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Welcome to MedChi, The Maryland State Medical Society.  
As the statewide professional association for licensed 
physicians, we are dedicated to our mission to serve as 
Maryland's foremost advocate and resource for physicians, 
their patients, and 
the
public health.

Sunday, July 12, 2020
You are here : Your Profession  >  MedChi Care Transformation Organization  >  Tuesday Updates
Tuesday Updates

July 7, 2020

We hope you all were able to enjoy the long, holiday weekend. Please see below for important updates and upcoming webinars links.

 

Behavioral Health Readiness for Track Two *Action Required
In advance of our Q3 Practice Meeting, the MedChi CTO would like to explore how your practice is addressing the domains of Behavioral Health and Linkages with Social Services.  As a reminder, Track 2 transition is required by the end of your third year in the program:

  • Program Year 2019 Starters: Must be ready for Track 2 by Fall 2021
  • Program Year 2020 Starters: Must be ready for Track 2 by Fall 2022

    Please complete the survey HERE to help inform the MedChi CTO efforts to support you.

     

    CARES ACT Provider Relief Fund - Application Deadline Approaches *New
    The Maryland Department of Health encourages providers to apply for the Provider Relief Fund even if they are uncertain of their eligibility.  
    The application deadline is Monday, July 20. Applications submitted after the deadline will not be considered.

     

    Dr. Haft’s Request for Patient and Staff Feedback *New
    A message from Dr. Haft:


    “I would like to ask you to solicit objective comments on the MDPCP from your patients and your staff, so that when asked by external parties we can respond in a meaningful way.  This does not replace the CAHPS survey which provides data in a more formal and less personal basis.  These comments allow us to communicate the value of this program to curious parties in a way that is universally understood.  Simple statements like, "My Care Manager helped me get through this” or, “My Coach made this process very understandable” tell a wonderful story that can be lost in data.”


    Please take a moment and pass on comments to Steph Scott at stephanie.scott1@maryland.gov.

     

    MDPCP 2021 Application - Current Participants Do Not Need to Reapply
    There is only one week left for new practices to apply to the Maryland Primary Care Program for 2021.


    If you know of any colleagues that are interested in the MDPCP, please reach out to the MedChi CTO (cto@medchi.org) with their contact information.  We will be are happy to share more information with them or answer any questions.  Additionally, feel free to share the MedChi CTO email with a practice that is looking to learn more or needs assistance with the application

     

    Primary Care COVID-19 Training CME
    If you attended the Primary Care Reopening Training on Thursday, 6/18 and are interested in obtaining the 3.5 AMA PRA Category 1 Credit™, please click on this link to complete the form by July 23, 2020.


    If you were unable to attend, you can find the slides, a recording of the training, and guest speakers with Q&A linked.


    COVID-19 Webinars - COVID-19 Updates will occur weekly on Wednesdays

    MDPCP Webinars

    • Wednesday, July 8 (12-1PM) Coping with Trauma on the Frontline of COVID-19 Presenting: Horizon Foundation
    • Thursday, July 9 (12-1PM) All Practice Office Hour with PMO
      The MDPCP Learning Network will host its monthly Office Hour alongside the PMO. As always, please send any questions that you may have in advance to MarylandModel@lewin.com. Questions that are sent ahead of time will be prioritized during the session.
    • Tuesday, July 14 (12-1PM) Care Manager Affinity Group
    • Thursday, July 16 (5-6PM) Gestational Diabetes Webinar


    June 30, 2020

    Please see below for this week’s updates from the MedChi CTO. We wish you all a wonderful holiday weekend; stay safe and stay healthy.

    CRISP MDPCP Dashboard Error Fixed *New
    Due to a calculation error the PMPM cost and utilization per 1,000 measures in the CRISP MDPCP Dashboard have been revised as of 6/26/20.  Please see the attached letter from Dr. Haft for more details.

     

    MDPCP 2021 Application - Current Participants Do Not Need to Reapply
    You may have recently received an email with a link to the MDPCP application portal. Please note that if you are not planning to apply for additional practice locations you should disregard this email.  Current participants in the program DO NOT need to reapply.


    If you know of any colleagues that are interested in the MDPCP, please reach out to the MedChi CTO (cto@medchi.org) with their contact information. We will be are happy to share more information with them or answer any questions. Additionally, feel free to share the MedChi CTO email with a practice that is looking to learn more or needs assistance with the application

     

    MDPCP Reminders

    • Q2 2020 User Access Verification, originally scheduled for June 22 – July 10, 2020, has been canceled.
    • The MDPCP C&G-CAHPS Survey PY2020 fielding 1, originally scheduled to begin in July 2020, has been canceled. Practices are not required to submit Patient Survey Roster for this fielding.
    • CMMI will delay reporting on practice care transformation requirements in the MDPCP Portal until Fall 2020.
    • Practices will be held harmless for the 2019 Performance Year eCQM reporting requirements.
    • For those that were unable to complete their financial reporting by the March 31, 2020 deadline, CMS will reopen it later in 2020.
    • The Preventing Avoidable Hospitalization Tool within CRISP was updated. For more information review this post.


    Primary Care COVID-19 Training CME
    Thank you for attending the Primary Care Reopening Training on Thursday, 6/18.  If you are interested in obtaining the 3.5 AMA PRA Category 1 Credit™, for your convenience, please click on this link to complete the form by July 23, 2020.  If you were unable to attend, you can find the slides, a recording of the training and guest speakers with Q&A linked.

