Connecticut Medical Assistance Program Long Term Care Refresher Workshop. Presented by: The Department of Social Services & HP for Billing Providers

Transcription

1 Connecticut Medical Assistance Program Long Term Care Refresher Workshop Presented by: The Department of Social Services & HP for Billing Providers

2 Training Topics Web Portal Demographic Maintenance Clerk Maintenance Adding/Deleting Clerks, Assigning Roles Eligibility Verification & Ascend Claims Processing/Submission Information Long Term Care Claims Web Claim Capabilities Ordering, Prescribing and Referring (OPR) Requirements & Edits Enrollment of Residents Provider Re-enrollment ICD-10 Readiness 2 Patient Liability Hospice Provider Electronic Solutions (PES) Software Additional Information Frequent LTC Claim Denials Provider Bulletins Provider Manual Questions/Comments

3 Long Term Care Refresher section 1 Demographic Maintenance Clerk Maintenance Web Portal Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.

4 Web Account Welcome page at

5 Web Account Capabilities Accessing your secure site provider account allows you to: The main account administrator may set up clerk accounts to allow multiple users access to specified roles Once on the Demographic Maintenance page the main account administrator may update their demographic information (addresses/bank accounts/organization members) The following inquires are examples of the most common inquiries that are performed by clerks depending on the user roles assigned by the account administrator: Check client eligibility via the Web Perform claim inquiries: Create, Submit, Resubmit, Adjust, Void, and Copy claims; even claims submitted through other means (paper, electronic) Obtain your Remittance Advice (RA) *Please refer to chapter 10 for a complete listing of clerk user roles that may be assigned by the account administrator*

6 Demographic Maintenance The Demographic Maintenance section of the secure site allows you to alter and maintain demographic information: Mail to, Pay to, Service Location, and Enrollment addresses EFT (Electronic Funds Transfer) Account (account that receives all CMAP related reimbursements) Maintain Organization Members Access this section by selecting demographic maintenance from either the Account submenu or the Account drop-down menu

7 Demographic Maintenance The Demographic Maintenance page displays the provider information panel as well as a submenu Main Street Suite 2A Willimantic Clicking the submenu options will open a panel with related information: Base Information Ownership Service Location - County, Organization Code Service Language - Language, Effective Date, End Date

8 Demographic Maintenance - Location Name Address Specify different mailing, payment, service location, and enrollment addresses

9 Demographic Maintenance Location Name Address To modify address information simply select the address you wish to update from the provided list (Mail to, Pay to, Service Location, or Enrollment address) Click maintain address Update the information as necessary (address, phone number etc.) Click save Note: If moving to a different location but still using the same license, this requires that you submit an updated copy of your license after the address update has been completed. The copy of the license should be mailed to HP Provider Enrollment, P.O. Box 5007, Hartford, CT , with a note that the address update has been made via the Web portal and the provider is sending a copy of their license to retain with their enrollment/re-enrollment records.

10 Demographic Maintenance EFT Account The EFT Account panel allows you to add and maintain bank accounts into which reimbursements from CMAP will be electronically deposited Click add; enter the appropriate information; and click save Dough Financial 2500 Main Street Willimantic CT **This action will place the provider in a pre-notification status**

11 Clerk Maintenance Clerk accounts grant Web access to staff members allowing them to perform functions based on their job responsibilities The local administrator is responsible for maintaining clerk accounts within their organization, this includes adding clerks, changing the role(s) for clerks, removing clerks, and resetting passwords Access the Clerk Maintenance section of the secure site by selecting clerk maintenance from either the Account submenu or the Account drop-down menu

12 Clerk Maintenance To create a new clerk account, click add clerk s s Claim Inquiry/Submission/Adjustment PA Inquiry/Submission Client Eligibility Verification Trade Files Fill in the required fields, click submit

13 Clerk Maintenance Return to the Clerk Maintenance menu to add additional clerks, reset an existing clerk s password, or to modify clerks Assigned Roles

14 Clerk Maintenance When a new clerk logs into the secure site for the first time they will be required to change their password from the one created by the account administrator Fill in the fields with the appropriate information; click change password The clerk is now ready to perform the job duties allowed under the Assigned Roles chosen by the account administrator

15 Clerk Maintenance Once a clerk is signed in they can update their information by selecting account maintenance from either the Account submenu or the Account drop-down menu. Fill in the appropriate information; click save

