Transcript
Lyndsey Farmer (00:00) bye. Good afternoon. How is everyone?
Kruti Sutaria (00:07) Sorry, I can’t hear you.
Molly Dwyer (00:09) I can hear you.
Lyndsey Farmer (00:11) You can hear me now?
Molly Dwyer (00:12) Yeah, Kruti can hear you.
Kruti Sutaria (00:14) I can hear you guys.
Lyndsey Farmer (00:16) Okay, good.
Molly Dwyer (00:17) Threw us for a loop.
Lyndsey Farmer (00:21) Good morning, Lydia. How are you? Good and you? I am doing well. Thank you. All right. Let me get my screen up.
Molly Dwyer (00:44) Before we hop in and I know, thanks Kruti for sharing over all the examples that you want to dig into and the team. I think what would be helpful for me because I am still trying to figure out everyone’s role is like, are you going to be, and are you, and have you gotten training on the platform? And like are you going to be in the enrollments day to day and need to have that like deep understanding because that’s something we just want to make sure we’re able to provide if that’s something that you need.
Kruti Sutaria (01:09) Yeah, I think we have people who are swapping in and out of this function right now. So, I think as much training as we can get on how to use the platform and like how to best support our core credentialing team, which is Lydia and Angie and Sylvie. I think to that extent. Yeah.
Molly Dwyer (01:29) Okay. Because I think then like when we saw these questions come in, a lot of them are around platform navigation and so we can spend some time today, just kind of hopping in and out of the platform showing you and how we find this information. And then there’s some of them that you flagged that we had to ask internally and get updates on. But just want to make sure we’re like getting you to the level that you need with the medallion platform, so that you can, you know, access this information when you need it.
Kruti Sutaria (01:56) Yeah, perfect.
Angelica Soto (01:58) All right.
Lyndsey Farmer (01:59) Awesome. So, I guess we can start with pave portal. Angie. I know that you were questioning pave portal. So that’s I guess my question here to bring back to the team is what exactly is it that you guys are finding that you’re needing in the pave portal?
Angelica Soto (02:22) So I took a different approach on Wednesday with Lydia. Okay. So her and I are, and I talked. So bottom line is you guys finally Alex, there is a bunch of pending stuff now in medallion that they’re working on pave portal. I recently saw it yesterday, but Lydia and I are going to take a different approach. Okay? So we started it yesterday. We’re going to start on Monday just to kind of go through ourselves a whole enrollment ourselves. That’s what I’ve never done. I never done a whole enrollment myself. Okay. Never did a whole enrollment can’t say I’ve ever done one. You guys helped me because I was stuck bottom line. So we’re doing our whole enrollments ourselves. This way we can see what’s going on. It took us a few hours because even with the tutorials that I got and you got, I wanted to make sure it wasn’t me and Lydia noticed it too. Unfortunately when they do tutorials, they do it in between. It was just weird anyway. So we’re going to take care of ourselves to see, what we learn ourselves. We picked two different onboarding… members that we’re working with. We’ll go through that and then we’ll finish the other 30 some. I’m not too worried about it. I think once Lydia and I kind of get a good groove, we will assist with medallion. I saw the requests that are in there, but I guess the problem is the providers themselves have a lot of little steps to do and that’s where the fall happens. It’s not medallion. It is actually the portal. It’s ridiculous. They have to change the application. They have to now make them administrators. There’s a bunch of other steps that they have to do in order to complete. So honestly, it’s just something that Lydia and I, we’re going to tag team on Monday. I have some ideas that she does. We’re just trying to see what could make it least for the provider to do. The goal is just to sign, right, right? And it’s not like that. There’s sections where they have to do this. They have to do this. And again, it’s like, okay. So anyways, we’re fine. We’re taking a different approach. Lydia and I are working on it. And if I get stuck with anything, there is someone that’s been communicating with me. I don’t know the name but he’s in there. He or she? Oh, okay.
Lyndsey Farmer (04:33) Perfect. Keep me updated on that. If anything from our side is needed and I can certainly reach out and try to figure things out with that team. Thank you. All right. Okay. And then as far as the questions that you sent in, I think these came from you, Angie, as far as the South Carolina application. So this application was released to the payr team as of yesterday and is currently being worked. So this just went through just came out of intake and was released to the payr team. So.
Angelica Soto (05:11) I’m going to disagree stop there right now. So this was since three three that’s not correct. You have a process. This was started on three two. There was a task on three two. So it goes from the date when it’s sent to intake and it gives you a 10 day window. This is more than a 10 day window to 10 day window. You guys have a specific 10, two week window and sometimes it’s shorter because you’ve been doing things a lot for certain payers. So this one was incorrect. So on three two, I was initiated a task completed on three three. Okay. And nothing, there was no action. So I.
Lyndsey Farmer (05:49) sent it to you and it was released on.
Angelica Soto (05:51) four eight. So that’s what I mean? I’m not saying I’m just, I’m saying what happened? Like why was it just sitting around for almost a full month? And?
Molly Dwyer (06:01) We can definitely look into that. But let’s like look at it together. I think that might be helpful, Angie. Yeah.
Lyndsey Farmer (06:06) I.
Angelica Soto (06:06) just want to make sure because I responded back on three three. So I was looking and I’m pretty good about navigating through the payer section. So I couldn’t figure it out. Okay?
Lyndsey Farmer (06:18) So this is your South Carolina app. Yeah, correct. So it’s.
Molly Dwyer (06:28) an additional QC for the group profiles?
Lyndsey Farmer (06:33) So on three two create a task to be completed and you completed that task on three three.
Angelica Soto (06:42) Very easy task. Okay? And they can’t do dr Thomas because you got to do the group in the state first.
