Maryland Primary Care Program (MDPCP) Application Release ......CMMI UM Version 2.0 2 MDPCP Release...

Maryland Primary Care Program (MDPCP) Application Release 2.0

Center for Medicare & Medicaid Innovation (CMMI) User Manual

Version 2.0

1/29/2019

Contract Number: HHSM-500-2014-00082U

CMS XLC Table of Contents

CMMI UM Version 2.0 ii MDPCP Release 2.0

Table of Contents

1. Introduction.................................................................................................................... 1

1.1 MDPCP Application Overview............................................................................... 1 1.2 MDPCP Application Business Functions Overview ............................................. 1

1.3 Intended Audience ................................................................................................. 2

2. Overview......................................................................................................................... 3

2.1 Conventions ........................................................................................................... 3 2.2 Cautions & Warnings ............................................................................................. 3

3. Getting Started .............................................................................................................. 4

3.1 Set-up Considerations ........................................................................................... 4 3.1.1 General Set-up Considerations ...................................................................... 4 3.1.2 Section 508 Compliance/Accessibility............................................................ 4

3.2 User Access Considerations ................................................................................. 5 3.3 Accessing the System ........................................................................................... 5

3.3.1 New Enterprise Identity Management (EIDM) User Registration ................. 5 3.3.2 Requesting IC Application Role...................................................................... 5

3.3.3 Requesting MDPCP Application Role ............................................................ 5 3.3.4 Accessing the MDPCP Application ................................................................ 6

3.4 System Organization & Navigation ....................................................................... 6 3.4.1 Main Menu ....................................................................................................... 6

3.4.2 Page Navigation .............................................................................................. 8 3.5 Exiting the System ................................................................................................. 9

4. Using the System ........................................................................................................ 10

4.1 Home .................................................................................................................... 10

4.1.1 Maryland Primary Care Program (MDPCP) Practice Home ....................... 10 4.1.2 Maryland Primary Care Program (MDPCP) CTO Home............................. 11

4.2 My Practice Info ................................................................................................... 11 4.2.1 Demographic Information.............................................................................. 11

4.2.2 Practice Information ...................................................................................... 13 4.2.3 Composition ................................................................................................... 15 4.2.4 Request History ............................................................................................. 20 4.2.5 Documents..................................................................................................... 27

4.3 Practice Reporting ............................................................................................... 28 4.3.1 Dashboard – Practice Reporting .................................................................. 28 4.3.2 Dashboard – CTO Reporting ........................................................................ 29 4.3.3 Overview ........................................................................................................ 30

4.3.4 Function 1 ...................................................................................................... 31 4.3.5 Function 2 ...................................................................................................... 36 4.3.6 Function 3 ...................................................................................................... 44 4.3.7 Function 4 ...................................................................................................... 49

4.3.8 Function 5 ...................................................................................................... 53

CMS XLC List of Figures

CMMI UM Version 2.0 iii MDPCP Release 2.0

4.3.9 General .......................................................................................................... 55 4.3.10 CTO Reporting .............................................................................................. 56

4.4 Payment & Attribution .......................................................................................... 58

4.4.1 Practice Payment & Attribution ..................................................................... 58 4.5 CTO Info ............................................................................................................... 61

4.5.1 Demographic Information.............................................................................. 61 4.5.2 CTO Information ............................................................................................ 62

4.5.3 Payment & Attribution ................................................................................... 64 4.5.4 CTO Documents............................................................................................ 66

4.6 Reports ................................................................................................................. 66 4.6.1 Status Reports ............................................................................................... 66

4.6.2 Other Reports ................................................................................................ 74 4.7 Resources ............................................................................................................ 86

4.7.1 MDPCP Resources ....................................................................................... 86 4.7.2 Helpful Links .................................................................................................. 87

5. Troubleshooting & Support....................................................................................... 88

5.1 Special Considerations ........................................................................................ 88 5.2 Support ................................................................................................................. 88

Appendix A: Record of Changes.................................................................................... 89

Appendix B: Acronyms.................................................................................................... 90

Appendix C: Glossary ...................................................................................................... 92

Appendix D: Referenced Documents ............................................................................ 93

Appendix E: Approvals .................................................................................................... 94

List of Figures

Figure 1: MDPCP Main Menu .............................................................................................. 6

Figure 2: MDPCP Practice Home – My Practice(s) Summary ......................................... 10

Figure 3: MDPCP CTO Home – My CTO(s) Summary .................................................... 11

Figure 4: Demographic Information ................................................................................... 12

Figure 5: Practice Information ............................................................................................ 14

Figure 6: Composition ........................................................................................................ 16

Figure 7: Practitioner Roster .............................................................................................. 17

Figure 8: Staff Roster ......................................................................................................... 18

Figure 9: Practitioner Information....................................................................................... 18


CMMI UM Version 2.0 iv MDPCP Release 2.0

Figure 10: Staff Information................................................................................................ 19

Figure 11: Practice Request History .................................................................................. 20

Figure 12: Add New Practitioner Request ......................................................................... 21

Figure 13: Withdraw Practitioner Request......................................................................... 23

Figure 14: Add New Staff Request .................................................................................... 24

Figure 15: Delete Staff Request......................................................................................... 25

Figure 16: TIN Change Request ........................................................................................ 26

Figure 17: Request for Extension or Correction................................................................ 27

Figure 18: Practice Documents .......................................................................................... 28

Figure 19: Practice Reporting Dashboard ......................................................................... 29

Figure 20: CTO Reporting Dashboard............................................................................... 30

Figure 21: Practice Reporting Overview............................................................................ 31

Figure 22: Empanelment .................................................................................................... 32

Figure 23: 24/7 Access ....................................................................................................... 33

Figure 24: Continuity of Care ............................................................................................. 34

Figure 25: Enhanced Access and Communication ........................................................... 35

Figure 26: Risk Stratification .............................................................................................. 37

Figure 27: Identifying Beneficiaries for Care Management .............................................. 39

Figure 28: Care Management Staffing .............................................................................. 41

Figure 29: Identifying Hospitals and EDs Your Beneficiaries Use ................................... 42

Figure 30: Beneficiary Follow-Up - Hospital and ED Discharge ...................................... 43

Figure 31: Coordinated Referral Management with Specialists ....................................... 45

Figure 32: Identifying and Communicating with Hospitals and EDs Your Beneficiaries Use................................................................................................................................. 46

Figure 33: Behavioral Health Integration ........................................................................... 47

Figure 34: Linkages with Social Services .......................................................................... 48

Figure 35: Coordinating with Social Service Resources .................................................. 49

Figure 36: Engaging Beneficiaries and Caregivers in Your Practice ............................... 50


CMMI UM Version 2.0 v MDPCP Release 2.0

Figure 37: Self-Management Support for Selected Conditions........................................ 52

Figure 38: Team-Based Care............................................................................................. 54

Figure 39: General Information .......................................................................................... 56

Figure 40: CTO Reporting .................................................................................................. 57

Figure 41: Practice Payment & Attribution ........................................................................ 59

Figure 42: Request for Personally Identifiable Information for Attributed Beneficiaries . 60

Figure 43: Demographic Information ................................................................................. 62

Figure 44: CTO Information ............................................................................................... 63

Figure 45: CTO Payment & Attribution .............................................................................. 65

Figure 46: CTO Documents ............................................................................................... 66

Figure 47: Composition Approval/Rejection Report: Daily ............................................... 68

