How Well Do You Know Public Partnerships?

Public Partnerships: Department and Terminology Glossary

• Public Partnerships is an organization that provides financial management services for self-directed programs.

• The Account Management department is responsible for driving revenue and improving brand recognition through stakeholder engagement, client relationship management, and internal coordination.

• ADP is a provider of human resources management software and services.

• The compliance department ensures that Public Partnerships complies with legal and regulatory requirements and mitigates risks to appropriate levels.

• The Brand Ambassador function drives revenue and improves brand recognition through conference strategies, partnerships, and monitoring legal and regulatory environments.

• Consumer months represent the number of consumers served by a program on a monthly basis.

• The Corporate Accounting team manages the monthly accounting close process, accounts payable, cash management, and corporate tax filings.

• The Corporate Finance team is responsible for financial planning, analysis, revenue and pricing, and other corporate financial oversight responsibilities.

• The Data Analytics team provides operational reporting, data analytics, and client reports.

• Fiscal/Employer Agent and Agency with Choice are models for self-direction that offer varying levels of authority and control for program participants.

• Electronic Visit Verification verifies visit activity for in-home and in-community care services to ensure individuals receive authorized care and services.

• The Human Resources team supports PPL's people operations, including recruitment, onboarding, benefits, and compliance.Public Partnerships LLC: Key Terms and Departments

• Public Partnerships LLC (PPL) is a company that develops and executes human capital initiatives.

• PPL operates in New Jersey, Tennessee, and West Virginia, providing tools and direct support to participants self-directing their services.

• The company has several departments, including IT Operations, IT Professional Services, Learning & Development, Marketing & Communications, National MCO Relations, and National State Relations.

• PPL also uses several software and systems, such as Microsoft SQL Server, Microsoft Teams, and Power BI.

• Participants are individuals with disabilities or chronic illnesses who are part of self-directed programs.

• Providers are the care/support workers who provide paid support/care for participants.

• Medicaid is a joint federal and state public assistance program for financing health care for low-income people.

• PPL's Medicaid Billing System (MBS) is in-house software used to import payroll data and format it into 837 EDI or Excel voucher files.

• PPL's Payroll & Tax area is responsible for processing payroll and agency payments for the entire PPL portfolio.

• The company's Product Development team is responsible for establishing, maintaining, and governing the PPL IT development practice.

• The Learning & Development team provides world-class learning opportunities to all PPL functions and employees.

• PPL's National MCO Relations function advises PPL business units on tactical issues that impact Managed Care Organizations (MCOs).Acronyms and Terminology Used in Public Partnerships

• Public Partnerships LLC (PPL) uses various modifiers associated with a service code, including those permanently associated with a code, time-of-day, event type, waiver type, additional utilization approved, and modifiers that alert the client that the claim is from PPL.

• PPL establishes a separate non-interest-bearing account for managing service funds for a new project, while the corporate cash accounts are kept separately and referred to as admin accounts.

• The service plan is a written document that specifies the services and supports furnished to meet the preferences, choices, abilities, and needs of the individual, and that assist the individual to direct those services and supports and remain in the community.

• SharePoint is a web-based collaborative platform that integrates with Microsoft Office, primarily sold as a document management and storage system, but the product is highly configurable, and usage varies substantially among organizations.

• Skill Port is a PPL learning portal designed to serve the learner and create the support the learner needs to build skills that will positively impact his/her career and the success of PCG.

• Skype for Business is an instant messaging client used with Skype for Business Server or with Skype for Business Online, primarily used as enterprise software.

• S.M.A.R.T. refers to goals that are Specific, Measurable, Attainable, Relevant, and Timed.

• Technical Architecture Department and Technical Product Owners are responsible for driving business agility through strategic and tactical technical direction setting and enforcement with the supporting architecture – application, data, infrastructure, and security.

• Support Broker is a PPL employee role that assists individual participants and their families with enrollment paperwork and offers additional support due to their social work background and experience.

• Support Tickets (ST) is an internal-only application available through the BetterOnline™ portal for PPL customer service to log calls/track issues.

• A Medicaid waiver is a provision in Medicaid law that allows the federal government to waive rules that usually apply to the Medicaid program, with the intention of allowing individual states to accomplish certain goals, such as reducing costs, expanding coverage, or improving care for certain target groups.

• The RCM model is a revenue cycle model that incorporates service advance and service reimbursement through a payroll voucher (Excel format), without involving 837.