Lyndsey Farmer (06:54) Okay. I can, let me mark this down. I can take this one.
Molly Dwyer (06:58) Andy, the thing that I’m looking at here and we can definitely get clarity for you is that intake was completed on four seven, which was this week and so we can ask our team. Well, what were we waiting on for intake to be completed up until four seven?
Lyndsey Farmer (07:11) Yeah, that’s what I’m going to take back to them? Because, yeah.
Angelica Soto (07:15) Correct. The goal is as soon as it’s done an intake, it shouldn’t be sitting around. We have. So, and I think, you know, as what we look for all your clients, if you’re going to give me that 10 days, it goes next to the next department, it should flow. And again, I think this is a concern. I think there’s another one like this. I want to make sure they’re not sitting around for a long time.
Lyndsey Farmer (07:43) Okay. Yep. I can definitely take that back and follow up with you on that one. Angie. Thank you. Yeah, no problem… for dr bach for Wisconsin.
Lyndsey Farmer (07:56) This… was sent to the team for review and update. The team has sent the portal link to create new logins. So you guys should have a task for that.
Angelica Soto (08:05) Yesterday was received.
Lyndsey Farmer (08:06) Yep. Yesterday, when.
Angelica Soto (08:08) was, I don’t have the window? Can I see the, I want to go back? Yeah?
Kruti Sutaria (08:12) I think we said on Wisconsin, we didn’t I don’t think the portal was like linked like, I think.
Angelica Soto (08:19) Correct. It was Trudy. So we sat yesterday and they sent the doctor’s links, but they also sent me a link. Apparently, I have to, as a group do one as well, which is fine.
Angelica Soto (08:30) I don’t mind doing it, but there was no link. So I requested it. I got it today. Okay. That’s a delay that’s a delay right there. They should have provided it in that original request for me as a group. I have not checked dr Brock. I was just concerned because as an admin, I wanted to do the group right away and in there, please read the notes there.
Lydia Anzora-Bojorquez (08:52) Was.
Angelica Soto (08:53) no task? There was no link and I honestly don’t know any links all over the country. So we expect the link to be in the initial email in the initial task. So we could just write and jump on it.
Lyndsey Farmer (09:04) Okay. You.
Angelica Soto (09:06) Can look at the admin one. It’s on mine. It wasn’t in there.
Molly Dwyer (09:20) We can definitely share that feedback. Yeah, Lydia.
Angelica Soto (09:23) Can you check if dr box was, if there’s a task for her? I didn’t check on that. I was more concerned about mine, but I, just since we already are on live right now, let’s just make sure.
Lydia Anzora-Bojorquez (09:33) Yeah. Let me check right now.
Lydia Anzora-Bojorquez (09:44) There is one for Wisconsin asking for logins. Okay. Let me see who else medicaid? Medicaid? Yeah, there’s I only see one for Wisconsin. Oh, nevermind there is also a North Carolina one. So.
Angelica Soto (10:02) For dr box, when you opened up her name, there’s no task in her list. Her overview. Let me see that’s. What I’m specifically questioning. Okay, I didn’t check it. We just want to give them the answer. If it is, then let’s go. She has hers.
Lydia Anzora-Bojorquez (10:18) There is, there is an overview. There is the medicaid and let me see in the North Carolina one and.
Angelica Soto (10:25) the link is in the Wisconsin, the link?
Lydia Anzora-Bojorquez (10:31) There is a link on the Wisconsin one?
Angelica Soto (10:33) Awesome. Thank you. Perfect. So, she got her link that’s fine. I’ll reach out to dr box.
Lyndsey Farmer (10:39) Yeah, okay, perfect. So, nothing further from our end on this one. You, it’s the link, is there correct?
Angelica Soto (10:46) Yes. After I asked, yes, okay.
Lyndsey Farmer (10:49) Okay. Awesome. For Kelly Pacheco. I did send this over the, to the team for a review and update. I just haven’t gotten anything back from them yet.
Angelica Soto (10:59) What was, I can’t you want to pull up?
Molly Dwyer (11:01) Your agenda again? Lyndsey? Oh,
Lyndsey Farmer (11:03) yep. Sorry… to go. Screen to screen here.
Molly Dwyer (11:12) My screen looks the same. Don’t worry so many tabs. Yep.
Lyndsey Farmer (11:23) All right. Are you able to see it now? Yes. Okay. Sorry about that… Kelly, Pacheco? We just needed to check because there was no activity since three five.
Angelica Soto (11:36) Okay. So send to team to review and update. Any updates? Why was it sitting around? Do we have any clarification?
Lyndsey Farmer (11:43) I didn’t get any clarification yet. I will follow up on this one.
Molly Dwyer (11:47) But we also in the same, we did a look at all enrollments and follow ups and made sure that there was no other outstanding follow up beyond the two weeks. So everything else is current?
Lyndsey Farmer (12:00) Yep. For the Utah application, Angie, you had questions about the Kelsey?
Angelica Soto (12:11) Well, on this particular one under the group enrollment, I… can’t read it, but it’s so small, but I gotcha. So under the group enrollment there’s a section four that you’re required to fill out for medicaid. Yep. They put a whole different doctor that was not related to us.
Lyndsey Farmer (12:29) She’s actually, yeah, that was a mistake on our end that’s been corrected and sent back to the payer. But yeah, Kelsey is one of our team leads on the payer team, so.
Angelica Soto (12:41) She put her information on that. Okay? I.
Lyndsey Farmer (12:43) don’t believe it was her. I believe it was somebody else that was doing the application. I’m not sure why Kelsey’s information was inadvertently put on the application, but it has been corrected and sent back to the payer. So.
