QuILTSS Bridge Payment Submission Training presentation slides

Report
A Training Program for LTSS Providers
Part One: Quality Improvement in
Long-Term Services and Supports
(QuILTSS) Bridge Payment
Submission
What is QuILTSS?
• A TennCare initiative to promote the delivery of
high quality LTSS for TennCare members (NF
as well as HCBS)
• Identify performance measures that are most
important to people who receive LTSS and their
families
• Creation of a new payment system (aligning
payment with quality) for NFs and certain HCBS
based on performance on those measures
Part One: QuILTSS Overview
A Definition of Quality in LTSS:
Providing the right care
in the right place
at the right time—
with the best possible outcome
that helps people live the lives
they want to live
Part One: QuILTSS Overview
The QuILTSS Journey
• Technical Assistance Report
– Click here to access full report
– Stakeholder input
– Literature review
– Key informant interviews
– Recommendations
• Quality Framework Stakeholder Meetings
– Convened twice a month for three months
Part One: QuILTSS Overview
Framework Contributors
• Tennessee Health Care
Association
• LeadingAge Tennessee
• National HealthCare
Corporation
• Signature HealthCARE
• Tennessee Association for
Home Care
• AARP
• Alzheimer’s Tennessee, Inc.
• Tennessee Council on
Developmental Disabilities
Part One: QuILTSS Overview
•
•
•
•
•
•
•
•
Tennessee Disability Coalition
The Arc Tennessee
Qsource
Tennessee Department of
Health
Tennessee Commission on
Aging and Disability
Area Agencies on Aging and
Disability
Alexian Brothers Community
Services (PACE)
Lipscomb University School of
TransformAging
Part Two: The QuILTSS
Nursing Facility Value-Based
Purchasing Quality Framework
• Framework sent to Medicaid NF Providers
on August 5, 2014 by Patti Killingsworth
• Click to access memo and framework
Part Two: Quality Framework
Value-Based Purchasing
• Threshold Measures
– Must be met by the facility in order to be
eligible for the quality payment portion of their
reimbursement rate
• Quality Measures
– Used to determine the amount of quality
payment that a facility would receive
Part Two: Quality Framework
Value-Based Purchasing Model
Threhold Measures
Must be achieved in order to receive any portion of quality payment
Quality Measures
Satisfaction
Resident Satisfaction
Family Satisfaction
Staff Satisfaction
35 points
15 points
10 points
10 points
Culture Change/Quality of Life
Respectful Treatment
Resident Choice
Member/Resident & Family Input
Meaningful Activities
30 points
10 points
10 points
5 points
5 points
Staffing/Staff Competency
RN Hours Per Day
CNA Hours Per Day
Staff Retention
Consistent Staff Assignment
Staff Training (On-boarding & Continuing)
25 points
5 points
5 points
5 points
5 points
5 points
Clinical Performance
Antipsychotic Medication
Urinary Tract Infection
Total Possible Points
Part Two: Quality Framework
10 points
5 points
5 points
100 points
Flexibility for Adjustments
to Model’s Design
• Anticipate adjustments will be made over time
• Based on experience, system-wide
performance, stakeholder feedback, and
priorities
• Expect to see changes to threshold and
quality measures, categories, elements,
definitions, benchmarks and point values
Part Two: Quality Framework
Calculating Payment for
Quality Portion of Rate
Total
number of
points
earned on
all quality
measures
Part Two: Quality Framework
Divided by
the total
possible
number of
points
Equals
percentage
of quality
payment
eligibility
Implementation: Two Phase Process
Transition/Bridge
Model
Payment
Date Range
Q1
July 1, 2013-June 30,
2014
Q2
July 1, 2014-Sept 30,
2014
Q3
Oct. 1 – Dec. 31, 2014
Q4
Jan. 1 – Mar. 31, 2015
Part Two: Quality Framework
Value-Based
Purchasing Model
Full implementation of
acuity- and qualityadjusted reimbursement
rates is expected to begin
during FY 2016
Bridge Model
• Periodic interim payments to NFs to adjust
the existing cost-based NF rates based on
two acuity-based case-mix approaches
and a 20% quality component, using an
abbreviated version of the quality
framework
• Transitional - recognize efforts toward
quality improvement and quality
performance
Part Two: Quality Framework
Bridge Model
• Aligned as closely to value based
purchasing model as possible
• No threshold measures
– Encourage participation
– Increase quality improvement initiatives
• Quality measures will be explained in
greater detail in Parts 4-8 of training
materials
Part Two: Quality Framework
Part Three:
Brief Overview of the
Submission Process
Beginning the training with the end in mind.
