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NC Department of Health and Human Services Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
 
 

Archived Implementation Updates: 2010

Current Implementation Updates

2009 | 2008 | 2007 | 2006

 

2010 Implementation Updates

Implementation Update #84

Special Implementation Update #84 (12/21/10) Revised

  • CAP-MR/DD Utilization Review

Implementation Update #83

Implementation Update #83 (12/6/10)
Summary of Implementation Update #83 (12/16/10)

  • Peer Support Services Implementation
  • FAQ on MH/SA TCM
  • Outpatient Opioid Tx Documentation
  • Behavioral Health Mobile Crisis Management
  • VO Request Submission Update
  • CST, IIH, & DT Claims after 12/31/10
  • Consumer Transition Update
  • Protocol for CABHA Personnel Changes

Implementation Update #82

Implementation Update #82 (11/12/10)
Summary of Implementation Update #82 (11/23/10)

  • CS Authorizations
  • Authorization Reminder for: CST, IIH, DT, CS
  • PRTF/In-Patient Authorization Request Forms
  • Adverse Determination Notification Changes
  • Additional SOC Training Site Added
  • CTS, IIH, Day Treatment Training Requirements
  • Utilization Review for CAP/MR-DD Services
  • CAP/MR-DD Residential/Home Support Services
  • Rules for CABHA Posted
  • Performance Bonds for CABHAs
  • Peer Support Service Status

Implementation Update #81

Implementation Update #81 (10/8/10)

Selection of the Next LME to Participate in the 1915b/c Medicaid Waiver


Implementation Update #80

Implementation Update #80 (10/5/10)
Summary of Implementation Update #80 (10/19/10)

  • Update on Unmanaged Visits for Children
  • Service Orders for MH/SA TCM
  • VO ProviderConnect Reminders
  • Level III/IV Independent Psych. Evaluations
  • Accreditation of TCM Services
  • MH/SA TCM Providers & NC-TOPPS
  • NC-IRIS Update
  • Self-Direction for CAP-MR/DD Supports Waiver

Implementation Update #79

Special Implementation Update #79 (9/29/10)
Special Implementation Update #79
(10/1/10) Revised
Summary of Special Implementation Update #79 (10/8/10)

  • CABHAs Providing MH/SA TCM
  • CABHA Enrollment Seminars Sept./Oct
  • FAQ for CABHA Enrollment
  • Provider Contractual and Legal Responsibility
    for Safeguarding Records
  • CABHA Transition Benchmarks
  • CST, IIH, DT, CS Re-endorsement
  • Endorsement Applications for CST, IIH, or DT
  • CABHA Attestation Letters Update

Attachments

  • Attachment 1 Medicaid /State-funded Consumer Discharge/Transition Plan
  • Attachment 2 NC Health Choice Discharge/Transition Plan
  • Attachment 3 Transition Worksheet
  • Attachment 4 Letters to Providers (revised ) The following articles were revised from the original posting of September 29th:  The transition plan within the CABHA Transition Benchmark Article and the Provider Letter were revised. Prior Authorization and Billing for MH/SA TCM  was clarified.

Implementation Update #78

Implementation Update #78 (9/8/10)
Summary of Implementation Update #78 (9/24/10)

  • CAP-MR/DD Update
  • Providers of TCM-IDD
  • Update on TCM-MH/DD
  • Medicaid Reimbursement Rate Update
  • CST Revised Limits
  • Medicaid Recipient Notifications
  • LME UR Update
  • UR Adverse Determination Letters
  • CABHA Transition Data
  • CABHA Business Ownership

Implementation Update #77

Implementation Update #77 (8/3/10)
Summary of Implementation Update #77 (8/12/10)

  • TCM for IDD
  • Update on MH/SA TCM
  • CABHA Monitoring
  • CABHA Enrollment Workshop
  • PA for Medicaid Funded Services in Durham & Eastpointe LMEs
  • AMHC Authorization Changes to ECBH
  • Update on New PA guidelines for Outpatient
  • NC START Annual Report
  • Income and Family Size Information
  • MOA Update
  • NEA Letter Update

Attachments


Implementation Update #76

Implementation Update #76 (7/8/10)
Summary to Implementation Update #76 (7/15/10)

  • Reporting provider Fraud and Abuse
  • Changes to Administrative Requirements
  • CAP-MR/DD Clinical Policy/Manuals & Technical Amendment Number One
  • Direct Billing for I/DD TCM Providers
  • Update on New PA Guidelines for Outpatient
  • CABHA Transition Updates
  • CABHA Review Process
  • Medicaid Enrollment for CABHA Applicants
  • Incident Response and Improvement System
  • Community Support Team Providers