Angelica Soto (12:58) Then I guess my question is who does the quality control to make sure this doesn’t happen only because now you’re going to go back and send to the payer? How much more of a delay that might be something to look at? Does that make sense? Deficiencies and stuff like that? And putting a person, I’m just, yeah.
Molly Dwyer (13:18) Yeah, absolutely. I.
Angelica Soto (13:19) Haven’t and I think, you know, for a while, you saw Molly that I was really into all my people that would go in and pick out what was going on. I haven’t been doing so. So I’m kind of getting back into the rhythm as we’re growing, I got to make sure things are done accurately. So just kind of a little double check. If someone could maybe do a double check before hitting that send button. Sometimes it’s hard to undo, you know, try la, care for here in California that sits around for almost a year. You see what I’m saying? I can’t have something like this out there not being worked on appropriately. So maybe there’s another step that can be done as far as quality assurance for this applications. We have a vast amount coming through medicaid and I just want to make sure that.
Molly Dwyer (14:06) Yeah, I hear you. We, I go ahead, Lyndsey, but we definitely hear you sorry?
Lyndsey Farmer (14:12) Yeah, absolutely. And I’ve also communicated this with the team as well for some retraining. Okay?
Lyndsey Farmer (14:24) All right. So then we got some additional questions from Kruti late last night. So senior, I think we just went through the South Carolina one correct. Kruti. Do we need to go through that again? Okay?
Kruti Sutaria (14:41) I guess just an understanding of timing now, like we are, we’re trying to go live today like yesterday with these dates. So what is, what timeline should we expect this to be completed?
Lyndsey Farmer (14:56) Sure. So normally, once an application is submitted to a government payer, the turnaround time is up to 45 business days doesn’t normally take that long, but it is at, we are at the payer, the mercy of the payer and their timelines are up to 45 business days.
Molly Dwyer (15:14) Okay. So we.
Kruti Sutaria (15:16) should expect may end of may to be the latest for this. I would say.
Lyndsey Farmer (15:22) At the very latest. Yeah, yeah.
Angelica Soto (15:24) Okay. And that’s what the clean submission, right? That everything’s done? Yeah, I think that’s the question. So.
Lyndsey Farmer (15:29) And like I said, normally, it doesn’t take the full 45 business days. So, I’m hoping that with this good submission, we get a turnaround time a lot sooner. Okay?
Molly Dwyer (15:41) And for these, if there are, if you, if these medicaid’s are top priority, like I think that’s something that we should be aligning on these regular meetings, like if you have like an opening that you have a go live and you need to have priority enrollments that needs to be flagged to us so that we can help flag that internally. So there is a way that we can update these as priority in the system, but I think just an area that we could definitely work better together. Yeah, as you guys are marching towards really tight turnaround times. Yeah.
Kruti Sutaria (16:15) I mean, we can give you let’s go through the rest of like the questions and then we can kind of tier the importance of like these medicaid applications for you all.
Kruti Sutaria (16:27) But we do have like some really large contracts and we’re going to time out if we don’t go live soon, okay?
Angelica Soto (16:35) Maybe.
Kruti Sutaria (16:36) So 45 days for South Carolina. Now that the submission, so have we submitted to the state for South Carolina?
Lyndsey Farmer (16:47) I believe it was, let me check that quickly before I.
Molly Dwyer (16:52) That has not been submitted yet. It says intake complete. I.
Lyndsey Farmer (16:56) Know it’s being worked on. It is in queue to be worked on and it is being prioritized.
Kruti Sutaria (17:02) So, when can I expect the submission to happen? I.
Lyndsey Farmer (17:06) Will take that back to the team and follow up with you on that.
Molly Dwyer (17:09) Standard though Kruti is after intake is completed 10 business days that’s where we are trying to help get that timeline closer to your deadlines. We can take that back to our team to help push this along. But the more that we can proactively align on, you know, your drop dates will just help us make sure that these are submitted in a window that’s going to work. Okay?
Kruti Sutaria (17:40) I’m trying to think, I don’t have the exact dates open, but how long has it been since intake has been completed so far?
Lyndsey Farmer (17:47) Just on the seventh? Okay?
Kruti Sutaria (17:49) So, it’s only been three days. Yeah. Okay. Perfect. So can I expect in like the 10? So next by next Friday, it should, on average, this is like non priority. We should expect. Yeah. Okay.
Lyndsey Farmer (18:02) Yeah. If you’re going by the non priority deadlines, then yes, it should be by next Friday.
Kruti Sutaria (18:07) Okay, perfect. To.
Angelica Soto (18:08) Confirm next Friday, it’ll be submitted or next Friday intake will be completed, what’s the?
Lyndsey Farmer (18:13) No intake has already been completed on the seventh.
Kruti Sutaria (18:16) Okay. Thank you. Yep. Okay. So by next Friday, when we go through the list, our medicaid list again, we should expect that the application has been submitted. Yes. Okay. Amazing… the next was Connecticut, can we look at the status of that together? Sure. Let.
Lyndsey Farmer (18:41) Me bring it up. Okay?
Lyndsey Farmer (18:59) Are you able to see this?
Angelica Soto (19:01) Yep. Thank you. Okay. So.
Lyndsey Farmer (19:05) Medicaid Connecticut?
Angelica Soto (19:10) Oh, hey.
Lyndsey Farmer (19:13) So, this is currently processing. Looks like they followed up on it via portal, and the next follow up is on April fifteenth.
Angelica Soto (19:24) Final review. We’ll take what does it say at the final, conducting final review? Can you read that part? Sorry, I’m blind sure.
Lyndsey Farmer (19:31) Yeah. Where are you looking at that at?