16 Clerk Maintenance The switch provider function is available to clerks that have been associated to multiple provider Web accounts. The clerk in question will have the ability to switch back and forth between submitting online transactions for those providers Select switch provider from either the Account submenu or the Account drop-down menu Select the appropriate provider; click switch to. switch; click OK A window will appear asking you to verify the

17 Clerk Maintenance To delete a clerk account select that account from the list of existing clerks and click on remove clerk A window will appear asking to you verify that you want to mark that clerk account for deletion; click OK The D indicates that the clerk has been marked for deletion Click Submit to finalize the clerk account removal

18 Eligibility Verification & Ascend

19 Eligibility Verification Eligibility verification can be performed in the following ways: Provider Secure Web site at Automated Voice Response System (AVRS) HP Provider Electronic Solutions software Vendor software utilizing the ASC X12N 270/271 Health Care Eligibility/Benefit Inquiry and Information Response transaction

20 Eligibility Verification To verify a Connecticut Medical Assistance Program (CMAP) client s eligibility through the secure Web site click on the Eligibility tab on the main menu Enter enough data to satisfy at least one of the valid search combinations; click search **When entering a full name as part of your search, a middle initial is required if present in their CMAP profile**

21 Eligibility Verification Lockin Some clients are locked into receiving certain health care services only from specific providers or nursing facilities; those providers will be listed here (860) Medicare Types of Medicare coverage active for the client on the date(s) of service requested

22 Eligibility Verification TPL (Third Party Liability) Private insurance plan(s) listed in the client s CMAP profile Due to HIPAA 5010 restrictions CMAP is unable to disclose the eligibility status or covered services with the private insurance plan(s) via the Web portal The Automated Voice Response System (AVRS) will continue to return TPL information in the client eligibility verification response Providers can access the AVRS by dialing Press 1 for Self Service Options; enter your AVRS ID and PIN Press 1 for Eligibility Verification Otherwise providers are required to initiate a separate request to the other payer or plan to determine the client s level of coverage

23 Eligibility and Ascend Overview After the Department of Social Services (DSS) Regional Office determines financial eligibility, DSS then sends the Inter-agency Referral document to the contracted entity ASCEND for level of care determination ASCEND reviews the Inter-agency Referral document and sends their determination of approval or denial back to the Regional Office. If the admission is approved, payment is authorized Payment will not be made until the level of care has been approved by DSS; payment may be retroactive to the date of authorization Providers must still complete a Medicare Clearance Form, W-9 for each admission in order for the Level of Care (paystart) to be completed

24 Eligibility and Ascend, Tracking and Screening Tracking and Screening of Nursing Facility Admissions, Transfers, Discharges and Deaths Tracking should be entered by the provider: To alert ASCEND to a new admission or to confirm the admission date To notify ASCEND of the individual s discharge from a Nursing Facility To notify ASCEND of the individual s death To notify ASCEND of the individual s transfer to a different facility To inform ASCEND of the receiving facility for an approved screen For detailed information and instructions, please refer to Note: The Admission Notice, W-352 and Discharge/Transfer Notice, W-353 forms are only used for ICF/IID facilities

25 Claims Processing/Submission Information Long Term Care Claims Web Claim Capabilities

26 Claims Processing/Submission Information When a claim processes through the Connecticut interchange system it is subject to a series of edits that check the validity of claim data such as: The submitted Provider must be actively enrolled on the date of service Provider must be authorized to bill for this client Revenue Center Code submitted must be valid for the Provider Type Each claim then passes through a series of audits The claim is compared to previously paid claims: Is the current claim a duplicate of a paid claim? Is the current claim for long term care room/board with the same date of service as a paid inpatient hospital stay claim?

