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PFC Provider Training

This training is designed for Home Health Agency administrators and managers, Hospice administrators and mangers, any Care Coordinators who have already been identified, Congregate Living Health Facility administrators and managers, Children’s Medical Services staff, and participating California Children’s Services program staff.

All providers will have to complete PFC waiver training before providing services to participants. The description below is a general survey of topics and information covered.

Provider Enrollment

Care Coordinator Role

Family-Centered Action Plan (F-CAP)

Health and Welfare

PFC Services, Procedure Codes, Rates and Billing

 

Provider Enrollment

This section provides a general overview of the provider role in Partners for Children (PFC).

At the completion of this part of the training, the attendees will be able to:

  • Use the PFC Provider Manual
  • Successfully complete the Partners for Children application and attachments
  • Describe the requirements for provider participation including identification of additional required staff if necessary
  • Describe the care coordination role and responsibilities
  • Describe the Partners for Children services available
  • Describe the enrollment process
  • Identify state and county staff as resources, including the State PFC telephone and email assistance
  • Properly bill for waiver services

Provider Enrollment (PowerPoint)

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Care Coordinator Role

This section explores the overall role of the Care Coordinator.

At the completion of this part of the training, the attendees will be able to:

  • Describe the benefits to the participant and family of having a Care Coordinator
  • Describe the types of services that need to be coordinated
  • Identify the expectations for face-to-face meetings with the family
  • Describe the close-working relationship between the Care Coordinator and the CCSNL
  • Describe the multi-disciplinary team process
  • Describe the process for properly requesting authorizations for services
  • Properly log Care Coordination and all other PFC service hours for billing

Care Coordinator Role (PowerPoint)

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Family-Centered Action Plan (F-CAP)

This section explores the F-CAP requirements.

At the completion of this part of the training, the attendees will be able to:

  • Describe the Care Coordinator’s role and responsibilities in completion of the F-CAP
  • Coordinate with the participant, family, and health care team for all PFC services, Medi-Cal/State Plan services and community services
  • Facilitate participant and family goals and identify services to meet those goals
  • Identify state and county staff resources

F-CAP (PowerPoint)

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Health and Welfare

This section explains the requirements for ensuring the health and welfare of PFC participants.

At the completion of this part of the training, the attendees will be able to:

  • Describe the assessment of physical and psychological symptoms and risk factors common to children with life threatening illness
  • Describe the assessment of environmental factors affecting children’s safety
  • Describe the necessary accommodation for a child to be at home while participating in PFC, including medical equipment and safety measures
  • Describe the process for Health and Welfare event reporting

Health and Welfare (PowerPoint)

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PFC Services, Procedure Codes, Rates and Billing

This section explains the services available, procedure codes, rates and billing for PFC.

At the completion of this part of the training, the attendees will be able to:

  • Understand waiver services
  • Understand the use of the procedure codes and billing limits
  • Know the rates for each service
  • Understand how to complete a claim

 Services, Codes, Rates and Billing (PowerPoint)

 

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Last modified on: 10/23/2013 3:46 PM