Angelica Soto (19:33) You know, the section with the notes. I always like to read the whole entirety, where it says items discussed method of portal. And then where it says conducting final review. What is this? We will need to? I’m,
Lyndsey Farmer (19:44) sorry, allow more time.
Angelica Soto (19:46) Got it. I’m sorry, you guys, these are too small, but I got you.
Lyndsey Farmer (19:53) Did you have any further questions on this one? Kruti?
Kruti Sutaria (19:56) So, okay. So, that note just there’s no other follow ups from our end or medallion’s side. Right now, it’s like sitting with like the payr. Yeah.
Lyndsey Farmer (20:06) So basically medallion just followed up on this on the first and we follow up every two weeks. So the next follow up will be on April. And this is the information that was gathered during the initial follow up on the first.
Kruti Sutaria (20:21) Okay.
Lyndsey Farmer (20:23) Yep. So if ever you’re wondering like when you’re looking at the in medallion, this… is going to be the last follow up that was done… is here. And then if you click in to, it will tell you when the next follow up is expected, but you can also find that back here. I don’t think it shows on this view, okay? It will usually, yeah, it’ll usually say next follow up on April, but in this view, it’s not showing that. So, yeah, if you click into, it will actually tell you here.
Kruti Sutaria (21:06) Okay. Expected.
Lyndsey Farmer (21:07) Follow up date.
Kruti Sutaria (21:09) Okay. So then we can just keep tracking that.
Lyndsey Farmer (21:14) Yep. It’ll be every two weeks until we get an approval. Yep.
Kruti Sutaria (21:24) Okay. I’m just jotting that down. The next question I think was for Texas?
Angelica Soto (21:36) That’s a doozy. Okay. Texas has been processing for quite a bit of time.
Kruti Sutaria (21:43) Yeah. Can we look at?
Angelica Soto (21:44) That together and there’s been deficiencies?
Lyndsey Farmer (21:47) Sure. Yeah, it looks like, yeah, we can, I’ll pull that one?
Angelica Soto (21:51) Out, open that up. There always seems to be a deficiency on that one,
Lyndsey Farmer (21:56) Yeah, I think there was a couple of deficiencies on this one. I was looking, I was reviewing this one and I did send this one back to the team for confirmation,
Angelica Soto (22:07) I know you guys do things sometimes we want things urgently and instead of waiting the two weeks, can’t you guys call once a week? Like it, it’s just Texas go. We just, I haven’t discussed Texas in a while, but I had on a one point didn’t want to wait till April. I think it had set the expectations. This application. If you go back to your history of your notes, this has been sitting around for a while not sitting around but being worked on. And there’s been more than one deficiency too. I’ve seen two or three deficiencies on this one.
Lyndsey Farmer (22:35) Yeah, I’ve.
Angelica Soto (22:36) even helped on a deficiency. I’ve had I’ve called and I talked to you guys about that? So, I guess my concern is, instead of waiting around two weeks, can we maybe talk do this weekly check with the board? Whatever you have to do with Texas? Because it’s been pending for a long time, a long time. So.
Lyndsey Farmer (22:54) Our general… rule of thumb is two weeks to follow up. If we were to check weekly, I don’t believe that there’d be any additional information from the payer. And honestly, the payer would probably request that we wait the full 15, 14 business days to follow up?
Angelica Soto (23:12) That’s a maybe that’s not a guarantee.
Lyndsey Farmer (23:15) We can ask like.
Angelica Soto (23:16) We can, I appreciate it, Molly, I think you understand where I’m getting at with this one. I brought this up to you guys months ago. I did not want this to sit around. I got a call personally about a deficiency, spoke to medallion personally, and then there’s been more deficiencies. I think I even asked you guys help to show me how to look at the portal. And some of these portals are not friendly user friendly. Let me tell you. So, no.
Lyndsey Farmer (23:37) They’re not, no, they’re not.
Angelica Soto (23:39) They’re not. So I just want to make sure again let’s just make sure if we’re requesting something to be urgent. You know, I think that should also include maybe not waiting and sitting around two weeks. I understand what you guys have. But at the same time, if you look at all our enrollments and what we’re trying to achieve. And we’re just barely at the small part of this, we have so much more to do with medallion and we want to make sure these get expedited if we’re asking for expedited, let’s see if we can get that. The ones that we want to expedited Kruti can send you a list and we can, instead of doing a two week turnaround, let’s try it a week. I’d rather really see that there’s a phone call made or something and you do notes for me, which I love, but that way we can see that it’s happening. Can you help me out with that ms?
Kruti Sutaria (24:23) Molly, sorry just to provide a little more context before we go into the details here, Molly and Lyndsey, I think our exec team is like really closely watching what’s going on, what time these like one, what time we actually started the processes and how quickly we are getting the licenses. And I think there’s a lot of pushback.
Molly Dwyer (24:41) Licenses are enrollments.
Kruti Sutaria (24:44) The payor enrollments for like medicaid, especially.
Angelica Soto (24:48) We have.
Kruti Sutaria (24:49) Like other entities. I know Molly, what’s her name, Tori has been telling you about like the expansion of the platform. And I think there comes a point where all the back and forth is like a little too much if Angie has to catch mistakes every day. And like the platform, it’s like what like we could just like kind of not use the platform and just do it on our own. So just like that, like that’s like the higher level context of like decision making that’s like happening at this org. So I know it’s like annoying for us to send like a gazillion emails to you guys. But I do think failure mode is like, we, it’s like a little too hard like the partnership becomes a little too hard. And then we go back to just like doing everything by ourselves.