     

    Upcoming Webinars - Beginning in July, COVID-19 Updates will occur weekly on Wednesdays

    *Today* Wednesday, July 1 (5-6PM) COVID-19 Update Featured: Behavioral Health

    Wednesday, July 8 (12-1PM) Coping with Trauma on the Frontline of COVID-19 Presenting: Horizon Foundation

    Wednesday, July 8 (5-6PM) COVID-19 Update Featured: Behavioral Health

    Wednesday, July 15 (5-6PM) COVID-19 Update

     

    Updates from the PMO: As of 6/30

     


     

    June 23, 2020

     

    We hope you had a pleasant Father’s Day and had a chance to spend time your family and loved ones. Please see below for our weekly update:


    CARES Act Provider Relief Funds Webinar: Thursday, June 25, 2020 at 2 PM ET

    The Provider Relief Funds supports American families, workers, and the heroic healthcare providers in the battle against the COVID-19 outbreak. HHS is distributing $175 billion to hospitals and healthcare providers on the front lines of the coronavirus responseLearn more here.


    HHS expects to distribute $15 billion to eligible Medicaid and CHIP providers through the Provider Relief Fund. Join our webcast to learn more about the application process.  Please pre-register to reserve a spot: Thursday, June 25, 2020 at 2 PM ET 


    MDPCP Recent Policy Updates

    In the past few weeks, there have been a number of important updates shared on Connect. For those who may have missed them, we have compiled them below:


    • Q2 2020 User Access Verification, originally scheduled for June 22 – July 10, 2020, has been canceled. Practices and CTOs do not need to take action to verify MDPCP Portal users at this time. The Q3 2020 User Access Verification submission period will occur as scheduled, September 21 – October 9, 2020.
    • The MDPCP C&G-CAHPS Survey PY2020 fielding 1, originally scheduled to begin in July 2020, has been canceled. Practices are not required to submit Patient Survey Roster for this fielding.
    • CMMI will delay reporting on practice care transformation requirements in the MDPCP Portal until Fall 2020. Practices will still report on the previous two quarters in Quarter 3. Practices will still report on the previous two quarters in Quarter 3, so they should be prepared to report on Q2 and Q3 activities.
    • CMMI typically collects information on three (3) electronic Clinical Quality Measures (eCQMs) from MDPCP practices. Reporting for eCQMs closed on March 31, 2020. Practices will be held harmless for the 2019 Performance Year eCQM reporting requirements.
    • CMMI closed the financial reporting process on March 31, 2020. For those that were unable to complete their financial reporting by the March 31, 2020 deadline, CMS will reopen it later in 2020.
    • The Preventing Avoidable Hospitalization Tool within CRISP was updated. For more information review this post.
    • The Track 1 to Track 2 Readiness Assessment was released. This guide will provide guidance to those who plan to apply to Track 2 this year. You can find the guide attached to this post and more information from the June 11 Office Hour here


    2021 MDPCP Application - Open for NEW PRACTICES

    If you know of any colleagues that are interested in the MDPCP, please reach out to the MedChi CTO (cto@medchi.org) with their contact information. We will be are happy to share more information with them or answer any questions. Additionally, feel free to share the MedChi CTO email with a practice that is looking to learn more or needs assistance with the application

     

    COVID-19 Updates and Webinars

    SBIRT Live Support (Mosaic)

    The PMO has partnered with the Mosaic Group to help MDPCP Practices and CTOs with the implementation of the Screening, Brief Intervention and Referral to Treatment (SBIRT) for Behavioral Health. The Mosaic Group will host a monthly SBIRT conference call with MDPCP providers. They will be available each day at 12:30pm and 5pm for the first 15 minutes or however long is needed.


    To join the meeting from your computer, tablet, or smartphone, you can use: HTTPS://GLOBAL.GOTOMEETING.COM/JOIN/470593349


    You can also dial in using your phone:

    1 866 899 4679 or +1 (312) 757-3117 

    Access Code: 470-593-349


    For information contact: Erin Cosgrove-Findley MS, LPC 443-469-4276 ecosgrove@groupmosaic.com

     


    June 16, 2020

     

     

    Please see below for updates the MedChi CTO would like to share this week.  Please continue to reach out to the MedChi CTO if you need assistance in addressing COVID-19 and progressing in MDPCP care transformation.


    COVID-19 Training for Primary Care Recovery - Thursday, June 18th from 1-4 PM


    A FREE, comprehensive, interactive, 3-hour training program is designed to provide primary care practices with a roadmap to reopening their practices, reviving primary care services & things to consider to be prepared for re-surge, if necessary.


    Training will cover:


    • Establishing safe practices for in-office visits for both practice staff and patients
    • Enhancements to telemedicine visits and patient self-monitoring
    • Re-surge preparedness
    • Insights on resources & tools

    This training is open to anyone, including practices outside of MDPCP.  If you have any questions, please email mdpcp@medicalincs.com.

    Primary Care Reopening Resource

    The Primary Care Roadmap to Recovery is available on our COVID-19 Resources webpage and attached.




    Lyft’s Health Safety Update: Learn more HERE

    In order to use Lyft, riders and drivers will now be required to follow a new set of health and safety rules.  Practices using Lyft will be responsible for communicating the new rules to your organization's riders, to ensure a smooth riding experience.


    What Concierge agents need to tell riders:


    • They must wear a face mask or covering
    • They must not ride with Lyft if they have COVID-19, think they have it, or have related symptoms
    • They will not ride in the front seat to allow for social distancing
    • Drivers will keep vehicles clean and sanitize their hands frequently
    • Drivers will leave windows open when possible and avoid recirculated air when possible

    The Agent Experience:

    Agents (those who order the ride) will see a pop-up screen with the new rules the next time they log into Concierge.  They'll need to agree to its requirements before they can send rides.  While agents only need to fill out this agreement once, we ask that they remind riders of the rules before every ride.


    The Rider Experience:

    Riders who are able to receive text messages will get an SMS text about the new rules when an agent sends them a ride.


