Tuesday, March 2, 2010

Implementation Update #70 was posted March 2

I am running a little behind, but just in case anyone missed it, Implementation Update #70 has been posted to the Division's web site and can be found here: http://www.ncdhhs.gov/mhddsas/servicedefinitions/servdefupdates/index.htm. There is information on:
• Suspension of Mandatory Cost Reporting For Rate Adjustments
• CABHA Update (The Centers for Medicare and Medicaid Services (CMS) have approved a State Plan Amendment (SPA) that will allow only Critical Access Behavioral Health Agencies (CABHA) to provide Intensive In-Home Services (IIH), Community Support Team (CST), and Child and Adolescent Day Treatment services effective July 1, 2010. There is also information about the continuum of care that will be expected from CABHAs and medical director exceptions.)
• Impact of Merger & Acquisitions on Enrollment/Accreditation/endorsement
• PSR Service Notes
• Child and Adolescent Day Treatment Endorsement Checksheet and Instructions
• MOA for Child & Adolescent Day Treatment
• New CAP/Targeted Case Management form for MR/DD Submissions to VO
• Policy Changes for Case Management (Limit of 3 hours per month for CAP/DA, CAP/Choice, CAP/C, CAP/MR-DD, Targeted Case Management for Persons with Developmental Disabilities, and Early Intervention. Six additional hours (24 units) may be available if needed for completing an assessment, completing a reauthorization or continued need review, or for a crisis/emergency situation. EPSDT may also necessitate additional hours. There is additional information about recipient due process.)
• Extension for Provisionally Licensed Billing
• DMA Program Integrity contract with PCG
• Payment Error Rate Measurement in NC
• Medicaid Provider Payment Suspension
• Census 2010

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