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Nov. 9, 2017 Proprietary and Confidential Page 1 Presenting CHCS Services, Inc. Comprehensive administrative solutions for Senior Market products Provider Network
Nov. 9, 2017 Proprietary and Confidential Page 1
Presenting CHCS Services, Inc. Comprehensive administrative solutions for Senior Market products
Provider Network
Nov. 9, 2017 Proprietary and Confidential Page 2
What is Provider Network? A network of quality providers throughout the United States and abroad offering services in:
Home Care
Skilled Nursing
Assisted Living
Durable Medical Equipment
Other services including Companion care, Community Services, caregiver training, etc
Participating providers are eligible to receive free, prequalified referrals from over 20 Insurance carriers.
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Home Health >Home Health Agencies
–General Nursing Care
–Skilled Nursing Care
–Companion Care
–Homemaker Services
–Transportation
–Nursing Assessments
–Rehabilitative Services
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Skilled Nursing >Skilled Nursing and Assisted Living Facilities
– General Nursing Care
– Skilled Nursing Care
– Physical and Occupational Rehabilitation Services
– Speech, Respiratory, and Infusion Therapy
– Wound Care
– Dialysis Support and Diabetic Care
– Pain Management
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Others include >Durable Medical Equipment
–Equipment for patient care
–Home Modification
>Independent Living & Continuing Care Retirement Communities
>Outpatient Rehabilitation >Adult Day Care >Hospice & Respite Care >Community Services >Caregiver education and training
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National Provider Network >Coverage throughout the United States and abroad >Established Credentialing process, includes:
–Fully completed provider application
–Signed contract and HIPAA Agreement
–Survey results, where applicable
–Proof of Licensure (based on state requirements)
–Proof of Insurance $1M/$3M General and Professional Liability (or minimum state requirement)
Workers Compensation (unless staff are classified as independent contractors)
Fidelity Bond
–Usual & customary rates and agreed CHCS rates
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Referral Process When a client needs assistance, we:
>Discuss care needs and options with the client >Search our Provider Network in the applicable geographic area
>Discuss Rates in relation to budgetary requirements and/or insurance coverage
>Provide a list of at Least 3 providers to allow the client to do their own research
>Put the client in contact with the selected provider to initiate care
>Work with the client and provider to facilitate a successful, ongoing relationship
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Why join? >Access to referrals from some of the largest insurance
carriers in the LTCi and other insurance industries
>Access to referrals from the participants of our eldercare assistance program
>Opportunity to perform Benefit Eligibility Assessments or provide care for our referrals
>Pre-qualified, actively looking leads with longer term care needs potential
>Support from our Provider Network and care managers
>No charge to join and no charge per referral
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Why CHCS Services?
>Experience, emphasis on quality, and sophistication of technology, put CHCS at the forefront of the
administrative services market
>Providing administrative services to third-party clients for over 19 years
>Managed long-term care specialty network of providers for over 20 years
>Eldercare assistance program operational for 13 years
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Why CHCS Services?
>Access to approximately 700,000 covered LTC lives
>Third-party administrator for over 20 different LTC carriers
>Over 500,000 members have access to our eldercare
assistance program
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CHCS Services Approach
>Committed to continuous improvement and quality >Emphasis on optimizing the client experience >Committed to developing strong relationships with
our business partners
>Adaptability and customization inherent throughout process
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LTC Care Management Services
>Managed over 250,000 cumulative lives >Provide the following services:
– Information and referral
– Plans of care
– Ongoing care management
– Clinical benchmarking
– Provider management
– Benefit eligibility/in-home assessments
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Eldercare Assistance Services
>Eldercare assistance provided to caregivers via: – Access to Provider Network
– Access to Care Advisors telephonically
– Annual wellness assessment
– Access to community-based clinical professionals for care needs assessments (at additional cost)
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How do I contact CHCS Services?
Email us at [email protected]
Or
Call us at 888-262-0952