    Cancellation Policy:

    If a rider needs to cancel a ride because of a health safety concern, you or your rider can request a refund by going to our support center and choosing 'Health safety inquiry' from the dropdown menu.


    If you would like to sign your practice up for Lyft Business and receive monthly reimbursement for 25% of your Lyft bill, please email Andrea.


    2021 MDPCP Application - Open for NEW PRACTICES

    If you know of any colleagues that are interested in the MDPCP, please reach out to the MedChi CTO with their contact information.  We will be are happy to share more information with them or answer any questions.  Additionally, feel free to share the MedChi CTO email with a practice that is looking to learn more or needs assistance with the application.


    Webinars and Upcoming COVID-19 Updates


    Update from the PMOAs of 6/16

    There are several new updates from the PMO.  Please view their latest email here.


    June 9, 2020

    Please see below for this week’s updates.  Please continue to reach out to the MedChi CTO if you need assistance in addressing COVID-19 and progressing in MDPCP care transformation.


    Important CMMI Announcement: CAHPS Survey Canceled

    The MDPCP C&G-CAHPS Survey PY2020 fielding 1, originally scheduled to begin in July 2020, has been canceled.  Practices are not required to submit Patient Survey Roster for this fielding.


    If you have any questions, please contact MDPCP Helpdesk at 1-844-711-2664, Option #7 or MarylandModel@cms.hhs.gov.


    2021 MDPCP Application - Now Open for NEW PRACTICES

    For all practice sites who are not currently enrolled in the Maryland Primary Care Program, the application cycle is now open and closes July 14, 2020.  Current practices do NOT need to re-apply.


    If you know of any colleagues that are interested in the MDPCP, please reach out to the MedChi CTO (cto@medchi.org) with their contact information.  We will be happy to share more information with them or answer any questions.  Additionally, feel free to share the MedChi CTO email with a practice that is looking to learn more or needs assistance with the application.


    COVID-19 Training for Primary Care Recovery - Thursday, June 18th from 1-4 PM

    A FREE, comprehensive, interactive, 3-hour training program is designed to provide primary care practices with a roadmap to reopening their practices, reviving primary care services & things to consider to be prepared for re-surge, if necessary.


    Training will cover:

    • Establishing safe practices for in-office visits for both practice staff and patients
    • Enhancements to telemedicine visits and patient self-monitoring
    • Re-surge preparedness
    • Insights on resources & tools

     

    This training is open to anyone, including practices outside of MDPCP.  Please register here:  https://attendee.gotowebinar.com/register/7819179547232886800.


    If you have any questions, please email mdpcp@medicalincs.com

     

    Behavioral Health Specialist Update from Leslie Sherrod:

    *NewBehavioral Health Referral Tracker: Practices who have sent BH referrals will be provided a monthly referral tracker offering a status update on each referral sent. This cumulative tracker will be sent by the 10th of every month to help you maintain a registry of patients receiving BH services as part of the MDPCP. The report for June has already been sent to providers via Backline or CRISP Direct, depending on your practice’s access.


    BH Claims with Risk Data: Most practices have been forwarded a quarterly report based on BH claim data and cross-referenced with risk scores and COVID-19 vulnerability.  Some practices have asked what to do with this data. Here are some recommendations:


    • Patients prone to depression or anxiety may benefit from a PHQ-9 and/or GAD-7 screening.  Check with your biller as these screenings may provide additional revenue for you.  Remember, for scores of 10 or over for either instrument, referral for services (i.e. psychiatrist, psychotherapy, etc), is recommended.
    • For patients who are experiencing dementia or other progressive diseases that impact memory, functioning, ADLs, etc, checking in with their caregivers may be helpful with managing their care, especially in light of COVID-19 stressors.  If any are needing support, refer them to Maryland Access Point (1-844-MAP-LINK) which provides services and resources in every city/county in Maryland via the Dept of Aging.
    • In general, the goal is to ensure patients are currently managing their behavioral health symptoms and needs (i.e. connected to providers, taking prescribed meds as directed, etc.).


    Reminder: Please do not send any PHI via email, including patient’s name, address, DOB, or phone number.  Backline and CRISP Direct are available to share information with the Behavioral Health Specialist.


    Behavioral Health Webinar Series by Mosaic

    • Wednesday, June 10 (12-12:30PM) - Strategies for Brief Interventions
    • Monday, June 15 (1-1:30PM) - Increasing Referrals Through Motivational Interviewing
    • Tuesday, June 16 (11-11:30AM) - SBIRT Screening Tips: Normalizing the conversation around alcohol/substance use

    Upcoming COVID-19 Updates and MDPCP Webinars


    June 2, 2020

    Please see below for the updates we would like to share this week. As always, if you have any questions, please reach out.

    Quality Measures for 2020:

    As we enter the halfway point through the Maryland Primary Care Program for 2020, we would like to remind you all of the necessary quality measures your EHR should be capturing.  
    This data will be required for submission in early 2021. If you have any questions regarding the required measures, please reach out.


    • Outcome Measures - Diabetes and Hypertension Control

    Image preview
    **If your EHR is not already set up to capture this data, please contact your EHR company to make the necessary changes. 

    Final eCQMs for Performance Year 2020: 

    Although four eCQMs are mentioned in the 2020 Participation Agreement, measure specifications are not yet available for the following two measures:

    • Screening for Abnormal Blood Glucose in Overweight/Obese Patients
    • Substance Use Screening and Intervention Composite

    Practices should plan to work with their EHR vendors to implement these measures for Performance Year 2021, but will not be required to report on them for Performance Year 2020.  We urge practices to continue to develop clinical processes for these measures during Performance Year 2020 so they are ready to collect data for reporting beginning January 1, 2021.

