I hereby attest that I have successfully completed Session 1 of the ECM Provider Training conducted by Molina Healthcare as per the requirements set forth by the organization.
Training Topics Covered:
- Enhanced Care Management Provider Manual
- Enhanced Care Management | Overview and Requirements
- ECM Exclusions and Other State Programs/Benefits | Non-Duplication
- ECM Provider Roles and Responsibilities
- Care Management Documentation System Requirements
- Member Banner
- Member Dashboard
- Address Book
- ECM Lead Care Manager Caseload
- Assigning an ECM Lead Care Manager to an Enrolled Member
- Adding and Removing Assignments in CCA
- Deleting Assignments in CCA
- Task Function
- Healthwise Knowledgebase
- Member Information File (MIF)
- ECM Referral Forms
- Presumptive Authorization
- Availity
- Care Coordination Portlet (CCP)
- Direct Referral to Molina’s Member Location Unit
- ECM Provider Sample Telephone Outreach Script
- Enrollment in ECM
- Closed-Loop Referrals
- Provider Requirements for CLR
- ECM Outreach Reporting, Billing and Reimbursement
- Privacy Breach
- Cultural Competency Trainings/ Person-Centered Care Planning Trainings
- Pre-Call Review
- ECM LCM Credentials and Confirmation of their Expertise and Skills
- Members Aging Out
- Physician Certification Statements
I acknowledge this training is an integral part of my contract with the organization and needs to be completed prior to working with any Molina ECM members. I am committed to applying the knowledge acquired during this session in my work.
