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Training Requirements & Framework

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  • PDCM Training
    • Introduction to Team-Based Care
    • Billing & Coding - Actualizing PDCM and PH CM Billing and Coding to Promote Team-Based Care
    • Serious Illness (formerly Palliative Care) - Live
    • Patient Engagement Foundations
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  • PDCM Training Requirements & Framework

REQUIREMENTS

Watch BCBSM Billing Webinar

Watch Webinar

A Certificate of Completion will be offered after completing this webinar. Please complete the evaluation to obtain your certificate, as this will serve as documentation of this requirement being met. The certificate will post to your user dashboard.

Attend Introduction to Team-Based Care

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Accomplish 8 Hours of Longitudinal Education

Watch Recorded Sessions

Register for Live Sessions


INITIATIVE SPECIFIC REQUIREMENTS

Attend Collaborative Care Model 1

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Watch the Specialist Team-Based Care Webinar 2

Watch Webinar

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  1. 1 If participating in CoCM
  2. 2 If participating in Specialist Team-based Care VBR

BCBSM has education requirements for participating in the Provider Delivered Care Management (PDCM) program and billing the PDCM codes as noted in the graphic above. The BCBSM education requirements include:

  • Watching the BCBSM Billing webinar video before beginning to bill the PDCM codes
  • Attending the Introduction to Team-Based Care course and passing the test within 6 months of starting to bill the PDCM codes.
  • Watching the Specialist Team-Based Care webinar and passing the test if participating in the Specialist Team-Base Care VBR opportunity within 6 months of starting to bill the PDCM codes.  Note:  Specialist care team members with more than a year of care management experience are not required to take the Introduction to Team-Based Care course. 
  • Completing 8 hours of longitudinal education per calendar year (pro-rated for less than a year), which can include:
    • Any training with approved Continuing Education contact hours
    • MICMT webinars
    • MICMT-approved external trainings
    • MICMT standardized courses  (Introduction to Team-Based Care only counts if course repeated as a refresher.) 

All training requirements must be met. (Training reimbursement will not occur if requirements are not met.) 

POs are responsible for attesting to the care team member’s completion of these education requirements via the MICMT care manager attestation process. 

Recommendations

MICMT recommends new team members consider the following educational opportunities, which count towards the longitudinal education requirements:

Recommended

Patient Engagement Foundations Course

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Foundational Care Management Codes and Billing Course

Learn More

Palliative Care Courses

Learn More

PDCM Resources

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Curriculum Requirements
Review requirements for successful completion and reimbursement.
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Training Framework & Initiatives
Review important details regarding training.
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Road Map for Care Team Members (Shareable)
Requirements and recommendations for new care team members.
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Trainer Applications
Interested in becoming an approved statewide trainer?
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Disclaimer Statement: Although Blue Cross Blue Shield of Michigan and MICMT work collaboratively, the opinions, beliefs and viewpoints expressed by the author do not necessarily reflect the opinions, beliefs and viewpoints of BCBSM or any of its employees.

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