Archived Implementation Updates: 2008

Special Implementation Update #51 (12/1/08)

• Rate Reduction for TCM
• DMA Procedures for NEA Withdrawal
• Reinstatement of Provider Numbers
• Reporting a Change in Provider Status
• ValueOptions Updates
• START Teams and Crisis Respite
• CAP-MR/DD Update
• PCP Form & Manual Revisions
• Provisionally Licensed Assessments 

Attachments

• CAP Monitoring Procedure
  
• Acknowledgement Letter

Implementation Update #50 (11/3/08)

• Submit CS Requests via ProviderConnect
• ValueOptions Customer Service
• DMA Deferral of Remaining Rate Increases & TCM Rate Reduction
• Attestation Letters for False Claims Act
• 2008 CS Medicaid Audits
• CAP-MR/DD Update

Attachments

• Attestation Letter II
• CAP Transition Requirements for New Modified Services

Implementation Update #49 (10/6/08)

• Medicaid Reimbursement: Psychiatric Reduction
• Reporting Change in Provider Status
• Enhanced Services Rate Changes
• IPRS Monitoring of CS 25%
• NEA Letters for 25% QP Requirement
• Money Follows the Person Program
• CAP/MR-DD Update

Attachment

• CAP-MR/DD Letter of Attestation (revised 10/13/08)

Implementation Update #48 (9/2/08)

• Billing reminders for CSS
• MOS for Adults receiving CSS
• Medicaid Payment and Billing issues
• Suspension of Medicaid Benefits
• Retrospective Reviews of Enhanced Services
• MMIS Upgrade for Adult Enhanced Services
• New EOB Codes
• Service Rate Changes
• Facility Based Crisis Services for Children
• CAP/MR-DD Update

Implementation Update #47 (8/4/08)

• CS Legislative clarification
• Contact information for VO
• Authorizations for TFC
• State funded services contract
• MOA clarification

Implementation Update #46 (7/18/08)

• Legislative Changes to Community Support Services

Attachments:

• Appendix A
• Community Intervention Services State Plan Amendment (updated 8/11/08)

Implementation Update #45 (7/7/08)

• Accreditation Update
• Community Support 25% Requirement
• Community Support Suspension
• Service Definition Workgroup Update
• CAP-MR/DD Update
• PCP Change for Court Involved Consumers
  Staffing Announcements from DMA
• Reporting Provider Changes, Common Billing Errors
• New Denial Code on EOB
• NEA Forms Clarification of Unmanaged Outpatient Visits
• Provisionally Licensed Billing Extension/NCCI

Attachments

• Revised Signature Page for Children & Adolescents involved in the justice system (8/1/08)
• Instructions (8/1/08)

Implementation Update #44 (6/2/08)

• Case Management Workgroup
• CAP-MR/DD Update
• Unmanaged Visits for CS
• Retro-Eligibility Authorizations
• CS 25% Clarification
• National Provider Identifier
• "Incident To" Implementation

Implementation Update #43 (5/5/08)

• Transition from State Operated Facilities
• De-Institutionalization Slot Allocations
• CAP-MR/DD Waiver Update
• Incident and Death Reporting
• NEA Withdrawal Routing; PCP Updates to ValueOptions
• Maintenance of Service: TFC and TCM
• Out-of-State Enrollment of Residential Services
• Provisionally Licensed Providers & “Incident To”
• Halfway House and Social Setting Detox Service
• NCI Professional Requirements
• New Service Rates

Implementation Update #42 (4/7/08)

• Community Support Definition Revision
• Community Support Service
  15/25% Qualified Professional Service Requirement
• Comprehensive Service Provider
• ValueOptions Liaison
• ValueOptions Web Portal - Provider Connect
• Intensive In-Home Service
• Using the Wrong Provider Number to Authorize Services, Cost Reports
• CAP-MR/DD: Plan of Care Submission to
  ValueOptions
• Clarification Regarding Six Month Authorization
• Development of Tiered Waivers
• Supports Intensity Scale Pilot

Implementation Update #41 (6/7/11)

• Revised Community Support Service Definitions for Children and Adults
• CAP-MR/DD Waivers
• DMA Enrollment Packets
• Denial Letters
• Reminder on Scheduling Appeals

Implementation Update #40 (2/1/08)

• Extension of Transition Period until October 31, 2008 for CAP-MR/DD Services and Supports Provided by Guardians and Family Members.

Implementation Update #39 (6/7/11)

• CAP - MR/DD Waiver Update
• CAP-MR/DD Technical Amendment #4 Update
• Endorsement; Accreditation Update
• Community Support Comprehensive Service Provider
• Maintenance of Service
• Gaps in Service Authorization
• Person Centered Plan Updates/Revisions
• Four Requirements for Removal from Payment Withhold
• Look for the Guidelines on Conducting Self Audit for Community Supports Providers forms on the Forms page under Community Comprehensive Service Provider Self Audit Documents

Attachment

• DRAFT Appendix A Community Support Comprehensive Service Provider Corporate Endorsement Standards

Implementation Update #38 (1/8/08)

• DHHS Informal Hearings
• Authorization Appeals
• CAP-MR/DD Continuing Need Reviews
• CAP-MR/DD Waiver Update
• Information Needed by Value Options
• Removal from Payment Withhold
• Plans of Correction Resulting from Community Support Service Record Reviews
• Community Support Service Definition Update
• Providers Change of Location Clarification
• Revised Routing of NEA Withdrawal Letters
• National Accreditation Alert and State Contract Edit Window