JUNE 16, 2022 | COMMUNICATION BULLETIN 2021-22 ISSUE 66 IN THIS ISSUE: Provider Touchpoint | COVID-19/PHE Rates Extended | Initial FY 2022-23 Rate Schedules | Additional COVID-19/PHE Rate Increases for FY22 and End-of-FY22 Provider Payments for COVID-19/PHE Supplements | NC Medicaid SPECIAL BULLETIN COVID-19 #251: Sunsetting of Temporary COVID-19 Flexibilities Tied to the NC State of Emergency | NC Division of MHDDSAS Grant Opportunities | Introducing: Vaya Residential Roundtable | Preparation for the Initial Local Certified Forensic Evaluator Training and Exam | Area Health Education Center Tailored Plan 101 Webinar Series | Targeted and Intensive Strategies to Support Children and Adolescents with Autism | In-Depth Tobacco Use Treatment Training Scholarships Available
Provider Touchpoint June 17, 2022, 11 a.m.-12 p.m. Provider Touchpoint is your source for the latest information on topics that affect Vaya Health network providers. 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.
PROVIDER TOUCHPOINT – JUNE 17, 2022
COVID-19/PHE Rates Extended Vaya has extended COVID-19/PHE rate supplements that were due to sunset June 30, 2022. All rates currently in place across Vaya’s three benefit plans – Medicaid 1915(b) and (b)(3), Medicaid 1915(c), and non-Medicaid – will be carried forward into FY2022-23. To view current rate schedules, visit our Rate and Checkwrite Schedules webpage. The extension of Vaya’s COVID-19/PHE rate supplements is directly related to NC Medicaid’s continuation of PHE-related funding to LME/MCOs. Vaya will communicate additional information as it becomes available and will provide a minimum of 30 days’ notice of any significant rate changes. Please note that the CR and GTCR modifiers used to designate some services during the PHE will remain available for provider use. Reimbursement rates for CR- and GTCR-modified services are identical to the base codes listed in the rate schedule. Vaya will provide the same 30-day minimum notice prior to discontinuation of CR and GTCR modifiers.
Initial FY 2022-23 Rate Schedules All current FY 2021-22 rates (through June 8, 2022) across all Vaya benefit plans will be carried forward into FY 2022-23. Vaya will post FY 2022-23 rate schedules to our Rate and Checkwrite Schedules webpage prior to June 30, 2022, and communicate any future changes in the Provider Communications Bulletin. Please refer to the current schedules to confirm the billable rate, including any rate supplement, for each eligible service code. Remember to make necessary changes to billing systems, including in the HHA system for all electronic visit verification (EVV) services, and to bill charges at or above the posted rates to receive the full unit reimbursement. For more information, email provider.info@vayahealth.com.
Additional COVID-19/PHE Rate Increases for FY22 and End-ofFY22 Provider Payments for COVID-19/PHE Supplements New Vaya COVID-19/PHE rate supplements are now effective retroactive to July 1, 2021, for the following services: Outpatient Services by MD, NP, or PA SA Non-Medical and Medical Community Residential Services Opioid Treatment Services Ambulatory Detox Services Diagnostic Assessments Multisystemic Therapy SAIOP and SACOT Outpatient SA Services Partial Hospitalization and Day Treatment Services Outpatient – CPT codes through Dec. 31, 2021 These rate adjustments will also be reflected in the initial FY 2022-23 rate schedules. To avoid reprocessing claims for prior dates of service, providers will receive a 5% COVID-19/PHE rate supplement payment on all previously adjudicated claims for eligible services in the form of a single payment via EFT or check. Additionally, for the supplemental rates already in effect below, Vaya will pay providers the rate supplements for paid claims processed through June 14, 2022, that were not initially paid at the higher amount. Affected services are: Therapeutic Foster Care (S5145) – to per diem rate of $175 Intensive In-Home (H2022) – 10% increase to base rate back to July 1, 2021 PRTF (0911) – 15% increase back to July 1, 2021 Targeted Enhanced Residential Services – 15% increase back to July 1, 2021, through Feb. 28, 2022 Innovations Waiver services – additional 5% beginning March 1, 2022. Vaya will process claims already paid at base rates and processed through June 14, 2022. These rate supplement payments will be made on a one-time basis and will not require the reprocessing of any previously filed claims. Providers should not refile claims dating from July 1, 2021, processed through June 14, 2022, that have already been paid. Any one-time supplement payments that are subsequently found to also have been paid through provider reprocessing of claims in AlphaMCS will be subject to recoupment. Vaya expects to make these one-time payments to providers before July 1, 2022. Please note that affected providers may be sent a contract amendment to execute for receipt of the funds, if needed. Please remember to file any new claims at rates high enough to include the rate adjustment. To verify reimbursement rates for each service, visit our Rate and Checkwrite Schedules webpage.