27 Claims Processing/Submission Information Third Party Liability (TPL) Information Commercial/private insurance coverage other than Medicare or Medicaid under which the client may be covered Connecticut Medical Assistance Program is the payer of last resort Because of this, providers must investigate the possibility of clients having other insurance coverage and pursue payment prior to submitting their claim to HP Claims can potentially deny when a discrepancy in TPL data exists on the client s state profile A Third Party Liability Information Form should be sent to Health Management Systems (HMS), please reference chapter 5 for address information This form is available on the Information > Publications page of HMS will contact the insurance carrier and notify DSS of any discrepancy DSS will update client eligibility

28 Claims Processing/Submission Information TPL Information (cont.) TPL claims submitted to HP with other insurance payment or denial must include: Carrier s unique three-digit carrier code Available through eligibility verification (Web, phone, X12N 270/271 Eligibility Benefit Inquiry / Response Transaction) The Amount Paid (on a paid claim) or 0.00 for a TPL denial. The date of payment or denial from the TPL Explanation of Benefits (EOB) The physical TPL EOB should not be submitted with paper claims; the provider must retain this for audit purposes

29 Claims Processing/Submission Information Conditions that Waive the Timely Filing Limit Situations that allow the timely filing limit (1 year) to be bypassed: Claim submission date is within one (1) year of the actual date of service Providers may submit the claim when the client eligibility has been added, updated or the addition of a Pay start and the claim date of service is within one (1) year of the update Prior claim history: When a claim in history with the same Client, Provider, Billed Amount, detail From and Through dates of service, and Revenue Center Code or Procedure Code where the claim submission date is within one (1) year of the previous claim s Remittance Advice date and the previous claim did not deny for timely filing

30 Claims Processing/Submission Information Situations that allow the timely filing limit to be bypassed (cont.): Medicare / Other Insurance (TPL) denial: The date of service on the claim must fall within one (1) year of the issue date on the other insurance denial and/or Explanation of Medicare Benefits (EOMB) (provided that denial was not due to timely filing) If multiple carriers exist and if any one does not meet the above criteria, the claim will deny Medicare and/or Other Insurance (TPL) payment: TPL or Medicare paid amount is greater than $0.00 and the paid date is within 366 days of the claim submission date If multiple carriers exist and if any one does not meet the above criteria, the claim will deny

31 Claims Processing/Submission Information Medicare Coinsurance and/or Deductible Claims Processing The following information sent to HP electronically or on a paper claim must match the EOMB received from Medicare: Patient name Dates of service Billed amount Coinsurance and/or deductible due Electronic claim submission: Providers are encouraged to submit Claims that do not electronically crossover from Medicare on the Medicaid Web secure portal If a claim needs to be split, i.e. the Explanation of Medicare Benefits (EOMB) dates of service are 1/1 1/31; however, Medicare exhausted on 1/15, the provider will need to alter the dates of service, billed amount and coinsurance and/or deductible due if applicable before submitting Providers must keep copy of EOMB on file for future auditing Paper claim submission: Information on a paper coinsurance and/or deductible claim must match the information submitted to Medicare If a claim needs to be split, i.e. the Explanation of Medicare Benefits (EOMB) dates of service are 1/1 1/31; however, Medicare exhausted on 1/15, the claim sent to HP along with the EOMB must match; therefore, the provider will need to alter the dates of service, billed amount and coinsurance and/or deductible due if applicable to match the claim Coinsurance claims that aren t split could potentially affect the LTC room/board claim that follows the first non-covered Medicare Day

32 Web Claim Inquiry/Submission The secure site allows providers resubmit, adjust, copy, and void claims via the Web portal Even claims submitted by other means (paper, electronic) Claims process in real-time, immediately return a status of paid, denied, or suspended to search, submit, Fast and easy way to submit claims, check their status, resubmit denials, and adjust paid claims all within the same pay cycle Web claim adjustment limitations: Timely Filing - Claims that are over the Timely Filing guidelines cannot be adjusted. If a claim outside of timely filing is adjusted, the claim will be fully recouped Medicare Crossovers - Crossover claims cannot be adjusted; they must be voided, copied and then submitted as new claims Special Handled Claims C laims with an ICN that begins with either 12 or 13 indicate that they have been special handled by HP and are therefore not able to be adjusted via the ctdssmap.com Web site

33 Web Claim Inquiry To search or submit claims to HP using the ctdssmap.com secure site, click on the Claims tab on the main menu Enter enough information to satisfy at least one of the following criteria: ICN, From and Through Dates of Service, From and Through Dates of Payment, or check the Pending Claims box Click search

34 Web Claim Inquiry Exclude Adjusted Claims Removes claims that have been adjusted since their initial submission Results in a more accurate representation of your total reimbursement

35 Web Claim Inquiry Pending Claims Claims submitted since the last Remittance Advice (RA) was issued Convenient way to see all claims that will impact your reimbursement for the current cycle Click any line in the Search Results panel to view the corresponding claim

