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Rosarium receives a referral from the health plan, Care Manager family member, physician or may contact us directly. Once a referral is received, the Rosarium team works with the Member, referral source, health plan, network clinicians and contractors to move the project to completion in a timely manner. Once a job is approved by the Health Plan, the modifications can be completed within 30 days. Because Rosarium controls the end to end process, there is no fragmentation, the Member is satisfied with a quality job.

We have a team that diligently works to identify current and new referral sources affiliated with the Health Plan, such as participating Care Management companies, FQHC’s, hospital systems and community service providers. Rosarium builds strong relationships which results in more members receiving the home modification benefits they need and deserve.

Rosarium has a unique business model, unlike any other home modification provider. Our credentialed, independent network of specially trained physical and occupational therapists and contractors work together as a team, along with our internal clinicians, to ensure the quality outcomes the health plan expects of their network providers.

Rosarium has network providers in 32 states. When we sign a contract with a health plan, our network team evaluates and enhances our network based on the health plan’s service area. We are continually monitoring the network to meet network adequacy standards.

Rosarium Health supports multicultural and multilingual member populations by matching members with a culturally reflective provider network and embedding cultural humility throughout the home modification process. We recruit clinicians and home modification contractors who mirror the demographic diversity of the plan’s local membership.

You should verify that the member is covered by a health plan that Rosarium hold a contract. Then you follow the health plan’s required referral process. If you are unsure or have questions, you can always contact Rosarium at 855 650-0632

Rosarium collaborates closely with the referral source, providing updates and engaging them when we need help with a member issue, getting landlord consent and/or doctor’s orders. We also report any gaps we identify during our assessment related to Social Determinants of Health, equipment needs or referral to other community support organizations.

Occasionally a recommended modification is unable to be performed due to the cost above the benefit, structural issues, lack of the required space or refusal of the landlord to consent if the home is rented. But the Rosarium contractors are well versed in available alternatives, so this does not occur often.

Depending on the health plan requirements, a modification can be completed within 30 days or less once approved. The required pre-authorization, including the assessment, contractor bid(s), landlord consent if the member is a renter and doctor’s orders can take time but we do our best to keep this process moving in collaboration with the referral source.

The best way to get this information is to contact the health plan. Not all health plans offer the same benefits.

An individual that has multiple debilitating conditions, frequently falls, is unable to perform ADL’s due to accessibility issues or safety issues are identified in the home would be a candidate for an assessment to identify home modification needs.

If you are a licensed Physical or Occupational Therapist with experience in the home environment, you may log onto Rosariumhealth.com, complete the application and upload the required documents. Rosarium will perform the credentialing process and if your license is in good standing, you have liability insurance and meet any state requirements, we send you a contract. Then you will go through the onboarding process, which includes contractual requirements, how to complete the Rosarium Assessment, and how to navigate our platform to accept or decline a referral, access the assessment and upload it once complete.

Rosarium has staff dedicated to supporting our clinician network. You will have all the contact information to access our staff when you need help.

Rosarium is developing training modules for clinicians that will help them further develop their knowledge and skills. Some of these programs provide CEU’s.

During the onboarding process, you will be provided the information to set up your account for payment. You will be paid promptly once you complete an assessment and it is approved.

Payment amounts vary depending on the payer. Once you join the network and are offered an assessment, the amount you will be paid is on the referral. When you are offered a referral, you have the option to accept or decline. We understand that there are situations where you are unable to accept a referral.

If you are a licensed contractor or vendor that supplies services needed to provide home modifications, are licensed and insured based on state requirements and want to help the aging and disabled, you may consider joining our network. Many contractors have extra training on aging in place, and want to utilize this knowledge.

Log onto Rosariumhealth.com and access the contractor application. Complete the application and upload all the required documents. Once you pass the credentialing process, you will receive a contract to sign. After this, you will go through the onboarding process that covers contractual requirements, and how to utilize our platform through the bid process.

Rosarium has a team that supports network contractors. You will be provided the contact information so you will always have someone available.

You will utilize the Rosarium platform to accept the referral and upload a bid. Rosarium will review the requirements for documenting a bid. Once the bid is received, it takes time before you receive approval: Rosarium must gather required documents such as landlord consent if the member rents their home, and doctor’s orders. This documentation, along with your bid and pictures, is submitted to the payer for approval. Once approved, you receive notification of the approved services and can contact the member for a date to get started.

When a job has been completed and you submit your invoice, Rosarium outreaches to the member to ensure they are satisfied. Once this has been completed the invoice is submitted for payment. Rosarium strives to pay an invoice as soon as possible, understanding the contractor needs their money.

No, if your health plan offers a home modification benefit, you will have a specific amount of money available to do medically necessary home modifications that address safety and accessibility issues.

Rosarium will be able to provide this information or you can contact your health plan.

Once you are referred to Rosarium by a Care Manager, your physician, or even by contacting Rosarium directly, we will be sure you are eligible and have the benefit. Then we call you to be sure you consent to accessing the benefit and get some additional information about your health, you will be contacted by a Physical or Occupational Therapist. They will come to your home and evaluate for safety or accessibility risks, and talk with you about some recommendations for modifications. Then a contractor will contact you and come to your home to evaluate how much the modifications will cost and prepare a bid. Once Rosarium has the required paperwork, it is submitted to the health plan for approval. Once approved, Rosarium will notify you and the contractor, and the work can be started.

The things that may impact getting the modifications you may want or recommended by the clinician may not be possible due to the cost over the benefit limit, structural or other problems identified by the contractor, your physician or landlord consent (if you rent your home) or the insurance denying the services. Rosarium works with their contractors to identify the most cost effective solution so your home can be made safe and accessible.

The time to complete a home modification varies and is based on the requirements and approval from your health plan. Our network providers work very hard to do their job on the front end and the Rosarium team ensures all the documents required by the health plan as timely as possible. Once the health plan approves the bid, the modification can be completed in 30 days or less.