Figure 48: Composition Approval/Rejection Status Report: Real-time............................ 69

Figure 49: Composition Report: Daily................................................................................ 70

Figure 50: Composition Report: Real-time ........................................................................ 71

Figure 51: CTO Reporting Completion Report: Daily ....................................................... 72

Figure 52: Health IT Details Report: Daily ......................................................................... 73

Figure 53: Practice Reporting Completion Report: Daily.................................................. 74

Figure 54: CTO Payment & Attribution Report: Quarterly ................................................ 76

Figure 55: CTO Roster Report: Daily ................................................................................ 77

Figure 56: CTO Summary Report: Daily ........................................................................... 79

Figure 57: Payment & Attribution Report – Track 1: Quarterly ........................................ 81

Figure 58: Payment & Attribution Report – Track 2: Quarterly ........................................ 83

Figure 59: Practice Roster Report: Daily ........................................................................... 84

Figure 60: Practice Summary Report: Daily ...................................................................... 86

Figure 61: MDPCP Resources........................................................................................... 87

Figure 62: Helpful Links ...................................................................................................... 87

CMS XLC List of Tables

CMMI UM Version 2.0 v i MDPCP Release 2.0

List of Tables

Table 1: MDPCP Main Menu Features................................................................................ 7

Table 2: MDPCP Page Navigation Features....................................................................... 8

Table 3: Support Points of Contact .................................................................................... 88

Table 4: Record of Changes .............................................................................................. 89

Table 5: Acronyms .............................................................................................................. 90

Table 6: Glossary................................................................................................................ 92

Table 7: Approvals .............................................................................................................. 94

CMS XLC Introduction

CMMI UM Version 2.0 1 MDPCP Release 2.0

1. Introduction

The State of Maryland received a five-year performance period approval from the Centers for Medicare & Medicaid Services (CMS) in 2014 for a new hospital payment model waiver based on global hospital budgets and quality targets called the All-Payer Model (APM).

To date, in Phase I of the APM, Maryland has been successful in achieving reduced hospital costs, reduced hospital-acquired conditions, and reduced readmissions. While hospital costs have been decreasing in Maryland, future total healthcare cost savings will need to be realized by aligning and integrating both the hospital and non-hospital Providers in a coordinated system of care. The interplay between the need for decreases in preventable hospital use and non-hospital use trends is important to understand and manage, particularly as Maryland moves to the second term of the APM, slated to begin in January 2019.

The Maryland Total Cost of Care (TCOC) Model includes three programs: Hospital Payment Program, Care Redesign Program (CRP), and the Maryland Primary Care Program (MDPCP) . This user manual applies to MDPCP. MDPCP is built upon the foundations of CMS’s Comprehensive Primary Care Plus (CPC+) Model, which was designed to support practices along the continuum of transformation to deliver better care to patients and promote smarter spending. MDPCP is both a care delivery and payment redesign model. Similar to CPC+, there will be two tracks for practices to choose that involve different care delivery requirements and payment options. As in CPC+, Maryland will allow practices to apply for one of two program tracks, with increasing payment and care redesign expectations as Providers move from Track 1 to Track 2. However, in MDPCP, practices will have an opportunity to partner with a Care Transformation Organization (CTO) to fulfill program goals. Practices are not required to have a CTO.

1.1 MDPCP Application Overview

MDPCP serves as an internet-facing web application, which is accessed through the CMS Enterprise Portal (ePortal) Landing Page and Innovation Center (IC) Application. The application will be accessed via the widget called “Maryland Primary Care Program- MDPCP”. MDPCP provides participating practices and CTOs with tools to assist with providing information pertaining to their demographic, practice and organization information and composition , and their reporting of practice and quality milestones, as well as provid ing a platform where participating practices and CTOs can download reports essential to their success in this initiative. The Centers for Medicare & Medicaid for Innovation (CMMI) and contractors supporting the initiative will use MDPCP to monitor the progress and compliance of participating practices and CTOs.

1.2 MDPCP Application Business Functions Overview

CMMI and its contractors distribute implementation guides and educational materials to MDPCP stakeholders about the requirements and timeline with which MDPCP practices must report data to CMS via the MDPCP Application. Any changes to the data maintained in the MDPCP Application is managed through a change control process.

Availability of information in the MDPCP Application is dependent on a user’s role-based access permissions.

CMS XLC Introduction


1.3 Intended Audience

The intended audience for this User Manual is the CMMI User. The CMMI User will use this document to understand how to use the MDPCP Application to access information needed for metrics, education, and guidance for stakeholders. The User Guide serves as a reference to the steps needed to execute functionality.

CMS XLC Ov erv iew


2. Overview

The MDPCP Application allows for the exchange of data and information between the MDPCP stakeholders. The main features of this application are updating practice information and providing access to resources and information relevant to MDPCP stakeholders.

2.1 Conventions

This document provides screenshots and corresponding narrative to describe how to use the MDPCP Application.

2.2 Cautions & Warnings

When signing in to the application, a warning screen will display with the Terms & Conditions for use of the CMS.gov ePortal, content, and applications. The message should be read thoroughly as it explains the penalties and consequences of misusing the system(s) and its contents. The screens that display in the system may differ slightly from the sample images used in this document.

CMS XLC Getting Started


3. Getting Started

3.1 Set-up Considerations

3.1.1 General Set-up Considerations

CMS screens are designed to be viewed at a minimum screen resolution of 800 x 600. The minimum system requirements to access the CMS ePortal effectively are:

Windows

1.4GHz Intel® Pentium® 4 or faster processor (or equivalent) for Microsoft® Windows® XP, Windows 7, or Windows 8; 2GHz Pentium 4 or faster processor (or equivalent) for Windows Vista®

Windows 8 (32-bit/64-bit), Windows 7 (32-bit/64-bit), Windows Vista, Windows XP

512MB of RAM (1GB recommended) for Windows XP, Windows 7, or Windows 8; 1GB of RAM (2GB recommended) for Windows Vista

Microsoft Internet Explorer (IE) 11, Mozilla Firefox, Google Chrome

JavaScript and cookies must be enabled

Mac Operating System (OS)

1.83GHz Intel Core™ Duo or faster processor

512MB of RAM (1GB recommended)

Mac OS X 10.7.4, 10.8

Mozilla Firefox, Google Chrome


Linux

Ubuntu 11.04, 12.04; Red Hat Enterprise Linux 6; openSuSE 11.3

Mozilla Firefox


3.1.2 Section 508 Compliance/Accessibility

CMS.gov is committed to making its electronic and information technology (EIT) accessible to people with disabilities. We strive to meet or exceed the requirements of Section 508 of the Rehabilitation Act (29 U.S.C. 794d), as amended in 2017 (82 FR 5790).

If any content or use of any features on this website cannot be accessed due to a disability, please contact our Section 508 Team via email at [email protected].

For more information on CMS.gov Accessibility and Compliance with Section 508, please go to: https://www.cms.gov/About-CMS/Agency-Information/Aboutwebsite/Policiesforaccessibility.html.

mailto:[email protected]

https://www.cms.gov/About-CMS/Agency-Information/Aboutwebsite/Policiesforaccessibility.html

https://www.cms.gov/About-CMS/Agency-Information/Aboutwebsite/Policiesforaccessibility.html



3.2 User Access Considerations

MDPCP stakeholders can access the MDPCP Application through the CMS.gov ePortal. Authorized users have access to modules and functionality based on their assigned role. Security for the MDPCP Application will adhere to the CMS Information Services (IS) Acceptable Risk Safeguards (ARS) guidelines, and the system will comply with the CMS minimum security requirements (CMSR). Security enforcement spans across tiers leveraging CMS infrastructure, which provides network-layer security systems such as firewalls, intrusion detections systems, and link encryptions. The CMS infrastructure security will be maintained for the data throughout the loading process onto the CMS mainframe and throughout the loading process into the MDPCP Application. The CMS mainframe system access is limited to Individuals Authorized for Access to CMS Computer Systems (IACS).

