Commonwealth Coordinated Care (CCC)

What is Commonwealth Coordinated Care?

Commonwealth Coordinated Care (CCC) is a new Virginia program that coordinates care for full benefit Medicare-Medicaid beneficiaries. As part of a CMS Demonstration Project, the Long-Term Care Ombudsman Program ensures CCC beneficiaries have access to person-centered assistance in resolving problems related to their care and services under CCC. Coordinated Care Advocates are available to assist CCC beneficiaries whether they reside in a long-term care setting or community setting.

Additional Information:

  • Getting Help with CCC – a one page contact/referral sheet for CCC Enrollees and Advocates
  • Department of Medical Assistance Services Website
  • How Do Coordinated Care Advocates Help?

    Commonwealth Coordinated Care Advocates provide the following services:

    • Provide assistance in understanding member rights, responsibilities and benefits;
    • Help beneficiaries to resolve problems with their CCC health plans or services;
    • Assist beneficiaries to access covered benefits, urgent needs for seniors and quality issues;
    • Be a resource for beneficiaries, family members and advocates;
    • Track problems reported and provide recommendations for quality improvement

    Listed below are some of the CCC issues with which the CCC Advocates might help:

    •  Enrollment and Disenrollment
    •  Continuity of Care
    •  Access & Information
    •  Access to Care Managers
    •  Covered Services
    •  Appeals and Grievances

    CCC Plans: Complaints & Appeals

    CCC Plans provide Member handbooks for all CCC members. If you or your doctor disagrees with a coverage decision made by your plan for a service, item or drug, the handbook describes how to appeal that decision.

    An appeal is a formal way of asking for a review of a decision or change for a service, drug or item. Plan members have 60 days to make an appeal and plans must answer this appeal within 30 calendar days.

    Members can also request a “fast appeal” and plans must give you an answer to your complaint within 72 hours.

    For additional information about complaints and appeals, contact the Office of the State Long-Term Care Ombudsman.

    Commonwealth Coordinated Care (CCC) Advocates

    Tidewater:

    Karin Roth, CCC Advocate
    DARS South Hampton Roads Office
    6340 Center Drive, Building 7, Suite 101
    Norfolk, VA 23502
    Email: Karin.Roth@dars.virginia.gov
    Phone: 757-451-7098
    Mobile: 804-624-1982
    Fax: 757-552-1130

    Area Served: Chesapeake, Gloucester, Hampton, Isle of Wight, James City, Mathews, Newport News, Norfolk, Northampton, Poquoson, Portsmouth, Suffolk, Virginia Beach, Williamsburg and York

    Central:

    Linda Hamrick, CCC Advocate
    Office of the State Long-Term Care Ombudsman
    Department of Aging and Rehabilitative Services
    8004 Franklin Farms Drive
    Henrico, VA 23229
    Email: Linda.Hamrick@dars.virginia.gov
    Phone: 804-663-7821 or 800-552-5019
    Fax: 804-662-7663

    Area Served: Amelia, Brunswick, Caroline, Charles City, Chesterfield, Colonial Heights, Cumberland, Dinwiddie, Emporia, Essex, Franklin City, Fredericksburg, Goochland, Greensville, Hanover, Henrico, Hopewell, King George, King William, Lancaster, Lunenburg, Mecklenburg, Middlesex, New Kent, Northumberland, Nottoway, Petersburg, Powhatan, Prince Edward, Prince George, Richmond City, Richmond County, Southampton, Spotsylvania, Stafford Surry, Sussex and Westmoreland.

    Statewide:

    Susan Johnson, CCC Advocate Manager
    Office of the State Long-Term Care Ombudsman
    Department of Aging and Rehabilitative Services
    8004 Franklin Farms Drive
    Henrico, VA 23229
    Email: Susan.Johnson@dars.virginia.gov
    Phone: 804-662-7162 or 800-552-5019
    Fax: 804-662-7663

    Area Served: All Areas

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