MCO Plan Matrix
Output to Outcomes (OTO)
Glossary of terms
TOOLS TO STRENGTHEN AGENCY INFRASTRUCTURE
Scroll down this page to learn about the following tools:
Billing Tool
Interactive FAQ Online
Caregiver's Guides Key Messages to Communicate in Services
CFTSS Productivity Tool Medicaid Managed Care Provider Readiness Assessment
Consultant Directory Mindfulness Guide
Documentation Workbooks MCO Plan Matrix
Electronic Health Record RFI/RFP Template Output to Outcomes
Employment Guide The P.E.N. Guide Family Alignment: The First 30 Day Checklist Revenue Cycle Management & Billing Tools
Five Questions as You Transition to Managed Care Session Feedback Forms
29-I Health Facility Billing Tool
Caregiver's Guides Key Messages to Communicate in Services
CFTSS Productivity Tool Medicaid Managed Care Provider Readiness Assessment
Consultant Directory Mindfulness Guide
Documentation Workbooks MCO Plan Matrix
Electronic Health Record RFI/RFP Template Output to Outcomes
Employment Guide The P.E.N. Guide Family Alignment: The First 30 Day Checklist Revenue Cycle Management & Billing Tools
Five Questions as You Transition to Managed Care Session Feedback Forms
29-I Health Facility Billing Tool
Custom Tools
BENCHMARK MODELING TOOL
The Benchmark Modeling Tool is an Excel based fiscal model designed for use by Outpatient clinics.
Click here to automatically download the BEAM benchmarking tool.
Click here to automatically download the BEAM benchmarking tool.
BILLING TOOL
An interactive UB-04 form that highlights the requirements for submitting a clean claim for each Managed Care Organization. Great for both first-time or experienced billing staff!
CAREGIVER'S GUIDE
Share these Caregiver's Guides with caregivers and families to help them better understand their children's experiences, conditions, and treatment.
- Caregiver's Guide to Children and Trauma
- Caregiver's Guide to Childhood Depression
- Caregiver's Guide to Conduct Disorders
- Caregiver's Guide to Childhood Anxiety
CFTSS Productivity Tool
Excel-based financial tool developed by CCSI to allow providers to identify their volume, service mix, productivity standards and operating expenses in order to structure their Children and Family Treatment and Support Services (CFTSS) in a manner that meets their outcome and quality standards and is financially sustainable.
Click to download:
Click to download:
Companion Guide
Upstate CFTSS Productivity Tool
Upstate with an Example Included
Downstate CFTSS Productivity Tool
Downstate with an Example Included
CONSULTANT DIRECTORY
As our training and technical assistance is group-based, the consultant directory lists available professionals to consider for individualized managed care support.
View Consultant Directory
View Consultant Directory
DOCUMENTATION WORKBOOKS
Documentation is one of the most important components of delivering behavioral health services. All behavioral health providers are required to meet regulatory standards of practice that include appropriate documentation.
Documentation Done Right is a set of workbooks designed to share best practices in documentation and provide users with exercises that provide an opportunity to practice these skills.
Different workbooks target different documentation skill areas.
Documentation Done Right is a set of workbooks designed to share best practices in documentation and provide users with exercises that provide an opportunity to practice these skills.
Different workbooks target different documentation skill areas.
ELECTRONIC HEALTH RECORD RFI/RFP TEMPLATE
This template will behavioral health providers explore the adoption of an EHR system, upgrade current electronic health software, or consider software capacities their organization may want to leverage or expand in your existing contract.The template is intended to be adapted to reflect the needs of your agency and its electronic health solution needs.
EMPLOYMENT GUIDE
CTAC and NYAPRS are pleased to present you with a "Conversation Guide for Employment." This easy to use guide can be used to talk with individuals about the value of employment while addressing the fears they may have about losing their benefits.
Employment services is not often associated with clinical treatment but recent research suggests that it should be. This research confirms that employment is good for one’s mental health and public welfare benefits may impact people's mental health.
The Conversation Guide for Employment will serve to help reframe the conversation about employment from one of fear to one of hope. Let the conversations begin...
FAMILY ALIGNMENT: THE FIRST 30 DAYS CHECKLIST
The Family Alignment: The First 30 Days Checklist is intended to help providers ensure they are utilizing best clinical practices during initial evaluation sessions. Review each statement on the checklist to see how well you are doing with each family. At the end, identify at least one area to improve upon and plan an action step for improvement. [Note: Many of these same practices can be used throughout treatment.]