NC Medicaid SPECIAL BULLETIN COVID-19 #251: Sunsetting of Temporary COVID-19 Flexibilities Tied to the NC State of Emergency Multiple COVID-19-related flexibilities are set to expire on June 30, 2022. See NC Medicaid SPECIAL BULLETIN COVID-19 #251: Sunsetting of Temporary COVID-19 Flexibilities Tied to the NC State of Emergency for full details.
NC Division of MHDDSAS Grant Opportunities The NC Division of MHDDSAS has multiple grant opportunities for providers, including the following: Police and MH Collaborations for Diversion Program Jail-Based Treatment for SMI Expansion Practitioner Education Addiction Education Minority Fellowship Program Perinatal SUD Prevalence Study For more information, visit the Division of MHDDSAS Grant Opportunities webpage.
Introducing: Vaya Residential Roundtable Thursday, June 23, 2022, 2-4 p.m. Vaya’s new virtual Residential Roundtable aims to help providers to build connections and strong working relationships with both Vaya and other residential service providers. We encourage providers of Residential Level II, III, and IV services and Therapeutic Foster Care (TFC) to participate in this collaborative effort. Meetings will take place quarterly via Microsoft Teams. Registrants will receive the event link two days before each roundtable. The agenda for the first roundtable will include Tailored Plan updates, Vaya’s residential service needs, and residential providers’ support needs. To participate in the initial roundtable, register online before Monday, June 20, 2022.
LEARNING OPPORTUNITIES Preparation for the Initial Local Certified Forensic Evaluator Training and Exam July 22, 2022, 1-2 p.m. This workshop, hosted by Vaya and senior psychologists with Central Regional Hospital’s Forensic Pretrial Services, will help forensic examiner candidates prepare for the training and certification exam. Register online: Preparation for the Initial Local Certified Forensic Evaluator Training and Exam Please note: The Initial Local Certified Forensic Evaluator Training webinar will be held from 9 a.m. to 4 p.m. on Aug. 26, 2022. The registration deadline is July 29, 2022. For more information or to register, email provider.training@vayahealth.com.
Area Health Education Center Tailored Plan 101 Webinar Series New series begins today, June 16, 2022, 5:30-6:30 p.m. This webinar series, presented by NCDHHS and the Area Health Education Center (AHEC), occurs the third Thursday of each month and is designed to support all Medicaid providers, practice managers, quality improvement professionals, care coordinators, and other leaders within your practice help you prepare for Tailored Plan launch. Tailored Plan 101: Ready, Set, Launch Series Schedule: June 16, 2022 – Tailored Plan 101 Series Part 1: Preparing for Tailored Plan July 21, 2022 – Tailored Plan 101 Series Part 2: Integrating Behavioral Health and Physical Health, Tailored Care Management and Advanced Medical Home Aug. 18, 2022 – Tailored Plan 101 Series Part 3: Transitions of Care, Network Adequacy & Readiness Sept. 15, 2022 – Countdown to Tailored Plan Launch: Who is Who Oct. 20, 2022 – Countdown to Tailored Plan Launch: Health Plan Accountability and Reporting Nov. 17, 2022 – Ready Set Launch: What ifs of Tailored Plan Launch, Quick Reference Guides, Practice Supports The latest schedule, registration, and information from previous webinars (including the recording, slides, and transcript) are available on the AHEC Medicaid Managed Care webpage.
Targeted and Intensive Strategies to Support Children and Adolescents with Autism June 29, 2022, 9 a.m.-12 p.m. Meridian Behavioral Health Services will host a webinar for behavioral health professionals who support children and adolescents with autism, as well as their families. Information will be presented by integrated care professional Jenna Flynn, LCSW, NADD-DDS, and Louise Southern, PhD, BCBA, Associate Clinical Director, Autism Society of North Carolina. For more information or to register, email Candace Burton, Training and Outreach Manager, Meridian Behavioral Health Services, at candace.burton@meridianbhs.org.
In-Depth Tobacco Use Treatment Training Scholarships Available Duke-UNC Tobacco Treatment Specialist Training is offered through a combination of interactive, virtual sessions and online self-paced training, Scholarships are available for behavioral health professionals who primarily serve North Carolinians who experience tobaccorelated health inequities (e.g., people with behavioral health conditions, Medicaid beneficiaries, Tribal members, and more). See below for upcoming applications deadlines for this and other trainings offered by the DukeUNC Tobacco Treatment Specialist Training Program. Registration Links and Scholarship Application Deadlines: July 2022 Duke-UNC Tobacco Treatment Specialist Training : Apply by June 18 Breathe Easy NC Intensive One-Day Training : Apply by July 24
November 2022 Duke-UNC Tobacco Treatment Specialist Training : Apply by Oct. 7 Intensive Behavioral Approaches to Tobacco Use Treatment : Apply by Nov. 1 Tobacco Dependence Pharmacotherapy: Apply by Nov. 6 To apply online, complete a brief Tobacco Use Treatment Training Scholarship Application . Before applying, please ensure you can attend the trainings on the day and at the time scheduled.
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