Q&A Webinar for Vaya Health Network Providers Friday, November 12, 2021
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. • 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.
Vaya Health | Q&A Webinar for Vaya Health Network Providers
➢
The moderated Q&A is available in the controls bar on your screen. Look for the bubble with the question mark.
Vaya Health | Q&A Webinar for Vaya Health Network Providers
➢
Where can I find … Q&A Webinar Recordings and Resources:
Provider Communication Bulletin Sign-Up:
Provider Communication Bulletin Archive:
Provider Central > Learning Lab > Provider Webinars
Provider Central > Learning Lab > Sign up for PCB
Provider Central > Learning Lab > Communication Bulletins
Vaya Health | Q&A Webinar for Vaya Health Network Providers
➢
Provider Q&As: What do you need to know? • If you have any topics you would like to see covered in our Q&A webinars, please let us know: provider.training@vayahealth.com
Vaya Health | Q&A Webinar for Vaya Health Network Providers
➢
We want to hear your success stories • Member successes • New program launches • Community support efforts Send your success stories to: tommy.duncan@vayahealth.com
Vaya Health | Q&A Webinar for Vaya Health Network Providers
➢
Today’s Vaya Participants Donald Reuss, Senior VP, Provider Network Operations George Ingram, VP, Provider Network Development & Value Based Contracting Lynn Widener, MH Network Development Director David Boyd, Network Management Coordinator (Q&A moderator)
Renee Urban, Provider Educator (producer) Heidi Griepp, Digital Communications Specialist (co-producer)
Vaya Health | Q&A Webinar for Vaya Health Network Providers
➢
Good morning and welcome
LEGISLATIVE AND POLICY UPDATE
GUEST PRESENTER
Sarah Pfau Health Policy Consultant, Cansler Collaborative Resources on behalf of NC Providers Council
ncproviderscouncil.org Vaya Health | Q&A Webinar for Vaya Health Network Providers
➢
VAYA – CARDINAL INNOVATIONS CONSOLIDATION
AlphaMCS • Vaya will continue to use the current AlphaMCS Managed Care Information System (MCIS) platform into 2022 for service authorization requests, claims submission, provider profiles, and enrollment of individuals receiving Statefunded services. • All network providers who deliver services to members transitioning to Vaya will be required to utilize Vaya’s AlphaMCS platform to submit service authorization requests and claims for payment for dates of service on or after Jan. 1, 2022.
• Vaya’s migration to Conduent’s Health Solutions Plus (HSP) platform is tentatively scheduled for spring 2022. Vaya Health | Q&A Webinar for Vaya Health Network Providers
AlphaMCS Log-ins • To access training resources and submit service authorization requests to Vaya prior to Jan. 1, 2022, Cardinal network providers that do not already have an AlphaMCS login must submit names of staff who require an AlphaMCS login as soon as possible. Please visit the AlphaMCS page on Vaya’s Provider Central website to complete the AlphaMCS Login Request Form. • After you have been set up as a provider in AlphaMCS, Vaya will contact you regarding your login information.
Vaya Health | Q&A Webinar for Vaya Health Network Providers
Contract Assignment vs. Contract Amendment • All providers that are currently in good standing with Cardinal and Vaya will be offered a contract within the Vaya provider network. • Providers that have a contract with Cardinal and not Vaya will have their Cardinal contact assigned to Vaya • Providers will need to sign an assignment agreement to allow that transfer to take place. • For state funded specialty programs you may also receive a contract amendment to align any specific Vaya requirements across the provider network.
Vaya Health | Q&A Webinar for Vaya Health Network Providers
Contract Assignment vs. Contract Amendment • Providers that currently have a contract with both Cardinal and Vaya: • Cardinal contract terminated effective December 31, 2021 • Vaya contract amended to add all Cardinal sites and services effective January 1, 2022
Vaya Health | Q&A Webinar for Vaya Health Network Providers
ON YOUR RADAR
Current Network Needs • • • • • • • • •
Emergency Respite (child and adolescent) Therapeutic Foster Care Licensed Child AFL Homes Child and Adolescent Day Treatment Adolescent Substance Use Services Partial Hospitalization Psychosocial Rehabilitation (PSR) Research Based Behavioral Health Treatment (RBBHT) Financial Support Agency
All counties All counties All counties School system based All counties Rural counties Rural counties Rural counties All counties
For more information, please contact your Provider Network Manager, or provider.info@vayahealth.com Vaya Health | Q&A Webinar for Vaya Health Network Providers
LEARNING AND PARTICIPATION OPPORTUNITIES
Permanent Supportive Housing (PSH) Training December 1-2, 8-9, 2021, 9 a.m. to 1:30 p.m. • This online training will support CST and ACTT providers by improving their understanding and practice of the evidenced-based Permanent Supportive Housing model for ongoing tenancy support.
To register: https://www.vayahealth.com/calendar/ Vaya Health | Q&A Webinar for Vaya Health Network Providers
DHHS Initiative (JCB# J403): Expanding Opportunities for Competitive Integrated Employment and Other Meaningful Days • Update and align state and Medicaid-Funded SE, CLS, and DS services to incorporate current best practices in the service delivery system for individuals with IDD and TBI. • Engage stakeholders in disability communities to ensure understanding of new services and pathways available to them. • Conduct informed choice awareness campaign with focus on career pathways & related support services that lead to CIE and meaningful day options. • Offer training for providers, families, and advocates regarding changes in service definitions and best practices. • Develop and promote a comprehensive Transition to Competitive Integrated Employment guide for stakeholders For more information: Expanding Opportunities for Competitive Integrated Employment and Other Meaningful Day Options –NCDHHS website Vaya Health | Q&A Webinar for Vaya Health Network Providers
ELECTRONIC VISIT VERIFICATION (EVV) UPDATE
EVV Exceptions •As a reminder, EVV applies to services provided in the member's home. •Services provided solely in the community (I.e., do not start, end or at any time occur in the member's home are exempt and should be billed with T2012 code directly into AlphaMCS (add HQ for group) •Services provided by a live-in caregiver are exempt and should be billed with code T2012GC directly into AlphaMCS (add HQ for group) •Claims issue with Place of Service "Home" has been corrected and claims are being reprocessed Vaya Health | Q&A Webinar for Vaya Health Network Providers
➢
COVID-19 FLEXIBILITIES UPDATE
• Appendix K flexibilities for CAP/C, CAP/DA, and the Innovations and TBI waivers have been updated to include an anticipated end date of “through six months following the end of the Public Health Emergency”. The anticipated end date of the federal public health emergency is currently Jan. 13, 2022. • Vaya anticipates the Appendix K flexibilities are extended from April 20, 2022, to at least July 12, 2022. • Extended flexibilities will require submission of Vaya’s updated COVID-19 Appendix K Reporting Form (version 7.0). • The requested effective start date for Appendix K-related changes can be no earlier than July 12, 2021, and the requested effective end date for changes can be no later than July 12, 2022. • Please be aware that Innovations Waiver participants under age 22 are subject to limits on sets of services during the school year. • Respite is the only service allowed during the school day during the Appendix K flexibilities, with specific parameters around its use. Please review Joint Communication Bulletin #375 for details.
Vaya Health | Q&A Webinar for Vaya Health Network Providers
Q&A SESSION
Questions? Thoughts? Ideas?
OUR NEXT Q&A WEBINAR Friday, Nov. 19, 11 a.m. - 12 p.m. Consolidation Information Session for Cardinal Providers Friday, Dec. 3, 11 a.m. - 12 p.m. Q&A Webinar for Vaya Providers
Need support? We’re here for you.
provider.info@vayahealth.com