3.3 Accessing the System

The following subsections provide instructions on how to gain access to the MDPCP Application.

3.3.1 New Enterprise Identity Management (EIDM) User Registration

This section provides information on how to register and create a user ID and password through the EIDM process to obtain access for the Innovation Center (IC) Application by accessing the CMS ePortal at https://portal.cms.gov/.

For step-by-step instructions, please refer to Section 4 – Registering for CMS Enterprise Portal in the CMS Enterprise Portal User Manual.

3.3.2 Requesting IC Application Role

In order to request the Innovation Center Privileged User role, you must successfully complete the Remote Identity Proofing (RIDP) process and register your Multi-Factor Authentication (MFA) device.

For step-by-step instructions, please refer to Section 10.3 – Requesting a Role in the CMS Enterprise Portal User Manual.

Note: If you fail the RIDP process, please contact the Help Desk by phone at 1-844-711-2664, Option 7, or by email at [email protected] for assistance.

3.3.3 Requesting MDPCP Application Role

In order to request the Maryland Primary Care – MDPCP – MDPCP_CMMI_USER role, you will need to log out and then login using your credentials and security code.

For step-by-step instructions, please refer to Section 4.1 – Request Access in the Innovation Center (IC) User Manual (see attachment below).

CICDIMICR14UserM

anual.docx

https://portal.cms.gov/

https://portal.cms.gov/wps/wcm/connect/d0fc0327-d1d3-443f-ba86-1a65fbe8fd38/Enterprise_Portal_User_Manual.pdf?MOD=AJPERES&CVID=m1QFWMH&CVID=l-ohqe6&CVID=l-jnP7R&CVID=l-jnP7R&CVID=l-jnP7R/

https://portal.cms.gov/wps/wcm/connect/d0fc0327-d1d3-443f-ba86-1a65fbe8fd38/Enterprise_Portal_User_Manual.pdf?MOD=AJPERES&CVID=m1QFWMH&CVID=l-ohqe6&CVID=l-jnP7R&CVID=l-jnP7R&CVID=l-jnP7R/

mailto:[email protected]



3.3.4 Accessing the MDPCP Application

In order to access the MDPCP Application, you must follow the step-by-step instructions listed below.

1. Access https://portal.cms.gov/.

2. Login using your User ID, Password, and Security Code.

3. Select Innovation Center under the menu items on the My Portal Home page.

4. Select Application Console from the Innovation Center drop-down list.

5. Select the Maryland Primary Care - MDPCP link on the IC Home tab.

3.4 System Organization & Navigation

This section provides detailed information on how to navigate within the MDPCP Application and use common features.

3.4.1 Main Menu

This subsection describes the main navigation features available in the MDPCP Application.

Figure 1: MDPCP Main Menu

https://portal.cms.gov/



Table 1: MDPCP Main Menu Features

Feature Name Description

Top Navigation Bar/Secondary Navigation Bar

Allows you to access one of the following modules with the associated submodules (tabs and subtabs):

Home (default) o Practice Home

o CTO Home

My Practice Info o Demographic Information

o Practice Information

o Composition

o Request History

o Documents

Practice Reporting

o Dashboard

o Function 1

o Function 2

o Function 3

o Function 4

o Function 5

o General

o CTO Reporting

CTO Info o Demographic Information

o CTO Information

o Payment & Attribution

o Documents

Payment & Attribution o Payment & Attribution

Reports o Status Reports

o Other Reports

Resources o MDPCP Resources

Left Navigation Menu Allows you to access the pages within the selected submodules (subtabs).

Yr/Qtr Drop-down Allows you to select the applicable Program Year (Yr) and Quarter (Qtr).

Track Drop-down Allows you to select Track 1 or Track 2.

Change Display Button Allows you to change the display based on the selected Yr/Qtr and Track drop-down values.




Breadcrumb Navigation Shows your current location within the application and provides links to the previously accessed pages.

Practice Drop-down Allows you to select a Practice ID.

CTO Drop-down Allows you to select a CTO ID.

Switch Practice Button Allows you to change the display based on the selected Practice drop-down value.

Switch CTO Button Allows you to change the display based on the selected CTO drop-down value.

Print/Print All Icon Allows you to print saved content for related pages in Portable Document Format (PDF).

Help Icon Displays detailed information relevant to the current page.

Print Icon Allows you to print saved content for related pages in Portable Document Format (PDF).

3.4.2 Page Navigation

This subsection describes the page navigation features available in the MDPCP Application.

Table 2: MDPCP Page Navigation Features


Update Information Hyperlink

Allows you to edit information on a page.

Show More Hyperlink Expands a collapsed section(s).

Hide Hyperlink Collapses an expanded section(s).

Show Entries Drop-down Allows you to select the number of entries shown in the table.

Search Text Field Allows you to enter desired search criteria.

Search Button Allows you to search the content within a table.

Table Sort Icon Sorts table information in ascending or descending order for a specific column.

Download Icon Allows you to download the corresponding file.

First Hyperlink Navigates to the first page of a table.

Previous Hyperlink Navigates to the previous page of a table.

Next Hyperlink Navigates to the next page of a table.




Last Hyperlink Navigates to the last page of a table.

Save Button Allows you to save newly added information to the content of a page.

Clear Button Clears information entered in editable fields, the file selected for upload, or remarks.

Cancel Button Allows you to cancel the request to update existing information in the application.

Export Button Exports table content in Excel format.

Previous Button Navigates to the previous page

Next Button Navigates to the next page

3.5 Exiting the System

If you want to log out of the portal, select the Log Out hyperlink in the upper right portion of the page.

CMS XLC Using the Sy stem


4. Using the System

The following subsections provide detailed, step-by-step instructions on how to use the various functions or features of the MDPCP Application.

4.1 Home

The Home tab provides access to the Practice Home and CTO Home subtabs. The pages accessed via these subtabs are described in the following section.

4.1.1 Maryland Primary Care Program (MDPCP) Practice Home

The Maryland Primary Care Program (MDPCP) Practice Home page is the default landing page and is accessed via the Practice Home subtab. The Maryland Primary Care Program (MDPCP) Practice Home displays information for practices, including the Practice ID and Practice Name, Practice Reporting Completion Status, and CTO Reporting Completion Status within the My Practice(s) Summary table.

If you want to navigate to a Practice’s Demographic Information page:

1. Select the desired Practice ID hyperlink.

2. The system navigates to the Demographic Information page.

If you want to navigate to the Practice Reporting Overview page:

1. Select the progress bar from the Practice Reporting Completion Status.

2. The system navigates to the Overview page.

If you want to navigate to the CTO Reporting page for a practice that is associated to a CTO:

1. Select the progress bar from the CTO Reporting Completion Status.

2. The system navigates to the CTO Reporting page.

Figure 2: MDPCP Practice Home – My Practice(s) Summary



4.1.2 Maryland Primary Care Program (MDPCP) CTO Home

The Maryland Primary Care Program (MDPCP) CTO Home page is accessed via the CTO Home subtab and displays information for CTOs, including the CTO ID and CTO Name, within the My CTO(s) Summary table.

