MLTC: Non-Clinical Care Management Visit
Your Non-Clinical CM Visit: What to Expect
SMCS works with your health plan to complete a short visit at your home. Here’s what to expect and how to get help.
Call (844) 303-5958
Your visit at a glance
Your health plan works with SMCS to complete your Care Management Visit. We’ll contact you to arrange a date.
Program Requirement
This visit is required to maintain compliance in Healthcare Program.
Visit is typically only 5–10 minutes of your time
When the areas we need to check are accessible.
Usually 9AM – 2PM
This is the arrival window, not the length of your visit.
Video coming soon
A short guide to what you can expect during your Care Management Visit.
Before your visit
- A SMCS Coordinator will contact you at the phone number provided from your insurance plan.
- We’ll help you choose a date for your visit.
- We will confirm your home address and the best way to reach you if we cannot contact you using your current information.
- Note: The Surveyor needs access to the areas being checked. You do not need to make your home look different.
Need another date or have a concern about access? Call SMCS at 844-303-5958 so we can help.
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Meet your Surveyor
A trained SMCS rep, called a Surveyor, will introduce themselves and carry identification. Ask to see their ID before letting them in. They will also check your identification.
A short home check
The Surveyor looks at areas of your home and records information on a checklist. This may include walk paths, stairs, lighting, bathroom safety, emergency-safety items, and equipment you use.
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Recorded Information
The surveyor will record observations of the requested areas on the Insurance Plan's checklist. Please note, the surveyor will not record any medical information, but can place a request on the checklist to have a care manager contact you if there is a non-clinical matter to be addressed.
After your visit, SMCS reviews the information and sends the required details to your health plan.
This is not a test
The visit records conditions in your home for your care management team. You do not need to worry about a passing score.
See more about what we check
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Your safety
- Ask to see the Surveyor’s identification before letting them in.
- SMCS does not ask you to pay for the visit.
- SMCS does not ask for your Social Security card.
Something doesn’t seem right?
Do not provide payment or information that does not seem appropriate. Call SMCS to check the request.
Call (844) 303-5958Questions and answers
Select a question to read the answer. You can keep more than one answer open.
Scheduling your visit
Why do I need this visit, and how often?
If you are enrolled in a participating New York State Medicaid health plan, you may need a Care Management Visit every six months. Your health plan works with SMCS to complete it. Contact your health plan if you have questions about your requirements.
Can I choose an exact arrival time?
Appointments generally use a 9 a.m.–2 p.m. arrival window. Surveyors travel between several homes each day, so an exact time may not be available. Contact SMCS if you have a scheduling concern.
How do I reschedule?
Call SMCS as soon as possible so we can help you find another available date.
(844) 303-5958Inside your home
Which areas of my home will be checked?
The Surveyor may look at the overall layout and condition of your home, including:
- The type and layout of your home
- Bedrooms and general accessibility
- Entrances, exits, stairs, and pathways
- Lighting in rooms, hallways, entrances, and stairways
- Floors, carpets, and stairs
- Handrails and other safety features
- Bathroom and shower safety
- General cleanliness and conditions that could affect safety
- Safe storage of chemicals, flammable materials, and other hazardous items
- The presence of pets or other factors that may be relevant to the visit
What fall-safety items will be checked?
The Surveyor will also look for common fall hazards and features that can help you move safely around your home.
This may include checking for:
- Clear pathways through frequently used areas
- Nonslip mats in appropriate areas
- Items that you use regularly being within reach
- Adequate lighting, including nightlights where appropriate
- Safe stairs and secure handrails
- Accessibility features that may help you move safely through your home
What emergency-safety items will be checked?
The visit also includes a review of basic emergency-safety items and preparedness.
The Surveyor may check for things such as:
- Smoke and carbon monoxide detectors
- Emergency escape planning
- Personal emergency response equipment, when applicable
- Appropriate safety information when oxygen or other equipment is in use
- Awareness of what to do in an emergency
What equipment will the Surveyor record?
If equipment is present in the home, the Surveyor may document it as part of the visit. This can include items such as wheelchairs, walkers, canes, shower chairs, grab bars, ramps, hospital beds, oxygen equipment, or other durable medical equipment.
The Surveyor is documenting what is present as part of the required visit. They are not there to judge you or your home.
What changes or concerns should I share?
As part of the visit, the Surveyor may also document relevant changes or concerns, such as a recent fall, hospitalization, emergency room visit, urgent care visit, or other information that may need to be communicated to the appropriate care management team.
Do I need to prepare my home?
The purpose of the visit is to document the current conditions of your home. You do not need to make your home look different for the Surveyor.
The Surveyor simply needs reasonable access to the areas that are part of the required visit so the checklist can be completed.
If you have questions about what will be checked during your visit, please contact SMCS. Our team is here to help.
Do I need to stay with the Surveyor?
You may walk with the Surveyor during part of the visit. After showing the areas being checked, you may return to your usual activities while the Surveyor finishes.
After the visit and other questions
What happens to the information?
An SMCS Compliance Specialist reviews the completed survey. SMCS sends the required information to your health plan and keeps the survey according to its record-retention policies.
When will SMCS contact me again?
SMCS will contact you when your next visit is due, generally about six months after your previous visit.
What if the Surveyor’s tablet does not work?
The Surveyor may use a paper form if there is a technology or network problem. The visit and the information needed stay the same.
Need help?
Call us with questions or to reschedule your Care Management Visit.
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