Provider Central: Q&A Webinar for Vaya Network Providers Thursday, April 1, 2021
Good Morning and Welcome Disclaimer: Today’s Q&A Webinar does not contain any April Fools jokes
How the live broadcast works Attendees are seeing the broadcast on a 30 second delay. All attendees are muted throughout the broadcast. Attendees 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 moderator. Submitted questions will be addressed at the end of the webinar.
The moderated Q&A is available in the controls bar on your screen. Look for the bubble with the question mark.
Today’s Vaya Participants Brian Ingraham, President and CEO, Vaya Health Carrie McCracken, Behavioral Health Network Operations Director, Provider Network Operations Tommy Duncan, Training and Special Projects Manager, Provider Network Operations Justine Tullos, Provider Network Operations (Q&A Moderator) Renee Urban, Provider Network Operations (Co-Producer)
#VayaStrong:
Vaya Board Adopts Diversity, Equity, Inclusion Resolution “Vaya’s mission is to successfully evolve in the health care system by embracing innovation, and I believe that diversity, equity and inclusion drive innovation,” said Board Chair Rick French. “Our commitment to fostering a sense of belonging and empowerment for every individual at Vaya must be rooted in who we are today for us to adapt to the changing health care landscape as we move forward together. Inclusion starts here.” Read the full resolution on the Vaya website
Follow up
Question from March 19 Q&A Webinar Seeking further clarification; Will I/DD provider agencies be accepting responsibility for Service Authorization requests once the tailored plans go live next year? This is currently a care coordinator responsibility. Under Tailored Plan, the organization providing care management to an Innovations Waiver participant will be responsible for submitting authorization requests to utilization management.
On your radar…
Where can I find…
Q&A Webinar Recordings and Resources: Provider Central Learning Lab Provider Webinars
Provider Communication Bulletin Sign Up:
Provider Communication Bulletin Archive:
Provider Central Learning Lab Sign up for PCB
Provider Central Learning Lab Communication Bulletins
Q&A Webinar for Vaya Network Providers: Crossover to NC Medicaid Managed Care Friday, April 16, 2021 10 a.m. – 12 p.m. Friday, May 14, 2021 10 a.m. – 12 p.m. Hosted by Vaya with presenters from NC Medicaid Q&A session with NC Medicaid and Vaya staff to answer your questions about Medicaid Transformation
2021 Community Needs Assessment Survey Part of our annual Network Adequacy and Accessibility Analysis (Gaps Analysis) 2 surveys: Member, Family Member, and Caregiver Community Stakeholder and Network Provider
2021 Community Needs Assessment Survey Surveys open April 12-30, 2021 (date change)
Please help us get the word out For more information, please email gapsandneeds.survey@vayahealth.com
Mental Health Awareness Month – May 2021 Is your organization planning any special events, activities, etc. for Mental Health Awareness Month? We would like to share your information on social media and in our Provider Communication Bulletins Please email us the details at: officeofcommunications@vayahealth.com
AMH+/CMA Learning Community Ongoing learning community for network providers interested in or actively pursuing Advanced Medical Home+ (AMH+)/Care Management Agency (CMA) certification. Learning Community will provide helpful information, important updates, training, collaboration and support as we move toward implementation of the Behavioral Health and I/DD Tailored Plan. Provider Communication Bulletin Issue 67
AMH+/CMA Learning Community Kickoff meeting: Thursday, April 29, 2021, 11 a.m. to 12 p.m. If you are interested in participating in the learning community, please register for the April 29 meeting here. If you have not completed the AMH+/CMA Interest Survey for Vaya Network Providers, please do so here. The survey only takes a few minutes and will help us schedule learning community topics that will best assist our providers
AMH+/CMA Learning Community Community Inclusion Addendum added to Tailored Care Management Provider Manual (March 19, 2021) TCM resources are available on the NC DHHS Tailored Care Management webpage.
Learning Opportunities
Antipsychotic-induced movement disorders:
A multidisciplinary approach to recognition, screening, and management Wednesday, May 5, 2021 12 - 1 p.m. Sponsored by Southern Regional AHEC with support from Vaya Register online
Be the Change: Enhance Tobacco Use Recovery Among Individuals with Behavioral Health Conditions Wednesday, April 14, 2021 9 a.m. – 2 p.m. If you are interested in attending, please email tommy.duncan@vayahealth.com by COB on Thursday, April 8, 2021. Vaya will pay for interested provider’s registration.