Part Three: Submission Process
Organizing Your Submission
18 Possible
Attachments
Part Three: Submission Process
What You Need
• Reliable Internet Access
• Form is available online at
https://tenncare.wufoo.com/forms/quiltssbridge-payment-for-nursing-facilitiesq1/
– Write this link down for future reference
• Click here for submission form
– Print a copy of the submission form
– Review it frequently to become familiar
Part Three: Submission Process
Possible Attachments
• Click here to access the “Survey Tool List
of Attachments”
– Print this list and follow it closely
• Potential for 18 attachments
– When preparing your submission, determine how
many attachments you will submit.
– If you want to submit multiple documents for a
particular response, you must combine them into a
single attachment.
• Attachments must be titled correctly
– For example, [facility name]2.pdf
Part Three: Submission Process
Creating a PDF document
• With one exception, attachments must be
in .pdf format
– If you have Adobe Acrobat on your computer,
you should be able convert word or excel
documents to pdf using the “save as” a pdf
function.
– Otherwise, you should consider downloading
a pdf creator, pdf writer, or pdf printer
software, that can allow you to create a pdf.
– Many free software programs available online.
Part Three: Submission Process
A Few Cautions to Keep in Mind
1. You must complete the submission form
in one sitting, as you can not save and
exit the form.
2. Important to attach the correct document
during the submission process.
3. All submissions must be completed by
the stated deadline so start preparing
your submission immediately.
Part Three: Submission Process
Deadlines
• All submissions must be received before
4:30 p.m. central time on 9/15/14
– Late submissions will not be allowed.
– Only one submission is allowed.
– No modifications will be allowed to
submissions, even if the modification could be
made by the deadline.
Part Three: Submission Process
Part Four:
Documenting Quality
Measures - Satisfaction
Part Four: Documenting Quality Measures - Satisfaction
Satisfaction
• Most important aspect of quality from the
consumers’ perspective
• Highest point value at 35 points
• Comprised of three different perspectives
on satisfaction:
– Member/Resident
– Family
– Staff
Part Four: Documenting Quality Measures - Satisfaction
What is a Member/Resident
Satisfaction Survey?
• Instrument designed to determine level of
satisfaction with the services and supports
provided by NF
• Must have gathered information from
member/resident’s perspective
– Respondent could be the resident himself/herself, or their proxy
– A member/resident satisfaction survey answered by a family
member on behalf of the resident counts as a member/resident
survey and not a family satisfaction survey
Part Four: Documenting Quality Measures - Satisfaction
Member/Resident Satisfaction
ASK
Did the facility conduct a
member/resident satisfaction survey
between July 1, 2013 and June 30,
2014?
Submit documentation and receive five points for
If Yes,
the current quarter and every subsequent
quarter of the bridge year for this measure.
If No,
Conduct a member/resident satisfaction survey
during a subsequent quarter and receive points
for the following quarters of the bridge year for
this measure.
Part Four: Documenting Quality Measures - Satisfaction
Required Documentation
Member/Resident Satisfaction Survey
• Create a pdf of a blank copy of the
member/resident satisfaction survey
– Title the document “[facility name]1.pdf”
• Create a pdf of the survey results report
– Title the document “[facility name]2.pdf”
• You will also need:
–
–
–
–
–
Description of methodology for conducting survey
Sample size and number of respondents
How responses were gathered
Dates
Results of data analysis
Part Four: Documenting Quality Measures - Satisfaction
If You Conducted a Survey…
ASK
Did the facility utilize the results of the
survey to pursue improved
member/resident satisfaction?
