CMSA Today - Issue 1, 2018 - 12

MODEL ACT

REVISED CASE MANAGEMENT
MODEL ACT PROMOTES
NATIONAL STANDARDS
BY GARRY CARNEAL, JD, MA;
KATHLEEN FRASER, MSN, MHA, RN-BC, CCM, CRRN;
AND CHRISS WHEELER RN, MSN, CCM

ANDREA IZZOTTI/SHUTTERSTOCK.COM

A

t the heart of most population
health management programs
are trained professionals who
have accumulated years of
experience in coordinating
care, engaging patients and much more. As
we all know, those professionals are licensed
case managers.
Unfortunately, many outside the Case
Management of Society of America (CMSA)
are unaware of the critical role the professional case manager assumes in managing chronically ill and complex populations
and helping patients in transitions of care,
among many other services. Because case
management interventions are so dynamic,
these key services are sometimes overlooked or their services are not fully understood and valued.
Limitations in how case management
programs are sponsored or authorized
through legislation are also a challenge.
For example, many regulations associated
with the payer-based medical management
system are now outdated or limited in their
scope of services.1 Also, with over 5,000
case management laws and regulations
on the books at both the state and federal
levels, regulatory guidance can be confusing and fragmented.2

12

CMSA TODAY

Because of these and other challenges,
CMSA adopted the Case Management
Model Act (Model Act) in 2009 to help identify and standardize best practices, which
in turn can optimize clinical and financial
outcomes. Most recently, the CMSA Board
adopted the revised Case Management
Model Act after a six-month review process to ensure the most current definitions
and standards are being used.3 This new
2017 version of the Model Act builds
upon the original version, and has
been updated to reflect the
Standards of Practice for Case
Management, Revised 2016.

Issue 1 * 2018 * DIGITAL



Table of Contents for the Digital Edition of CMSA Today - Issue 1, 2018

President’s Letter
Association News
CMSA Corporate Partners
CMSA: Reflection on Achievement and Moving Forward in 2018
Revised Case Management Model Act Promotes National Standards
The National Nurse Act
Changes to the Nurse Licensure Compact (NLC): Critical Information for the Nurse Case Manager
The Reflection of a Professional Case Manager: What Do You See in Your Looking Glass?
Past Presidents Corner
Index of Advertisers
CMSA Today - Issue 1, 2018 - Intro
CMSA Today - Issue 1, 2018 - cover1
CMSA Today - Issue 1, 2018 - cover2
CMSA Today - Issue 1, 2018 - 3
CMSA Today - Issue 1, 2018 - 4
CMSA Today - Issue 1, 2018 - 5
CMSA Today - Issue 1, 2018 - President’s Letter
CMSA Today - Issue 1, 2018 - Association News
CMSA Today - Issue 1, 2018 - CMSA Corporate Partners
CMSA Today - Issue 1, 2018 - CMSA: Reflection on Achievement and Moving Forward in 2018
CMSA Today - Issue 1, 2018 - 10
CMSA Today - Issue 1, 2018 - 11
CMSA Today - Issue 1, 2018 - Revised Case Management Model Act Promotes National Standards
CMSA Today - Issue 1, 2018 - 13
CMSA Today - Issue 1, 2018 - 14
CMSA Today - Issue 1, 2018 - 15
CMSA Today - Issue 1, 2018 - 16
CMSA Today - Issue 1, 2018 - 17
CMSA Today - Issue 1, 2018 - The National Nurse Act
CMSA Today - Issue 1, 2018 - 19
CMSA Today - Issue 1, 2018 - 20
CMSA Today - Issue 1, 2018 - Changes to the Nurse Licensure Compact (NLC): Critical Information for the Nurse Case Manager
CMSA Today - Issue 1, 2018 - 22
CMSA Today - Issue 1, 2018 - 23
CMSA Today - Issue 1, 2018 - 24
CMSA Today - Issue 1, 2018 - 25
CMSA Today - Issue 1, 2018 - The Reflection of a Professional Case Manager: What Do You See in Your Looking Glass?
CMSA Today - Issue 1, 2018 - 27
CMSA Today - Issue 1, 2018 - Past Presidents Corner
CMSA Today - Issue 1, 2018 - 29
CMSA Today - Issue 1, 2018 - Index of Advertisers
CMSA Today - Issue 1, 2018 - cover3
CMSA Today - Issue 1, 2018 - cover4
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