36 Web Claim Inquiry What can I do with these claims? Paid claims allow you to: Cancel any alterations you have made Adjust the claim Void the claim Copy the claim and use it as a template to create a new claim Create a new claim from scratch Denied claims allow you to: Resubmit the claim (with or without making changes) Create a new claim from scratch Suspended claims are manually handled by HP, no action is required by provider

37 Web Claim Submission - Submit New Claim - Perform the following steps to easily submit a new claim: Select the appropriate claim type (Institutional) A blank claim will appear At a minimum, enter data into all required fields (identified by an asterisk after the field name) NPI To enter additional diagnosis codes, claim details, or a TPL record, click the add button within the panel Click the submit button at the bottom of the claim page Claims process immediately and return a status of Paid, Denied or Suspended

38 Web Claim Submission - Void Void - Perform the following steps to void or completely recoup a paid claim: Select Claim Inquiry Enter the paid claim ICN (found on your RA) in the ICN field Click the search button Once the claim is retrieved, click the void button at the bottom of the claim page The void will process immediately and return a message that the claim has been successfully adjusted/voided with a new ICN

39 Web Claim Submission - Adjust Adjustment - Perform the following steps to easily adjust a paid claim: Select Claim Inquiry Enter the paid claim ICN (found on your RA) in the ICN field Click the search button Once the claim is retrieved, make any necessary changes to the claim Click the adjust button at the bottom of the claim page The adjustment will process immediately and return a status of Paid, Denied or Suspended

40 Web Claim Submission - Copy Paid claims may be copied and submitted as a new claim. This feature is helpful for reoccurring services Copy - Perform the following steps to easily copy a paid claim for submission as a new claim: Select Claim Inquiry Enter the paid claim ICN (found on your RA) in the ICN field Click the search button Once the claim is retrieved, click the copy button at the bottom of the claim page Make the necessary changes to the claim Click the submit button at the bottom of the claim page The new claim will process immediately and return a status of Paid, Denied or Suspended

41 Web Claim Submission - Resubmit Resubmission - Perform the following steps to easily resubmit a denied claim: Select Claim Inquiry Enter the denied claim ICN (found on your RA) in the ICN field Click the search button Once the claim is retrieved, make any necessary changes to the claim Click the re-submit button at the bottom of the claim page The claim will process immediately and return a status of Paid, Denied or Suspended

42 Ordering, Prescribing & Referring (OPR) Requirements & Edits

43 Ordering, Prescribing and Referring (OPR) Claim Edits Sections 6401 and 6501 of the Affordable Care Act (ACA) mandate that ordering and referring providers who render services to HUSKY clients be enrolled in the Connecticut Medical Assistance Program (CMAP) The Department of Social Services (DSS) has implemented the following claim edits to validate that ordering and referring providers submitted on Institutional claims are enrolled in the CMAP Referring provider not enrolled on date of service Ordering provider not enrolled on date of service 1038 Referring provider missing when required Edits 1035, 1036 & 1038 will be bypassed if the attending provider is present on the claim and enrolled on the date(s) of service

44 OPR (Ordering, Prescribing, and Referring) DSS strongly recommends that billing providers encourage their ordering, prescribing, and referring providers to enroll in the CMAP in order to avoid claim denials Any claims submitted with an ordering, prescribing, or referring provider ID that is not on file with the CMAP will be denied. An abbreviated version of the enrollment application is available for providers who wish to participate as an ordering, prescribing, or referring provider only

45 OPR (Ordering, Prescribing, and Referring) DSS has made available a list of enrolled providers who are eligible to order services on behalf of CMAP clients, or who may make referrals for such clients. Included in this list are providers who are currently in the process of enrolling in CMAP. The list is being made available to assist billing providers with verifying providers CMAP enrollment status relative to the OPR requirement. This list is refreshed each week.

46 Which providers must be enrolled? DSS has issued the following list of required provider types for Nursing Homes and State Agencies: Physician Advanced Practice Registered Nurse (APRN) Physician Assistant (PA) The aforementioned provider types must be enrolled in order for any services billed by the Nursing Facility or ICF/IID to get reimbursed when an attending or referring practitioner is present on the claim.

