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(UTC-02:00) Coordinated Universal Time-02
(UTC-02:00) Greenland
(UTC-02:00) Mid-Atlantic
(UTC-01:00) Azores
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(UTC) Coordinated Universal Time
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(UTC) Casablanca
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(UTC+01:00) Brussels, Copenhagen, Madrid, Paris
(UTC+01:00) Sarajevo, Skopje, Warsaw, Zagreb
(UTC+01:00) West Central Africa
(UTC+02:00) Athens, Bucharest, Istanbul
(UTC+02:00) Beirut
(UTC+02:00) Cairo
(UTC+02:00) Minsk
(UTC+02:00) Harare, Pretoria
(UTC+02:00) Helsinki, Kyiv, Riga, Sofia, Tallinn, Vilnius
(UTC+02:00) Jerusalem
(UTC+02:00) Windhoek
(UTC+03:00) Amman
(UTC+03:00) Baghdad
(UTC+03:00) Kuwait, Riyadh
(UTC+03:00) Moscow, St. Petersburg, Volgograd
(UTC+03:00) Nairobi
(UTC+03:30) Tehran
(UTC+04:00) Abu Dhabi, Muscat
(UTC+04:00) Baku
(UTC+04:00) Port Louis
(UTC+04:00) Tbilisi
(UTC+04:00) Yerevan
(UTC+04:30) Kabul
(UTC+05:00) Tashkent
(UTC+05:00) Ekaterinburg
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(UTC+05:30) Chennai, Kolkata, Mumbai, New Delhi
(UTC+05:30) Sri Jayawardenepura
(UTC+05:45) Kathmandu
(UTC+06:00) Astana
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(UTC+06:30) Yangon (Rangoon)
(UTC+07:00) Bangkok, Hanoi, Jakarta
(UTC+07:00) Krasnoyarsk
(UTC+07:00) Novosibirsk
(UTC+08:00) Beijing, Chongqing, Hong Kong S.A.R., Urumqi
(UTC+08:00) Irkutsk
(UTC+08:00) Kuala Lumpur, Singapore
(UTC+08:00) Perth
(UTC+08:00) Taipei
(UTC+08:00) Ulaanbaatar
(UTC+09:00) Osaka, Sapporo, Tokyo
(UTC+09:00) Seoul
(UTC+09:00) Yakutsk
(UTC+09:30) Adelaide
(UTC+09:30) Darwin
(UTC+10:00) Brisbane
(UTC+10:00) Canberra, Melbourne, Sydney
(UTC+10:00) Guam, Port Moresby
(UTC+10:00) Hobart
(UTC+10:00) Vladivostok
(UTC+11:00) Magadan, Solomon Is., New Caledonia
(UTC+12:00) Auckland, Wellington
(UTC+12:00) Coordinated Universal Time+12
(UTC+12:00) Fiji Is., Marshall Is.
(UTC+12:00) Petropavlovsk-Kamchatsky
(UTC+13:00) Nuku'alofa
(UTC+13:00) Midway Island, Samoa
Cardinal Innovations Healthcare Barrier Submission Questionnaire
Please submit your contact information for additional details about the barrier/concern.
First Name
*
Last Name
*
Organization
Phone
*
Email
*
Describe the specific systemic barrier/concern. Please be as detailed as possible with your description.
EXAMPLE OF
COMPLETE
INFORMATION
EXAMPLE OF
INCOMPLETE
INFORMATION
The links to X resource(s) on the website did not work when I attempted to access them in X month of X year.
New links on website do not work
Enter the description of the barrier below:
*
Does this apply to a particular funding stream? If yes, please identify that funding stream.
State-Funded
Medicaid B Waiver
Medicaid C Waiver-Innovations
N/A
Does this barrier/concern apply to a specific service? If yes, please list the service(s) and service code(s).
EXAMPLE OF
COMPLETE
INFORMATION
EXAMPLE OF
INCOMPLETE
INFORMATION
In-Home Therapy Service (H2022 HE U5)
This concerns services rendered in the field.
Enter the description below:
*
Do you believe this barrier/concern is a Cardinal Innovations-wide barrier/concern, or is it specific to one or two Cardinal Innovations Regions? If it is specific to one or two Regions, please identify that Region.
Northern Region (Franklin, Granville, Halifax, Vance and Warren)
Central Region (Alamance, Caswell, Orange, Person and Chatham)
Triad (Forsyth, Davie, Davidson, Stokes, Rockingham)
Southern Region (Cabarrus, Mecklenburg, Rowan, Stanly and Union)
Across all areas
N/A
Does this barrier/concern adversely affect a specific group of members and/or providers?
Non-English Speaking
Minority Populations
Senior Citizens
LGBTQ Populations
Specify your own value:
Is this barrier/concern specific to service requests? If so, please provide examples (such as TAR#s) where this has occurred.
EXAMPLE OF
COMPLETE
INFORMATION
EXAMPLE OF
INCOMPLETE
INFORMATION
TAR ## 12345; 23456; 34567; and 45678 were denied as a result of this issue
All my TARs are being denied.
Enter the description below:
*
What is the estimated frequency of the reoccurrence of this barrier/concern?
(e.g. XX times weekly or XX times monthly)?
EXAMPLE OF
COMPLETE
INFORMATION
EXAMPLE OF
INCOMPLETE
INFORMATION
Based on my experience and the information that I have received from other providers, this problem began in 2018 and occurred on a monthly basis.
I've been told that providers encountered this problem a lot in 2018.
Enter the description below:
*
To your knowledge, has this barrier/concern been discussed with anyone at Cardinal Innovations?
Yes
No
I'm not sure
If the barrier/concern already has been discussed with Cardinal Innovations staff, please indicate with whom the issue was discussed and the approximate date of that discussion (If multiple discussions have occurred, please list the most recent date it was discussed). Please also indicate the current status of the barrier/concern.Innovations?
Employee Name
Date
Current Status
Please attach any documents which can provide further details or additional context related to this issue.
Attachments
Add Attachment
Select a file
Name
The maximum file size allowed is: 2047 MB
What is your desired resolution for this barrier/concern? this issue.
EXAMPLE OF
COMPLETE
INFORMATION
EXAMPLE OF
INCOMPLETE
INFORMATION
I would like Cardinal Innovations to create and publish a document explaining the requirements for XX process.
I want Cardinal Innovations to do something about this.
Enter the description below:
*