Provider Touchpoint Friday, December 2, 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
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.
Vaya Health | Provider Touchpoint
The moderated Q&A is available in the controls bar on your screen. Look for the bubble with the question mark.
Vaya Health | Provider Touchpoint
Today's Vaya participants David Boyd, Provider Network Operations- Behavioral Health Donald Reuss, Provider Network Operations- Behavioral Health (host) George Cannella, Provider Network Operations- Behavioral Health Kate Glance, Quality Management Kurt Boldt, Provider Network Operations- Physical Health Vanita Shipp, Provider Network Operations- Behavioral Health Care Management Team Vaya Health | Provider Touchpoint
Today's production team Justine Tullos, Provider Network Operations (Q&A moderator) Tommy Duncan, Provider Network Operations (co-producer) Lindsay Locklear, Provider Network Operations (producer) Breonna Martin, Provider Network Operations (co-producer)
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Good morning and welcome
National Special Education Day
Vaya Health | Provider Touchpoint
ON YOUR RADAR
Current Network Needs SERVICE
LOCATION OF NEED
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: 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. Vaya Health | Provider Touchpoint
Update: Vaya Health Provider Portal • What is the status of Vaya’s Provider Portal? Current active areas of the Provider Portal include User Set-up (for systems access administrators, also known as SAAs), Grievances and Complaints, Documents, and Resources. We will announce new features in the Provider Communication Bulletin as they go live. • When will I begin using the Provider Portal instead of AlphaMCS? April 1, 2023 If you are new to the Vaya provider network and need access to AlphaMCS, please complete the AlphaMCS Login Request Form. Vaya Health | Provider Touchpoint
Update: Vaya Health Provider Portal • How do I access the Provider Portal? Each provider organization will identify one SAA within their agency. The SAA will be responsible for managing the creation, support, and deactivation of user access to the Provider Portal for users within your organization. If you have not designated an SAA for your organization, please complete the Network Provider SAA Designation Form. Vaya issues SAA logins by email after receiving your organization’s SAA designation.
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Update: Vaya Health Provider Portal • What should I do if I need assistance? If you are the designated SAA for your organization, email ServiceDesk@vayahealth.com or call 1-800-893-6246, ext. 1500. For assistance, reference the Provider Portal job aid for SAAs in the Provider Learn Portal
Otherwise, contact your assigned provider network contract manager, email provider.info@vayahealth.com, or call our Provider Support Service Line at 1-866-990-9712. Vaya Health | Provider Touchpoint
AlphaMCS Login Deactivation On Nov. 21, 2022, Vaya completed an audit of AlphaMCS portal users who had not used the AlphaMCS portal in the previous 90 days. These accounts have been deactivated. If you need to reactivate your account, call Vaya’s Service Desk at 1-800-8936246, ext. 1500, or email servicedesk@vayahealth.com. Please Note: AlphaMCS portal passwords expire after 90 days of non-use.
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What was in the most recent Provider Communications? • Vaya Health Provider Portal • Non-Standard Service Authorization Request Process Updates • NC Medicaid Standard Plan and Tailored Plan Tobacco-Free Policy Requirements • Vaya Standard Rate Schedules Updated • NC Child and Family Improvement Initiative Releases Updated Universal Referral Form for Therapeutic Residential Placement and Therapeutic Foster Care Providers • Learning Opportunities Provider Communication Bulletin Archive Vaya Health | Provider Touchpoint
Provider Advisory Council Updates • The Provider Advisory Council (PAC) and subcommittees will not be meeting this month (December 2022). • The Council and subcommittees will resume their regular schedule in January 2023. • For more information about the PAC, or to receive PAC communications, email provideradvisorycouncil@vayahealth.com
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TAILORED CARE MANAGEMENT
Member Assignment/Auto-Assignment Issues DHB identified that there were a few issues with the initial member/autoassignment:
• Issue #1-panel misalignment between 'providers historical relationship' & TCM assignment
• Action Step: DHB re-ran member assignment on Nov. 30, 2022, to adjust panel sizes.
For more information, contact your Provider Network Contract Manager, or provider.info@vayahealth.com . Vaya Health | Provider Touchpoint
Member Assignment/Auto-Assignment Issues • Issue #2 -small or no panel size ( in some counties/LME) • Action Step: If your panel size has changed, please submit your updated panel size by Wednesday, December 7th to George Cannella at George.Cannella@vayahealth.com . DHB will be running another autoassignment on 12/12/22.
For more information, contact your Provider Network Contract Manager, or provider.info@vayahealth.com . Vaya Health | Provider Touchpoint
Vaya TCM Support Resources: • Weekly technical assistance calls • Mondays (8:30-9:30 a.m.), November 28, 2022 to mid-January 2023. • We will review any questions submitted before the call and answer questions during the call. • Q & A's will be posted on Vaya's care management page each week. • Technical assistance calls will include cross departmental representation. • You may send questions to: provider.info@vayahealth.com
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General Updates • We have received our 3rd distribution of capacity building funds. • We are reviewing capacity building funds reports to determine allocation to TCM providers for milestones 5 and 6. • If you have received capacity building funds from us, please note that your capacity building report are due Monday, December 5th. • Please ensure you review the email that was sent by Jessica Moore related to BA files and panel reports. For more information, contact your Provider Network Contract Manager, or provider.info@vayahealth.com . Vaya Health | Provider Touchpoint
QUALITY MANAGEMENT UPDATE
International Day of Persons with Disabilities Dec. 3, 2022 • People with disabilities have generally poorer health, lower education achievements, fewer economic opportunities and higher rates of poverty than people without disabilities. • Over 1 billion people of the 8 billion in the world have some form of disability. • In the US, 61 million adults (26%) live with a disability • 50% of disabled people can’t afford health care • Adults with mental health conditions are at nearly four times the risk of experiencing violence.
Vaya Health | Provider Touchpoint
International Day of Persons with Disabilities Dec. 3, 2022 • In the United States: • 1 in 3 adults ages 18-44 with disabilities in the US do not have a usual health care provider • 1 in 3 adults with disabilities 18-44 years have an unmet health care need because of cost in the past year • 1 in 4 adults with disabilities ages 45 to 64 did not have a routine check-up in the past year • For fiscal year 2021-2022, there were 43,822 unique individuals served within Vaya’s catchment area. • Since January 2022, 15,000 members average were served per month. Vaya Health | Provider Touchpoint
BH I/DD TAILORED PLAN
Vaya Health Tailored Plan Contracting Tailored Plan (TP) contracts mailed as of Nov. 30, 2022: • Total number of TP contracts mailed= 1,886 (100%) • Total number of TP contracts unsigned = 225 (11.93%). • Total number of TP contracts counter-executed= 1,661 (88.07%) • Behavioral Health (BH)= 1149 • Physical Health (PH)= 506 • Hospital/Hospital System= 4 • Clinically Integrated Network (CIN)= 2 Questions General: provider.info@vayahealth.com TP: tpcontracting@vayahealth.com BH: contracts@vayahealth.com Vaya Health | Provider Touchpoint
Q&A SESSION
Questions? Thoughts? Ideas?
Our next Provider Touchpoint Friday, January 6, 2022 11 a.m. – 12 p.m.