    The CTO encourages all practices and their staff to review the program requirements for 2020 which can be found in the attached Getting Started Guide

    MDPCP Advanced Primary Care Staff Training CME Form:

    If you attended the MDPCP Advanced Primary Care Staff Trainings on Friday, May 15th or Friday, May 22nd and are interested in obtaining the 3.5 AMA PRA Category 1 Credit™, please click HERE to complete the form.  Please fill the form out by June 24, 2020

    Please send your questions, comments and feedback to: MDPCP@medicalincs.com.

    COVID-19 Updates and MDPCP Webinars

    Moving forward, Dr. Haft will be hosting webinars weekly on Mondays and Wednesdays. There will no longer be weekly updates on Fridays.

    • Wednesday, June 3 (5-6PM) - COVID-19 Update *Guest Speaker: Denis Antoine, MD
    • Thursday, June 4 (5-6PM) - Comprehensive Medication Management and Pharmacy *Guest speaker: Magaly Rodriguez de Bittner, PharmD
    • Monday, June 8 (5-6PM) - COVID-19 Update *Featured: Healthcare Disparities
    • Tuesday, June 9 (12-1PM) - Care Manager Affinity Group

    PMO Weekly Update: *Released on 6/2

    Please open to view the latest recourses released by the PMO.


    May 26, 2020

    We hope you had a pleasant Memorial Day weekend and had a chance to spend time with friends and family (from a safe distance).  Please see below for our weekly update:


    COVID-19 Webinars


    Wednesday, May 27 (5:00 pm - 6:00 pm) - *Special guest: Behavioral Health Administration*
    Friday, May 29 (12:00 pm - 1:00 pm) - CANCELLED 
    Monday, June 1 (5:00 - 6:00 pm)


    CRISP Track Two Transitions Webinar - Thursday, May 28th (5:00 - 6:00 pm)
    This webinar was developed by the Maryland Program Management Office as a resource for participating practices and CTOs.  If you have any questions about the event or associated materials, please post on Connect or contact the PMO directly at mdh.pcmodel@maryland.gov.


    Practice Meeting with CTO
    The CTO staff will also be reaching out to address requests made during the practice meeting.  Please keep an eye out for follow up emails individually sent from members of the CTO staff.  If you would like to discuss any of the following services with the CTO, please reach out to the appropriate contact listed below:


    CTO Weekly Updates:

    You can view all previous CTO Weekly Updates that have been sent out during COVID-19 on the MedChi CTO webpage HERE.  All attachments, links and images are included.  We highly encourage you to utilize this page and the included resources. 


    Considerations When Reopening a Practice

    Please review the recommendations below before reopening your practice.  This comes directly from the Maryland Department of Health. 

    If you are in need of PPE, please follow this link.

    Image preview

    CRISP Reporting Service (CRS) - Important Update
    The CRS team is proud to announce of the release of an ‘Introduction Card’ training resource report blue title for every CRS user as of Friday, May 22nd 2020.  By clicking this new blue title, users can find a few short video presentations on key features of the CRS Portal, as well as, CRS User Use Case document which can better inform users on which reports or tools the CRS team has available to support user stories within a particular strategic area of population health.  The team is working to build upon these materials for future releases.  Additional updates to come in mid-June or early July.

     


    Advanced Care Planning Webinar Slides and Recording:

    Download the slides and access the recording from the PMO's Advance Care Planning Webinar on May 21, 2020 to review the importance and implementation of Advanced Care Planning. They discuss a practice workflow example and using CRISP ULP.


    May 19, 2020

    We hope you are all doing well and staying healthy. Please see below for the updates we would like to share with you this week.


    Practice Meetings with the CTO
    The CTO staff will also be reaching out to address requests made during the practice meeting.  Please keep an eye out for follow up emails individually sent from members of the CTO staff.  If you would like to discuss any of the following services with the CTO, please reach out to the appropriate contact listed below:


      Patient Booklet
      The MedChi CTO services are still available for Medicare patients during this time.  This is a link to the MedChi CTO Medicare Patient Resource Booklet.  We encourage you to share this link on your website, through email, or any other form of communication you have with your Medicare patients.

       

      *NEW* Updated Billing and Coding Document: 

      Please click here.

       

      *NEW* Telehealth Billing and Coding Webinar: Thursday, May 21 at 1:00 pm
      MedChi and Medical Business Partners are hosting a telehealth billing webinar.  The webinar will present the most current updates for coding and billing telehealth services during COVD-19 pandemic. It will discuss current regulations, documentation requirements, best practices, and in-depth protocol by each major insurance payer in Maryland.  It will also include recommendations for ways to incorporate telehealth, requirements for re-opening offices and facilities, and tips for maximizing cash flow.  This short video highlights some of the key topics that will be discussed.  


      *NEW* COVID-19-Related Equipment Survey:  https://forms.gle/HUk6QADdbDKkFnL37
      The Maryland Primary Care Program (MDPCP) wishes to assess the current COVID-19-related equipment needs. Please complete the survey below to help the Maryland State Government discover and understand your COVID-19-related equipment requirements.  The MDPCP PMO asks each individual MDPCP practice to complete this survey by the close of business hours on Wednesday, May 20, 2020.   Please note that unrealistic estimates of need will not be acknowledged. 

       

      MDPCP Webinars:  Registration links are in orange


       

      MDPCP Staff TrainingVirtual Training 002: Friday, May 22 (1:00 pm - 4:00 pm)
      This webinar will discuss: Key areas of care coordination & population health management. Walk through a practical workflow of primary care delivery; especially during the COVID-19 pandemic; and Insights on relevant applications & tools.


