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Training and Capacity Building

The Training and Capacity Building Department offers in-person and virtual trainings, technical assistance, curriculum development, referral pathways, and other services that strengthen organizations’ and communities’ ability to address existing and emerging public health concerns.

The Umbrella Hub Organization provides a financially sustainable system for billing and receiving claims from Centers for Medicaid and Medicare, Managed Care Organizations, and other payers on behalf of community based organizations affiliates delivering National Diabetes Prevention Program Lifestyle Change Program.

In this role, HPC provides a sustainable payment model to support the UHO’s managed service costs as illustrated in this diagram. 

 

There are 3 categories of service that UHO performs:

 

Service One: Contracts Management

  • Maintains contractual agreements with national and other funding entities to support sustainable UHO.
  • Maintains CDC DPRP Full Recognition.
  • Establish and maintain contractual relationship and communication with data and claims software vendor.
  • Obtain and sustain provider enrollments with Centers for Medicaid & Medicare Services MDPP and state-specific Medicaid offices.
  • Negotiate, establish, and maintain contracts with health plans on behalf of UHO affiliates including Medicaid Managed Care Organizations payer arrangements.

Service Two: Technical Assistance with National DPP Data and Claims Management

  • Monitor and assure quality of CDC Diabetes Prevention Recognition Program data.
  • Host interactive environment for participant and coach to share food journal, exercise logs, and uploaded device information like wi-fi scales and Fitbits.
  • Integrate potential clinical referrals to increase program demand and ease program delivery costs.
  • Submit claims with a quality control method.
  • Receive claims reimbursement on behalf of affiliates and disperse payments

Service Three: CDC Diabetes Prevention Recognition Program Liaison

  • Communicate with CDC on data submission, evaluation and compliance.
  • Guides affiliates’ performance improvement measures, e.g., attendance, weight loss, and physical activity.
  • Advocates for program access and utilization to meet the needs of a dynamic audience.