Provider Touchpoint Friday, October 7, 2022
How the live broadcast works • You are seeing the broadcast on a 30-second delay. • Your microphone is muted throughout the broadcast. • You may ask questions at any time during the broadcast through the Q&A feature.
• Questions can be seen by all attendees after they are published by the moderators. • Questions submitted during the webinar will be addressed at the end of the webinar. Vaya Health | Provider Touchpoint
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How the live broadcast works • If multiple similar questions are received, the Q&A moderators may combine the questions into one before posting.
• If you need to ask a question that is specific to your agency or the services you provide, please include your name, agency, and email address with your question. • The Q&A feature will close at 11:50 a.m. to allow us to respond to all questions before the end of the webinar.
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The moderated Q&A is available in the controls bar on your screen.
Look for the bubble with the question mark.
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Where can I find … Provider Touchpoint Recordings and Resources: Provider Central > Learning Lab > Provider Webinars
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Provider Communication Bulletin Sign-Up:
Provider Communication Bulletin Archive:
Provider Central > Learning Lab > Sign up for PCB
Provider Central > Learning Lab > Communication Bulletins
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Today's Vaya participants Donald Reuss, Provider Network Operations- Behavioral Health (host) George Ingram, Provider Network Operations- Physical Health David Boyd, Provider Network Operations- Behavioral Health Jessica Moore, Provider Network Operations- Behavioral Health Leah Spare, Complex Care Management
Tina Bare, Complex Care Management Christy Pruess, Complex Care Management Vaya Health | Provider Touchpoint
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Today's Vaya participants Justine Tullos, Provider Network Operations (Q&A moderator) Breonna Martin, Provider Network Operations (co-producer) Lindsay Locklear, Provider Network Operations (producer)
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Good morning and welcome
National Day
National INNER Beauty Day
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National YOU Matter to Me Day
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ON YOUR RADAR
Current Network Needs • Adolescent Substance Use Services
All counties
• Child and Adolescent Day Treatment
School system based
• Emergency Respite (child and adolescent)
All counties
• Emergency Respite (adult I/DD overnight)
All counties
• Financial Support Agency
All counties
• Psychological/Psychiatric Services Specific to I/DD testing
All counties
• Psychosocial Rehabilitation (PSR)
Rural counties
• Research Based - Behavioral Health Treatment
Rural counties
• Therapeutic Foster Care
All counties
For more information, contact your Provider Network Contract Manager, or provider.info@vayahealth.com .
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NCDHHS Announces Updated Launch Date for Behavioral Health and I/DD Tailored Plans • • •
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Allows additional time for providers and LME/MCOs to finalize contracting and new systems testing. Tailored Care Management providers still will launch on Dec. 1, 2022. Medicaid beneficiaries who will 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. Eligible Beneficiaries 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. NCDHHS will announce new dates (when the choice period ends) in the coming weeks.
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NCDHHS Announces Updated Launch Date for Behavioral Health and I/DD Tailored Plans NC Medicaid hosted a webinar to provide additional information on Friday, Sept. 30, 2022 (already occurred).
Attendees had the opportunity to submit questions during the event, and a recording of that webinar is available on the NC Medicaid Behavioral Health I/DD Tailored Plan webpage. •
Go to Resources, Tailored Plan Update Webinar (Sept.30, 2022), then select "Recording".
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*Changes
*No Change
DRAFT TIMELINE FOR TAILORED PLANS OCT. Member Choice: TCM Aug.15 – TBD
NOV.
DEC.
JAN.
FEB.
MAR.
APRIL Tailored Plan launch April 1
TCM Go-live Dec. 1
TP Pharmacy Benefits April 1
Member Choice: PCP Aug.15 –– TBD
HOP
HOP launch April 1
MD
Medicaid Direct launch April 1
Others
1915(i) Transition Dec. 1
NC Health Choice merge w/ Medicaid Mar. 1
Currently Contracted TCM Providers *Sept. 30, 2022 • Crossnore Communities for Children
• Triangle Comprehensive Health Services, Inc.
• Daymark Recovery Services
• B&D Integrated Health Services
• Freedom House Recovery Center, Inc.
• Pinnacle Family Services
• Genesis Project 1, Inc.
• Family Preservation Services of NC
• Monarch
• Access Family Services
• PQA Healthcare, Inc.
• Appalachian Community Services
• The Arc of NC
• Optimal Behavioral
• Alexander Youth Network
• SPARC Services and Programs
• RHA Health Services TCM Provider Agency Application: https://medicaid.ncdhhs.gov/blog/2022/09/26/application-periodopen-round-3-tailored-care-management-certification
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Draft SACOT Clinical Coverage Policy: Provider Feedback Requested NC Medicaid has published the draft Substance Abuse Comprehensive Outpatient Treatment (SACOT) Clinical Coverage Policy and is requesting feedback from providers and stakeholders. Please send your comments or questions: By 5 p.m. on Monday, Oct. 10, 2022, to Howard.Anthony@dhhs.nc.gov .
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Tobacco Free Campus Update • To align with the new Tailored Plan, launch date the tobacco-free campus policy requirement will be moved to align with the new implementation date: April 1, 2023. • This was announced during the NC DHHS webinar and the recording of that webinar is available under "Resources" on the https://medicaid.ncdhhs.gov/Behavioral-Health-IDD%20Tailored-Plans. • Additional guidance and communication will be coming out about the tobaccofree policy requirement.
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Provider Central Web Portal Vaya will transition to a new Provider Central web portal on Dec. 1, 2022, that: •
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Replaces the AlphaMCS portal used for submission of member and recipient information enrollments, updates, discharges, authorizations, and claims. Organization logins: each Provider organization will identify one Systems Access Administrator (SAA), to manage the creation, support, and deactivation of user access to specific sections of Provider Central.
Complete the Network Provider SAA Designation Form • Designate your SAA, no later than *Saturday, Oct. 15, 2022. Questions: contact your assigned Provider Network Contract Manager or call the Provider Support Service Line: 1-866-990-9712. Vaya Health | Provider Touchpoint
BH I/DD TAILORED PLAN
Tailored Plan Contracting Tailored Plan (TP) contracts mailed as of Oct. 6, 2022: o TOTAL number of TP contracts mailed= 1,801 (100%).
o TOTAL number of TP contracts counter-executed= 1,490 (82.73%). Behavioral Health (BH)= 1058 Physical Health (PH)= 427 Hospital= 3 Clinically Integrated Network (CIN)= 2
o TOTAL number of TP contracts unsigned = 311 (17.27%). Vaya Health | Provider Touchpoint
LEARNING AND PARTICIPATION OPPORTUNITIES
Peer Learning Community Meeting • At the next Peer Learning Community Meeting, the group will discuss the importance of self-care during the holiday season. • Attend this in-person event and share experiences and ideas with other Peer Support Specialists. Includes a break for lunch on your own (you may bring your lunch back to the meeting room, if you prefer). Friday, October 21, 2022, from 10 a.m. - 2 p.m. Goodwill Career Training Center: 1616 Patton Avenue, Asheville Register: Peer Learning Community Meeting - October 21, 2022 (constantcontact.com) Questions: Rebekah.McCloy@vayahealth.com Vaya Health | Provider Touchpoint
Q&A SESSION
Questions? Thoughts? Ideas?
Our next Provider Touchpoint Friday, October 21, 2022 11 a.m. – 12 p.m.