As part of the NYS Medicaid Children’s System Transformation, previously carved out OMH and OASAS services will be moving into the Medicaid Managed Care benefit package beginning July 1, 2019:
In March 2019, MCTAC and NYS OCFS facilitated in-person trainings throughout New York concerning the Article 29-I license. The purpose of these trainings was to provide a foundational understanding of the Article 29-I requirements, address themes and concerns that came up during past focus groups, and have Voluntary Foster Care Agencies (VFCAs) develop a strategic plan for implementing Article 29-I.
Topics included allocations, EHR, phased implementation, preparing to work with Managed Care, etc.
This webinar series reviews in detail the Children's Aligned Home and Community Based Service array.
Each webinar focuses on a distinct group of children's Home and Community Based Services and will include service descriptions, eligibility, and general business rules (such as qualifications, limitations, etc.).
Webinar #3 Covered: Community Habilitation, Day Habilitation, Palliative Care: Bereavement Service, Palliative Care: Expressive Therapy, Palliative Care: Massage Therapy and Palliative Care: Pain and Symptom Management.
This webinar included a brief presentation as well as office-hours style Q&A time to address provider questions related to billing and utilization management (UM) for the Children and Family Treatment and Support Services going live Jan 1, 2019: Other Licensed Practitioner (OLP), Community Psychiatric Supports & Treatment (CPST) and Psychosocial Rehabilitation (PSR).
This webinar reviewed the following Children and Family Treatment and Support Services (CFTSS):
-Other Licensed Practitioner (OLP)
-Community Psychiatric Supports and Treatment (CPST)
-Psychosocial Rehabilitation (PSR)
This webinar reviewed Utilization Management for the three Children and Family Treatment and Support Services that are going live January 1, 2019:
-Other Licensed Practitioner (OLP)
-Community Psychiatric Supports and Treatment (CPST)
-Psychosocial Rehabilitation (PSR)
Webinar topics included continuity of care, authorization requirements, medical necessity, and documentation components.
These all day in-person trainings reviewed the principles of revenue cycle management, Medicaid provider enrollment, and the billing manual including billing rules for the new Children and Family Treatment and Support Services (state plan services) that are going live January 1, 2019: OLP, PSR and CPST. The trainings also included a field by field walk through of how to submit a clean claim to Medicaid Managed Care Plans and provided an opportunity for MCOs and providers to network.
These full day in-person trainings reviewed the Children's System Implementation Timeline and four of the new children’s services: Other Licensed Practitioner (OLP), Community Psychiatric Supports and Treatment (CPST), Psychosocial Rehabilitation (PSR), and Family Peer Support Services (FPSS).
Audience: Providers serving individuals under 21, who are designated to provide or plan to provide Children and Family Treatment and Support Services (State Plan Services).
These half day in-person trainings covered the foundational principles of Revenue Cycle Management (RCM) and Utilization Management (UM). Training reviewed these concepts and how they support efficient and effective billing practices. The presentation also included strategies and next steps in order to help your organization prepare for the transition to Managed Care.
These trainings did not cover specific state RCM or UM policies.
Target Audience: Specifically Billing, QA/QI, Compliance, Program Staff and Senior Management.
Does your agency provide or plan to provide the new Children's SPA and/or Aligned HCBS services? Have questions related to the Provider Medicaid Enrollment Process?
This pre-recorded webinar walks through the steps you need to take in order to enroll as a Medicaid Provider and be able to bill and be reimbursed by Medicaid.
Target Audience: New and existing providers of children's SPA and HCBS