If Yes,
Submit copy of documentation and receive ten points for
current quarter. Each subsequent quarter will require
documentation of improvement efforts occurring during
that time period. NFs do not have to pursue different and
distinct areas of improvement each quarter.
If No,
Conduct a member/resident satisfaction survey
and utilize the results to pursue improvement
during the remaining subsequent quarters where
documentation of new improvement efforts can be
provided.
Part Four: Documenting Quality Measures - Satisfaction
Required Documentation
Member/Resident Satisfaction Improvement
• Document showing NF pursued improvement
in at least ONE area identified in the
member/resident satisfaction survey as
needing improvement
– Example: Member/Resident Survey showed “staff
teamwork” was a significant issue. NF launched a
monthly training program on teamwork.
– Must be during applicable time period
• Create a pdf of a document
– Title the document “[facility name]3.pdf”
Part Four: Documenting Quality Measures - Satisfaction
Family Satisfaction
ASK
If Yes,
If No,
Did the facility conduct a family
satisfaction survey between July 1,
2013 and June 30, 2014?
Submit a copy of documentation and receive five
Submit
a copy
of documentation
receive five
points for
the current
quarter andand
every
points
for every
quarter
of the
bridge
for this
subsequent
quarter
of the
bridge
yearyear
for this
measure.
measure.
Conduct a family satisfaction survey during a
subsequent quarter and receive points for the
following quarters of the bridge year for this
measure.
Part Four: Documenting Quality Measures - Satisfaction
What Counts as
Family Satisfaction Survey?
• Must be completed from the family member’s
perspective
• Specific to family’s experience and involvement
– EX: Satisfaction with opportunities to participate in
plan of care development, the facility’s
communication with the family, the facility’s
responsiveness to family complaints or concerns
• NOT a member/resident satisfaction survey
completed by a family member on behalf of the
resident.
Part Four: Documenting Quality Measures - Satisfaction
Required Documentation
Family Satisfaction Survey
• Create a pdf of a blank copy of the family
satisfaction survey
– Title the document “[facility name]4.pdf”
• Create a pdf of the survey results report
– Title the document “[facility name]5.pdf”
• You will also need:
–
–
–
–
–
Description of methodology for conducting survey
Sample size and number of respondents
How responses were gathered
Dates
Results of data analysis
Part Four: Documenting Quality Measures - Satisfaction
If You Conducted a Survey…
ASK
Did the facility utilize the results of the
survey to pursue improved family
satisfaction?
If Yes,
Submit copy of documentation and receive five points for
current quarter. Each subsequent quarter will require
documentation of improvement efforts occurring during
that time period. NFs do not have to pursue different and
distinct areas of improvement each quarter.
If No,
Conduct a family satisfaction survey and utilize the
results to pursue improvement during the
remaining subsequent quarters where
documentation of new improvement efforts can be
provided.
Part Four: Documenting Quality Measures - Satisfaction
Required Documentation
Family Satisfaction Improvement
• Document showing NF pursued improvement
in at least ONE area identified in the family
satisfaction survey as needing improvement
– Example: Family Survey showed “communication
between staff and family members ” was a significant
issue. NF implemented new communication policies and
procedures and trained staff on better methods of
communication.
– Must be during applicable time period
• Create a pdf of a document
– Title the document “[facility name]6.pdf”
Part Four: Documenting Quality Measures - Satisfaction
Staff Satisfaction
ASK
If Yes,
If No,
Did the facility conduct a staff
satisfaction survey between July 1,
2013 and June 30, 2014?
Submit a copy of documentation and receive five
Submit
a copy
of documentation
receive five
points for
the current
quarter andand
every
points
for every
quarter
of the
bridge
for this
subsequent
quarter
of the
bridge
yearyear
for this
measure.
measure.
