tiffany Fratz edited this group on July 29, 2024.
Tiffany Fratz edited this group on June 25, 2024.
Tiffany Fratz edited this group on May 31, 2024.
Tiffany Fratz edited this group on April 30, 2024.
Tiffany Fratz edited this group on April 30, 2024.
Tiffany Fratz edited this group on April 30, 2024.
Tiffany Fratz edited this group on April 26, 2024.
Tiffany Fratz edited this group on March 26, 2024.
Tiffany Fratz edited this group on February 26, 2024.
Tiffany Fratz edited this group on January 29, 2024.
Tiffany Fratz edited this group on December 26, 2023.
Tiffany Fratz edited this group on November 30, 2023.
Tiffany Fratz edited this group on November 29, 2023.
Tiffany Fratz edited this group on October 30, 2023.
Tiffany Fratz edited this group on October 27, 2023.
Tiffany Fratz edited this group on September 26, 2023.
Tiffany Fratz edited this group on August 29, 2023.
Tiffany Fratz edited this group on July 31, 2023.
Tiffany Fratz edited this group on June 29, 2023.
Tiffany Fratz edited this group on June 01, 2023.
Tiffany Fratz edited this group on May 26, 2023.
Tiffany Fratz edited this group on April 28, 2023.
Tiffany Fratz edited this group on April 04, 2023.
Tiffany Fratz edited this group on June 29, 2021.
Tiffany Fratz edited this group on May 24, 2021.
Tiffany Fratz edited this group on May 10, 2021.
Tiffany Fratz edited this group on March 26, 2021.
Tiffany Fratz edited this group on February 25, 2021.
Tiffany Fratz edited this group on January 29, 2021.
Tiffany Fratz edited this group on December 31, 2020.
Tiffany Fratz edited this group on December 01, 2020.
Tiffany Fratz edited this group on October 29, 2020.
Tiffany Fratz edited this group on October 29, 2020.
Tiffany Fratz edited this group on October 02, 2020.
Tiffany Fratz edited this group on August 28, 2020.
Tiffany Fratz edited this group on July 31, 2020.
Tiffany Fratz edited this group on July 27, 2020.
Tiffany Fratz edited this group on May 28, 2020.
Tiffany Fratz edited this group on May 28, 2020.
Tiffany Fratz edited this group on February 26, 2020.
Tiffany Fratz edited this group on January 30, 2020.
Tiffany Fratz edited this group on December 30, 2019.
Tiffany Fratz edited this group on December 10, 2019.
Tiffany Fratz edited this group on November 27, 2019.
Tiffany Fratz edited this group on October 30, 2019.
Tiffany Fratz edited this group on October 30, 2019.
Tiffany Fratz edited this group on September 30, 2019.
Tiffany Fratz edited this group on September 30, 2019.
Tiffany Fratz edited this group on September 27, 2019.
Tiffany Fratz edited this group on August 30, 2019.
Tiffany Fratz edited this group on August 28, 2019.
Tiffany Fratz edited this group on July 29, 2019.
Tiffany Fratz edited this group on June 25, 2019.
Tiffany Fratz edited this group on May 30, 2019.
Tiffany Fratz edited this group on April 26, 2019.
Tiffany Fratz edited this group on April 26, 2019.
Tiffany Fratz edited this group on March 27, 2019.
Tiffany Fratz edited this group on February 27, 2019.
Tiffany Fratz edited this group on January 30, 2019.
Tiffany Fratz edited this group on December 27, 2018.
Tiffany Fratz edited this group on December 05, 2018.
Tiffany Fratz edited this group on November 28, 2018.
Tiffany Fratz edited this group on October 29, 2018.
Tiffany Fratz edited this group on September 28, 2018.
Tiffany Fratz edited this group on September 28, 2018.
Tiffany Fratz edited this group on September 27, 2018.
Tiffany Fratz edited this group on August 30, 2018.
Tiffany Fratz edited this group on August 30, 2018.
Tiffany Fratz edited this group on August 21, 2018.
Tiffany Fratz edited this group on June 28, 2018.
Tiffany Fratz edited this group on June 07, 2018.
Tiffany Fratz edited this group on May 30, 2018.