47 Provider Enrollment Clarification: Providers that are attending or referring and are employed or contracted by your organization must be enrolled in CMAP. When enrolling in CMAP, the provider must select the enrollment option of Individual practitioner or Employed/Contracted by an organization and not Ordering/Prescribing/Referring provider only The Ordering/Prescribing/Referring enrollment option is strictly for those providers who is not an Individual practitioner or affiliated with an organization

48 Enrollment of Residents

49 Enrollment of Residents The Affordable Care Act (ACA) requires that ordering, prescribing and referring (OPR) providers who render services to HUSKY clients be enrolled with CT Medicaid Within their scope of practice residents frequently order or prescribe, therefore; they need to be enrolled in CMAP Providers may reference Provider Bulletin Enrollment Requirements of Residents if additional information is needed The NPI of the attending physician supervising the care of the patient should be submitted on the claim if the ordering, prescribing, referring provider is a resident, as resident physicians are not permitted to enroll in CMAP

50 Provider Re-enrollment

51 Provider Re-enrollment Providers are mailed notification that re-enrollment is due 30 days prior to the end of their existing contract. The Provider Matrix page (ctdssmap.com > Provider > Provider Matrix) lists the evidentiary documentation required to complete the re-enrollment process Please place your ATN on all additional documentation that you will submit to HP, such as: copy of current license, copy of Medicare certification, provider enrollment agreement etc Re-enrollment status may be checked online Go to ctdssmap.com > Provider > Provider Enrollment Tracking Enter ATN and Business OR Last Name; click Search LONG TERM CARE 08/04/2011 ReEnrollment Completed

52 Provider Re-enrollment Providers are not activated for enrollment until the Certification & Transmittal form and signed Nursing Facility Provider Agreement are received from the Department of Public Health (DPH). These documents will be submitted by DPH to HP s Provider Enrollment Unit on your behalf The re-enrollment documents must be signed by the same individual that signed the DPH forms Re-enrollment for LTC facilities is required every 15 months The specific re-enrollment date is based off the completion date of the C&T survey, not the date when the re-enrollment process was completed Provider Enrollment/Re-enrollment via the online Wizard located on the Web site coming soon, stay tuned!

53 ICD -10 Readiness

54 ICD-10 ICD-10 Changes Delayed ICD-10 Changes Delayed : On July 31, 2014 Health and Human Services (HHS) issued a rule (CMS-0043-F) finalizing October 1, 2015, as the new compliance date for health care providers and health plans to transition to ICD-10. The rule requires HIPAA covered entities to continue to use ICD-9 through September 30, The transition to ICD-10 is required for all providers, payers and vendors On October 1, 2015, the ICD-9 CM code sets used to report medical diagnoses will be replaced by ICD-10 CM code sets

55 ICD-10 ICD-10-CM: The clinical modification diagnosis classification system was developed by the World Health Organization (WHO) and the National Center for Healthcare Statistics (NCHS) for use in all U.S. health care treatment settings. (The CM codes increase from 13,000 to 68,000-plus in the ICD-10-CM code set) ICD-10 codes must be used on all HIPAA transactions with dates of service (DOS) on or after the ICD-10 implementation date Do make it a point to refer to the ICD-10 Implementation Information Important Message from the home page of our Web site frequently to keep abreast with the most recent ICD-10 developments ICD-10 Testing will still be made available for all Long Term Care Providers - If you would like to become a beta tester, please the CMAP testing team at CTICD10testing@hp.com

56 Patient Liability

57 Patient Liability Patient Liability (Applied Income) represents the amount a client is responsible to contribute toward their care each month If a claim is submitted and the patient liability exceeds the Medicaid allowed amount an A/R (accounts receivable) is created for the difference Patient liability amounts are calculated and determined by the Department of Social Services (DSS) Regional offices based on the client s income (pension, SS, etc.) healthcare expenses

58 Patient Liability When a claim is recouped the system will take the patient liability by way of a recoupment. If the claim is resubmitted, the system will pay the claim and include the patient liability in the claim payment If the provider does not resubmit the claim and is seeking reimbursement for the patient liability by way of a payout, the DSS Convalescent Unit must be contacted Proof(general ledger, patient account ledger) must be provided illustrating that the money is owed to the provider, and not the client

59 Patient Liability Mass adjustments due to patient liability changes within clients profiles will occur as those amounts are often retroactively changed by DSS. Changes do not require claim adjustments to be performed by providers Patient liability Mass adjustments are processed the first cycle of every month; appear on RA with an ICN region code 53 Claims will be automatically adjusted by HP and the necessary A/Rs and reimbursements will be generated