Conduct a staff satisfaction survey during a
subsequent quarter and receive points for the
following quarters of the bridge year for this
measure.
Part Four: Documenting Quality Measures - Satisfaction
Required Documentation
Staff Satisfaction Survey
• Create a pdf of a blank copy of the staff
satisfaction survey
– Title the document “[facility name]7.pdf”
• Create a pdf of the survey results report
– Title the document “[facility name]8.pdf”
• You will also need:
–
–
–
–
–
Description of methodology for conducting survey
Sample size and number of respondents
How responses were gathered
Dates
Results of data analysis
Part Four: Documenting Quality Measures - Satisfaction
If You Conducted a Survey…
ASK
Did the facility utilize the results of the
survey to pursue improved staff
satisfaction?
If Yes,
Submit copy of documentation and receive five points for
current quarter. Each subsequent quarter will require
documentation of improvement efforts occurring during
that time period. NFs do not have to pursue different and
distinct areas of improvement each quarter.
If No,
Conduct a staff satisfaction survey and utilize the
results to pursue improvement during the
remaining subsequent quarters where
documentation of new improvement efforts can be
provided.
Part Four: Documenting Quality Measures - Satisfaction
Required Documentation
Staff Satisfaction Improvement
• Document showing NF pursued improvement
in at least ONE area identified in the staff
satisfaction survey as needing improvement
– Example: Staff Survey showed “assistance with job
stress” was a significant issue. NF conducted focus
groups to better understand issue and to identify
stressors. Then, they created a new program to assist
staff in this area.
– Must be during applicable time period
• Create a pdf of a document
– Title the document “[facility name]9.pdf”
Part Four: Documenting Quality Measures - Satisfaction
Haven’t Measured Satisfaction?
• Click here to access Advancing Excellence’s
listing of “Survey Instruments Available for
Measuring Satisfaction of Nursing Home
Residents, their Family Members or Staff”
• Please note that this is not an exhaustive listing
of acceptable instruments, but directs facilities
toward instruments that may be useful in their
initial quality improvement efforts.
Part Four: Documenting Quality Measures - Satisfaction
Part Five:
Documenting Quality MeasuresCulture Change/Quality of Life
Part Five: Documenting Quality Measures – Culture Change
Culture Change/Quality of Life
• Second most important aspect of quality
from the consumers’ perspective
• Significant point value at 30 points
• Comprised of two different areas:
– Person-centered/culture change (PC/CC)
practices
– Member/resident & family input
Part Five: Documenting Quality Measures – Culture Change
What is a PC/CC Practices Assessment?
• Assessment to determine whether care is being
delivered in an individualized way based on the
needs and preferences of each resident, and
which supports each resident’s choice and
autonomy.
• Fundamental aspects include a “homelike”
environment and care practices which support
residents in exercising choice in their daily lives.
Part Five: Documenting Quality Measures – Culture Change
How does it differ from
satisfaction survey?
• A culture change/person-centered
practices assessment evaluates various
aspects of the facility environment, care
practices for all residents, the facility’s
staffing practices, and opportunities for
family and community involvement.
Part Five: Documenting Quality Measures – Culture Change
PC/CC Practices Assessment
ASK
If Yes,
If No,
Did the facility conduct a PC/CC
Practices Assessment between July 1,
2013 and June 30, 2014?
Submit copy of assessment and receive five
Submit
a copy
of documentation
receive five
points for
the current
quarter andand
every
points
for every
quarter
of the
bridge
for this
subsequent
quarter
of the
bridge
yearyear
for this
measure.
measure.
Conduct a PC/CC practices assessment during
a subsequent quarter and receive points for the
following quarters during the bridge year for this
measure.
Part Five: Documenting Quality Measures – Culture Change
Required Documentation
PC/CC Practices Assessment
• Create a pdf of a blank copy of the PC/CC
Practices Assessment
– Title the document “[facility name]10.pdf”
• Create a pdf of the PC/CC Practices
Assessment report
– Title the document “[facility name]11.pdf”
• You will also need:
–
–
–
–
–
Description of methodology for conducting survey
Sample size and number of respondents
How responses were gathered
Dates
Results of data analysis
Part Five: Documenting Quality Measures – Culture Change
If You Conducted an Assessment…
ASK
Did the facility utilize the results of the
assessment to pursue improved
PC/CC practices?