Molly Dwyer (25:31) Well, we don’t want that. It’s helpful. Kruti. I think this is something that we’ve been like talking and trying to drive for improvements. We, where we need to operate, at a better place. I think for both teams is like understanding what the priority our enrollments are so that our teams can help track that. Lyndsey does an amazing job like escalating, like the areas that you come in, sharing that with the PE specialists that actually work. The applications like this is top priority application. Get this out the door today or get this done today. Like there are things that we can control on our end. But from like a alignment standpoint, I think that’s something that we need to do a better job as like as a team, both of us and align on like the applications that are in flight? Where do you want us to be chasing these down internally and pushing as hard as we can?
Kruti Sutaria (26:22) I mean, we are paying for the platform. So it’s like all of this is like priority. Like, yes, there are some like ranked priorities but like if we can, if it’s 10 days, it’s 10 days. But then the follow up needs to be like,
Molly Dwyer (26:35) respectfully, okay. Respectfully, though, like we do have workflows and slas and policies and how we operate like that’s just our internal operations, which is, you know, we are not hiding anything like we follow up with payers every two weeks because if we were following up with payers every week, they shut us off. And we have so many contacts and relationships with payers, like they will stop responding to us. So we do follow the process that we have outlined that being said, like we are here to work with you and if we can help push things along absolutely. But I think that’s where we need to get, you know, if these medicaid, for example, these medicaid applications, like this Texas application, we can absolutely share with our team like we need updates and we want to get this, you know, completed or have visibility as quickly as possible that’s something we are more than happy to do. Yeah.
Kruti Sutaria (27:31) Going back to Texas for a second, like is there any tasks? So it says like client attention required. I think they needed access, like we needed to get access to a portal. Yep, like what is the holdup?
Lyndsey Farmer (27:45) That’s actually on your end? So you all will have to go into the tmhp portal and grant us access using that email and login username that was provided to you in the task? Okay?
Kruti Sutaria (27:59) Okay. Can you just link us the portal? Like going forward when we need to grant you portal access? It’s like an extra step for us to figure out what portal to kind of go to. So it would be really helpful if we had the exact link to the portal. And then I see we have the email and whatnot, but just like that’s, like one more step, okay?
Lyndsey Farmer (28:22) Sure. It’s yeah. Yeah. Okay. I can, I’ll send you the tmhp login?
Kruti Sutaria (28:27) Okay. Amazing. Can you, so, I think, Angie, I think on the medallion on Texas, I think we just need a grant… medallion access. Does that make sense? Yeah.
Angelica Soto (28:40) But there was something else. Is that the one that asked about… we had sent cruti, the list that you sent wasn’t it a reference to Texas yesterday. I’m sorry, I’m looking at the.
Kruti Sutaria (28:50) Texas one. If I’m looking at the spreadsheet, Angie, it just says new task was created saying provide admin access to email id, senior doc at medallion. I don’t think that’s no.
Angelica Soto (29:01) So, so… you want me to, I’m sorry, you guys, I lost you on my computer, my apologies here, but you want me to. So I got a task And it, it’s an email that I don’t have. I’m not understanding how do I, it’s a medallion email? So I’m a little confused that’s why I think that was the question. It’s it’s not, I don’t understand how. So I already have a username and password. I have to grant medallion access, correct?
Lyndsey Farmer (29:28) Using that email and username that was provided in the task?
Angelica Soto (29:34) So, they want me to create something using their email. You just when.
Lyndsey Farmer (29:39) you grant someone access, it’s, going to ask for the email that you want to grant the access to and the username that you want that specific person to use when logging into tmhp?
Angelica Soto (29:52) Okay. I’ll look, I think.
Molly Dwyer (29:56) It has it outlined in the agenda. Oh.
Lyndsey Farmer (29:58) I actually took that off. Give me just a second. Molly, I can put it back on there.
Molly Dwyer (30:06) Or we could put it in the chat, so Angie can just copy that. Yeah.
Angelica Soto (30:10) Yeah, I couldn’t make sense of it. So I’m assuming you’re saying I have a, I have a username and I probably have an admin account. And now I just got to grant access. I don’t know, I have an account, but I’ll check.
Lyndsey Farmer (30:23) Yep. No. So, yeah, you’ll go into tmhp and then you’ll be able to grant us access using the email… and this username. Okay?
Lydia Anzora-Bojorquez (30:39) So, you practically need to add that email to have access that’s what I understand on the task, like it says, kindly provide administration access to the email id, seniordoc at medallionteam. Com, the username seniordoctexas. So we can proceed further with the application yep.
Lyndsey Farmer (30:59) And I just also added it to the agenda as well.
Kruti Sutaria (31:10) Angie and Lydia. Do you feel like we have clear instructions or?
Angelica Soto (31:14) Yeah, I guess.
Lydia Anzora-Bojorquez (31:16) We just need the link. I guess here, I.
Angelica Soto (31:18) Never created a Texas medicaid. So, I’m going to have to go and look at medallion and see at the history they created it. I didn’t so I’m going to have to.
Kruti Sutaria (31:30) So, we don’t know how to get into the portal.
Angelica Soto (31:33) No, no, I don’t.
Lydia Anzora-Bojorquez (31:34) we’ve never been there.
Angelica Soto (31:35) I’ve never did that before. No, no, not for Texas. So I’m going to go in and check. Again. This application has been sitting for a while. So I got to go back and check because I know I never was asked to create anything for Texas medicaid. I am now being asked, so I’m trying to see when I asked originally if I had an account. I did not. So.
Kruti Sutaria (31:57) Do we need to create an account? Like how does this usually work? Lyndsey and Molly? Like do we need?
Lyndsey Farmer (32:03) Honestly don’t know… you should have a tmhp account set up being that you all have done Texas enrollments in the past. No, that’s the only we have not we.