If you want to navigate to a CTO’s Demographic Information page:

1. Select the desired CTO ID hyperlink. 2. The system navigates to the Demographic Information page.

Figure 3: MDPCP CTO Home – My CTO(s) Summary

4.2 My Practice Info

The My Practice Info tab provides access to the Demographic Information, Practice Information, Composition, Request History, and Documents pages for a practice. These pages are detailed in the following sections.

4.2.1 Demographic Information

The Demographic Information page allows you to view the selected practice’s demographic, organization contact, primary contact, secondary contact, clinical leader contact, health information technology (HIT) contact, and CTO contact information.



Figure 4: Demographic Information



4.2.2 Practice Information

The Practice Information page allows you to view a practice’s HIT details and organization details for the selected practice.



Figure 5: Practice Information



4.2.3 Composition

The Composition page allows you to view the practice composition, practitioner roster, and staff roster for a practice.

If you want to export a practitioner roster or staff roster information:

1. Select Export.

2. Open or Save the T#MD####_PractitionerRoster or T#MD####_StaffRoster in Excel file format.

Note: The file should reflect the content from the respective roster’s table.



Figure 6: Composition



Practitioner Roster

The Practitioner Roster displays the details of each practitioner associated with a practice, including the Practitioner Name, Primary Specialty, Individual National Provider Identifier (NPI), Practitioner Status, Employment Status, Estimated Weekly Hours, and Date Withdrawn.

If you want to view information for a practitioner in Active or Withdrawn status:

1. Select the Practitioner Name hyperlink from the table.

2. The system navigates to the Practitioner Information page. Refer to Section 4.2.3.1 for actions you can execute on this page.

If you want to view information for a practitioner in Pending Add or Incomplete Add status:


2. The system navigates to the Add New Practitioner – Request ID ##### page. Refer to Section 4.2.4.1 for actions you can execute on this page.

If you want to view information for a practitioner in Pending Withdraw or Incomplete Withdraw status:


2. The system navigates to the Withdraw Practitioner – Request ID ##### page. Refer to Section 4.2.4.2 for more information on the Withdraw Practitioner Request page.

Figure 7: Practitioner Roster

Staff Roster

The Staff Roster displays the details of the associated staff, including the staff name, title/position, if the individual works in direct patient care, employment status, and estimated weekly hours.

If you would like to view the Staff Information page for a staff member:

1. Select the Staff Name hyperlink from the table.

2. The system navigates to the Staff Information page. Refer to Section 4.2.3.2 for more information on the Staff Information page.



Figure 8: Staff Roster

4.2.3.1 Practitioner Information

The Practitioner Information page allows you to view the details for an Active or Withdrawn Practitioner.

Figure 9: Practitioner Information



4.2.3.2 Staff Information

The Staff Information page allows you to view the details of the staff.

Figure 10: Staff Information



4.2.4 Request History

The Practice Request History page allows you to view the following types of requests by selecting the Request ID from the Request History table:

Add New Practitioner

Add New Staff

Delete Staff

Request for Extension or Correction

Taxpayer Identification Number (TIN) Change

Withdraw Practitioner

If you want to export the Practice Request History information:

1. Select Export button.

2. Open/Save the T#MD####_PracticeRequestHistory_YYYY_MM_DD in Excel file format.

Note: The file should reflect the content from the Request History table.

Figure 11: Practice Request History

4.2.4.1 Add New Practitioner Request

The Add New Practitioner – Request ID ##### page allows you to view the details of a practice’s submitted request to add a new practitioner to their practice.

The Add New Practitioner Request may be in one of the following statuses:

Pending – Awaiting approval from MDPCP Support.

Incomplete – Awaiting updated request information from the practice.

Approved – Approved by MDPCP Support.

Rejected – Rejected by MDPCP Support.



Figure 12: Add New Practitioner Request



4.2.4.2 Withdraw Practitioner Request

The Withdraw Practitioner – Request ID ##### page allows you to view the details of a practice’s submitted request to withdraw an active practitioner from their practice .

The Withdraw Practitioner Request may be in one of the following statuses:

Pending – Awaiting approval from MDPCP Support.

Incomplete – Awaiting updated request information from the practice.

Approved – Approved by MDPCP Support.

Rejected – Rejected by MDPCP Support.



Figure 13: Withdraw Practitioner Request



4.2.4.3 Add New Staff Request

The Add New Staff - Request ID ##### page allows you to view the details of a practice’s newly added staff to a practice. The request status for the Add New Staff Request is always Complete as no approval from MDPCP Support is required.

Figure 14: Add New Staff Request



4.2.4.4 Delete Staff Request

The Delete Staff Request ID - ##### page allows you to view the details for deleted staff from a practice.

The Delete Staff Request always displays in Completed status. You are able to view the request details, but cannot make any changes.

Figure 15: Delete Staff Request

4.2.4.5 TIN Change Request

The TIN Change – Request ID ##### page allows you to view the details of a practice’s submitted TIN Change Request.

The TIN Change Request may be in the following statuses:

Pending – Awaiting approval from MDPCP Support

Incomplete – Awaiting updated request information from the Practice

Approved – Approved by MDPCP Support

Rejected – Rejected by MDPCP Support



Figure 16: TIN Change Request



4.2.4.6 Request for Extension or Correction

The Request for Extension or Correction page allow you to view the details of a practice’s Request for Extension or Correction for a practice.

The Request for Extension or Correction Request may be in the following statuses:

Pending – Awaiting approval from MDPCP Support

Incomplete – Awaiting updated request information from the practice

Approved – Approved by MDPCP Support

Rejected – Rejected by MDPCP Support

Figure 17: Request for Extension or Correction

4.2.5 Documents

The Practice Documents page provides access to the documents for a practice within Track 1 or Track 2. The following documents are available for download:

Letter of support from Clinical Leadership

Letter of support from Parent of Owner organization

Letter certifying connectivity to Health Information Exchange (HIE)

Participation Agreement (signed)

The Practice Documentation table displays the File Name, File Type, Date Added, and the option to download.



Figure 18: Practice Documents

4.3 Practice Reporting

The Practice Reporting tab provides access to the Dashboard, Overview, Function , General, and CTO Reporting pages.

4.3.1 Dashboard – Practice Reporting

The Dashboard page displays the Practice Status Counts by Function and Practice Status Details information for Practice Reporting.

If you want to navigate to the Dashboard for Practice Reporting:

1. Select the Practice Reporting from the Reporting Type dropdown.

2. Select the Apply button.

3. The system will navigate to the Dashboard page for Practice Reporting.

If you select a value from the Practice Status Counts by Function table, the Practice Status

Details table displays the practices with the selected status for the related module. Alternatively,

you can select the desired Practice Reporting Type, Status, and Track from the drop-downs and select Apply to update the content in the table.

Note: By default the Reporting Type drop-down is set to Practice Reporting.



Figure 19: Practice Reporting Dashboard

4.3.2 Dashboard – CTO Reporting

The Dashboard page displays the CTO Status Counts and CTO Status Details information for CTO Reporting.

If you want to navigate to the Dashboard for CTO Reporting:

1. Select the CTO Reporting from the Reporting Type drop-down.

2. Select the Apply button.

3. The system will navigate to the Dashboard page for CTO Reporting.

If you select a value from the CTO Status Counts table, the CTO Status Details table displays

the CTOs with the selected status. Alternatively, you can select the desired CTO Status Type from the drop-down and select Apply to update the content in the table.