If Yes,
Submit copy of documentation and receive ten points for
current quarter. Each subsequent quarter will require
documentation of improvement efforts occurring during
that time period. NFs do not have to pursue different and
distinct areas of improvement each quarter.
If No,
Conduct a PC/CC practices assessment and utilize
the results to pursue improvement during the
remaining subsequent quarters where
documentation of new improvement efforts can be
provided.
Part Five: Documenting Quality Measures – Culture Change
Required Documentation
PC/CC Practices Improvement
• Document showing NF pursued improvement in at least
ONE area identified in the PC/CC Practices
assessment as needing improvement
– Must have done a PC/CC practices assessment to get points
– Example: Assessment showed “home-like environment” was a
significant issue. NF modified facility to create a more home-like
environment by purchasing sofas, coffee tables, and chairs for
central areas.
– Must be during applicable time period
• Create a pdf of a document showing how the NF
pursued improvement based on the PC/CC practices
assessment
– Title the document “[facility name]12.pdf”
Part Five: Documenting Quality Measures – Culture Change
Haven’t Assessed Culture
Change/Person-Centered Practices?
• Consider tools such as:
– Artifacts of Culture Change
– Culture Change Staging Tool (used by My Innerview)
– Advancing Excellence in America’s Nursing Homes includes PersonCentered Care as an Organizational Goal.
– Facilities can complete the Probing Questions identified under
Examine Process
• Please note that this is not an exhaustive listing of
acceptable instruments, but directs facilities toward
instruments that may be useful in their initial quality
improvement efforts.
Part Five: Documenting Quality Measures – Culture Change
Member/Resident & Family Input
ASK
Did the facility have an active
resident/family council or advisory
committee between July 1, 2013 and June
30,
2014?
Submit proof of an active council or committee
If Yes,
Submit
a copy
documentation
and receive
and receive
fiveofpoints
for the current
quarter five
points
for every
quarterquarter
of the bridge
year foryear
this
and every
subsequent
of the bridge
measure.
for this measure.
If No,
Establish an active resident/family council or
advisory committee during a subsequent quarter
and receive points for the following quarters
during the bridge year for this measure.
Part Five: Documenting Quality Measures – Culture Change
Required Documentation
Resident/Family Council or Advisory Committee
• Create a pdf of document proving the existence
of an active council or committee
– EX: Meeting schedule and meeting minutes or other
meeting outcome documentation
– Title the document “[facility name]13.pdf”
• Need to know the number of active
council/committee members, including whether
member/resident or family.
– Do NOT submit names or other identifying information
Part Five: Documenting Quality Measures – Culture Change
If You Have Council/Committee…
ASK
If Yes,
If No,
Did the facility receive input from the
council/committee and use the input
to address concerns or improve
quality?
Submit documentation and receive five points for
current quarter. Each subsequent quarter will
require documentation of improvement efforts
occurring during that time period.
Establish a council/committee and utilize input to
pursue improvement during the remaining
subsequent quarters where documentation of new
improvement efforts can be provided.
Part Five: Documenting Quality Measures – Culture Change
Required Documentation
Member/Resident & Family Input for Improvement
• Create a pdf of a copy or description of the input
received from council/committee
– Include date of receipt
– Title the document “[facility name]14.pdf”
• Create a pdf document showing how the NF
addressed input and pursued quality improvement.
– Example: Resident council requested facility provide choice in
meals. NF has begun providing at least two menu alternatives at
each meal and can provide evidence/attestation that has occurred.
– Must be during applicable time period
– Title the document “[facility name]15.pdf”
Part Five: Documenting Quality Measures – Culture Change
Member/Resident & Family Input
ASK
If Yes,
If No,
Did the facility actively seek resident/family input in
the development of individual care plans, including
sufficient notice and accommodations of schedules,
between July 1, 2013 and June 30, 2014?
