SEPT. 29, 2022 | COMMUNICATION BULLETIN 2022-23 ISSUE 15 IN THIS ISSUE: NCDHHS Announces Updated Launch Date for Behavioral Health and I/DD Tailored Plans | Provider Touchpoint | Hurricane Ian Preparations | Rates for Behavioral Health Long-Term Residential Treatment | Application Period Open for Round 3 Tailored Care Management Certification | Provider Opportunity: Request for Information | Working with Children with Complex Needs | Services to Support Members Who are Deaf or Hard of Hearing
NCDHHS Announces Updated Launch Date for Behavioral Health and I/DD Tailored Plans NCDHHS has announced that Behavioral Health and Intellectual/Developmental Disabilities (I/DD) Tailored Plans and NC Medicaid Direct PIHPs will launch April 1, 2023, instead of Dec. 1, 2022. This updated implementation schedule will provide additional time for providers and LME/MCOs to finalize contracting and testing of new systems. Tailored Care Management providers will still launch their services on Dec. 1, 2022. Medicaid beneficiaries who are expected to receive care through a Tailored Plan will continue to receive behavioral health, I/DD, and traumatic brain injury (TBI) services the same way they do today (through their LME/MCO) and physical health and pharmacy services through NC Medicaid Direct. Beneficiaries who are eligible for Tailored Plans will continue to be able to choose a primary care provider (PCP) and Tailored Care Management provider by contacting their Tailored Plan. The new dates for the choice period to end will be announced by NCDHHS in the coming weeks. NC Medicaid will host a webinar on Friday, Sept. 30, from 1-2 p.m. to provide additional information. Please use this link to join the webinar via Microsoft Teams Live Event. We recommend downloading Microsoft Teams rather than joining from your web browser. There will be an opportunity for attendees to submit questions during the event, and a recording of the webinar will be available on the NC Medicaid Behavioral Health I/DD Tailored Plan webpage. Vaya will host a Provider Touchpoint on Friday, Oct. 7, 2022, that will include discussion of
changes to the Tailored Plan implementation timeline. Read more in the NCDHHS news release and a message from NCTracks on behalf of NC Medicaid. For more information, please contact your assigned Provider Network Contact Manager or email provider.info@vayahealth.com.
Provider Touchpoint Oct. 7, 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 – OCT. 7, 2022
Hurricane Ian Preparations As Hurricane Ian moves through Florida, many counties in the Vaya region face the potential for significant rainfall over the next several days. Flooding, mudslides, and power outages are possible. Please ensure you take necessary precautions to ensure members and recipients can continue to access needed services. Vaya is actively communicating with county leadership throughout our region to ensure coordinated response efforts. If your organization's service delivery is impacted by the storm, email Vaya at provider.info@vayahealth.com so we can support your emergency disaster plan and any emergency shelters that are opening/operating.
Rates for Behavioral Health Long-Term Residential Treatment Vaya is announcing reimbursement rates for behavioral health Long-Term Residential Services (LTRS), also known as High-Risk Residential Services. The rates listed in the memo below will take effect on Dec. 1, 2022. These rates reflect both Vaya’s commitment to ensuring stability for behavioral health LTRS providers and the market rate for these services. Memo: Rates for Behavioral Health Long Term Residential Treatment (Sept. 29, 2022)
Application Period Open for Round 3 Tailored Care Management Certification Provider-based Tailored Care Management will support whole-person care, foster high-functioning integrated care teams, address medical and non-medical drivers of health, and promote better health outcomes. To participate, providers must complete a Tailored Plan Statement of Intent to Participate in Round 3 form by Nov. 10, 2022. For more information, please review the NCDHHS announcement: Application Period Open for Round 3 Tailored Care Management Certification. Additional resources include: Tailored Care Management FAQs Tailored Care Management Provider Manual (updated)
Provider Opportunity: Request for Information Vaya has received limited funding through the Substance Abuse Prevention and Treatment Block Grant Program (SABG) COVID-19 allocation to support individuals in need of recovery housing. The funds may be used for targeted housing supports, such as security deposits and rental payments (if applicable in supported settings, such as Oxford Houses) for individuals with a substance use disorder who are who experiencing homelessness due to the impact of COVID-19. Please note that SABG funding is available to nonprofit providers only. To apply for SABG funding, providers must submit a specific program information, a proposed budget, and letters of reference that support funding by Oct. 13, 2022. For more information, email Jennifer Jennings, Substance Use Network Development Director, at jennifer.jennings@vayahealth.com.
LEARNING OPPORTUNITIES Working with Children with Complex Needs: Understanding How Implementation Science and Practice May Improve Organizational and Clinical Outcomes Oct. 5 and 26, 2022, 10 a.m.-12 p.m. This training introduces the concept of implementation science and the significance of the implementation process. It includes steps to bring evidence-supported practices into clinical settings and what is needed to achieve effective clinical and organizational outcomes. Participants will gain an understanding of their role in supporting and implementing best practices and how to apply them to their day-to-day work. Register online.
Services to Support Members Who are Deaf or Hard of Hearing Oct. 21, 2022, 9:30-10:30 a.m. Vaya will partner with the NC Division of Services for the Deaf and Hard of Hearing (DSDHH) to share information about services available for individuals who are deaf or hard of hearing. This virtual presentation will include information on what providers can request, what is reimbursable, and other ways to support providers, individuals, and families. The event aims to help improve NC Medicaid beneficiary and companion access to communication in health care settings. Registration is not required. Join using Microsoft Teams : Meeting ID: 252 730 284 46 Passcode: kFYY8g
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