Your monthly news & updates |
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To keep up with the latest information, you may also find our Newsletter Archives available on our website |
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Our website is currently under construction. During construction, everything will still be accessible. If you have any questions or need assistance navigating, please email Joy at:
joy@allisland-cmc.com
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SPEND DOWN FOR THE FIRST STIMULUS PAYMENTS IN MAY 2020 |
Please remind your Clients and/or your Client's Representative Payees that the 1-year exemption on resources that is over $2,000.00 due to the first Stimulus payment of $1,200.00 is almost up. Clients were given 12 months from the time they received the stimulus payment in 2020 to spend down the funds. Client's medicaid eligibility might be jeopardized if resources, such as bank accounts, are still over $2,000.00 after the 12-month exemption. |
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CMA SERVICES FOR SUBMITTING CCFFH CLAIMS |
Please be reminded that our Billing Representative is only submitting claims on your behalf. It is still your responsibility to follow up on the status of your claims. All Island does not process Provider contracting with the HMOs or request for special case agreements. We are requesting your cooperation to call the HMO for claim status follow up, denial, or errors, in order for our Billing clerks to manage their high call volume and the amount of work in the office. You may refer to our website for HMO contact numbers and billing information.
Mahalo for your understanding.
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Reminders:
- MD Orders MUST HAVE the Date of Visit or Date of Service listed to make it a valid order. When faxing MD Order, kindly send a cover sheet stating what the exact changes are (examples: DC medication(s), new medication(s), change in diet).
- Upon discharge from hospital/ER, Carla will update the kardex so that it reflects the DC/ER Summary. Kindly bring the kardex to the follow up appointment so that the PCP can review the list and make changes accordingly. After reviewing and signing the kardex please fax a copy to our office:
- Please fax necessary documents to Carla at: (808) 536-7225 or email: gianne@allisland-cmc.com. Carla will then update and finalize the MAR.
Thank you for your assistance with this matter.
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Carla
Email: gianne@allisland-cmc.com
Fax: (808) 536-7225 ATTN: CARLA
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COVID-19 VACCINE INFORMATION |
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MAUI: No updates, please continue to schedule vaccines with clients PCP.
Reminder: After receiving 2nd shot, please send our office a copy of the Vaccination Record Card (Clients only please). Please fax a copy of vaccination record card to (808) 536-7225. You may also provide a copy to your RN. Thank you!
For more information, you may visit our website or CTA website. Please click link below
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If you have any further questions regarding COVID-19 Vaccinations, please email Lynn at:
lynn@allisland-cmc.com
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PPD are due annually (every year of the month that your client was admitted into your home). You can access TB/Physical at our website OR click the link below. Please fax our office a copy at 536-7200 or 536-7225. |
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COMPLIANCE: HAR REQUIREMENTS |
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HAR Requirements includes your responsibilities
Aloha Caregivers,
CTA is conducting "Unannounced" visits to all homes. Please read and understand that you are responsible to understand as a Contracted Provider for the State of Hawaii, providing Community Care Foster Family Homes for the Aged of both Medicaid & Private individuals.
You should have your administrative binder readily available with current & updated documents.
- Fingerprinting, Criminal Name checks, General Liability and Auto Insurance, TB Clearance for all Caregivers, clients & household members who are 18 years or older.
- For Caregivers there should be a current Driver's license with Auto Insurance on file - OR - an alternate transportation plan approved by CTA if you do not drive
- If you are a CNA, LPN OR RN - You are required to keep these current and updated at all times along with your CPR, FA & Bloodborne Pathogens
- Reminder, as the CCFFH Operator, Transportation - You are responsible to provide transportation to all Medical & non-Medical appointments, and to ensure that you have your substitute available to care for your other client's - Family members are not responsible - this applies to both Private & Medicaid. AICMC has received numerous complaints by family - They are having to take off from work to take their loved ones to the MD office because PCG states that she has no one available to care for the client - THIS IS NOT ACCEPTABLE - NOTE: HMO's will provide for all Transportation to & from for HD & Chemo Only.
- Monthly CCFFH Documents - You should have these documents readily available for your RN to scan OR please fax to 808-536-7225
NEXT MONTHS ISSUE - Proper Documentation
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QI Emergency Back Up Plan |
You will be receiving via EMAIL the QI Emergency Back Up Plan.
1) All Caregivers are to complete and place in their Administrative Binder
2) Effective 01/01/2021 - ALL NEW ADMISSIONS to the home - PCG will be required to provide a copy to the Family as required under the HAR
3) Effective 01/01/2021 - PA Staff may request a copy to process with your PA request to the HMO - this required by all HMO's
DO NO FAX OR EMAIL A COPY - IT MUST BE IN YOUR ADMINISTRATIVE BINDER
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MEDLINE MEMBERS
If you have not received any supplies as of today, please contact Medline directly to place your order. PA Team is not able to place order on your behalf.
UHC: 1-877-816-5587
OHANA: 1-833-660-0905
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PA REQUESTS / PROCESS
When requesting for any supplies, equipment (DME) or services, PLEASE follow the PA (Prior Authorizations) Process to avoid further delays. Please click the link below and take the time to read the requirements carefully.
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PRIOR AUTHORIZATION APPROVALS FOR SERVICES |
Caregivers, friendly reminder: Prior Authorization Approvals are faxed directly to you from the HMO, so please be sure that your fax machines are in working order.
Your contract with HMO states "Working fax machine is required." Meaning: The machine is in working order, paper is ready, ink jet is full and the operator of the fax machine know how to operate their own equipment.
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WELCOME TO THE AICMC TEAM |
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Jersieline is the newest member of the AICMC Team. She is on board as our Clinical Admissions Clerk. She will work closely with our Admissions Team as well as our Clinical Team to ensure completion of required documents for our records.
Anabelle is returning as our Full Time RN. She will work closely with our Admissions team to complete assessments and admissions. She will also be out on the field visiting our members.
Friendly reminder: Elsa & Angie will continue to provide follow ups for client(s) hospitalizations.
On behalf of the AICMC Team, we would like you both to know that we are so grateful to have you. We believe that you both can contribute a lot for our company's success and improvement. Welcome aboard Ms. Jersieline & Ms. Anna!
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All Island welcomes complaints and suggestions to improve our services. We also welcome recognition and kind words for those staff who go above and beyond their job duties. Please feel free to email or write us a short letter. Thank you! |
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