      • Please registerHere


      May 12, 2020

      We hope you had a pleasant Mother's Day weekend and were able to take time to celebrate with those you love, even from a distance.  Below are a few updates we would like you to be aware of:

      1. Practice Meetings with the CTO
        Thank you for taking the time to meet with the MedChi CTO.  We know that schedules are full and greatly appreciate you taking an hour out of your day to speak with us.  Following our meeting, you were sent a separate email containing the presentation materials.  If you have any questions on what was presented, please reach out.

        The CTO staff will also be reaching out to address requests made during the practice meeting.  Please keep an eye out for follow up emails individually sent from members of the CTO staff.

      2. Patient Booklet
        The MedChi CTO services are still available for Medicare patients during this time.  This is a link to the MedChi CTO Medicare Patient Resource Booklet.  We encourage you to share this link on your website, through email, or any other form of communication you have with your Medicare patients.

      3. COVID-19 Webinars (registration is hyperlinked to the date)

        Wednesday, May 13 (5:00 pm - 6:00 pm) - *Special guest: Behavioral Health Administration*
        Friday, May 15 (11:30 am - 12:30 pm) - *Special Topic: Pediatrics*
        Monday, May 18 (5:00 pm - 6:00 pm)
        Wednesday, May 20 (5:00 pm - 6:00 pm) - *Special guest: Behavioral Health Administration*
        Friday, May 22 (12:00 pm - 1:00 pm) - *Special guest: Provider Panel*

      4. All Practice and CTO Office HourThursday, May 14 (12:00 pm - 1:00 pm)
        The Learning Network will host its May Office Hour on Thursday, May 14th at 12:00pm. They will be joined by the PMO and discuss alternative care strategies, including telehealth.

        If you have any questions that you would like to ask during the session, please send them in advance to MDPCP@Lewin.com. We look forward to hearing about all the creative ways that you are caring for your patients during the COVID-19 pandemic.

      5. Advanced Primary Care Staff Training Academy
      • PY1 MDPCP Practices: Virtual Training 001 - This day of training is mainly for practices new to MDPCP in 2020
        • THIS Friday, May 15 (1:00 pm - 4:00 pm) - Please register Here
      • PY2 MDPCP Practices: Virtual Training 002 – This day of training is for practices that joined MDPCP in 2019
        • Friday, May 22 (1:00 pm - 4:00 pm) - Please register Here 

      May 7, 2020

      Since some Medicare beneficiaries don’t have access to interactive audio-video technology that is required for Medicare telehealth services, or choose not to use it even if offered by their practitioner, CMS is waiving the video requirement for certain telephone evaluation and management services, and adding them to the list of Medicare telehealth services. As a result, Medicare beneficiaries will be able to use an audio-only telephone to get these services.

      CMS is also increasing payments for these telephone visits to match payments for similar office and outpatient visits. This would increase payments for these services from a range of about $14-$41 to about $46-$110.

      The payments are retroactive to March 1, 2020.

      Coding for Telephone Calls:

      • G2012  5-10 minute check in to decide whether an office visit or other service is needed
      • G2010 A remote evaluation of recorded video and/or images submitted by a patient
      • 99441 5-10 minutes of medical discussion
      • 99442 11-20 minutes of medical discussion
      • 99443 21-30 minutes of medical discussion
      • Place of service: 11
      • No modifier

      Both codes G0438 & G0439 for Annual Wellness Visits ARE eligible for reimbursement via telephone only.

      Excel list of CMMS codes covered during COVID-19 and a Telehealth Patient Consent Form Template for your review and use.


      May 5, 2020

      1.  Practice Meetings with the CTO

      The MedChi CTO would like to schedule a meeting with you to check in and discuss the services and resources available during this time. We plan to discuss new resources available, practice workflows and CTO services.

      This will be an extremely important and informative meeting and we ask that you make this one of your priorities.  This will be a virtual meeting and both provider and staff are invited to join. After you sign up for a meeting time, a calendar invite will be sent to you with a meeting link.

      Please click here to view the online sign up sheet.

      If you absolutely cannot attend an available time, please email amullin@medchi.org.  We ask that you please make the best effort to choose a time listed in the sign up.


      2.  Patient Booklet

      The MedChi CTO services are still available for Medicare patients during this time. This is a link to the MedChi CTO Medicare Patient Resource Booklet: https://indd.adobe.com/view/04cd11fb-b379-446f-8f95-72d0a423949e.  We encourage you to share this link on your website, through email, or any other form of communication you have with your Medicare patients. The CTO is here to support you and your patients.

      3.  COVID-19 Webinars (registration is hyperlinked to the date)

      4.  Advanced Primary Care Staff Training Academy

      • PY1 MDPCP Practices: Virtual Training 001 - This day of training is mainly for practices new to MDPCP in 2020
        • Friday, May 15 (1:00 pm - 4:00 pm) - Please register Here
      • PY2 MDPCP Practices: Virtual Training 002 – This day of training is for practices that joined MDPCP in 2019
        • Friday, May 22 (1:00 pm - 4:00 pm) - Please register: Here

      5.  Q2 Payments and Attribution

      CMF payments were submitted via EFT on April 24th and payment and attribution data for Quarter 2 2020 was updated in the MDPCP Portal on April 30, 2020. **Please note that Q2 funds do not include PBIP funds as PBIP is released annually in Q1.

      Does your payment received match the payment listed in the portal?

      Please verify via email to cto@medchi.org that the amount stated in the portal matches the payment amount you received. Thank you to those who have already reached out.


      April 28, 2020

      CRISP CRS COVID-19 Vulnerability Index:
      Using Medicare and Medicaid claims data for Maryland patients and population health analytics vendor Socially Determined’s COVID-19 Social Susceptibility Index, CRISP has created a list of members who could be at a higher risk. The COVID-19 Vulnerability Index (CVI) has been included for higher risk patients in the MDPCP Likelihood of Avoidable Hospital Events (Pre-AH tool) for CTO and practice beneficiaries.