Submit proof of actively seeking resident/family input in
Submit
a copy of
documentation
andand
receive
the development
of individual
care plans
receivefive
points
for for
every
quarterquarter
of theand
bridge
for this
five points
the current
everyyear
subsequent
quarter of the bridge year for this measure.
measure.
Adjust policies and procedures to actively seek
resident/family input in the development of
individual care plans during a subsequent
quarter and receive points for the following
quarters during the bridge year for this measure.
Part Five: Documenting Quality Measures – Culture Change
Required Documentation
Resident/Family Input in Development of
Individual Care Plans
• Create a pdf showing that the facility strives to
encourage and accommodate resident/family
input in care plan meetings
– Could be internal procedural document and proof of
active and good faith to follow procedure
– Title the document “[facility name]16.pdf”
Part Five: Documenting Quality Measures – Culture Change
Part Six:
Documenting Quality MeasuresStaffing/Staff Competence
Part Six: Documenting Quality Measures – Staffing
Staffing
RN/CNA Hours Per Day
• TennCare will obtain data on the RN and
CNA hours per resident day from Nursing
Home Compare for the facility's
performance and comparison against:
– State Average
– National Average
• Points will be awarded to facilities with
staffing levels above average
Part Six: Documenting Quality Measures – Staffing
Staff Retention
• “Staff” is defined as any employee or contracted
worker who is paid, directly or by contract, by the
NF
– Retention of contracted staff is based on the length of service of
each staff person, and not the length of the contract.
• Calculated by dividing the number of staff
continuously employed (or contracted) for the
past 12 months divided by the total number of
facility staff
• All data based on facility staff as of July 1, 2014,
as measured against staff on July 1, 2013
Part Six: Documenting Quality Measures – Staffing
Staff Retention
Facilities will be ranked by retention percentage
for point awards.
Retention Ranking
Facilities above 75th percentile (75.1 and above)
5 points
Facilities above 50th and up through 75th percentile
(50.1 to 75.0)
3 points
Facilities above 25th and up through 50th percentile
(25.1 to 50.0)
1 point
Points earned in Q1 will be carried forward to all
subsequent quarters of the Bridge payment.
Part Six: Documenting Quality Measures – Staffing
Required Documentation
Staff Retention
• Complete the “Staff Roster for Value-Based
Purchasing Submission” Excel spreadsheet
– Click here to access the form
– All employees (full-time, part-time, directly or by contract)
Part Six: Documenting Quality Measures – Staffing
Required Documentation
Staff Retention
• This is the ONLY non-pdf document
allowable in your submission
– Title the document “[facility name]17.xls”
Part Six: Documenting Quality Measures – Staffing
Part Seven:
Documenting Quality MeasuresClinical Measures
Part Seven: Documenting Quality Measures – Clinical
Clinical Measures
• TennCare will obtain data on antipsychotic medications and urinary tract
infections from Nursing Home Compare
for the facility's performance and to
determine the national average
• You do not need to submit any
documentations for this category
Part Seven: Documenting Quality Measures – Clinical
Clinical Measures
• Facilities will be awarded points for performing
better than the national average.
Facility Performance
Points Awarded
Facility performs better than national average per
Nursing Home Compare on anti-psychotic
medications
5 points
Facility performs better than national average per
Nursing Home Compare on urinary tract infections
5 points
Total Possible Clinical Performance Points
10 points
• Performance will be calculated each quarter of
the Bridge payment, averaging data from the
most recent three quarters.
