Slide 1: One Care Implementation Council
United Healthcare
April 9, 2024
Slide 2: Flexible Benefits
Flexible Benefits are individualized based on an Enrollee’s needs and goals, and in accordance with an Enrollee’s Care Plan. 

We make sure the benefit adds value, including by promoting independent living or recovery, positively impacting outcomes, or addressing barriers to achieving goals in the Enrollee’s care plan.
Slide 3: Process – Built into Care Coordination process
Note: Behind the words on this slide there is a picture of two people racing in arm-controlled three-wheel racing tricycles.

•	Comprehensive Assessment/ICP Development
•	Identifies need and collaborates with member/ICT
•	Evaluates available options
•	Processes request
•	Follow up with Member
Slide 4: Design of Process - CMFI inspired
Person Centered
•	Based on individual needs
•	Consistent with Care Plan

Empowering Care Coordinators
•	Able to provide directly – no PA required
•	Increased approval threshold
Slide 5: Resources
Note: before this language is clip art picture of a group of people. 

Education to staff (care coordinators/LTSC)
•	- New staff required to take State mandated trainings
•	- Internal trainings during onboarding
•	- Reviewed during team meetings/open office hours
•	- Standing agenda on weekly clinical rounds

Note: before this language is clip art picture of two people sitting at a table.

Educate members
•	- Included in Member Handbook
•	- Discussed during assessment process and ICP development
Slide 6: Flex benefit utilization
Note: the following items are shown in a flowchart within shaded rectangles with arrows pointing from one to the next.
•	Documented in member’s chart and care plan
•	Care Coordinator follows up with Member
•	Reported to MassHealth through encounters data
Slide 7: Thank You