Providers of essential services must sign Member Care Plans. A provider of “essential services” is defined in our contract with the State of Wisconsin as providing one or more of the following services: 1) Adult Day Care Services; 2) Day Habilitation Services; 3) Daily Living Skills Training; 4) Prevocational Services; 5) Adult residential care (adult family homes, community-based residential facilities, residential care apartment complexes); 6) Respite; 7) Skilled nursing services RN/LPN; 8) Supported employment (individual and small group employment support); and 9) Supportive home care (excluding routine chore services).
Community Care has been meeting this State contractual requirement by having Care Teams work with Providers to physically sign a copy of Member Care Plans. Now, Community Care has created a Member Care Plan Portal to make it easier for you to sign the Member Care Plan. This Portal is available now and can be accessed at https://mcpportal.communitycareinc.org.
This portal is very similar to our Authorization Provider Portal, so you will be familiar with how it works. We have also taken your logins and passwords from our Authorization Provider Portal and applied them to the Member Care Plan Portal, so you will not need any new logins or passwords.
You will likely have Member Care Plans to sign beginning August 1st. Please log in to the Member Care Plan Portal (using your Authorization Provider Portal log in and password) and sign the Member Care Plans. You will do this the same way you sign authorizations in the Authorization Provider Portal. The notification function in the Member Care Plan Portal will begin sending you notifications (to the email you entered for notifications) for any new Care Plans created beginning August 2nd. You will not receive notifications from the Portal for the Care Plans in the Portal waiting to be signed on August 1st.
You will also notice in our Authorization Provider Portal, that on the page where you sign authorizations, we have added a notice about signing Care Plans for members with authorizations with certain procedure codes. We also created a link to our Member Care Plan Portal on the authorization signature page.
As a reminder, this is a requirement per our contract with the State of Wisconsin. Community Care intends to contact providers who are out of compliance (have unsigned Care Plans) on a weekly basis. Ultimately, the ability of a provider to receive authorizations and payment will be dependent of having signed the Member Care Plan in the Portal. Community Care will give providers advance notice before this action is implemented. To avoid this, we are strongly advising providers get in the habit now of signing Member Care Plans in the Portal.