The checklist can also be used as a supervisory tool. As a supervisor, you can use it during an observation session or as a training tool.
View the Family Alignment: The First 30 Days Checklist
"FIVE QUESTIONS" AS YOU TRANSITION TO MANAGED CARE
Highlights critical areas of managed care readiness and tips for providers.
GLOSSARY OF TERMS
Interactive online glossary of frequently used managed care terminology. Includes a printable top acronyms "cheat sheet."
Print 8.5X11 Cheat Sheet Print 5X7 Cheat Sheet
View Language Guide
Print 8.5X11 Cheat Sheet Print 5X7 Cheat Sheet
View Language Guide
INTERACTIVE ONLINE FAQ
Answers common questions regarding managed care billing, contracting, utilization management, outcomes, and more.
View Interactive Online FAQ
View Interactive Online FAQ
KEY MESSAGES TO COMMUNICATE IN SERVICES
Incorporate these key messages in the engagement, assessment, and treatment process. These messages will help to reinforce what the client is doing well as well as establish feelings of hopefulness through validation and empowerment.
View Key Messages to Communicate in Services
View Key Messages to Communicate in Services
MEDICAID MANAGED CARE PROVIDER READINESS ASSESSMENT
Helps providers to assess organizational readiness for managed care across eleven critical domains.
The PDF of the Readiness Assessment is available here. Online completion of this readiness assessment has ended but please continue to use this as a resource/checklist.
MINDFULNESS GUIDE
Mindfulness is a helpful tool for so many mental health challenges. There are often simple techniques and practices that participants can use in their everyday lives to help regulate, relieve stress, and even take control of their lives. This guide has been developed specifically for Young Adults to learn or practice meditation and mindfulness skills, but can be used by people of all ages, including providers.
Developed by our NYAPRS partner Ruth Colón-Wagner, the Mindfulness Guide is interactive and includes 23 meditation exercises, each narrated, to support the person's practice.
Developed by our NYAPRS partner Ruth Colón-Wagner, the Mindfulness Guide is interactive and includes 23 meditation exercises, each narrated, to support the person's practice.
MCO PLAN MATRIX
A comprehensive one-stop resource for critical New York State Medicaid Managed Care plan information searchable by region, county, or plan.
View Matrix
View Matrix
OUTPUT TO OUTCOMES
A comprehensive assessment measures database designed specifically for behavioral health providers.
View the Output to Outcomes Webinar View the Output to Outcomes Database
THE P.E.N. GUIDE
Your agency's cheat sheet to managed care contracting. Prepare, Evaluate and Negotiate your contract with Managed Care Organizations.
View the P.E.N. Guide
View the P.E.N. Guide
REVENUE CYCLE MANAGEMENT & BILLING TOOLS
RCM Best Practices Tool
Maps out key Revenue Cycle Management practices at various stages in service provision, gives advice for how to accomplish these tasks and notes how these practices might relate to claim fields and/or denial codes.
Top Denial Reasons Cheat Sheet
A compilation of the most common denial reasons so that providers can safeguard against these errors and resolve denials as needed.
Billing and RCM Tips for Working with Medicaid Managed Care Plans
This one-pager lists practices that are critical towards helping your organization maintain a fruitful relationship with MMCPs to make billing as smooth a process as possible.
SESSION FEEDBACK FORM
Feedback is critical to service delivery. As a provider, it is important to establish a culture of feedback in which you are not the sole administrator of feedback, rather that you, as a provider, are also receiving feedback. Utilize the Session Feedback Form to hear about the experience of your clients – families, adults, children– after each session. Adapt appropriately for the clients your serve (e.g., children). Develop a system to incorporate feedback into your service delivery and let your clients know that their perspective is important to you.
View the Session Feedback Form for Individuals
View the Session Feedback Form for Families
View the Session Feedback Form for Individuals
View the Session Feedback Form for Families
29-I Health Facility Billing Tool
A billing tool specifically for Article 29-I Health Facilities. This interactive UB-04 form highlights the requirements for submitting a clean claim to Medicaid Managed Care Plans for Core Limited and Other Limited Health Related Services.
View the 29-I Billing Tool