Measurements Target Goal Status Desired Trend Contributor January 2017 February 2017 March 2017 April 2017 May 2017 June 2017 July 2017 August 2017 September 2017 October 2017 November 2017 December 2017 January 2018 February 2018 March 2018 April 2018 May 2018 June 2018 July 2018 August 2018 September 2018 October 2018 November 2018 December 2018 January 2019 February 2019 March 2019 April 2019 May 2019 June 2019 July 2019 August 2019 September 2019 October 2019 November 2019 December 2019 January 2020 February 2020 March 2020 April 2020 May 2020 June 2020 July 2020 August 2020 September 2020 October 2020 November 2020 December 2020 January 2021 February 2021 March 2021 April 2021 May 2021 June 2021 July 2021 August 2021 September 2021 October 2021 November 2021 December 2021 January 2022 February 2022 March 2022 April 2022 May 2022 June 2022 July 2022 August 2022 September 2022 October 2022 November 2022 December 2022 January 2023 February 2023 March 2023 April 2023 May 2023 June 2023 July 2023 August 2023 September 2023 October 2023 November 2023 December 2023 January 2024 February 2024 March 2024 April 2024 May 2024 June 2024 July 2024 August 2024 September 2024 October 2024 November 2024 December 2024
(1) # ACC pregnant women referrals completed 9 Active 14 17 16 21 13 14 15 7 11 22 7 4 13 16 8 5 8 14 18 9 8 10 8 8 8 8 14 10 14 4 11 13 9 9 6 9 8 6 4 3 7 12 5 10 8 4 4 3 15 15 9 17 9 5 12 5 8 11 5 6 6 13 7 5 9 8 12 10 5
(2) # prenatal risk assessments received 5 Active 8 5 6 7 6 6 9 5 8 13 4 3 9 8 4 3 4 8 13 4 5 6 3 3 4 5 10 8 9 1 4 9 7 5 6 6 6 5 2 2 5 11 4 5 6 4 1 1 15 15 9 16 9 5 10 5 8 11 5 6 6 12 7 5 10 8 12 10 5
(3) # in- person visits by staff to prenatal clinics 1 Active 5 6 7 7 0 7 1 2 10 3 2 6 3 9 3 2 11 0 5 5 2 7 5 19 0 11 2 12 1 5 12 3 4 4 4 4 6 2 4 4 4 5 4 0 4 5 4 10 2 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4

Data Narrative

(1) The number of pregnant women referrals completed is the actual number of women who were able to be contacted via telephone call or home visit and prenatal information was successfully provided to them.  This number reflects only those women who were referred and are enrolled in Medical Assistance or Managed Care Organization (MCO) coverage. (2) Maryland Prenatal Risk Assessment (MPRA) are the forms utilized by prenatal clinics to make referrals to Administrative Care Coordination Unit (ACCU).  The forms provide demographic information so the client may be contacted.  This statistic only includes the number of MPRA's received on women who were already enrolled in or eligible to be enrolled in Medical Assistance or a Managed Care Organization (MCO).  Not all offices provide MPRA's to the ACCU.  For example, if a pregnant women seeks prenatal care in West Virginia, the office is not required to provide a MPRA.  (3) There are currently four prenatal clinics that ACCU staff visit for the purpose of outreach.  These clinics include Cornerstone Family Medicine, Wellspring Family Medicine, WMHS OB/GYN, and Tri-State Womens Health.  This statistic reflects the number of times the clinic receives outreach through an ACCU Coordinator per month.

Scaled Data Visualization

Fiscal Year 2017 Data Visualization (July-June)

Calendar Year 2017 Data Visualization

Fiscal Year 2018 Data Visualization (July-June)

Calendar Year 2018 Data Visualization

Fiscal Year 2019 Data Visualization (July-June)

Calendar Year 2019 Data Visualization

Fiscal Year 2020 Data Visualization (July-June)

Calendar Year 2020 Data Visualization

Fiscal Year 2021 Data Visualization (July-June)

Calendar Year 2021 Data Visualization

Fiscal Year 2022 Data Visualization (July-June)

Calendar Year 2022 Data Visualization

Fiscal Year 2023 Data Visualization (July-June)

Calendar Year 2023 Data Visualization

Fiscal Year 2024 Data Visualization (July-June)

Calendar Year 2024 Data Visualization

Skip to content