      • The aim of the index is to assist care teams in identifying the most vulnerable patients for proactive outreach and support.
      • This index represents an individual’s likelihood of exposure to COVID-19, potential severity of complications, and associated socio-clinical support needs, based on a multivariate model that includes demographic (e.g., advanced age), clinical (e.g., immuno-compromised status), social (e.g., at-risk of food insecurity), and environmental (e.g., proximity to congregate sites) factors.
      • A score of 5 indicates severe risk and 4 indicates high risk. Look for the heading:

      CRISP CRS PQI Reports: **NOW LIVE**

      • The MDPCP Reports in CRS have been updated to include the 2020 Q2 beneficiary attribution as well as a new report that tracks avoidable hospital events.
      • The “PQI-Like Utilization Report” presents the counts and claim details of IP admissions or ED visits that fall into one of eleven Prevention Quality Indicator (PQI) classifications, based on the 2018 AHRQ specifications.
      • As the report includes ED visits, which are not part of the standard PQI logic, the report is labeled as "PQI-Like".
      • This modified logic is consistent with the logic used to indicate the likelihood of potentially avoidable utilization (presented in the Likelihood of Avoidable Hospital Events Report). 

      Additional Upcoming Webinars:

      Please remember: Each one of these webinars is eligible to 1 CME credit, and you must register for each webinar individually.

      We have attached the most recent Coding & Billing Document as well as a Consent Form Template for use with Telehealth. Please feel free to reach out to me with any Billing and/or Coding questions.


      April 21, 2020

      CTO Updates

      The CTO will be reaching out to set up individual practice meetings in the upcoming weeks. The purpose of these meetings will be to check in and see how you and your staff are doing, share information on available resources and answer any questions. Please look out for an upcoming email to schedule a meeting time.


      COVID-19 Updates


      Webinars

      This week webinar updates are offered every other day.  Please register with the following links:

      Billing Guide **UPDATED**

      Use the link provided to view the update to the MDPCP Billing Guide that includes 2020 billing revisions and COVID-19 interim billing guides (sign into Connect first): https://app.innovation.cms.gov/CMMIConnect/s/contentdocument/069t00000077zDrAAI

      MDPCP Updates

      CRISP Reporting Services (CRS): The MDPCP reports have been refreshed with updated data and new Likelihood of Avoidable Hospital Event risk scores (in the Pre-AH Tool)
      For more information, please register for the PQI Updates Webinar with hMetrix and CRISP

      Tuesday, April 28 (5:00 pm - 6:00 pm) - https://register.gotowebinar.com/register/4100362940132868620

      MDPCP Advanced Primary Care Staff Academy (Free Virtual Training):  See the attached flyer for more information. Please register for either of the two offerings with the hyperlinks below:

      (New) PY1 MDPCP Practices: Virtual Training 001

      • Friday, May 15 (1:00 pm - 4:00 pm)
      • Please register Here

      PY2 MDPCP Practices: Virtual Training 002

      • Friday, May 22 (1:00 pm - 4:00 pm)
      • Please register:  Here


      April 14, 2020

      Please reach out to all your patients.

      MDPCP Updates

      • Collaborative Care Webinar with Mindoula (Behavioral Health)
      • Concert Health
        • A behavioral health medical group partnering with Primary Care Practices to deliver best-in- class integrated behavioral health services
        • Additional information in attached flyers
        • You may reach out to Concert Health directly at info@concerthealth.io
      • CRISP Reporting Services (CRS)
        • The MDPCP reports have been refreshed with updated data and new Likelihood of Avoidable Hospital Event risk scores (in the Pre-AH Tool)
        • The Excel export of the Likelihood of Avoidable Hospitalizations Report now includes three columns for practices to use when tracking COVID-19-related outreach, follow up, and status information. The 'About' tab within this Excel export includes a brief description of each field and examples of how practices can record this information.
        • For more information, please register for the PQI Updates Webinar with Metrix and CRISP: Tuesday, April 28 (5:00 pm - 6:00 pm) - https://register.gotowebinar.com/register/4100362940132868620

      COVID-19 Webinars

      Please register with the following links:

      All recordings and registration links can be found on Connect. You can also find upcoming webinars under the Events tab:  https://app.innovation.cms.gov/CMMIConnect/s/community-activity/Community_Activity__c/00Bt00000010mRmEAI

      COVID-19 Resources

      Visit MedChi's COVID-19 Resource Page regularly for more information and resources as we work through this crisis together.

      Coding & Billing Education
      In case you missed the webinar with RS&F regarding Coding & Billing (with a focus on Telemedicine and COVID-19), attached is the slide deck used in the presentation.

      HHS Relief Funding
      HHS is beginning the delivery of initial relief funding to providers in support of the national response to COVID-19 as part of the recent CARES Act. The disbursements are calculated in direct proportion to health care providers’ total amount of Medicare fee-for-service (FFS) spending in 2019.  These funds are grants that do not have to be repaid. Within 30 days of receiving the payment, providers must sign an attestation confirming receipt of the funds and agreeing to the terms and conditions of payment.

      • The portal for signing the attestation will be open the week of April 13, 2020 and will be linked from hhs.gov/providerrelief.


      April 7th 2020 

      Please take the time to read this email in its entirety and learn about your options for financial support, new policies, updated billing guides, and webinars for the week.

      Economic Grants and Loans for Physician Practices
      Each practice should consult their tax attorney and or accountant when deciding on an option.

