Effective October 1st, 2010 Mental Health Partners LME will cease use of the LME web portal as the method by which providers submit STR data and request Registration for consumers. Mental Health Partners will replace this program with a Registration and STR reporting program inside of the provider MCO/CMHC. This program will be the sole method through which providers can submit STR and/or request Registration of a consumer to the provider for services. As Registration is a necessary and critical functi... (View this full update)
Several changes have been made to the State Authorization Program based on the new MHP Benefit Plan 2010-2011 and to improve the procedure for consumers, providers and UM staff.
MAX HOURS/EVENTS FOR THE YEAR:
The Procedure Database has been changed to include the max hour/events allowed for the year. If the total hours/events requested during the year exceed the max for the year in the procedure database the request will pend for, MAXUNITS – YEARLY MAX UNITS EXCEEDED. The year sta... (View this full update)
THERAPEUTIC FOSTER CARE AND TARGETED CASE MANAGEMENT MEDICAID AUTHORIZATION DATA ENTRY
Description:
MHP requires Targeted Case Management, Therapeutic Foster Care, and Provisionally Licensed Outpatient Staff billing through the LME to key admission/authorization information into our CMHC/MCO system. This process was implemented in response to Value Options no longer mailing hard copies of the certification letters to the LME for those three aforementioned services.
In February 2010, MHP offered training to providers affected by this change in an effort to prepare providers for this process. A... (View this full update)
The following information is to serve as a reminder to providers regarding a few new NC-TOPPs updates implemented via the NC-TOPPs Implementation Guidelines for 2010-2011. The manual can obtained by clicking on the following link: http://www.ncdhhs.gov/mhddsas/nc-topps/interviewforms/nc-toppsguidelinesjuly10.pdf
Verification of Provider Agencies Any QP who signs up with a provider agency that is not currently in the NC-TOPPS system will need to be verified by the LME superuser before ... (View this full update)
CONSUMER DATA WAREHOUSE (CDW) DATA CLEAN UP THROUGH CMHC
Description:
Please note there are several important data reports and potential funding sources that rely on the accuracy of the Consumer Data Warehouse (CDW) data.
Therefore, it is crucial that there is a cleanup of any inaccurate data. In an effort to do this, CDW has been running reports on consumers that are active in the system and have not had any activity in 365 days or more. To gather this data, they looked to see if a consumer had Medicaid or IPRS claims, NCTOPPS, etc. within the past 365 days. <... (View this full update)
Please remember, Providers are required to report all Level 2 and 3 incidents into the IRIS system as this is a requirement that became effective July 1, 2010.
As with all electronic databases, the IRIS system may be unavailable from time to time. This is the message that will be displayed when a Provider attempts to get into the IRIS system and it is unavailable.
Additionally, if providers cannot key incident reports into the IRIS system within the 24/72 hour requirement because of ... (View this full update)
IMPORTANT INFORMATION REGARDING CMHC DATA ENTRY FIELDS AND CDW DATA CLEAN-UP
Description:
As discussed at the Provider Forum in early June, MHP has added the two new required state reporting fields to the client admission and discharge sections in CMHC. The first field will collect how many times prior to admission the client participated in self help activities and the second field will ask the same question at discharge. There are standard responses to both questions listed below:
• 01 No attendance in the past month • 02 1-3 times in past month (less than once per week) • 0... (View this full update)
NON-UCR BILLING WITH SERVICE DATES THROUGH JUNE 30, 2010
Description:
Please submit all of your Non-UCR billing with service dates through June 30, 2010 by Friday, July 9, 2010. If you have any questions, please feel free to contact Vanessa Clark at (828) 323-8039 or via email at vclark@mentalhealthpartners.org. (View this full update)
Please remember to send in the below report no later than July 31, 2010. Reports may be sent electronically to vanderson@mentalhealthpartners.org or mailed to:
MHP Customer Services 1985 Tate Blvd. SE, Suite 529 Hickory, NC 28602
Annual Client Rights Committee Report
Annual report of Client Rights Committee activities should be submitted to the Customer Service Unit at MHP within 30 days of the end of the LME fiscal year, July 31. The report should detail how the ... (View this full update)
Providers were originally notified on May 11, 2010, that effective June 1, 2010, there will no longer be an option to submit a paper SARF (request for authorization) using the MHP Web Portal. This option will be removed from the web portal on that day.
Providers that are utilizing this paper SARF (request for authorization) will need to do one of two things:
1. If submitting a retro-authorization request, submit your request through the normal CMHC request for authorization process... (View this full update)