Angelica Soto (32:18) Have not done Texas enrollments in the past. Yeah.
Lydia Anzora-Bojorquez (32:21) It’s our first time it’s.
Angelica Soto (32:22) our first time.
Lyndsey Farmer (32:23) Okay. So, then you’ll need to set up a tmhp account from start to finish. And then you’ll need to add us as, to get access to that account, we will not be able to do anything further with this application until we get access to that account.
Angelica Soto (32:44) So, whatever happened with the application that they’ve done, I guess that’s.
Lyndsey Farmer (32:47) we can’t we’re not able to go in and submit any corrections because it all has to be done through the portal. So we can submit the initial application. But once corrections come back, we have to go in through the portal and pull that actual application, submit the corrections within the portal. Gotcha. Yeah. So I think that’s where this task is coming from, that we need the access so that we’re able to get this application corrected and resubmitted. So, I.
Angelica Soto (33:19) guess, and I get it like and I’m sorry, you guys, I’m actually having a lot of trouble with my computer, but if you go back to the notes, somebody, there’s been many, there’s been deficiencies for a while. This is not a current deficiency. There’s been different ones. So whatever happened with those other deficiencies, I don’t understand why now, I’m just trying to make, please help me make sense.
Lyndsey Farmer (33:39) Yeah, no, I totally understand. And that’s part of what I this.
Angelica Soto (33:41) Is not the first deficiency. This is not the second deficiency. Please look at your notes. I believe there’s more. So I, yeah, where am I? Does that make? Am I making any sense?
Lyndsey Farmer (33:50) You do? Yeah, you do. You absolutely. Are that’s why?
Angelica Soto (33:54) I get lost because then I start thinking what happened this?
Lyndsey Farmer (33:57) Is part of the reason why I submitted, sent this back to the team for additional clarification because I’m also not really understanding, but I do know from working in tmhp that in order to submit corrections back to the payer, we do have to have access because everything after the initial application does go through the portal.
Angelica Soto (34:22) Okay. So when I originally and I talked personally, I got a call from Texas for medicaid. There was a couple of deficiencies that were needed. I didn’t have access back. Then medicaid told me that I needed to have access, whoever created my application, they need to go back in there and do it. Medicaid called me, I gave medallia that information, but I wasn’t ever told to create anything. So now… you’re telling me months later, I should have created an account.
Lydia Anzora-Bojorquez (34:58) And again,
Lyndsey Farmer (34:59) Angie, this is a part of the reason why I had to send this back because I don’t have this type of history from back in early 20 25 when this originally occurred, I’m… weighing heavily on my team to be able to give me some of the missing information and missing pieces here.
Molly Dwyer (35:19) And I think Lyndsey’s being really nice. We are escalating this with our team to figure out, what the issues were so that we can share that back with you in a summarized succinct way like this is not acceptable. So we recognize that and.
Angelica Soto (35:33) I actually asked for help. I actually asked you guys for the, our username and password. I’m gonna go back and look, but, I, Texas is not new for me and I remember saying, I don’t want it to wait till April. I don’t this was like back then if we can get this done… you know, because I try to, if there’s any tasks that I left my apologies, but I don’t think I left tasks for months, not on Texas. I think there’s other ones, I have to let.
Molly Dwyer (35:57) Us come back with what we find what’s outstanding. But just,
Angelica Soto (36:02) yeah, yeah, that’s perfect.
Lyndsey Farmer (36:03) We’re pushing our team on.
Angelica Soto (36:04) This, yes.
Molly Dwyer (36:05) Yeah.
Lydia Anzora-Bojorquez (36:07) Because what I see, what I see is like we have many new states that we’re going to start medicaid that we have never worked before. And probably you have a lot of clients that work in pay enrollment. We don’t so I, we just don’t want you guys to assume that we know what we need in order to have medicaid in those states because we don’t have any idea. We’re just learning. And so maybe our first step when we start a new state should be instead of requesting should be reach out to you guys and say, hey, what do we need? We’re going with, live with this state. We are trying to get medicaid in this state. And maybe you guys can guide us on what we need before placing that request because it looks like Texas, this has been, this is the issue that we place requests without knowing what we needed. And you guys assume we knew, and we didn’t get a clarification on the steps like exactly what we needed. So this is being in the air flowing back and forth when we, all that we needed was to create an account since that beginning. So all this time we couldn’t save you.
Molly Dwyer (37:19) Know, I love it yep.
Lyndsey Farmer (37:21) Absolutely.
Molly Dwyer (37:23) I think, that, so, Lydia, like this is exactly where I would love to see this go is like, yes, we have issues that we will get you better answers on, but future state like how can our teams work better on? Like where are you going? That we can proactively provide you better guidance so that we’re mitigating a lot of these tasks. And, you know, action out in heartburn?
Angelica Soto (37:46) Before?
Molly Dwyer (37:47) Before you’re submitting applications, do you have a list of priority states that you’re looking at? We do.
Lydia Anzora-Bojorquez (37:52) We do. Yeah, definitely. We, we should send it to you guys so you guys can give us a like a good guidance. Yeah, before submitting, if you.
Molly Dwyer (38:02) Can share that over. We can then share that with our team to weigh in on some guidance for you. Okay?
Lydia Anzora-Bojorquez (38:06) Great. Thank you. We appreciate that. Yeah.
Lyndsey Farmer (38:10) No problem. All right. Any more questions on Texas? So I.
Kruti Sutaria (38:18) guess Texas next steps, Angie and Lydia is like to create a portal on the state medicaid website.