      As of 5 p.m. on April 6, Commerce is no longer accepting new applications for its COVID-19 Relief Grant and Loan Programs. However, the following programs are still being offered:

      The application is online however many large financial institutions such as Chase and JP Morgan have indicated that they are not ready to issue these loans yet. Lenders may also require additional information or a separate application. Please contact your lender ahead of time to determine if they are prepared to issue loans.

      Frequently Asked Questions

      • Can I apply for both state and federal loans/funding programs?
        If you have applied for state assistance, you will not be disqualified if you apply for other assistance through federal or local means. Though please be advised, if you have already applied for federal assistance, you should verify federal program eligibility terms through the U.S. Small Business Administration  (FAQ - COVID-19 LOAN & GRANT

      If you have any questions, please reach out to Colleen George.

      Additional Revenue Opportunities

      • Transitional Care Management - Webinar held April 2nd
        • You can bill TCM with the for face-to-face telemedicine visit (video and audio required)
          • “The follow up visit as a component of the transitional care service must be a face to face visit or a telemedicine visit. CMS does not recognize the telephone only E/M as a telehealth/telemedicine service (Federal Register RIN 0938-AU31)”
        • The slides that were used during the presentation are attached for your reference
        • A recording of the presentation is also available here and will be made available on our website and Connect in the coming days
      • 2nd Quarter Care Management Fee Payments
        • Typically released the third week of the quarter
        • Estimated for the week of April 19th

      Upcoming Webinars

      COVID-19 Updates

      You can get CME or CEU’s from MedChi for free for the COVID-19 Update calls. You can click the link in the slides when they email them out after the presentation. However, to make it easy for you, here is the link to get CME for any day you were on the call: https://medchi.wufoo.com/forms/q1ctgnee0kf7ogv/

      Fill out a separate form for each time you want CME for it. If you have additional questions ask Frank Berry our director of CME.

      Updated Resources --  Please view the email sent yesterday, April 6th, from the CTO that included additional resources and updated policies


      March 31st 2020 – All 2020 Practices

      We hope you are doing well. Happy (belated) National Doctor's Day. We celebrate your scientific expertise and appreciate your tireless dedication. On behalf of the patients, the public health of Maryland and the MedChi CTO, thank you for all that you do. 

      Identifying and Contacting High Risk Patients:
      To identify your high risk patients, you can use the CMS Portal in conjunction with CRS and your EHR.

      Identify:

      • Use data from your EHR and clinical intuition
      • In CRS, utilize the Pre-AH tool
      • In the CMS Portal, you can locate your patient attribution list

      Outreach:

      • Call chronically ill, frail, elderly, DM, COPD, ESRD, immunocompromised, etc.
      • Care Team intervenes as appropriate
        • You can contact Cassandra, our RN Care Manager, to assist in patient outreach.

      Goal:

      • Avoid unnecessary ED, Urgent Care and Hospital visits

      Dr. Haft is holding COVID-19 Webinars: CME Credit Available
      MedChi designates this live webinar educational activity for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

      Brief COVID Update & TCM & Addressing PQI Webinar (NEW LINK!)

      • April 2nd  5:00 PM – 6:00PM
      • Join the Program Management Office to hear more about Transitional Care Management in MDPCP. The PMO will also address PQIs in this session. The session will open with brief updates on COVID19.
      • This topic was originally planned for 3/12, but was pushed back to discuss the COVID-19 in Maryland

      MDPCP Reporting - Important CMMI Announcement Related to Reporting Flexibility in light of COVID-19

      • Quality Measures 2019 Practices are not required to submit 2019 data
        • CMMI typically collects information on three (3) electronic Clinical Quality Measures (eCQMs) from MDPCP practices.  Reporting for eCQMs will cloe on March 31, 2020.  Practices will be held harmless for the 2019 Performance Year eQCM reporting requirements.  CMMI will also delay reporting on practice care transformation requirements in the MDPCP Portal until Fall 2020.
      • Financial Reporting2019 Practices must report for 2019: first submission period will close March 31st, but will reopen later in 2020 for those who are unable to submit
        • CMMI will close the financial reporting processon March 31, 2020 and reopen it later in 2020, for participants unable to complete their financial reporting by the March 31, 2020 deadline.
      • CMS Enterprise Portal – User Verification – Not required for first quarter for 2020 Practices
        • Q1 2020 User Access Verification in the MDPCP Portal will not be required.  CMMI will not deactivate users associated with practices and CTOs that are not able to submit User Access Verification during the submission period, March 23-April 10, 2020.


      March 24th 2020 – All 2020 Practices

      Telemedicine and home treatment are highly recommended and strongly encouraged at this time! Please review the information below regarding the use of Backline. The CTO is paying for Backline use for each CTO practice. If you need to add additional physicians to your Backline Telehealth account, please contact Andrea.

      We also recommend you reach out to your most vulnerable patients.

      You may identify them:

      • Using data from CRISP and your EMR  
      • Using your clinical intuition
      • Using the Pre-AH tool in the CRS Portal

      Our Care Team may intervene and reach out to your patients as you deem appropriate. Please reach out to Cassandra if you need assistance.

