Archived Implementation Updates: 2009

Special Implementation Update #65 (12/10/09)

• Payment Error Rate Measurement in NC
• Provider Verification & Credentialing
• PCP Development by TFC Providers
• Changes in SAIOP, SACOT, and ACTT
• CS Case Management Component
• CAP-MR/DD Update
• CABHA Service Array Clarification
  

Implementation Update #64 (11/23/09)
For updated documents go to the CABHA Index

• CABHA Flow Chart (page 1)
• CABHA Flow Chart (page 2)
• CABHA Letter of Intent
• CABHA Standardized Letter
• CABHA Letter of Notification
• CABHA Attestation Letter
• CABHA Description
• CABHA Process Review
• CABHA On Site Review Tool
• CABHA Desk Review Tool

Implementation Update #63 (11/2/09)
For updated documents go to the CABHA Index

• Critical Access Behavioral Health Agency
• ValueOptions Webinars
• PSR Transition for Recipients receiving PSR/CS
• CS with other Enhanced Services
• Psychiatric Evaluation for Level III & IV
• New Authorizations for Level III and Level IV
• Discharge/Transition Plans for Level III & Level IV
• PCP Development and Level II Program - IV
• PCP Development & Day Treatment Providers
• Service Provision Timelines for Endorsed Providers
• LMEs Billing Medicaid on behalf of Providers
• Provider Verification and Credentialing Activities

Attachment: CABHA Description

Implementation Update #62 (10/8/09)

• CSS Transition and NC-Topps
• Revised Discharge/Transition Plans for CSS/Level III & IV
• Medicaid-Funded Enhanced Services Ages 18-20
• Provider Responsibility for Retention of Records
• Endorsement Update
• Medicaid Enrollment Effective Date
• CAP-MR/DD Update
• Medicaid Reimbursement Rate Update
• Notice of Medicaid Identification Card Changes
  

Attachments

• Discharge Plan-Adult (revised)
  
• Discharge Plan-Child (revised 10/16/09)
  
• Record Storage Log
  
• CAP Attestation Letter
  
• Notice of Change
  
• Self-Direction in the Supports Waiver
  
• Guidance for Slot Actions

Special Implementation Update #61 (9/28/09)

• Case Management
• Community Support Update
• Clarification to Recipient Mailing

Special Implementation Update #60: Legislative Changes (9/14/09)

• Community Support and other MH/DD/SA Services
• LME Role in CS Service Transition
• Community Support Team
• Residential Level III & Level IV Services
• Case Management Workgroup
• Medicaid Card Changes
• Electronic Claims Submission
• Electronic Funds Transfer
• Medicaid Provider Payment Suspension Appeals
• State Funds Supplementing CAP-MR/DD Services

Attachments

• Attachment A
• Attachment B

Implementation Update #59 (8/4/09)

• CAP MR/DD Update
• Proposed Service Definition Revisions
• Role of the Licensed Professional in a CS Agency
• Establishment of DMH/DD/SAS Stakeholder Case Management Workgroup
• Community Support Steering Committee
• Residential Level III and IV
• Communication

Implementation Update #58 (7/9/09)

• Extension for Provisionally Licensed Services
• Extension of Sunset Clause for Nurse Practitioners
• Prior Authorization for CPT Codes 99408/99409
• Updated Outpatient Prior Authorization Form
• Facility Based Crisis & Mobile Crisis MMIS Edits
• DMA Budget Initiative Web Page
• CAP MR/DD Update: Nutritional Supplements
• Standardization of Local Provider Monitoring Tool
• Record Retention and Disposition Guidelines
• Implementation of UM by LMEs

Implementation Update #57 (6/1/09)
Peer Support Specialist Curriculum Guidelines

Implementation Update #56 (5/6/09)

• Revised Effective Date for ACTT Service
• Prospective Request = Initial Request
• Update to "Incident To" by Provisionally Licensed
• New Email and Mail Address for NEA Letters
• CSC Assumes DMA Provider Enrollment
• CAP-MR/DD Update: Psychological Evaluations
• Revision to Guidance on CS QP% Calculation
• Clarification of Licensed Professional Language
• EPSDT Request

Implementation Update #55 (4/3/09)

• CSC Assumes DMA Provider Enrollment
• Reimbursement of Behavioral Health Services
• Time Limit Overrides
• Completing POC and CNR Requests
• Authorizations for Recipient Transfer
• Utilization Review Update
• Revised Guidance for Endorsement Appeals
• Changes to DHHS Incident Reporting
• PCP Signature Page Check Boxes
• Clinical Coverage Policy 8A Q&A

Implementation Update #54 (3/2/09)

• DHHS Awards Replacement MMIS Contract
• Routing of NEA's for Endorsement Withdrawal
• CIS Providers 3 Year Re-Endorsement
• CSS Tiered Rates
• Posting CS SPA, Clinical Policy 8A & CSS
• Calculating CS QP Standard
• Professional Tx Services in Facility Based Crisis
• Targeted Case Management Rates
• CAP MR/DD Update
• Crisis Services Update
• Revised Record Mgt. and Doc. Manual
• Revised PCP and PCP Instruction Manual
• Revised ITR Form
• Residential Tx Requests via ProviderConnect
• Mental Health Provider – Claims Data
• DMA PI Staffing Announcements

Attachments

• A Guide for Transition Planning Money Follows the Person Project
• Transition Protocol for Individuals Moving from State-Operated Developmental Centers and Community ICF-MR Facilities to the Community Using Money Follows the Person
• Re-Endorsement Attestation Letter
• Risk Identification Tool Instructions
• Risk Issue Identification Tool
• Inpatient Treatment Report

Implementation Update #53 (2/3/09)
Revised POC Policy; Accreditation Clarification; Retro-Eligibility for In-Patient Services; CAP-MR/DD Update; Service Requests Available via ProviderConnect; LME UM Project

Implementation Update #52 (1/14/09)
Community Support Memo (1/16/09)

Community Support Services Tiered Rates; Day Treatment  Rate Change; Provider # Changes to Completed Authorizations; Procedures for Change of Ownership; Reporting Withdrawal, Revocation or Suspension; Alternative Definitions & Performance Measures; Clinical Policy 8A Update; NC-TOPPS at a Glance Dashboard; Accreditation Update; Complete CAP-MR/DD Requests; CAP-MR/DD Update