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Please complete the brief questions below to let us know the type of information you are interested in receiving from us.
1.
Please indicate what type of information you would like to receive from NESCSO.
Single State Medicaid Billing Training
Target Entity:
Division of Youth and Children
Objective:
To establish a comprehensive training program that standardizes Medicaid billing practices to ensure fiscal integrity and maximize federal fund participation (FFP).
Curriculum Development:
Design modular training for clinicians, administrative staff, and case managers focusing on "medical necessity" documentation.
Regulatory Alignment:
Ensure all training materials are compliant with current CMS guidelines and specific State Plan Amendments (SPAs).
Sustainability Model:
Implement a "Train-the-Trainer" framework and provide a digital library of on-demand billing resources.
Audit Readiness:
Training must include protocols for internal quality reviews to mitigate risk during federal or state audits.
Multi-State Community Engagement Verification Services (CEVS)
Objective:
To identify a scalable, multi-tenant solution that validates participant compliance with community engagement or work requirements across participating New England states.
Automated Data Integration:
Ability to interface with diverse State Eligibility Systems and third-party employment databases (e.g., Equifax/The Work Number).
Participant Portal:
A mobile-responsive interface for members to upload proof of engagement, view status, and receive automated compliance alerts.
Exemption Management:
Workflow automation to process and verify medical or hardship exemptions.
Cross-Border Portability:
Technical architecture that allows a participant’s "verified" status to remain accessible if they move between participating member states.
Multi-State Electronic Asset Verification Services (AVS)
Objective:
To procure a centralized, HIPAA-compliant electronic service that identifies and verifies the assets of aged, blind, or disabled applicants and recipients.
Financial Institution (FI) Network:
Provide a direct electronic link to a vast network of national and local financial institutions (banks, credit unions, brokerages).
Real-Time Inquiry/Response:
Capabilities for both batch processing (renewals) and real-time inquiries (initial applications) with a target turnaround of <5 business days.
Unreported Asset Discovery:
Advanced search logic to identify "hidden" accounts not disclosed by the applicant.
Reporting & Analytics: Dashboard for state administrators to track vendor performance, hit rates, and cost-avoidance metrics.
Multi-State Leadership and Professional Development
Objective:
To curate a specialized leadership curriculum that strengthens the management pipeline within New England’s Health and Human Services (HHS) agencies.
HHS-Specific Competencies:
Modules focused on Medicaid financing, federal/state relations, and navigating complex stakeholder environments.
Collaborative Leadership:
Training on how to lead across "silos" and manage multi-state initiatives or regional workgroups.
Executive Coaching:
Provision of 1-on-1 coaching for senior directors to assist with strategic planning and organizational culture shifts.
Measurable Impact:
Evaluation framework to assess the growth of participants’ leadership skills and their impact on agency performance.
2.
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