Figure 20: CTO Reporting Dashboard

4.3.3 Overview

The Overview page displays the Practice Reporting Progress Summary information for the selected practice. This page contains a table for each of the five Functions and General Information, which displays all of the pages contained in the sub-module and their respective completion status. You may also initiate a Request for Extension or Correction from this page.

If you want to navigate to one of the Function or General pages:

1. Select the page name from the Practice Reporting Progress Summary.

2. The system will navigate to the selected page.



Figure 21: Practice Reporting Overview

4.3.4 Function 1

Function 1 allows a practice to report information pertaining to the type of access and continuity of care provided by the practice.

4.3.4.1 Empanelment

The Empanelment page allows the practice to identify how it empanels beneficiaries, count of panels, count of empaneled attributed beneficiaries, count of attributed beneficiaries , and the active beneficiary lookback period. In addition, this page allows the practice to give details of assistance provided by a state practice coach, an outside contractor, a consultant, or a CTO. This page is view-only and applicable for all quarters.



Figure 22: Empanelment



4.3.4.2 24/7 Access

The 24/7 Access page allows a practice to identify access to its Electronic Health Record (EHR) and if a practitioner or care team member provides 24/7 coverage. In addition, this page allows the practice to give details of assistance provided by a state practice coach, an outside contractor, a consultant, or CTO. This page is view-only and applicable for Quarter 1 and Quarter 3.

Figure 23: 24/7 Access

4.3.4.3 Continuity of Care

The Continuity of Care page allows a practice to identify how it tracks continuity of care and the scheduling strategies used. In addition, this page allows the practice to give details of



assistance provided by a state practice coach, an outside contractor, a consultant, or a CTO. This page is view-only and applicable for Quarter 1 and Quarter 3.

Figure 24: Continuity of Care

4.3.4.4 Enhanced Access and Communication

The Enhanced Access and Communication page allows the practice to report how often it is able to provide access and communication services to beneficiaries. The practice is also able to identify the types of alternative approaches to care it provided in the last quarter, the amount of beneficiaries who received alternative care, and who provided the alternative care. Additionally, Track 2 practices may also provide information on the ways they used MDPCP Payments to increase non-traditional office visits. In addition, this page allows the practice to give details of assistance provided by a state practice coach, an outside contractor, a consultant, or a CTO. This page is view-only and applicable for all quarters.



Figure 25: Enhanced Access and Communication



4.3.5 Function 2

Function 2 allows a practice to report information pertaining to care management for high-risk, high-need beneficiaries who receive care at their practice.

4.3.5.1 Risk Stratification

The Risk Stratification page allows the practice to identify if it risk stratifies its empaneled beneficiaries, the types of data-driven algorithm and clinical intuition factors used for risk stratification, what prompts reassessment of a beneficiary’s risk stratification, and if risk stratification is integrated with the electronic health record (EHR). In addition, this page allows the practice to give details of assistance provided by a state practice coach, an outside contractor, a consultant, or a CTO. This page is view-only and applicable for Quarter 1 and Quarter 3.



Figure 26: Risk Stratification



4.3.5.2 Identifying Beneficiaries for Care Management

The Identifying Beneficiaries for Care Management page allows the practice to categorize how its beneficiary population is risk stratified and report how the practice identifies beneficiaries for episodic care management. In addition, this page allows the practice to give details of assistance provided by a state practice coach, an outside contractor, a consultant, or a CTO. This page is view-only and applicable for all quarters.



Figure 27: Identifying Beneficiaries for Care Management



4.3.5.3 Care Management Staffing

The Care Management Staffing page allows the practice to identify the clinicians or staff primarily responsible for care management and coordination activities. In addition, this page allows the practice to give details of assistance provided by a state practice coach, an outside contractor, a consultant, or a CTO. This page is view-only and applicable for Quarter 1 and Quarter 3.



Figure 28: Care Management Staffing

4.3.5.4 Identifying Hospitals and Emergency Departments (EDs) Your Beneficiaries Use

The Identifying Hospitals and EDs page allows the practice to identify up to three of the top hospitals and emergency departments used most by its beneficiaries over the current quarter. If available, the practice’s responses from the previous quarter are carried over to the current quarter. In addition, this page allows the practice to give details of assistance provided by a



state practice coach, an outside contractor, a consultant, or a CTO. This page is applicable for all quarters.

Figure 29: Identifying Hospitals and EDs Your Beneficiaries Use

4.3.5.5 Beneficiary Follow-up – Hospital and ED Discharge

The Beneficiary Follow-Up for Hospital and ED Discharge page allows a practice to identify the count of beneficiaries discharged from the ED and/or hospital during the current quarter. The practice is required to provide information on beneficiaries who received follow-up contact within one week after discharge from the ED and within two business days after discharge from the hospital. In addition, this page allows the practice to give details of assistance provided by a state practice coach, an outside contractor, a consultant, or a CTO. This page is applicable for all quarters.



Figure 30: Beneficiary Follow-Up - Hospital and ED Discharge



4.3.6 Function 3

Function 3 allows a practice to report information pertaining to comprehensiveness and coordination at the practice.

4.3.6.1 Coordinated Referral Management with Specialists

The Coordinated Referral Management with Specialists page allows the practice to identify the formal coordinated referral management agreements made with high-cost specialists and health care organizations In addition, this page allows the practice to give details of assistance provided by a state practice coach, an outside contractor, a consultant, or a CTO This page is view-only and applicable for all quarters.



Figure 31: Coordinated Referral Management with Specialists

4.3.6.2 Identifying and Communicating with Hospitals and EDs Your Beneficiaries Use

The Identifying and Communicating with Hospitals and EDs Your Beneficiaries Use page allows the practice to provide information regarding coordination and communication with hospitals and emergency department where its patients seek care. In addition, this page allows the practice to identify details of assistance provided by a state practice coach, an outside



contractor, a consultant, or a CTO. This page is view-only and applicable for Quarter 1 and Quarter 3.

Figure 32: Identifying and Communicating with Hospitals and EDs Your Beneficiaries Use

4.3.6.3 Behavioral Health Integration

The Behavioral Heath Integration page allows the practice to provide information on its primary behavioral health strategy and identify the mental health conditions targeted by that strategy and the types of targeted tactics available to beneficiaries. In addition, this page allows the practice to give details of assistance provided by a state practice coach, an outside contractor, a consultant, or a CTO. This page is view-only and applicable for Quarter 1 and Quarter 3.



Figure 33: Behavioral Health Integration

4.3.6.4 Linkages with Social Services

The Linkages with Social Services page allows the practice to report if it routinely screens its beneficiaries for unmet social needs, what type of screening tools are used, and if those tools are integrated with the EHR. The practice must also indicate which social needs it has prioritized. In addition, this page allows the practice to identify details of assistance provided by a state practice coach, an outside contractor, a consultant, or a CTO. This page is view-only and applicable for Quarter 1 and Quarter 3.



Figure 34: Linkages with Social Services

4.3.6.5 Coordinating with Social Service Resources

The Coordinating with Social Service Resources page allows the practice to specify how frequently its inventory of social service resources is updated, if the inventory is integrated with the EHR, and with which resources it has established relationships to address prioritized areas. In addition, this page allows the practice to identify details of assistance provided by a state



practice coach, an outside contractor, a consultant, or a CTO. This page is view-only and applicable for Quarter 1 and Quarter 3.

