NC MHDDSAS: Enhanced Services Implementation Updates

Enhanced Services Implementation Updates pertain to enhanced benefit services and are jointly approved by the Division of Medical Assistance and the Division of Mental Health, Developmental Disabilities, and Substance Abuse Services.

7/18/08	Implementation Update #46 Legislative Changes to Community Support Services \| Appendix A
7/07/08	Implementation Update #45, 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, and NEA Forms
6/2/08	Implementation Update #44 Case Management Workgroup, CAP-MR/DD Update, Unmanaged Visits for CS, Retro-Eligibility Authorizations, CS 25% Clarification, National Provider Identifier, "Incident To" Implementation
5/5/08	Implementation Update #43 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
4/7/08	Implementation Update #42: 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
3/6/08	Implementation Update # 41 Revised Community Support Service Definitions for Children and Adults, CAP-MR/DD Waivers, DMA Enrollment Packets, Denial Letters, Reminder on Scheduling Appeals
2/18/08	Implementation Update # 40 Extension of Transition Period until October 31, 2008 for CAP-MR/DD Services and Supports Provided by Guardians and Family Members.
2/6/08	Implementation Update #39 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 \| DRAFT Appendix A Community Support Comprehensive Service Provider Corporate Endorsement Standards
1/8/08	Implementation Update #38 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
12/3/07	Implementation Update #37 Medicaid Billing Errors and Modifiers, Appeals and Authorizations, Endorsement Policy Revision, Attachment Disorder Guideline Development, and Staff Qualification Guidance
11/5/07	Implementation Update # 36 Changes to Implementation Updates, Community Support Service, Comprehensive Clinical Assessment, Training and CAP-MR/DD Endorsement
9/21/07	Implementation Update #35 Technical Amendment 4 Criteria Checklist for Legal Guardian of Person Technical Amendment - Plan of Care
9/10/07	Implementation Update #34 Various Updates
9/10/07	Implementation Update #33 Full Endorsement of providers of MH/DD/SA Services \| Find the approved policy on the Provider Endorsement Page
7/13/07	Implementation Update #32 Accessing Care and Other Topics \| Accessing Care Flow Chart
7/3/07	Implementation Update #31 Clarification Regarding Specialized Equipment & Supplies, Supervision of Personal Care for CAP-MR/DD and CAP-MR/DD Rate Changes
6-14-07	Implementation Update #30 Full Endorsement of Providers of Community Intervention Services
5/21/07	Implementation Update #29 Extension of Provisionally Licensed Providers Delivering Reimbursable Outpatient Therapy Services
4/27/04	Implementation Update #28 DHHS Rate Review Board Revisits CS Rates
4/24/07	Implementation Update #27 Revised Community Support Authorization Criteria
4/20/07	Implementation Update #25 Update on Rate Changes for Community Supports
4/12/07	REVISED Implementation Update #25 Revised Community Support Rates
4/12/07	Implementation Update #26 End of the Transition Period for Provider Endorsement and Revised Documents for the Endorsement of Community Support Providers Type of Business Entities Guidance for Implementing Core Rules Community Support - Adult Community Support - Adult Endorsement Check Sheet Instructions Community Support - Child Community Support - Child Endorsement Check Sheet Instructions
4/5/07	Implementation Update #25 Revised Community Support Rates
2/27/07	Implementation Update #24 Revised CAP-MR/DD Family/Guardian Service Provision Policy - Attachment
2/21/07	Implementation Update #23 Various Clarifications Related to CAP-MR/DD Waiver
12/20/06	Implementation Update #22 Extension of Implementation Date of CAP-MR/DD Waiver Changes
12/18/06	Implementation Update #21 Transportation and Rate Reviews
12/12/06	Enhanced Services Implementation Update #20 Child Residential Services - Enrollment in the Medicaid Program December 18, 2006 DEADLINE!
10/27/06	Enhanced Services Implementation Update #19 Clarification Regarding Family Members as Paid Providers under CAP-MR/DD Waiver
10/24/06	Enhanced Services Implementation Update #18 Targeted Case Management Enrollment
10/23/06	Enhanced Services Implementation Update #17 Various Clarifications
10/20/06	Enhanced Services Implementation Update #16 Transportation Costs-update
8/31/06	Enhanced Services Implementation Update #15 CAP-MR/DD and targeted Case Management (TCM) Services Authorization through ValueOptions
8/10/06	Enhanced Services Implementation Update #14 Uniform Screening and Registration \| Word Version (fill out on computer) Word Version of Registration Form (print and fill out)
8/3/06	Enhanced Services Implementation Update #13 CAP-MR/DD
7/13/06	Enhanced Services Implementation Update #12 Value Options Implementation
7/10/06 Updated 9/11/06	Enhanced Services Implementation Update #11 Clarification of Various Topics PCP Form in Word Format \| PDF Format \| Instructions New Attachment to PCP Form: Person-Centered Plan (PCP) Consumer Admission Form and Instructions: Word (Fill out electronically) \| Word (Fill out by hand) Some data elements have been moved from the PCP to this new attachment.
7/6/06	Enhanced Services Implementation Update #10 Courses which Satisfy the Training Requirements for Service Definitions
6/30/06	Enhanced Services Implementation Update #9 Billing for Medicaid Services for which Direct Enrollment with DMA is not yet Possible
4/28/06	Enhanced Services Implementation Update #8 Person Centered Plan* *Note: See PCP Form and New Attachment to PCP Form above (in Enhanced Services Implementation Update #11)
3/27/06	Enhanced Services Implementation Update #7 Provisionally Licensed Staff \| Attachment
3/6/06	Enhanced Services Implementation Update #6 Consumers Choice of Provider, Subcontracting, Caseload Ratios and Q&A \| Attachment
2/23/06	Enhanced Services Implementation Update #5 Developmental Therapy
2/21/06	Enhanced Services Implementation Update #4 Transition Services Authorizations, Service Orders, Additional Crosswalks
2/8/06	Enhanced Services Implementation Update #3 Crosswalk from Old Services to New, and Children's Services Issues
2/2/06	Enhanced Services Implementation Update #2 Medicaid-Elegible Consumers with Developmental Disabilities Receiving CBS \| PCS Talking Points \| Form DMA3000 \| DMA3000 Instructions \| Form DMA3000A
1/19/06	Enhanced Services Implementation Update #1 Introduction to Enhanced Services Implementation Updates