Angelica Soto (38:26) To look to create a portal. I think they have one already, but I’ll look, I bet I can’t see you guys and I can’t even get into my computer. Sorry, I’m not, I’m actually at the, at my doctor’s office in a room. I don’t have the extra computer to look. So I’ll look for it later. I,
Lydia Anzora-Bojorquez (38:45) also play on Monday with it. I.
Lyndsey Farmer (38:47) Also put the link to tmhp in the agenda and I’ve also put it in the chat as well. Okay?
Angelica Soto (38:53) I know you guys already have one. So I just want to make sure, I’ll look when I get out of here, I just don’t want to create something that is wrong. You know what I mean? I’d rather get the answer from the horse’s mouth. So, if I have something I’ll send it to you. Okay, we cannot be creating something. Sometimes makes another mistake. So just so we’re all on the same page. You know what I mean? Yeah, yeah, of course. Thank you.
Lyndsey Farmer (39:15) Yeah, no problem. All right. So, New York, this is another one that intake was just completed on four eight. It is now moved to the enrollment team, the payer processing team to complete the application guys.
Angelica Soto (39:32) Medical, New York. Yes.
Lyndsey Farmer (39:34) Okay. So.
Kruti Sutaria (39:36) Then we should expect in 10 days within the next 10 days. So by next Friday, we should have either tasks or it’s been submitted this.
Angelica Soto (39:44) Is a little different. I’m taking lead on this one. I’m not sure if, you know, Lyndsey, so let me just grab this one. Kruti, this one, they’re going to actually create a, an actual application. It’s not digital. They’re going to go ahead and do a whole application. It’s going to get mailed to us here at hunter. Dr geist has to get notarized documents. And so does most likely dr Thomas, just like we’re doing Jm geistto. So something’s going to come to me physically. Then when it comes to me, I have to get notarized documents. Once I get the notarized documents done. I just kind of want to talk to the whole thing. I’ll scan it to medallion, but they’re going to give me a label and then I have to mail it to New York. I just wanted to share that with you because that one is not done digitally. I don’t know why, but I just wanted to share that. I didn’t get to do that with you yesterday. Yeah.
Kruti Sutaria (40:38) That’s awesome. I think it’s like, I guess medallion is creating the first physical copy and sending it to us, right? Yeah, correct. So, I guess understanding what the timeline is for when we’re going to receive that document, I think was what I was trying to get at. So I guess in 10 days, either that physical document will be sent to us or we’re going to have outstanding tasks that we need to work on.
Angelica Soto (41:02) Yeah. Got it. Perfect.
Molly Dwyer (41:05) Usually though I will say when intake’s completed, you are not going to get additional tasks because the intake process has been completed, our team is then processing to submit to the payer. So it’s getting like queued up to submit to the payer. So you shouldn’t experience additional tasks that’s what I’m trying to say.
Kruti Sutaria (41:21) Okay. But I guess now between like the time between like intake completed and like us filling out the application, we should give you like 10 days to get to that point. Yes, correct? Okay. And then in between that time, like at 10 days, if we should expect either their tasks or intake is complete… right? Yep? Okay. Awesome.
Lyndsey Farmer (41:58) Seniordoccolorado. The task was completed on four eight. I did ask the team to submit this ASAP. So hopefully we’ll get that soon. Thank you. And then you noted down here Kruti, that you don’t have ptans for all your providers uploaded to the platform and you wanted to know about a bulk upload. Is this for all the seniordoc providers or is it?
Kruti Sutaria (42:25) For all of them? Yeah, all seniordoc providers like we have, and also our greenwell providers, we have all their ptans like in Pecos but Angie and Lydia have been going through the ruthless exercise of copying and pasting everything. So if there are like I know you’ve mentioned for like if we wanted to like bulk upload some of our other programs like our uhc roster like that’s possible. I’m just curious if we can do this for like medicare ptans for individual providers, sure.
Lyndsey Farmer (43:00) I did take this back to the team to try to find out. So I will send this volume because that was the question that was posed to me was what’s the volume. So I will send that back over to them and keep you updated on whether we can do the bulk upload for the ptans?
Kruti Sutaria (43:15) Okay. Amazing.
Angelica Soto (43:17) We already you already, Trudy, I’m sorry, it was before the knew about this, but we already talked about this before and you actually did send me a template and how to do it. So what it is pretty, it’s kind of like the caremore you have to, you get a spreadsheet and you got to put all that damn information on that spreadsheet. It’s a lot. It’s easier for us just to upload it. It’s easier for us to do it because it’s less it’s actually faster. Yeah, the problem is we here just don’t have the manpower. We finished California, Arizona, I’m pending Nevada, and Lydia’s pending Idaho. That’s what we mentioned. We have tasks that are our self projects that we haven’t started only because that it’s a lot, ms. Trudy, it’s like and I’ll show you. I have the template. I’ll show you when we have it.
Kruti Sutaria (44:03) It’s a.
Angelica Soto (44:04) Lot of components and it’s more stuff for us to do in the excel sheet versus medallion only because medallion already has things lined up and we just got to go into a few, put less components versus what we do on that excel sheet. Yeah. So we opted out personally, Lydia and myself to not do that. I.
Kruti Sutaria (44:23) Think right now though from picos, like the thing that you guys did for me for caremore, when I was constructing those rosters like picos does allow for us to like download the excel. Like I wonder if that excel is like workable enough for us to then upload into medallion. So like Lyndsey, I’m happy to send to you an example of like what the excel download from picos looks like. And then you let us know if like that is enough information for you guys to then do like a bulk upload. And then I see Molly, your question about our ptan data today. It’s in picos. So, correct me.
Lyndsey Farmer (45:02) If I’m wrong, Molly, but I believe that when we bulk upload, it has to be on our template. Yeah.
