SEPTEMBER 29, 2020 | COMMUNICATION BULLETIN ISSUE 21 IN THIS ISSUE: Q&A Webinar for Vaya Health Network Providers | N.C.’s Provider Directory Tool | New DHHS Guidance for Larger Residential Settings
Q&A Webinar for Vaya Health Network Providers Oct. 2, 2020, 11 a.m. – 12 p.m. Q&A Webinars for Vaya Network Providers take place every two weeks and are an important source of the most up-to-date information for providers. Registration is not required. All Vaya network providers are encouraged to join. The October 2 webinar will include a presentation about telehealth documentation trends and concerns identified by Vaya and tips for how to avoid a notice of overpayment or plan of correction related to telehealth service delivery.
Q&A WEBINAR FOR VAYA NETWORK PROVIDERS
Ensuring Information Displays Correctly in N.C.’s Provider Directory Tool – Provider & Health Plan Look-Up NC Medicaid is reminding enrolled providers to thoroughly review their individual and organizational provider enrollment records in NCTracks. Ensuring accuracy is a requirement in the N.C. DHHS Provider Administrative Participation Agreement. Additionally, correct records will help beneficiaries search for primary care providers in the new N.C. Provider & Health Plan Look-Up directory, expected to be available Jan. 1, 2021. Providers should review every page of the NCTracks provider record for accuracy. In particular, providers should pay attention to the following sections, as this information will be used to search for providers and display results in the new directory: Basic Information: Confirm the office administrator and accuracy of telephone and email contact information. Health Benefit Plan Selection: Confirm that the health plans in which participation is intended are selected (e.g., Medicaid, NC Health Choice). Addresses and Taxonomy Classification: Verify that each physical service location address meets USPS standards, is not duplicative of another service location and that active taxonomies associated with each location are accurate. Select “Verify Address” in the addresses section of the Manage Change Request to confirm the address is in the USPS database.
Accreditation: Update expiring licenses, certifications and accreditations. Hours of Operation: Confirm the hours of availability to provide care are accurate. Services: Ensure the Physically Handicapped patients’ indicator is correct, as well as Languages Supported in Office, Accepting New Patients, Accepting Siblings and Gender and Age Served. Affiliated Provider Information: Confirm individual providers are correctly affiliated to organizations billing on their behalf and to each appropriate location within that organization. This is not only vital for claims adjudication, it is also essential to ensuring complete and accurate information will display in the directory. Information from NCTracks is used when a beneficiary searches for an individual doctor at a specific organization’s location. All individual providers should check their affiliations not only to the group NPI, but also to the specific location(s) where services are rendered. Providers should use the Manage Change Request process for corrections and updates. For help, reference the NCTracks Provider User Guides and Fact Sheets .
COVID-19 NEWS AND UPDATES New DHHS Guidance on Visitation, Communal Dining and Indoor Activities for Larger Residential Settings On Monday, Sept. 28, 2020, DHHS released Secretarial Order No. 6 and Guidance on Visitation, Communal Dining and Indoor Activities for Larger Residential Settings, which focus on indoor visitation at long-term care facilities. The order applies to nursing homes, skilled nursing facilities and other large residential settings (seven or more beds), including adult care homes, behavioral health/IDD settings, intermediate care facilities and psychiatric residential treatment facilities. The order is effective immediately.
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