Figure 35: Coordinating with Social Service Resources

4.3.7 Function 4

Function 4 allows a practice to report information pertaining to beneficiary and caregiver engagement at the practice.

4.3.7.1 Engaging Beneficiaries and Caregivers in Your Practice

The Engaging Beneficiaries and Caregivers in Your Practice page allows the practice to report how frequently it engages beneficiaries and caregivers in activities and provides information to its Patient and Family Advisory Council (PFAC). In addition, this page allows the practice to give details of assistance provided by a state practice coach, an outside contractor, a consultant, or a CTO. This page is view-only and applicable for all quarters.



Figure 36: Engaging Beneficiaries and Caregivers in Your Practice



4.3.7.2 Self-Management Support for Selected Conditions

The Self-Management Support for Selected Conditions page allows the practice to select conditions for which it provides self-management support, identify and how it selects beneficiaries for self-management support, and report how frequently it implements aspects of self-management support. In addition, this page allows the practice to give details of assistance provided by a state practice coach, an outside contractor, a consultant, or a CTO. This page is view-only and applicable for all quarters.



Figure 37: Self-Management Support for Selected Conditions



4.3.8 Function 5

Function 5 allows a practice to report information pertaining to planned care and population health at the practice.

4.3.8.1 Team-Based Care

The Team-Based Care page allows the practice to identify how often care teams have structured huddles and scheduled meetings, how often clinical activities are delegated to members of the care team, and how often care teams review quality improvement data. In addition, this page allows the practice to give details of assistance provided by a state practice coach, an outside contractor, a consultant, or a CTO. This page is view-only and applicable for Quarter 1 and Quarter 3.



Figure 38: Team-Based Care



4.3.9 General

The General sub-module allows a practice to report general information.

4.3.9.1 General Information

The General Information page allows the practice to rate how useful it finds each MDPCP communication type and estimate the number of hours spent collecting and inputting care delivery data. The practice is required to list the primary point of contact (PPOC) for completing the Practice Reporting and certify the accuracy of the information provided. This page is view-only and applicable for all quarters.



Figure 39: General Information

4.3.10 CTO Reporting

The CTO Reporting sub-module allows you to view the CTO’s verification of assistance provided to a partner practice for each Function page.

4.3.10.1 CTO Reporting

The CTO Reporting page allows you to view the CTO Information, Practice Assistance Verification, CTO Information Verification, Reporting Point of Contact, and Confirmation. This page is applicable for all quarters.



Figure 40: CTO Reporting



4.4 Payment & Attribution

The Payment & Attribution tab provides access to the Payment & Attribution subtab. The Payment & Attribution subtab provides access to the Practice Payment & Attribution page and Beneficiary Attribution Report.

4.4.1 Practice Payment & Attribution

The Practice Payment & Attribution page displays the selected practice’s payment information. In addition, this page allows you to access the Beneficiary Attribution Report, if available. This page is read-only and maintained quarterly.

If you want to download a Beneficiary Attribution Report:

1. Select the corresponding Download icon for the desired report.

2. Open or save the T#MD####_BeneAttrRpt_CY####_Q#_YYYYMMDD file in Excel file format.

If you want to view the signed Health Insurance Portability and Accountability Act (HIPAA) agreement for a practice’s Beneficiary Attribution Report:

1. Select the hyperlink in the HIPAA Submission column of the table.

2. The system navigates to the completed Request for Personally Identifiable Information for Attributed Beneficiaries page, which is displayed as read-only (see Section 4.4.1.1).



Figure 41: Practice Payment & Attribution



4.4.1.1 Request for Personally Identifiable Information (PII) for Attributed Beneficiaries

The Request for Personally Identifiable Information for Attributed Beneficiaries page allows practice users to request access to a Beneficiary Report by acknowledging the HIPAA agreement.

If you want to view a signed HIPAA agreement:

1. Select the hyperlink under the HIPAA Submission.

2. View the details of the signed HIPAA Submission form.

Figure 42: Request for Personally Identifiable Information for Attributed Beneficiaries



4.5 CTO Info

The CTO Info tab provides access to the Demographic Information, CTO Information, Payment & Attribution, and Documents subtabs for a CTO. The pages accessed via these subtabs are described in the following sections.

4.5.1 Demographic Information

The Demographic Information page allows you to view the selected CTO’s demographic, organization contact, secondary contact, clinical leader contact, and HIT contact.



Figure 43: Demographic Information

4.5.2 CTO Information

The CTO Information page allows you to view and maintain a CTO’s HIT and/or organization details for the selected CTO.



Figure 44: CTO Information



4.5.3 Payment & Attribution

The Payment & Attribution page allows you to view your CTO’s payment information. This page is read-only and maintained quarterly.



Figure 45: CTO Payment & Attribution



4.5.4 CTO Documents

The CTO Documents page provides access to the documents for a CTO. The following documents are available for download:

Letter of support from clinical leadership

Letter of support from practice

Participation agreement (signed)

The CTO Documentation table displays the File Name, File Type, Date Added, and the option to download.

Figure 46: CTO Documents

4.6 Reports

The Reports tab provides access to the available reports for download in Excel format.

If you want to view or save a scheduled report:

1. Select the desired status report type from the left navigation menu.

2. Select the corresponding Download icon for the desired report.

3. Open or save the downloaded Excel file.

If you want to generate a real-time report:

1. Enter the Practice ID.

2. Select the desired status(es).

3. Select Generate Report.

4. Open or save the Excel file.

4.6.1 Status Reports

The Status Reports submodule allows you to download the following:

Composition Approval/Rejection Report: Daily

Composition Approval/Rejection Report: Real-time

Composition Report: Daily

Composition Report: Real-time

CTO Reporting Completion Report: Daily



Health IT Details Report: Daily

Practice Reporting Completion Report: Daily

To download your report, use the left navigation menu to select the type of report you want to view.

4.6.1.1 Composition Approval/Rejection Report: Daily

The Composition Approval/Rejection Report: Daily page captures composition changes pertaining to Add New Practitioner and Withdraw Practitioner requests for all practices on a daily basis.

The file naming convention for the report is as follows:

YYYY-MM-DD_HH-MM_CompositionApprovalRejectionReportDaily.xlsx

The report displays the following information:

Practice ID

Practice Name

CTO ID

CTO Name

Request ID

Request Type

Request Date

Request Status

Practitioner Name

Individual National Provider ID (NPI)

Effective Date of Joining Practice

Resident or Intern

Practitioner Type

Primary Specialty

Employment Status

Estimated Weekly Hours

MD Board of Physician License Number

Date Withdrawn

Last Updated

Last Comments



Figure 47: Composition Approval/Rejection Report: Daily

4.6.1.2 Composition Approval/Rejection Report: Real-time

The Composition Approval/Rejection Report: Real-time page captures composition changes pertaining to Add New Practitioner and Withdraw Practitioner requests for selected status(es) for a practice at the time you generate the report.


T#MD####_CompositionApprovalRejectionReportRealtime_YYYY-MM-DD.xlsx


Practice ID

Practice Name

CTO ID

CTO Name

Request ID

Request Type

Request Date

Request Status

Practitioner Name



Resident or Intern



Practitioner Type

Primary Specialty

Employment Status



Date Withdrawn

Last Updated

Last Comments

Figure 48: Composition Approval/Rejection Status Report: Real-time

4.6.1.3 Composition Report: Daily

The Composition Report: Daily page captures composition details of practitioners and staff members for all practices on a daily basis.


