STAR+PLUS Medicaid Managed Care Implementation Review Question Title * 1. Please enter nursing facility name for LeadingAge Texas staff purposes. (Required.) Question Title * 2. Is your facility currently participating in STAR+PLUS Medicaid managed care? Yes No I don't know Question Title * 3. How many Medicaid residents do you currently serve? (Required.) Question Title * 4. How many STAR+PLUS Managed Care Organizations are you contracted with? 0 1 2 3 4 5 Question Title * 5. Do you hold any incomplete contracts with STAR+PLUS managed care organizations? If so, please list which MCOs below. Yes No I don't know (please specify which MCOs) Question Title * 6. Has an MCO Service Coordinator been to your facility since March 1, 2015? If yes, which MCO Service Coordinator has visited your facility? United Healthcare Amerigroup Superior Molina Cinga-HealthSpring Other (please specify) Question Title * 7. Are all of your Medicaid residents enrolled with an MCO? If not, how many are not assigned an MCO. Yes No I don't know How many residents are not assigned an MCO? Question Title * 8. Do you have residents assigned to an MCO you are not contracted with? If so, how many? Yes No I don't know If yes, how many? Question Title * 9. Have you billed using TMHP/TexMedConnect this month? Yes No I don't know Other (please specify) Question Title * 10. Have you billed using the MCOs portal this month? Yes No I don't know Other (please specify) Question Title * 11. Were you paid within ten business days of submitting a claim through TMHP? Yes No I don't know Other (please specify) Question Title * 12. Were you paid within ten business days of submitting a claim through an MCO portal? Yes No I don't know Other (please specify) Question Title * 13. How many claims submitted through TMHP (state portal) were denied? (Required.) Question Title * 14. How many claims submitted through an MCO portal were denied? (Required.) Question Title * 15. Please list why claims have been denied. (Required.) Question Title * 16. What MCOs denied the most number of claims? United Healthcare Amerigroup Cigna-HealthSpring Molina Superior Other (please specify) Question Title * 17. Has the implementation of STAR+PLUS increased administrative staff time? Yes No I don't know Question Title * 18. Have you hired additional staff to manage an increase in workload due to STAR+PLUS? Yes No I don't know If yes, how many? Question Title * 19. Do you feel Texas Health and Human Services Commission has provided adequate information to nursing facility providers on STAR+PLUS? Yes No I don't know If no, how can HHSC improve? Question Title * 20. Has LeadingAge Texas provided adequate information and resources to members on STAR+PLUS? Yes No I don't know If no, how can we improve? Question Title * 21. Please discuss specific concerns or experiences following the implementation of STAR+PLUS Medicaid managed care. (Required.) Question Title * 22. Is your facility participating in the Dual Eligible Demonstration Project? If not, END THE SURVEY HERE. Yes No I don't know Other (please specify) Question Title * 23. Has your facility received a Dual Eligible or Medicare service contract? Yes No I don't know Other (please specify) Question Title * 24. Have you admitted a Dual Eligible from the community to your facility since March 1, 2015? Yes No I don't know If yes, how many? Question Title * 25. Have you submitted a claim for a Dual Eligible resident since March 1, 2015? Yes No I don't know Other (please specify) Question Title * 26. Have you received payment for a Dual Eligible resident since March 1, 2015? Yes No I don't know Question Title * 27. Please list any concerns with the Dual Eligible Demonstration Project below. Done