      Backline Telehealth

      • Telehealth Web Browser
      • Trainings by DrFirst
        • DrFirst is hosting trainings each day of the week
        • Please call their Support Team at 866-990-0684 to register
        • Weekly Schedule:
          • Monday at 12 pm ET
          • Tuesday at 1 pm ET
          • Wednesday at 3 pm ET
          • Thursday at 10 am ET
          • Friday at 8 am ET
      • Testing out Telehealth
        • If you would like to test out the telehealth function on Backline, feel free to reach out to Daphne or Andrea for a trial run
      • Informed Consent
        • A sample informed consent form is attached
      • Patient View of Telehealth Request
        • Attached is a screenshot of what a patient will see on their screen when receiving a secure message and video call through Backline. Feel free to share this with additional office staff using Backline
      • BAA with DrFirst
        • No BAA or other contract needed for CTO practices. You are covered under the MedChi CTO BAA with DrFirst
      • Billing
        • Please view the attached billing guide
        • Telehealth visits are considered the same as in-person visits and are paid at the same rate as regular, in-person visits during the COVID-19 crisis
        • Starting March 6, 2020, a range of providers, such as doctors, nurse practitioners, clinical psychologists, and licensed clinical social workers, will be able to offer telehealth to their patients
        • For additional information, visit https://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet

      Dr. Haft is holding daily COVID-19 Webinars:

      You must register for each webinar separately. You can register for this week’s webinars below:

      CTO Office Hours Canceled until further notice

      • We understand that the main priority of our practices is COVID-19. We have canceled CTO office hours to allow our practices to attend the PMO Webinars that occur each weekday at 5pm
      • We will resume office hours when it is possible
      • For now, please be sure to look for emails from the CTO and read the important updates


      March 17th 2020 - New to MDPCP 2020 Practices

      The Importance of Backline and Telehealth
      The CDC is recommending that “gatherings of more than 10 people for organizations that serve higher-risk populations” are cancelled. This recommendation does apply to physician offices. Please understand that a majority of patient care will have to be conducted via telehealth. It is more important than ever that you become connected to Backline: a secure messaging service MedChi CTO has offered since early 2019.

      DrFirst has recently released telehealth through Backline and the CTO is actively connecting our practices to this service. The primary physician at each practice will be given telehealth access. If you have additional practicing MDs or DOs at your office, please email amullin@medchi.org their name and email address so we can work on getting them connected as well. The telehealth service is only available to physicians. 

      MDPCP Updates
      With the Maryland Primary Care Program (MDPCP) and many other healthcare entities focused on COVID-19, we know that there will be changes and exceptions given for upcoming deadlines. At this time, we are unsure what those changes are, but will let you know as soon as information is released.

      1. MDPCP Daily COVID-19 UpdatesThis webinar will be recurring daily from 5-5:30 pm
      • This 30 minute webinar will consist of a 15 minute update on the most current information on the Corona Virus from Dr. Haft, with 15 minutes for Q&A (this time may be extended if necessary)
      • Use the links below to register

      2.   RN Care Manager: Cassandra ThomasAvailable by phone to complete outreach calls

      3.   Behavioral Health Specialist (BHS): Leslie SherrodAvailable to provide telephonic mental health support

      4.   Upcoming CTO Events Both Cancelled


        March 17th 2020

        The Importance of Backline and Telehealth
        The CDC is recommending that “gatherings of more than 10 people for organizations that serve higher-risk populations” are cancelled. This recommendation does apply to physician offices. Please understand that a majority of patient care will have to be conducted via telehealth. It is more important than ever that you become connected to Backline: a secure messaging service MedChi CTO has offered since early 2019.

        DrFirst has recently released telehealth through Backline and the CTO is actively connecting our practices to this service. The primary physician at each practice will be given telehealth access. If you have additional practicing MDs or DOs at your office, please email amullin@medchi.org their name and email address so we can work on getting them connected as well. The telehealth service is only available to physicians. 

        MDPCP Updates
        With the Maryland Primary Care Program (MDPCP) and many other healthcare entities focused on COVID-19, we know that there will be changes and exceptions given for upcoming deadlines. At this time, we are unsure what those changes are, but will let you know as soon as information is released.

        1. MDPCP Daily COVID-19 UpdatesThis webinar will be recurring daily from 5-5:30 pm

        2.  2019 ReportingThe deadline for eCQM and Financial Reporting will be postponed. The new deadline is unknown at this time

        • eCQM Reporting –  We just received an updated list from CAliPR. We will be reaching out to practices who still have physicians that need to report.
          • If you have any questions, please consult the following:

            - For instructions on how to use CAliPR, please watch this Video
            - For questions about the measures and the submission process, please review the Quality Measures Reporting Guide (attached)
            - For questions regarding eCQMs or CAliPR, please reach out to us, not CRISP

        • Financial Reporting –
          • If you have any questions, please consult the following:
            - Reporting will be done in the CMS Enterprise Portal
            -- When you enter the CMS Enterprise Portal, please make sure you are in PY – 2019
            -- You will click on the tab located in the blue banner that reads “Financial Reporting”
            - You can view a video on the MDPCP Chatter site that will walk you through the financial reporting
            - The Financial Reporting Guidance document is attached for your reference 

        3.  RN Care Manager: Cassandra Thomas Available by phone to complete outreach calls

        • MedChi and many healthcare facilities are transitioning to telework as we prepare to remain safe from covid-19. As a result, I will be unable to physically meet with your patients. I am, however, available by phone to complete outreach calls
        • Please email Cassandra via Crisp Direct if there are patients who may benefit from a care manager outreach call
          • When referring patients for care management, please include their demographics, chief complaint, and any pertinent information related to their health/home status
          • Reminder: Please do not send PHI to my MedChi email. It is not secure

        4.  Behavioral Health Specialist (BHS): Leslie SherrodAvailable to provide telephonic mental health support

        • To limit exposing vulnerable populations to crowds, there will be no onsite visits.  However, Leslie is available to provide telephonic mental health support to your Medicare patients, especially to address fear, panic, anxiety, and depression due to the ongoing breaking news
        • With your patients permission, please complete and fax to (443) 588-1730 the attached referral form for behavioral health outreach.

        5.  Upcoming CTO Events - Both Cancelled

        • The main priority for our practices is COVID-19.  We have cancelled the below meetings to allow our practices to focus on the current situation
          • MedChi CTO Virtual Office Hours – Today, March 17th
          • Virtual CTO Meeting –Wednesday, March 18th