60 Hospice

61 Hospice A hospice benefit was made available to CT Medical Assistance Program Medicaid clients effective January 1, 2010 This benefit provides compassionate end-of-life care that includes medical and supportive services intended to provide comfort to an individual whose physician certifies that they are terminally ill (i.e. having a life expectancy of six months or less if the illness runs its normal course)

62 Hospice Eligibility and Billing When is a client eligible to receive the hospice benefit? A client in a Nursing Facility or ICF/IID may elect the hospice benefit Hospice Services are a covered service for all HUSKY A, HUSKY B, HUSKY C & HUSKY D clients To secure accurate reimbursement: Hospice clients may only be admitted to those facilities with which the hospice agency has a written agreement A client who resides in a Nursing Facility or ICF/IID must be authorized with a pay start of the institution in which they reside The Hospice agency submits the Nursing Facility or ICF/IID per diem rate charges directly to HP for hospice clients Long term care providers may bill the Department of Social Services for hospital and home leave days for a hospice client (RCCs 183, 185) Room and board charges are billed by and payable to the hospice agency only: Facility charges are paid to the hospice agency who in turn reimburses the facility at the rate agreed to in the written agreement between the hospice and Nursing Facility or ICF/IID If a long term care provider bills a revenue center code (RCC) 100 for a hospice client the claim will deny with an Explanation of Benefits (EOB) code 0704 Service not covered for hospice client

63 Hospice Patient Liability Patient liability is deducted from the first claim processed for the month in which patient liability is due If a client is in the hospital: Hospice agency submits claims for the client s care Nursing Facility or ICF/IID submits a claim for client s bed reserve Patient liability is deducted from the first claim that processes; at the header of the claim, not the detail Hospice agency and Nursing Facility or ICF/IID providers need to make arrangements to reconcile patient liability

64 Provider Electronic Solutions (PES) Software

65 Provider Electronic Solutions (PES) Software PES has been upgraded to version 3.81! The Department of Social Services (DSS) has chosen to upgrade PES software to version 3.81to support the transition to ICD-10 for Long Term Care Claims only and batch eligibility Providers may use the upgraded PES version 3.81 for claims billed with ICD-9 codes with dates of service through September 30, 2015 Once logged in, click on the Forms icon in the software menu then click on 837 Institutional Nursing Home; Header 3 will allow you to choose a qualifier from the drop down menu to identify which version of ICD codes are being reported Choose ICD-9 for claim dates of service through September 30, 2015 or choose ICD-10 for dates of service on or after October 1, 2015 Reference bulletin PB for additional information

66 Additional Information Frequent LTC Claim Denials EOB Description Web site Resources

67 Frequent LTC Claim Denials

68 Frequent LTC Claim Denials

69 Frequent LTC Claim Denials

70 Frequent LTC Claim Denials

71 Frequent LTC Claim Denials

72 Information contains a wealth of information for providers: Important Messages Available on the home page. Also available on the Information page. Contains urgent messages that require immediate communication to the provider community as well as links to important information regarding recent/upcoming system changes.

73 Information Provider Bulletins Publications mailed to relevant provider types/specialties documenting changes or updates to the CT Medical Assistance Program Bulletin Search allows you to search for specific bulletins (by year, number, or title) as well as for all bulletins relevant to your provider type. The online database of bulletins goes back to the year 2000

74 Information Provider Manual

75 Information Forms - Authorization/Certification Claim and Adjustment - Provider Workshop Invitation Third Party Liability - Other Provider Enrollment/Maintenance Well Care Exam (EPSDT)

76 Information Provider Newsletters Quarterly publications to providers on a wide range of topics Claims Processing Information Guides and FAQs to assist with billing/claims processing

77 Contacts HP Provider Assistance Center (PAC) Monday thru Friday, 8:00 AM 5:00 PM (EST), excluding holidays HP Electronic Data Interchange (EDI) Help Desk Monday through Friday, 8 a.m. to 5 p.m. (EST), excluding holidays Department of Social Services Convalescent Payments Unit LTC Policy Rate Setting

78 Time for Questions Questions & Answers

79 Thank You For Attending the Connecticut Medical Assistance Program Long Term Care Refresher Training All questions and comments regarding this training are welcome. Please fill out the supplied workshop survey: Your feedback helps us to improve future workshops Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.