P.O. Box 653 Mechanicsville, VA 23111
         P.O. Box 653Mechanicsville, VA 23111

Many clients have reached out to us and asked for help with initiating an APPEAL... as their hours have been cut in a big way... we want to help and will do all that we can to assist you, but we're not the best persons for that, but have learned of an office that can help and  we want to share the information with you. Please give them a try.

 

 

The Office of the State Long Term Care Ombudsman is available to assist members and families with the appeal process, any issues that individuals need help with regarding their CCC Plus health plan. They are also known as CCC Plus Advocates, they do not work for the health plans or DMAS, they are an independent entity.

 

The contact information for the CCC Plus Advocate is

Susan Johnson

804-662-7162

susan.johnson@dars.virginia.gov

 

MISSION STATEMENT 
To provide Virginians high quality healthcare and supports by coordinating the benefits of Medicare and Medicaid into a single, person-centered program.

 

OVERVIEW 
Commonwealth Coordinated Care is a new initiative to coordinate care for individuals who are currently served by both Medicare and Medicaid and meet certain eligibility requirements. The program is designed to be Virginia’s single program to coordinate delivery of primary, preventive, acute, behavioral, and long-term services and supports. In this way, the individual receives high quality, person centered care that is focused on their needs and preferences.

 


The goals of this initiative include: improved quality and health outcomes, streamlined Medicare and Medicaid requirements, increased accountability, reduced burden for enrollees and providers, providing care in each individual’s setting of choice, and reduced avoidable services. Supplementary benefits will include care coordination, interdisciplinary care teams, and person-centered care plans.

 

For more information about the Virginia Medicaid "CCC PLUS" program, please click on the words, CCC PLUS highlighted herein or the appropriate bar below, by participating Insurance Company:

If you're having issues with your Consumer Directed Services account or payroll from PPL, please call your insurance company (who's phone number and care manager's name should be on the back of the insurance card that they mailed out to you) to see if your authorizations have run out.  If you do not know who your insurance company is, please call the Comfort Facilitators rep. assigned to you and ask them which company is assigned to you.

 

Please note that if your authorizations has ended, it is the insurance company assigned (one of the aboved) to your case that has to put the authorization back in system which updates PPL's system who cuts checks.  Normally, when authorizations run out, it the insurance company is awaiting documentation from the Service Facilitator (to speed up the process, call the rep. assign to you and let them know as the insurance company may not have advised us yet).  If there's a Medicaid issue, you may need to contact Medicaid to recertify your account which is normally required annually.  (PPL is only the payroll company and does not know the status of one's authorizations, so please do not expect them to give you the correct information as they do not know the status of the insurance company and/or Service Facilitator's process on your account.

 

ALL REQUESTS FROM THE INSURANCE COMPANIES FOR DOCUMENTATION MUST BE SENT VIA FAX OR EMAIL... PHONE REQUESTS ARE NOT GUARANTEED AN IMMEDIATE RESPONSE... MOST REQUESTS ARE ANSWERED WITHIN 3 BUSINESS DAYS.

 

Also, under the new guidelines, you can not opt in and/or out from one insurance company to another unless it's open enrollment, which is normally from October to December of each year.  If you're new to the program, you can change your insurance company within 90 days of the start of care date.

 

Click on Logistacare Link above to go to their website.

 

Contact Us Today!

Contact Numbers and Emails:

 

OWNER:

Charlotte@ComfortFacilitators.com

PHONE:  804/381-7199

 

OFFICE ASSISTANT-

HOME VISIT REP./SF:

(Richmond)

Auveon@ComfortFacilitators.com

PHONE:  804/928-7118

 

HOME VISIT REP./SF:

(Richmond & Hanover)

Jay@ComfortFacilitators.com

PHONE:  804/549-2424

 

HOME VISIT REP./SF:

(Chesterfield/Petersburg & Hampton)

Melody@ComfortFacilitators.com

PHONE:  804/549-8438

 

HOME VISIT REP./SF:

(Sandston, Westend & C'Ville)

Samantha@ComfortFacilitators.com

PHONE:  804/715-0816

 

HOME VISIT REP./SF:

(Richmond & Henrico)

Shyjae@ComfortFacilitators.com

PHONE:  804/878-0999

 

HOME VISIT REP./SF:

(Richmond/Charles City)

Tanika@ComfortFacilitators.com

PHONE:  804/212-2044

 

HOME VISIT REP./SF:

(New Opportunity Open)

Melissa@ComfortFacilitators.com

PHONE:  Pending

 

HOME VISIT REP./SF:

(New Opportunity Open)

OPEN@ComfortFacilitators.com

PHONE:  OPEN

 

 

 

MESSAGING LINE:

Please note that we understand that this number 804/212-2044 is having issues with continuous ringer and disconnects... we're considering a different provider and number... in the meantime, please contact your assigned Rep. or the office directly if you're new,  an insurance company or seeking general information.  Thank you.

 

Hours of operation:

Office Hours w/Phone Coverage: 

Mon. - Thurs.

9:00a - 2:00p

 

 

Home Visit Rep./SF

assigned to you: 

Mon. - Fri.

9:00a - 6:00p

 

(If you know who your "Home Visit Rep./SF is, they're often available to you seven (7) days a week and outside normal business hours.)

 

Charlotte Comfort, Owner

Mon. - Thurs. 

By Appointment Only

 

 

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