Behavioral Health Crisis Trainings Question, Persuade, Refer (QPR) - Suicide Prevention Training Multiple dates through December 2021 FREE to all Vaya stakeholders 30 participant max per class
All Vaya provided trainings are available on the Vaya website Calendar of Events
Action Needed
Updating Your Agency’s Security Contact August 2021 - Vaya will transition from the AlphaMCS Managed Care Information System (MCIS) platform to Conduent’s Health Solutions Plus (HSP) platform. All providers must review the current security contact person in the Provider Maintenance Module of the AlphaMCS portal. Instructions published in Provider Communication Bulletin Issue 63 If this role has changed within your organization, please submit an update using the Provider Change Request Form (you will need to complete Section E) posted on Vaya's Provider Central website.
Updating Your Agency’s Security Contact Providers who do not provide security contact/Systems Access Administrator contact information may be delayed in receiving access to the Conduent platform until a Systems Access Administration is assigned. Stay tuned for more information and training opportunities in future Provider Communication Bulletins.
COVID-19 Updates
COVID-19 Vaccine Update Currently eligible groups:
Health care workers Long-term care staff and residents People 65 and older Childcare and school staff Additional frontline workers Individuals who have a medical condition that puts them at higher risk Individuals who live in congregate or close group living settings Essential workers (March 31)
April 7: Group 5 – All adults (16 and over)
COVID-19 Vaccine Update Visit YourShotYourSpot.nc.gov (English) or Vacunate.nc.gov (Spanish) for more information about the vaccines, including answers to frequently asked questions and to see when and where to get your shot. You can find participating vaccine providers at MySpot.nc.gov. Not sure what vaccine group you’re in? Visit FindMyGroup.nc.gov or contact the N.C. DHHS COVID-19 Vaccine Help Center toll-free at 1-888-675-4567.
Executive Order 204 – March 24, 2021 What is staying the same? The mask mandate remains in effect. Everyone must wear a mask indoors and in all public settings. Businesses must also maintain the appropriate 6 feet of distance requirement and continue to implement other safety protocols as they expand their capacity. What is changing? While continuing to require masks and social distancing
Lower risk settings will be allowed to open up to full capacity. Medium risk settings will be allowed to open up to 75% capacity indoors. Higher risk settings will be open up to 50%.
Executive Order 204 – March 24, 2021 Settings and activities are lower risk when they involve interacting with fewer people, being outside, keeping masks on the entire time, keeping interactions with people short (under 15 minutes), staying physically distant, and avoiding singing, yelling, and cheering. Executive Order No. 204 will also increase mass gathering limits from 25 to 50 people indoors and 50 to 100 outdoors. It also fully lifts the restriction on the late-night sale and service of alcoholic beverages on bars, restaurants, and other establishments. FAQs for Eased Restrictions Under Executive Order 204
EVV Updates
Electronic Visit Verification (EVV) Update NC Medicaid implementation of Electronic Visit Verification (EVV) for the Innovations Waiver, TBI Waiver and (b)(3) services administered by the LME-MCOs has been moved to June 30, 2021. This new date is to allow for additional testing and provider training. Providers should continue to work with the applicable LME-MCOs to prepare for the June 30, 2021, EVV implementation date for Innovations Waiver, TBI Waiver and (b)(3) services administered by the LME-MCOs.
COVID-19 Flexibilities Updates
CMS approves additional Appendix K Waiver flexibilities CMS has approved the latest round of Appendix K Waiver flexibilities. CAP/C, CAP/DA, TBI Waiver, and Innovations Waiver. Amendments are additive to those previously approved and are effective from March 13, 2020 to six months after the end of the federal public health emergency (PHE) for COVID-19. The anticipated end date of the federal public health emergency is currently April 20, 2021. The CMS approval letter is available here.
COVID-19 Flexibilities Update As of March 9, 2021 extended flexibilities will require the updated COVID-19 Appendix K Reporting Form (available on Provider Central) Please note: The requested effective start date for change can be no earlier than Dec. 13, 2020, and the requested effective end date for change can be no later than Oct. 20, 2021.
COVID-19 Flexibilities Update 15% Rate increase: Community Living and Supports Community Networking Effective July 1, 2020 – June 30, 2021
15% Rate increase for ICF-IID providers January 1, 2021-June 30, 2021 Extension of Room and Board through June 30, 2021
The next Q&A Webinar for Vaya Network Providers
Friday, April 16, 2021 10:00 a.m. – 12:00 p.m. Crossover to NC Medicaid Managed Care
We are always available to support you:
provider.info @vayahealth.com