YYYY-MM-DD_HH-MM_CompositionReportDaily.xlsx


Practice ID

Practice Name

CTO ID

CTO Name

Practitioner Name

Practitioner Status



Resident or Intern



Practitioner Type

Primary Specialty

Employment Status



Date Withdrawn

Figure 49: Composition Report: Daily

4.6.1.4 Composition Report: Real-time

The Composition Report: Real-time page captures composition details of practitioners for a selected practice at the time you generate the report.


T#MD####_CompositionReportRealtime_YYYY-MM-DD.xlsx


Practice ID

Practice Name

CTO ID

CTO Name

Practitioner Name

Practitioner Status





Resident or Intern

Practitioner Type

Primary Specialty

Employment Status



Date Withdrawn

Figure 50: Composition Report: Real-time

4.6.1.5 CTO Reporting Completion Report: Daily

The CTO Reporting Completion Report: Daily page captures CTO Reporting completion details of CTOs for a selected practice, at the time you generate the repor t.

The file naming convention of the report is as follows:

T#MD####_CTOReportingCompletionReportDaily_YYYY-MM-DD.xlsx


CTO ID

Practice ID

CTO Name

Practice Name

Track ID

Are you the primary contact for CTO reporting? (Yes/No)

Reporting Contact - First Name

Reporting Contact - Last Name



Reporting Contact - Title

Reporting Contact - Email

Reporting Contact - Telephone Number

Reporting Contact - Ext. (Optional)

First Name

Last Name

Position with MDPCP CTO Site

Date and Time Stamp

Status

Figure 51: CTO Reporting Completion Report: Daily

4.6.1.6 Health IT Details Report: Daily

The Health IT Details Report: Daily page captures Health IT completion details for a selected practice, at the time you generate the report.


T#MD####_HealthITDetailsReportDaily_YYYY-MM-DD.xlsx


Practice ID

Practice Name

CTO ID

CTO Name



Vendor Name

Product Name

Product Version

CMS EHR Certification ID

Will your practice be using certified EHR technology by January 1, 2019?

Figure 52: Health IT Details Report: Daily

4.6.1.7 Practice Reporting Completion Report: Daily

The Practice Reporting Completion Report: Daily page captures Practice Reporting completion details for a selected practice, at the time you generate the report.


T#MD####_PracticeReportingCompletionReportDaily_YYYY-MM-DD.xlsx


Practice ID

Practice Name

CTO ID

CTO Name

Track ID

Function 1

Function 2

Function 3



Function 4

Function 5

General Questions (Yes/No)

Are you the primary contact for Practice reporting? (Yes/No)

Reporting Contact - First Name

Reporting Contact - Last Name

Reporting Contact - Title

Reporting Contact - Email

Reporting Contact - Telephone Number

Reporting Contact - Ext. (Optional)

First Name

Last Name

Position with MDPCP Practice Site

Date and Time Stamp

Status

Figure 53: Practice Reporting Completion Report: Daily

4.6.2 Other Reports

The Other Reports submodule allows you to download the following:

CTO Payment & Attribution Report: Quarterly

CTO Roster Report: Daily



CTO Summary Report: Daily

Payment & Attribution Report – Track 1: Quarterly

Payment & Attribution Report – Track 2: Quarterly

Practice Roster Report: Daily

Practice Summary Report: Daily

To download your report, use the left navigation menu to select the type of report you want to view.

4.6.2.1 CTO Payment & Attribution Report: Quarterly

The CTO Payment & Attribution Report: Quarterly page provides the payment and attribution details for CTOs.


YYYY-MM-DD_HH-MM_PY####_Q#_CTOPaymentAndAttributionReportQuarterly.xlsx


CTO ID

CTO Name

Total Amount Paid this Quarter

Care Management Fee (CMF) Paid this Quarter

Performance Based Incentive Payment (PBIP) Paid this Quarter

Beneficiaries Attributed this Quarter

Low Risk Benes

Low Risk Range

Medium-Low Risk Benes

Medium-Low Risk Range

Medium-High Risk Benes

Medium-High Risk Range

High Risk Benes

High Risk Range

Complex Risk Benes

Complex Risk Range

CMF Amount Before Debit

CMF Debit Amount

Total CMF

Total PBIP



Adjustments

Total Amount Calculated

Cumulative CMF Paid (since 01/01/2019)

Cumulative PBIP Paid (since 01/01/2019)

Cumulative Adjustments (since 01/01/2019)

Cumulative Total Paid (since 01/01/2019)

Cumulative Beneficiaries Attributed (since 01/01/2019)

Figure 54: CTO Payment & Attribution Report: Quarterly

4.6.2.2 CTO Roster Report: Daily

The CTO Roster Report: Daily page captures changes made to CTO Demographic Information and CTO Information for all CTOs, including the previous and current values for the updated fields.


YYYY-MM-DD_HH-MM_CTORosterReportDaily.xls


CTO ID

CTO Name

Impacted Data Field

Previous Value

Current Value



Date and Time Stamp

Note: The CTO Roster Report is scheduled daily, and it will be generated only if the user made updates to the CTO Demographic Information and/or CTO Information pages within the last 30 days.

Figure 55: CTO Roster Report: Daily



4.6.2.3 CTO Summary Report: Daily

The CTO Summary Report: Daily page provides a summary of the CTO Demographic Information and CTO Information for all CTOs.


YYYY-MM-DD_HH-MM_CTOSummaryReportDaily.xlsx


CTO ID

CTO Status

CTO Site Name

CTO DBA Name

Street Address 1

Street Address 2

City

State

Zip Code

Phone Number

Ext.

Organization Name

CTO Organization Contact Name

CTO Organization Contact Phone Number

CTO Organization Contact Ext.

CTO Organization Contact Email

HIT Contact Name

HIT Contact Phone Number

HIT Contact Ext.

HIT Contact Email

TIN



Figure 56: CTO Summary Report: Daily

4.6.2.4 Payment & Attribution Report – Track 1: Quarterly

The Payment & Attribution Report – Track 1: Quarterly page captures the payment and attribution details for Track 1 practices.


YYYY-MM-DD_HH-MM_PY####_Q#_PaymentAndAttributionReportTrack1Quarterly.xlsx


Practice ID

Practice Name

CTO ID

CTO Name





Low Risk Benes

Low Risk Range







High Risk Benes

High Risk Range

Complex Risk Benes

Complex Risk Range


CMF Debit Amount

Total CMF

Total PBIP

Adjustments









Figure 57: Payment & Attribution Report – Track 1: Quarterly

4.6.2.5 Payment & Attribution Report – Track 2: Quarterly

The Payment & Attribution Report – Track 2: Quarterly page provides the payment and attribution details for Track 2 practices.


YYYY-MM-DD_HH-MM_PY####_Q#_PaymentAndAttributionReportTrack2Quarterly.xlsx


Practice ID

Practice Name

CTO ID

CTO Name



Comprehensive Primary Care Payment (CPCP) Paid this Quarter



Low Risk Benes

Low Risk Range







High Risk Benes

High Risk Range

Complex Risk Benes

Complex Risk Range


CMF Debit Amount

Total CMF

CPCP %

CPCP Amount Before Debit

CPCP Debit Amount

Total CPCP

Total PBIP

Adjustments



Cumulative CPCP Paid (since 01/01/2019)







Figure 58: Payment & Attribution Report – Track 2: Quarterly

4.6.2.6 Practice Roster Report: Daily

The Practice Roster Report: Daily page captures changes made to Demographic Information and Practice Information for all practices, including the previous and current values for the updated fields.