Attachments


Implementation Update #75

Special Implementation Update #75 (6/30/10) Revised
Special Implementation Update #75 (6/29/10)
Summary of Special Implementation Update #75 (7/12/10)

A revision was made to article: Revised CABHA Letter of Attestation  Submission Process - see below:

In order for providers of CST, IIH, and Day Treatment to obtain CABHA certification on or before December 31, 2010 there must be benchmarks established to allow sufficient time for completion of the three stage review process.  Therefore, current providers of these three services that have not yet applied for CABHA certification, must submit a completed Letter of Attestation on or before August 31, 2010.   This deadline will provide adequate time for the DHHS to complete the desk review portion of the CABHA certification process by September 30, 2010. 

  • Transition Timeframe for Full CABHA Implementation
  • Revised CABHA Letter of Attestation Submission Process
  • Update on Subcontracting between a CABHA and Provider Agencies
  • Extension of Case Management Services under CSS
  • Update on CST, IIH and Day Treatment Training Requirements
  • CST Service Revised Rate and Effective Date
  • CST Revised Authorization Limit and Effective Date

Attachments


Implementation Update #74

Special Implementation Update #74 (6/7/10)

Selection of Next LME to participate in the 1915b/c Medicaid Waiver



Implementation Update #73

Special Implementation Update #73 (6/3/10)
Summary for Special Implementation Update #73 (6/11/10)

  • CABHA Enrollment, Authorization & Claims
  • New Authorization Process for Outpatient
  • CS Case Management Component
  • Revised Staff Training Requirements
  • CABHA Update
  • Provider Performance Report
  • PRTF Nursing Coverage
  • TCM Services for Individuals with DD
  • Accreditation for DD TCM Providers
  • CAP-MR/DD: Processing PCP Plans by VO

Attachments


Implementation Update #72

Implementation Update #72 (5/6/10)
Summary for Implementation Update #72 (5/14/10)

  • New VO Numbers Effective June 1
  • Records Management
  • Day Treatment Service Update
  • NC-IRIS Management
  • 1915 (b)(c) Waiver Update
  • TCM for Individuals with DD
  • Processing CAP MR/DD Plans/CNRs by VO
  • CABHA Verification Update

Implementation Update #71

Implementation Update #70

Implementation Update #70 (3/2/10)

  • Suspension of Mandatory Cost Reporting
  • CABHA Update
  • Impact of Merger & Acquisitions on Enrollment/Accreditation/endorsement
  • PSR Service Notes
  • Day Treatment Endorsement Checksheet
  • MOA for Child & Adolescent Day Treatment
  • New CTCM form for MR/DD Submissions to VO
  • Policy Changes for Case Management
  • Extension for Provisionally Licensed Billing
  • DMA Program Integrity contract with PCG
  • Payment Error Rate Measurement in NC
  • Medicaid Provider Payment Suspension
  • Census 2010

Attachments


Special Implementation Update #69

Implementation Update #69 (2/19/10)
RFA for 1915 (b)(c) Waiver Expansion


Implementation Update #68

Implementation Update #68 (2/2/10)

In Implementation Update #68 the article, Policy Changes for Case Management Services contains an error. Clarification will be provided in Implementation Update #69; however, in the interim please see the following link for guidance: http://www.ncdhhs.gov/dma/bulletin/pdfbulletin/
0210bulletincorrection.pdf

  • Records Management Web page Established
  • Child and Adolescent Day Treatment
  • IIH and CST
  • SAIOP and SACOT
  • ACTT Mid-size Team Physician Time
  • CS Case Management Component
  • Endorsement of Day Treatment, Community Support Team and Intensive In-Home
  • CABHA Physician
  • Provider Changes for Targeted Case Management
  • Policy Changes for Case Management Services
  • Revised PCP Format & One Page Profile |
    Related PCP documents are posted on the Person Centeredness page.
  • Important ValueOptions Updates
  • Residential Services Levels III & IV Updates

Implementation Update #67

Special Implementation Update #67 (1/29/10)
Psychosocial Rehabilitation Service Providers Only: Revised Person Centered Plan Format, Including the One Page Profile | Related documents are posted on the Person Centeredness page.


Implementation Update #66

Implementation Update #66 (1/5/10)
IVC Application Form
Final NEA Letter

  • Application Process for IVC Designation
  • Use of the Introductory PCP
  • ValueOptions ProviderConnect Updates
  • Accreditation for Residential Service Providers
  • Revised NEA Letter
  • Medicaid Waiver Amendment Submission
  • CABHA Clarification
  • Clarification on Procedures for Reviewing PA Requests & Obtaining Additional Information
  • Limits for Medicaid CM Services

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