pcb-02-24-22-issue-47

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FEBRUARY 24, 2022 | COMMUNICATION BULLETIN 2021-22 ISSUE 47 IN THIS ISSUE: Delay in AlphaMCS Transition | Q&A Webinar for Vaya Health Network Providers | NC Innovations Level of Care, COVID-19 Innovations Retainer Payment Forms Available | Deadlines for Cardinal Innovations Claims Submissions| Learning Opportunity: Child and Family Teams Part I

A T T E N T IO N : D e la y in A lp h a M C S T r a n s itio n As announced in the Vaya Health Provider Communication Bulletin 2021-22 Issue 41, published Jan. 25, 2022, Vaya will transition from a hosted version of AlphaMCS to an inhouse version as Wellsky ends support for the AlphaMCS product. This transition was orriginally scheduled to begin tomorrow, Feb. 25, 2022. Due to unforeseen circumstances, this o ttrra n s i t i o n h a s b e e n d e l a y e d . W e e x p e c t t o a n n o u n c e a n e w t r a n s i t i o n d a t e i n t h e n e a r ut u r e . ffu Please continue to use the current AlphaMCS URL https://alphamcs.vayahealth.com/ portallogin until further notice. If you currently submit EDI (837) files through an SFTP connection, continue to use your current connection until further notice. If you have questions about EDI submissions, email E D I @ v a y a h e a l t h . c o m . Note: The in-house AlphaMCS environment will be an exact duplicate of the current system. All data in the hosted version will remain available in the new system. Portal user IDs and passwords in use at the time of the transition to the in-house AlphaMCS system will not change.

Q&A Webinar for Vaya Health Network Providers March 4, 2022, 11 a.m.–12 p.m. Join our biweekly Provider Q&A Webinars for the most up-to-date information on topics that affect Vaya network providers. The first 45 minutes will focus on information for all Vaya providers. We will address topics and questions specific to transitioning Cardinal Innovations providers during the last 15 minutes. We encourage all network providers to attend. Registration is not required. The link to each webinar is published both the week prior to and the week of the event in the Provider Communication Bulletin.

Q&A WEBINAR FOR VAYA NETWORK PROVIDERS – MARCH 4, 2022


NC Innovations Level of Care, Updated COVID-19 Innovations Retainer Payment Forms Available Two Innovations Waiver forms are now available on Vaya’s Provider Central website. The Initial Level of Care Eligibility Determination: NC Innovations Waiver Form is an excerpt from the NC Innovations Waiver Technical Guide. The NC Innovations Waiver Service Providers COVID-19 Appendix K Retainer Payment Form allows Innovations Waiver service providers and Employers of Record (EORs) to request retainer payments as allowed under federal COVID-19 flexibilities. If you have questions, please contact Vaya’s Utilization Management team at UM@vayahealth.com or 1-800-893-6246, ext. 1513.

Deadlines for Cardinal Innovations Claims Submissions Former Cardinal Innovations Healthcare providers must submit claims for dates of service prior to Jan. 1, 2022, to Cardinal Innovations. Non-hospital providers must submit claims by March 31, 2022. Claims that are not submitted by this date will be denied due to exceeding the timely filing limit per Cardinal Innovations provider contracts. Hospital providers have until June 30, 2022, to submit claims to Cardinal Innovations. For assistance, please call Cardinal Innovations at 1-855-270-3327, Option 3.

LEARNING OPPORTUNITIES Child and Family Teams Part I March 22 and 23, 9 a.m.–4 p.m. This free training gives parents, caregivers, and professionals an overview of Child and Family Team meetings from the family’s perspective and teaches strategies and facilitation skills to support children, youth, and families. The two-day course provides 11 contact hours of training related to System of Care and Family Team process. Participants must attend both full days to receive credit. Camera and audio capabilities are required for this training. Preference will be given to members and providers within the Vaya region. To attend, please complete the required registration on the Vaya website. For more information, email provider.training@vayahealth.com.

VAYA HEALTH | vayahealth.com | providers.vayahealth.com


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