This measure is important because members enrolled in case management are provided supports around establishing primary care, tools for self-management of chronic conditions, connections to State resources and establishment of a care team and a lead care coordinator.
The VCCI continues to provide case management services to at risk/high risk members identified through health and human services providers, state colleagues and partners, as well as through our care management system predictive modeling methodology. Reasons for referring to VCCI remain as 1) community/home-based in person visits needed for complex members 2) case management services provided at intensity that is needed, and not available and 3) VCCI skilled at both health and health related navigation.
This measure captures new enrollments per month only – it does not reflect the total VCCI caseload. The recent drop in this measure, starting in April 2020, is notably due to COVID-19 and how our health and human services sectors needed to limit or cease in person office visits for public health and safety reasons, and so less patient pool to refer to VCCI. Five staff were deployed to assist other departments in the response to the pandemic. In June, our full team had resumed core job duties with VCCI as well as New to Medicaid outreach.
Narrative last updated: 12/02/2020