Part Seven: Documenting Quality Measures – Clinical
Part Eight:
Bonus Points
Part Eight: Bonus Points
Bonus Points
• A NF may earn up to 10 bonus points to its total
quality score upon verification of the following as
of December 31, 2013:
– Active participation in the Advancing Excellence Campaign per
their participation definition;
– Facility’s membership in the Eden Registry;
– Achievement of a Malcolm Baldrige quality award, AHCA
Bronze, Silver or Gold Quality Award, Tennessee Center for
Performance Excellence Award;
– Joint Commission Accreditation; or
– CARF Accreditation
• Title the document “[facility name]18.pdf”
Part Eight: Bonus Points
“Active Participation”
• A facility must have selected two goals to pursue by 12/31/13:
organizational (consistent assignments, staff stability, reducing
hospitalizations or person-centered care) with monthly data
submissions regarding that goal to AEC and clinical (pain, pressure
ulcers, mobility, infections or medications), for which monthly data
entry to AEC is optional during the first year but compulsory during
the second year.
• Active participant status on a goal requires at least six consecutive
months of monthly data submissions to AEC on the goal. [If the
facility is in the first year of participation, the rule regarding six
months of consecutive data submissions will only be applied to the
organizational goal.]
• Proof of data goal identification and data submissions must be
submitted to TennCare in order to achieve bonus points.
Part Eight: Bonus Points
Part Nine:
Completing the Online
Submission Process
Part Nine: Completing the Online Submission Process
Complete Printed Copy of
Submission Form
• Click here for submission form
– Print a copy of the submission form
– Manually complete the answers to assist with
data entry
– Saves time and ensures accuracy!
Part Nine: Completing Online Submission Process
Verify Attachments are Ready
• Click here to access the “Survey Tool List
of Attachments”
– Print this list and follow it closely
– Determine which attachments you will submit
– Ensure all attachments are ready
• All PDF files and one Excel file
• Properly titled according to instructions
Part Nine: Completing Online Submission Process
Review Submission Instructions
• For your convenience, instructions print on every page of
the survey.
• The submission form cannot be saved so if you exit the
form, your information will be lost.
• Deadline for submitting the online form and all
attachments is before 4:30 p.m. CT on 9/15/14.
• All attachments should be submitted with this form and
should comply with the item instructions about how to
name the file. All files (except the Excel template
provided by TennCare) should be saved and sent as a
.pdf (Adobe Acrobat). The template from TennCare
should be saved and sent as an Excel file.
Part Nine: Completing Online Submission Process
Review Submission Instructions
• You are limited to a single file upload for each question
that requests for you to "Choose File." If you wish to
include multiple documents in your response they must
be combined into a single document before uploading
them.
• Before you attach a file, be sure it is the correct file. If
you move to the "Next Page," you will not be able to
change the file that you attached. If you attach the wrong
file, simply click the "Choose File" button again to
choose a different file before you move to the "Next
Page.”
Part Nine: Completing Online Submission Process
Review Submission Instructions
• Answer each question. In order to receive credit for any
item listed below, the entire section must be filled out
and/or requested attachments must be submitted.
• Unless otherwise instructed, performance prior to July 1,
2014 is being measured on this submission.
Performance since July 1, 2014 will be measured on
future submissions.
• Some questions display additional guidance when you
hover over the question or click in the response area.
Please pay attention to this guidance as it may assist
you.
Part Nine: Completing Online Submission Process
Review Submission Instructions
• Please make sure your submission is final before you
press the "Submit" button at the end. If you submit the
form as "Actual Submission" and indicate the
"Confirmation" on the final page, the submission will be
considered your final version of the submission and
amendments, alterations, and additions to your
submission will not be accepted. Alternatively, if you
select "Practice Submission" your submission will not be
considered by TennCare.
– You may want to start out as a “practice submission” and change
to “actual submission” if you are satisfied with your submission.
Part Nine: Completing Online Submission Process
Reliable Internet Coverage
Since the form does not save, make sure:
1. You have enough time to complete the
process in one sitting;
2. Your internet connection is reliable and won’t
be lost during the upload process; and
3. When you are completely ready to submit,
click on the link and begin the process.
Part Nine: Completing Online Submission Process
Questions?
CONTACT:
LTSS Call Center
(877) 224-0219
between the hours of
8:00 a.m. and 4:30 p.m. CT

similar documents