Medicaid's Vermont Chronic Care Initiative (VCCI) and 1 more...less...

Vermont Chronic Care Initiative (VCCI)

% of members ages 18+ enrolled in Medicaid during the month who are screened by VCCI within 2 months

41.8%Oct 2021

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Notes on Methodology
  • Outreach to new members was suspended in March 2020, resumed in June 2020, and the backlog caught up with by the end of August 2020.  Monthly data points are not available during this time, so the data in the grid below and trendline above show the cumulative # of members, members reached and members screened between March and August.  Please note that the number of reported screenings may or may not have happened within 2 months.  Monthly data will be available again for September 2020.

  • New to Medicaid (NTM) members
  • MMIS/Data Unit
  • Vermont Health Connect (VHC)
Story Behind the Curve

This measure is important because outreach and screening of members new to Medicaid is one of VCCI’s priorities.

In effort to align with healthcare reform efforts and the system of care, the VCCI will be outreaching members new to Medicaid, screening for access to primary care, health conditions and social determinants of health.  The goals are to 1) orient the member to the system of care to including navigation of services to health-related needs such as housing, food security and 2) onboarding members ahead of their anticipated future, ACO attribution to include facilitation of access to primary and dental care, and as needed, connection to community supports and resources.

Some constant barriers to screening include:

  • Members without valid phone numbers due to disconnected services; phones without voice messaging set up
  • Members not returning phone calls; nor responding to mailed screenings
  • Members declining to engage in screening

In response to COVID-19, VCCI suspended outreach to those new to our health plan with consideration of the following:

  • VCCI Staff- 5 redeployed to VDH, significant reduction in the number of VCCI full time staff due to school closures or care for family & two vacancies
  • Health care and dental clinics were limiting in person visits +/or closed which would have presented as barrier to facilitating direct member connection with provider of their choice  

On June 3rd 2020 we resumed new to Medicaid outreach and caught up with the backlog in August 2020.

Narrative last updated:  12/02/2020

Scorecard Result Container Indicator Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy