Embed Size (px)
Citation preview
ValueAdded
This is the 164th issue of our VBH-PA information update. These updates will be emailed to all network providers monthly. Please feel free to share our newsletter with others, and be sure your appropriate clinical and financial staffs receive copies.
Insidethisissue
Guest Account Password Reset .. ................. 2 Electronic Submission of CCASBE‐LD Evals .............. 2 Provider Forum ..……..……… 2 STAP ..................................... 3 Mobile Therapy Best Prac ce Guideline ............... 3 5th Annual NW3 Members Forum ................................... 4 Domes c Abuse Later In Life .................................... 5 NEW Website Updates ............................... 5 Leadership in Recovery Nomina on Form ................. 6 Consumer Forum Exhibitor Registra on .......................... 8 WPIC Videoconferences ....... 9
DPW Provider Enrollment Applica on Requirement ...... 10
Providers of all levels of care and services need to remember that per our
on-line VBH-PA Provider Manual, Section IV: Participating Provider
Responsibilities, Reporting Adverse/Critical Incidents, “Notification to VBH-PA that an adverse/critical incident has taken place must be done
telephonically or by facsimile to a Service Manager or other VBH-PA staff as
soon as reasonably possible, but ideally within 24 hours. Written supplemental
notes or a copy of clinical records may be requested. Please use the VBH-PA
Critical Incident Log to report all occurrences.” This Provider Manual provision is incorporated by reference into your Facility or Practitioner
Agreement, rendering a failure to report a possible basis for sanctions under
the Agreement.
It should also be noted that it is a requirement of the Pennsylvania
Department of Public Welfare (DPW), HealthChoices Behavioral Health
Program, Program Standards and Requirements, that VBH-PA have a written
Quality Management Plan that addresses the quality of the provider network,
including the reporting of adverse/critical incidents. And further, that VBH-PA maintain procedures for response, reporting and monitoring of significant
member incidents for trend and case analysis, and that VBH-PA make incident
records and reports immediately available to DPW upon request.
VBH-PA is hoping to heighten provider awareness of the requirement to
timely report adverse/critical incidents and to enlist your cooperation in doing
so. Should you have any questions regarding this requirement, please contact
your Provider Field Coordinator by calling our toll-free Provider Line at 1-877-615-8503. Your voluntary compliance with this reporting requirement is very
much appreciated.
Vol.15Issue2February2013
Reporting Adverse/Critical Incidents
2 ValueAdded—February 2013
Join Us for a Provider Forum!Join Us for a Provider Forum!
Value Behavioral Health of PA and Pennsylvania Mental Health Consumers’ Association present
“Welcoming and Affirming Practice: Lesbian, Gay, Bi-sexual, Transgender, Questioning, Intersex (LGBTQI) and Cultural Competence”
Friday, April 12, 2013 • Doubletree Hotel, Monroeville, PA
CEUS will be offered. Click here for more information and training registration.
Guest Account Users of CareConnect or ServiceConnect Password Reset Change
Please note that if you are a user of CareConnect or ServiceConnect with a guest account, the password reset process has changed. The ValueOptions Security Department has implemented a new policy on the password reset. Instead of contacting staff at the Value Behavioral Health of Pennsylvania Trafford Service Center, you must call the ValueOptions Technology Call Center (TCC) at 1-800-947-4108. You will have to wait to speak to an analyst, so please listen to the entire message. Provide the analyst with your User ID (D4XXXXXX) then ask them to reset your password. Staff can call the TCC Mon – Fri (7:00 a.m. – 9:00 p.m.).
If the account has been deactivated after 90+ days of inactivity, please contact James Friend at [email protected] or Al Mondragon at [email protected]. They will need to submit a new eSAR to get the staff person reactivated. If you are unsure if you have a guest account, the easiest way to tell is that your email address does not end with “@valueoptions.com”.
Electronic Submissions of CCASBE-LD Evaluations For your convenience, electronic submission of CCASBE-LD evaluations is available online. Please click the link below for details.
http://www.vbh-pa.com/provider/training/Comprehensive_Child_Adol_Evals_via_ProviderConnect.pdf
Please fax all documentation related to ACT 62 updates to the Claims Department at 1-855-842-1285. Please feel free to contact Customer Service at 1-877-615-8503 for assistance if you have any questions.
3
ValueAdded—February 2013
Mobile Therapy Best Practice Guideline The VBH-PA Clinical Advisory Committee recommends that the best practice guideline for Mobile Therapy (MT) involves no more than three hours of therapy provided per day. For situations where it is clinically indicated that additional hours of MT (in one day) is warranted, the CAFS Coordinator should be made aware of the situation. Periodically, VBH-PA will monitor adherence to this best practice guideline by conducting provider chart audits for this service.
Summer Therapeutic Activities Programs (STAP) Please consider summer plans when completing current evaluations for children.
If a child is currently receiving BHRS and has a current evaluation that recommends STAP, there may be no need for either an additional ISPT or a new evaluation specifically recommending STAP. STAP providers will maintain a staff ratio that will meet all of the members’ needs with no additional TSS. It will, therefore, be a rare occurrence that a TSS staff member will be authorized for attendance at STAP. Providers are required to obtain a letter of support from the county for whose children you plan to provide services. Service Descriptions will require approval from VBH-PA and OMHSAS. Mail complete packets for STAP (Evaluation, Evaluation Cover Sheet, ISPT Sign-In Sheet, Treatment Plan, Plan of Care, and Family Choice Form) for authorization to:
Value Behavioral Health of PA, Inc. (VBH-PA) 520 Pleasant Valley Road Trafford, PA 15085 Attention: Christina Bowman
Providers who are considering providing a Summer Therapeutic Activities Program in 2013 are required to submit a VBH-PA application for STAP. The STAP Summer Therapeutic Activities Program Application is on the VBH-PA website at: http://www.vbh-pa.com/provider/info/pr/STAP_Application.pdf. Applications, County letters of support and Service Descriptions for STAP are due to VBH-PA by March 30, 2013, Attention: Kimberly Kerr. Please be advised that all STAP program descriptions shall adhere to the Performance Standards for STAP Providers issued by Value Behavioral Health and all regulatory bulletins set forth by the Office of Mental Health & Substance Abuse Service. These standards and regulations must be reflected in both the STAP service description and your STAP program implementation. If you have any questions about STAP, please email or call Kimberly Kerr at: [email protected] or (724) 744-6554.
4
ValueAdded—February 2013
The 5th Annual
“Acknowledging
the Journey” NW3 Members
Forum was a
great success
w i t h 1 8 0
i n d i v i d u a l s checking in on
November 8, 2012, at the Park Inn,
West Middlesex. The forum workgroup,
Lenore Collupy, Sally Deeter, David
Gaines, David Giles and Joan Jones
(assisted by Shelley Thomas, VBH PE&O Coordinator), planned, organized
and executed a well-received education
opportunity and Exceptional Award
ceremony. Participants also received
valuable information and cool “stuff” from 22 different vendors who exhibited
that day. Thanks Exhibitors!
Topics and presenters included Re-
Education Principles & Models by
Lynne Boley-Slavic, Tamara Shepard & P a n e l ; C h i l d & A d o l e s c e n t
Psychopharmacology by Dr. Manuel
Reich; Recovery! Not Because It is Easy
But Because WE Deserve It! by
Clarence Jordan; and Maximizing ALL
Aspects of Your Wellness! by Dr. Susan Maloney. Comments such as “One of the
best presenters on recovery that I have ever had
the pleasure of hearing speak;” “Loved how you
got personal with the audience;” “Creative &
Energetic;” “Great interaction with audience and the focus on child’s strengths!” were
evidence of the appreciation of the
audience.
The attendees identified the top
four future NW3 Forum topics by their completed evaluations: 1. serious
mental illness panel discussing
symptoms, coping skills and their
recovery; 2. anxiety attacks/panic attacks experienced by children, youth and
adults; 3. schizophrenia and coping; and
4. Parent-Child Interaction Therapy
(PCIT).
This year, the Exceptional Awards went to the following people:
CRAWFORD COUNTY
John Nadolny, Exceptional Individual,
nominated by Crawford County Human
Services and The Challenge Center. Victoria Hough, Exceptional Parent,
nominated by Stacy Gerber.
MERCER COUNTY
Peggy Weidler, Exceptional Individual, nominated by Community Counseling
Center. Nicole Daugherty, Exceptional
Parent, nominated by Family Behavioral
Resources.
VENANGO COUNTY
Jenetta Adams, Exceptional Individual,
nominated by The Challenge Center.
Tammy Shaw, Exceptional Parent,
nominated by Venango County
MH/DS/EI. Other Exceptional Award
nominees recognized at the event
were Patty Cook, Debra Sue
Cunningham, Amy Derlink, Randy
Fisher, Kim Gunn, Kim Huff,
Donna King, James Kneubehl,
Michelle Krider, Tom Powers and Ron Robinson.
A special thank-you goes out
to all NOMINATORS: CHAPS,
Community Counseling Center,
Crawford County Human Services, Family Behavioral Resources,
Mercer County Behavioral Health
Commission, Regional Behavioral
Consultants, Stacy Gerber, The
Challenge Center The Pointe,
Venango County Mental Health and Venango County MH/DS/EI!
Y o u r e f f o r t s m a k e
“Acknowledging the Journey” a
continued success!
Save the date for the 6th
Annual Acknowledging the
Journey NW3 Forum. It will be
held Thursday, November 14,
2013, at the Park Inn in West
Middlesex.
5th Annual NW3 Members Forum
Manuel Reich, DO, Associate Medical Director, VBH-PA; Peggy Weidler, Mercer Co. Exceptional Individual Winner; Laverne Cichon, CEO, VBH-PA
“Re-Education Principles & Models” Panel
WEBSITEUPDATES
A new feature to ValueAdded this year is the reporting of updates to our website. Look for this column in our monthly newsletter for information recently posted to www.vbh-pa.com. Recent updates to www.vbh-pa.com include: Nomination Form
for 13th Annual Consumer Recovery Awards
13th Annual Consumer Recovery Forum Exhibitor Registration Form
.
5
ValueAdded—February 2013
For more information, visit: http://www.ncall.us/.
Domestic Abuse in Later Life
This information is available in Spanish. Call our toll-free number at 1-877-615-8503 to request it. Esta información está disponible en español. Llame nuestro número gratis en 1-877-615-8503 para solicitarlo.
6
7
8
ValueAdded—February 2013
9
Suggestions or ideas for articles that you would like to see published in ValueAdded can be faxed to Kim Tzoulis, ValueAdded Editor, at (724) 744-6363 or emailed to kimberly.tzoulis@ valueoptions.com
Articles of general importance to the provider network will be considered for publication.
Value Behavioral Health of PA, Inc. 520 Pleasant Valley Rd Trafford, PA 15085 Phone: (877) 615-8503 Fax: (724) 744-6363
ValueAdded—February 2013
VBH-PA is pleased to announce that our service center will once again be a videoconferencing site for the WPIC Office of Education and R e g i o n a l P r o g r a m m i n g videoconference series. These programs are free of charge and there are NO fees for continuing education credits.
The videoconferences are held from 9:00 a.m. to 11:00 a.m. in the Walnut Room at VBH-PA’s Trafford Service Center. You are invited and welcome to attend*.
F o r C E U i n f o r m a t i o n , registration information, and complete descriptions of these trainings, please click here.
Upcoming Videoconferences: February 13—An Ethical Code
from a More Civilized Time: The Impact of Media on Ethical Standards (this program runs until
Noon)
February 27—Electroconvulsive Therapy(ECT)
March 13—Cultural and Linguistic Considerations for a More Effective Behavioral Health Delivery Model for Latinos
March 27—Behavioral Treatment of Obesity with Mental Health Clients
Registration:
To register for these trainings, please visit the ValueOptions Provider Trainings Web page.
Select Pennsylvania from the state dropdown list (DO NOT change any of the other fields) and then click on Select. Scroll down the screen and put a check mark in the box next to the event(s) and then hit Register. Phone-in registrations will not be accepted.
Winter 2013 WPIC Videoconference Series
*Please Note: These videoconferences are NOT webinars. You must be in attendance at the Trafford Service Center to view these videoconferences. VBH-PA is one of many sites offering this opportunity. Please click here to view all locations offering this videoconference series. To register with another location, please contact the coordinator for that site.
10 ValueAdded—February 2013
Effective January 21, 2013, the Department of Public Welfare (the department) will only accept the current version of provider enrollment applications available on the department’s Enrollment Information web page at the following link:
http://www.dpw.state.pa.us/provider/promise/enrollmentinformation/S_001994 Any previous version received will be discarded. The current version of all provider applications contains the most recent updates and requirements to be enrolled as a Medical Assistance (MA) provider. Previous versions will not contain these updated fields/requirements. When a new enrollment application version is posted to the web site the department will honor those applications already received and on file with the Provider Enrollment section, Office of MA Programs.
Check the department’s website often at: www.dpw.state.pa.us/
Thank you for your service to our Medical Assistance recipients. We value your participation.
** Please Note: This only applies to base enrollment and it only applies if you have any new business that needs to be enrolled or changed because
DPW updated forms. **
BFFS 1/13 MA 548
PROVIDER QUICK TIPS
Provider Enrollment Application Requirement effective
January 21, 2013