Angelica Soto (45:08) It does. Yeah.
Molly Dwyer (45:09) So it would be additional steps on like transforming the data from your download from picos, yeah, to the template to medallion.
Lyndsey Farmer (45:21) The,
Molly Dwyer (45:22) reason I’m asking where your data is today. I think like ptans, obviously, they’re coming from picos, so it’s a different source, but I think a lot of the data migration like an API connection will really help mitigate this. We.
Kruti Sutaria (45:36) Don’t have like the data anywhere like it’s.
Molly Dwyer (45:39) no, I know that’s why I’m not for, this topic, not for ptans, but for data that’s not in medallion other fields, I think API would be like a good solution to explore.
Kruti Sutaria (45:52) Yeah. We just like don’t have data anywhere. So it’s a lot of it is just in portals. So it’s not like we’ve it’s not like we’re trying to move the we’re using medallion as like the first attempt of like standardizing information. So it’s not like it’s like a platform upgrade. It’s like a plat, like it’s our zero to one.
Molly Dwyer (46:15) Yep. Okay. No, that’s really helpful. I wasn’t sure if you were using like an hirs system or anything for your providers. Okay.
Kruti Sutaria (46:25) Yeah… it’s in like documents and folders and things.
Molly Dwyer (46:31) Like that, it’s painful. Yeah, we are, this is a separate conversation for when we connect with Tori, but we can talk more about data transformation and just think through that a little bit further, how we can make it less painful.
Kruti Sutaria (46:47) The other, the last like medicaid stuff that I don’t know if we hit on this for senior dog Utah? What is we’ve updated the bank information? Can we just make sure on that? There’s nothing else that we need to do?
Lyndsey Farmer (47:05) Yes, I’m looking to see. I thought I saw Utah on the list but maybe not.
Kruti Sutaria (47:11) There’s Jm geis, Utah, and there’s also senior dog Utah. Okay? And Lyndsey, I saw your note next week. We can definitely, the three of us connect on Thursdays. I can, we can push that meeting to like Wednesday and then send you guys an update for like what we want to discuss for Fridays. So more than happy to kind of like do that. Bye, Molly. I think, for most and we’ll try to be well in the future state we’ll specify like what the entity we’re looking for, but we do have like multiple entities for like these states. So just like an fyi, when we’re asking, okay?
Lyndsey Farmer (47:50) Perfect. Yeah. Any additional information you can give to drill it down is super helpful. Yeah.
Kruti Sutaria (47:57) Can we just check senior dog Utah? Please? Yeah.
Lyndsey Farmer (48:01) Absolutely. Let me pull it back up here.
Lyndsey Farmer (48:15) Senior dog Utah, let me pull it over.
Lyndsey Farmer (48:24) This is the correct one, right? Yes. All right.
Lyndsey Farmer (48:35) So, you provided the banking information? Yeah, yesterday. All right. And looks like intake… was complete today? Okay?
Kruti Sutaria (48:49) Amazing. So, in 10 days that should be submitted, yep? Okay.
Lyndsey Farmer (49:09) Any other questions on anything we went over today or any other payers that we didn’t go over?
Kruti Sutaria (49:23) I’m sorry, one more check for senior dog, Colorado, intake is complete, but submission has not happened.
Lyndsey Farmer (49:33) Senior dog, Colorado, let’s see.
Lyndsey Farmer (49:53) So, intake was complete on the eighth. Okay?
Kruti Sutaria (49:57) Intake was complete, should be submitted… in 10 days. Okay? So, after intake, it takes 10 days to be submitted, so.
Lyndsey Farmer (50:14) Every time it moves from another department or from you all to us, we do allow 10 business days. It doesn’t necessarily take the full 10 business days. It just depends on whether how backed up they are, if there’s tasks that need to be completed, things of that nature. So we do allow that 10 business day turnaround time. Okay.
Kruti Sutaria (50:39) Yeah. I mean, I think the 10 days is like fine. It just needs to be correct.
Kruti Sutaria (50:44) Like I think that is like that is like the baseline here and like there needs to be like we can discuss this with Molly and I think we’re going to have our head of growth and our head of compliance kind of like on further calls here, but it’s like if we’re paying for something to be submitted, it needs to be right? Like that is, oh, absolutely. It’s not like you’re getting a lot of slack here today, but I understand it’s like a broader team that’s responsible for that, but it’s that’s really important.
Lyndsey Farmer (51:15) Yep, nope, totally understand. And I can’t stress to you guys enough that I take all your feedback and put it back on the teams that are responsible for completing the work. Yeah.
Kruti Sutaria (51:27) Awesome. Okay. This was, really helpful and super productive. We will do, we’ll closely track the medicaid applications on our open ended. Like next steps, I will send you what is like the highest priority in terms of medicaid applications. So you guys know what to like spend the most time working on sure. And then in advance, like anytime we can give you advance notice of like, hey, we’re thinking about like going into this state that state. Like I think the expectation should be that you guys are the experts on all these states, but I understand like you guys are growing in company.
Kruti Sutaria (52:05) We’re also like trying to figure it out. So we’ll try to give as much advance notice on like, hey, like these like things are being submitted.
Lyndsey Farmer (52:11) Sure. Yeah, absolutely. We can just work together and figure it out and I look forward to the partnership moving forward together. Yeah, great.
Kruti Sutaria (52:21) Thank you so much.
Lyndsey Farmer (52:22) Awesome. Thank you. Appreciate it questions… Angie anything.
Kruti Sutaria (52:28) No. Okay. All right.
Lyndsey Farmer (52:31) I hope you all have a great rest of your day and weekend.
Kruti Sutaria (52:34) Thank you too. Bye bye.