YYYY-MM-DD_HH-MM_PracticeRosterReportDaily.xls


Practice ID

Practice Name

CTO ID

CTO Name

Impacted Data Field

Previous Value

Current Value

Date and Time Stamp

Note: The Practice Roster Report is scheduled daily, and it will be generated only if the user made updates to the Demographic Information and/or Practice Information pages within the last 30 days.



Figure 59: Practice Roster Report: Daily

4.6.2.7 Practice Summary Report: Daily

The Practice Summary Report: Daily page provides a summary of the Demographic Information and Practice Information for all practices.


YYYY-MM-DD_HH-MM_PracticeSummaryReportDaily.xlsx


Practice ID

Practice Name

CTO ID

CTO Name

Practice Status

Practice “doing business as” (DBA) Name

Street Address 1

Street Address 2

City

State

Zip Code

Phone Number

Ext.



Practice Parent Organization Name

Primary Contact Name

Primary Contact Phone

Primary Contact Email

Clinical Leader Contact Name

Clinical Leader Contact Phone Number

Clinical Leader Contact Phone Ext.

Clinical Leader Contact Email

HIT Contact Name

HIT Contact Phone Number

HIT Contact Phone Ext.

HIT Contact Email

CTO Contact Name

CTO Contact Phone Number

CTO Contact Phone Ext.

CTO Contact Email

TIN1

TIN2

TIN3

TIN4

TIN5



Figure 60: Practice Summary Report: Daily

4.7 Resources

The Resources tab provides access to the MDPCP Resources page, which contains links to helpful resources outside the MDPCP Application that are pertinent to participation.

4.7.1 MDPCP Resources

The MDPCP Resources page allows you to view and download Resource Documents and access helpful links.

4.7.1.1 Resource Documents

The Resource Documents table displays the File Name, File Type, and Date Added, and provides the option to download the following files, if available:

CMS 588 Form

CMS 588 Form – Instructions

CMS 588 Form – Frequently Asked Questions (FAQs)

CMS 855R Form – Medicare Enrollment Application

CMS Non-Data Use Agreement (DUA) Tracking Form Completion Instructions

Enterprise Privacy Policy Engine (EPPE) Batch Processing Template

MDPCP Identity Practice Portal Proofing Form



Figure 61: MDPCP Resources

4.7.2 Helpful Links

The Helpful Links section allows you to view the following external links:

MDPCP Connect Website

CQM Aligned Population Health Reporting Tool

Figure 62: Helpful Links

CMS XLC Troubleshooting & Support


5. Troubleshooting & Support

5.1 Special Considerations

Not applicable.

5.2 Support

For any issues pertaining to the MDPCP Application, please contact the CICDIM Service Desk. Refer to the table below for contact information.

Table 3: Support Points of Contact

Contact Organization Phone Email Role Responsibility

MDPCP Support Team

Innovation Sites Business Operations Support Contract (IBOSC)

1-844-711-2664

[email protected]

Support MDPCP General Support

CMS XLC Appendix A: Record of Changes


Appendix A: Record of Changes

Table 4: Record of Changes

Version Number

Date Author/Owner Description of Change

0.1 12/10/2018 Adedamola Adenikinju

Draft for Release 2.0

0.2 12/10/2018 Sravanthi Vakada Peer Review

0.3 12/19/2018 Sam Peterson QA review of highlighted changes

0.4 12/21/2018 Barb Miller Responded to QA

1.0 12/21/2018 Sam Peterson QA cleanup & final

1.1 01/7/2019 Barb Miller Draft – update section 3.3

1.2 01/10/2019 Sravanthi Vakada Peer Review

1.3 01/11/2019 Jennie Cairney QA Review of 3.3

1.4 01/11/2019 Barb Miller Addressed QA comments and changes

1.5 01/11/2019 Jennie Cairney Missing information, I believe, needs to be added

1.6 01/11/2019 Barb Miller Added missing information

2.0 01/11/2019 Jennie Cairney Final

CMS XLC Appendix B: Acrony ms


Appendix B: Acronyms

Table 5: Acronyms

Acronym Literal Translation

APM All-Payer Model

ARS Acceptable Risk Safeguards

CMF Care Management Fee

CMMI Center for Medicare and Medicaid Innovation

CMS Centers for Medicare and Medicaid Services

CMSR CMS Minimum Security Requirements

CPC+ Comprehensive Primary Care Plus

CPCP Comprehensive Primary Care Payment

CRISP Chesapeake Regional Information System for our Patients

CRP Care Redesign Program

CTO Care Transformation Organization

DBA Doing Business As

DUA Data Use Agreement

EFT Electronic Funds Transfer

EIDM Enterprise Identity Management

EIT Electronic and Information Technology

ePortal Enterprise Portal

EPPE Enterprise Privacy Policy Engine

FAQ Frequently Asked Questions

HIE Health Information Exchange

HIPAA Health Insurance Portability and Accountability Act

HIT Health Information Technology

IBOSC Northrop Grumman's Innovation Sites Business Operations Support Contract

CMS XLC Appendix B: Acrony ms


Acronym Literal Translation

IC Innovation Center

IE Internet Explorer

IS Information Services

IT Information Technology

LOA Level of Assurance

MDPCP Maryland Primary Care Program

MFA Multi-Factor Authentication

NPI National Provider Identifier

OS Operating System

PBIP Performance Based Incentive Payment

PDF Portable Document Format

PII Personally Identifiable Information

PV Privileged

Qtr Quarter

RIDP Remote Identity Proofing

SSN Social Security Number

TCOC Total Cost of Care

TIN Taxpayer Identification Number

Yr Program Year

CMS XLC Appendix C: Glossary


Appendix C: Glossary

Table 6: Glossary

Term Acronym Definition

Data Use Agreement DUA Agreement between CMS and data requestors that ensures data requestors adhere to CMS privacy and security requirements, as well as data release policies.

Enterprise Privacy Policy Engine

EPPE System that tracks all disclosures of CMS data.

Health Insurance Portability and Accountability Act

HIPAA Legislation that provides data privacy and security provisions for safeguarding medical information.

http://searchcio.techtarget.com/definition/data-privacy-information-privacy

CMS XLC Appendix D: Referenced Documents


Appendix D: Referenced Documents

Not applicable.

CMS XLC Appendix E: Approv als


Appendix E: Approvals

The undersigned acknowledge that they have reviewed the User Manual and agree with the information presented within this document. Changes to this User Manual will be coordinated with, and approved by, the undersigned, or their designated representatives.

Table 7: Approvals

Document Approved By Date Approved

Dawn Alley, Business Owner, CMMI State Innovations Group TBD

Rebecca VanAmburg, Business Owner (Rep), CMMI State Innovations Group TBD

Katie Shannahan, Business Owner (Rep), CMMI State Innovation Group TBD

Velda L. McGhee, IT Lead, CMMI Business Services Group TBD

Don Rocker, OIT PMO, CMS Office of IT TBD

Diane Gray, Project Manager, ActioNet TBD

Ankit Gupta, Technical Project Manager TBD

Sravanthi Vakada, Lead Business Analyst TBD

Murali Goriparthi, Lead Architect TBD

Maryland Primary Care Program (MDPCP) Application Release ......CMMI UM Version 2.0 2 MDPCP Release...

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