UPHP Brief: July 2018

Posted on July 23, 2018

UPHP Programs Update

Pregnant Women Dental (PWD) Benefit

Effective July 1, 2018, the Pregnant Women Dental (PWD) benefit is now available for our pregnant UPHP Medicaid Members.  Female members between the ages of 21 and 55 were notified of this benefit change via a letter that went out in June. Additionally, information about the PWD benefit was added to the UPHP website, and the Medicaid Member Handbook was updated (see section 5: Pregnant Women).

The benefit is modeled against the dental benefits currently available to Healthy Michigan Plan (HMP) members. With this additional benefit, pregnant women are eligible to receive dental services throughout the duration of their pregnancies until three months after their due date (for specific coverage details, see the Delta Dental PWD Member Handbook). Pregnant members must notify either their Michigan Department of Health and Human Services caseworker or UPHP Customer Service of their pregnancy and due date in order to receive dental services through UPHP.
The dental provider network for this benefit is the same as it is for HMP; HMP dental providers were also notified of this benefit change via a fax blast sent out the last week of June. Providers were encouraged to fill out the new Notification of Pregnant Member Form and return it to UPHP within five business days of a positive pregnancy test.

Medicaid work requirements and UPHP

Melissa Holmquist, UPHP CEO, was interviewed by TV6 in early June to discuss the new Medicaid Work Requirement Bill and its impact on Michigan residents using the Healthy Michigan Plan. About 670,000 people in Michigan are on the Healthy Michigan Plan, about 19,000 of those in the Upper Peninsula. If this bill is passed, those people will have to prove that they are meeting these requirements to continue having coverage.

Watch the TV6 interview and read more here.

Advance Care Planning in the news!

A new state-funded Advance Care Planning (ACP) program helps individuals decide in advance on the care they will receive if unable to speak for themselves. Upper Peninsula Health Plan Advance Care Planning Program Manager, Kate LaBeau; Family Medicine Physician and Advisor, Jim Heron of Marquette; and Elder Law Attorney Paul Sturgul of Hurley, Wisconsin were on the latest episode of Media Meet to discuss ACP.

Watch Media Meet:  Advance Care Planning

UPHP Launches Healthy Kids, Healthy Futures Campaign

“Healthy Kids, Healthy Futures” is a joint effort between Upper Peninsula Health Plan and Upper Peninsula Health Group designed to highlight the importance of annual preventative care for kids of all ages.

UPHP Clinical Coordinator Chris Rhoades joined the Sunny Morning Show in Marquette to share some of the highlights of this initiative.

Rhoades explains how UPHP is teaming up with roughly 25 different primary care practices across the U.P. and promoting the campaign throughout the Upper Peninsula. The overall goal is to make sure area children get the regular health care they need for a healthy future. The campaign runs through August 31st and there will be prizes for the provider practices that can get the most kids through the door as well as drawings for the kids who go in and get the care they need.

LISTEN IN – UPHP Clinical Coordinator Chris Rhoades with more about the “Healthy Kids, Healthy Futures” initiative.
(Courtesy of Great Lakes Radio)

For questions or concerns please email HealthyKids@uphp.com.

UPHCS Supports Health Coach Certification of Healthcare Providers across the Upper Peninsula

This past March, UPHCS initiated a project funded through its HRSA Small Health Care Provider Quality Improvement grant to provide network partners the opportunity to become certified health coaches through the National Society of Health Coaches. Over the last 17 weeks, 16 trainees (RNs, LPNs, MAs) from nine different grant network partner clinics started working on the project.

Health coaching is the use of evidence-based skillful conversation, clinical strategies, and interventions to actively and safely engage clients in health behavior change. Promoting patient centered care and empowering individuals to better self-manage their health, health risk, and acute or chronic health conditions results in optimal wellness, improved health outcomes, lowered health risk, and decreased healthcare costs. Some of the key core competencies trainees attained through the National Society of Health Coaches certification program include:

  • Specialized, evidence-based health coaching skills of active listening, facilitating behavior change, and motivational interviewing
  • Understanding change readiness and societal influences on behavioral change
  • Goal setting processes and telephonic coaching techniques and best practices

The ultimate goal of this training project was to provide allied healthcare professionals across the U.P. with critical skills beyond their academic clinical training, degree, and credentials to better guide and support patients with acute or chronic conditions and/or moderate to high health risk.

Beginning in July, the newly certified health coaches will be further trained to panel manage a small “pilot” diabetic and/or hypertensive patient population. The panel management system will allow the coaches to actively monitor their patients’ preventative and chronic care needs. Health coaches will supplement their telephonic health coaching program by promoting patient participation in tobacco cessation, weight loss and maintenance, and stress management programs. Promoting the use of goal setting in current care management practices will ensure patients comprehend their care plans, and will allow healthcare staff to work collaboratively with patients on health care decisions to improve lifestyle choices and prompt behavior change. We will be measuring the impact of the health coach training program through patient satisfaction scores and clinical quality measures, which will be provided to us by clinic participants.

Health coaching gives healthcare providers a framework from which they can assist a patient to identify values, beliefs, and concerns that may support or hinder lifestyle change and one’s responsibility for health, wellness, and recovery. Health coaching replaces the traditional “do as I instruct you to do” model of healthcare and allows the patient to discover and explore why their ambivalence to health behavior change exists.

Please contact Claudia Chàvez-Krebs if you have any questions about the program.

Claudia Chàvez-Krebs, LPN
Quality Initiatives Program Coordinator
Upper Peninsula Health Care Solutions

(906) 225-7166

Visit https://www.nshcoa.com/ to learn more about the National Society of Health Coaches program.