"Meeting community needs...one person at a time"
SMC Provider Network Communication 
Issue: #136  
April 24, 2014
    
Quick Links
  
  
Intensive In-Home Services (IIHS)       
Update April 24, 2014
Smoky Mountain Local Management Entity/Managed Care Organization (Smoky) intends to ensure that enrollees in the NC Medicaid 1915(b)/(c) Waiver Health Plan have access to a network of clinically and financially viable providers which promote integrated and comprehensive care.

Smoky continues to face diminished funding allocations, including state and local funds which are used to serve indigent consumers.  Recognizing the diminished funding imbalance between the number of individuals needing care (indigent population) and the funding available to pay for care (state and local funds), the reality requires Smoky to carefully employ strategies to create the greatest service benefit for the consumer community. To this end, Smoky will:
  • Develop strategies to maximize the use of state and local funds through the further development of comprehensive care centers that can efficiently scale essential services for indigent consumers.
  • Promote greater efficiency in the service delivery of comprehensive care centers by consolidating state and local funds into a limited number of these organizations in each region.

To meet these objectives, Smoky has made the determination to re-align the delivery of Intensive In-Home Services (IIHS) within our counties to ensure the sustainability, quality and integrity of our network providers.  Smoky is taking this action to promote stable access to IIHS, and reduce the fragmentation of care for youth in need of this service.   

 
Smoky has given formal notification to affected providers as of April 3, 2014, with a full transition of care for youth receiving this service by the contract amendment date of June 30, 2014.


The Smoky Provider Network, Utilization Management and Customer Service departments are working closely with affected providers to ensure a smooth transition of care for the youth and their families receiving Intensive In-Home Services.  


Providers can contact their personal Account Specialists with questions.


Consumers should contact the Smoky Customer Services line at 1-800-849-6127. 

 

National Alliance of Direct Support Professionals
Date: Tuesday, April 29 (10:00 - 4:00)
Location: YMCA Blue Ridge Assembly, Black Mountain 
 
Attention All Providers, Family Members and Self-Advocates
Join the kick off meeting for starting State Chapter!
  
There is still time to register. Come learn about the impact of having a State Chapter of the National Alliance of Direcct Support Professionals (DSP's) will have on your agency, the people you serve and their families.
How to read SAR Justifications in Alpha
Attn: All Providers
  
Once a decision has been made on a SAR, providers have the ability to review communication (e.g. reason for SAR approval, partial approval or denial, clinical recommendations, requested information for submission on next SAR, etc.) from Care Managers directly in the SAR module of MyMCSportal. Click here to learn more.
Training - NC Council of Community Programs
Upcoming trainings in Raleigh - Training Flyer
  
April 29: Identifying Effective Interventions for use in MH Treatment of Children & Adults. 
 
April 30: Medicaid Appeals Training (one time only - register early)

 

May 13: Screening and Treatment Planning for Individuals with Co-Occurring Disorders (6 hours of APA, NBCC or ASWB CEUs)

 

May 14: Documentation Training Focused on Non-licensed Staff

 

May 20-22: Cognitive Behavioral Therapy

 

June 3-4: Clinical Supervision in Behavioral Healthcare (12 hours of APA, NBCC or ASWB CEUs)

Training - Smoky Mountain & NC Start
Mental Health Symptoms, Signs and Diagnosis for Individuals with Developmental Disabilities
  
Date: April 29, 2014  (1:00 - 4:00)
Location: WCU Campus at Biltmore Park
  
Training Needs Survey 
Smoky Mountain LME/MCO wants your feedback
about Training!
  
Please take a few minutes to answer our simple, nine-question survey about your training needs.  This is your opportunity to have your voice heard or to request trainings that are hard to find in your area. 
  
The survey can be completed online at https://www.surveymonkey.com/s/2HTCLKV.
  
Thank you very much for your requests and comments! If you have questions, please don't hesitate to contact Greta Byrd, Training Manager at 828 225-2785 Ext. 5327.
Routine Monitoring Training for LIPs 

Date: Saturday, May 3, 2014  (10:00 - 12:00)

Location: Double Tree Inn, Biltmore

 

Smoky Mountain LME/MCO is excited to offer this introduction to the new tools for Routine Monitoring of Licensed Independent Practioners.
  
Target audience: Licensed Independent Practitioners in the Smoky Mountin network. Read the flyer for registration and training details.
t3 Think Teach Transform - onlineTrainings
Upcoming trainings starting in May include:
  • Beyond the Basice - Motivational Interviewing (15 hrs CEU credits)
  • Housing First - (10 hours CEU credits)
Both courses are instructor-led online courses. Find out how to register.
NCADSP Kick-off Event

Meeting sponsored by Smoky Mountain Center

 

Date: Tuesday, April 29, 2014 from 10:00 - 4:00

Location: Black Mountain, NC

 

Join the Kick Off Event on April 29th in Black Mountain! NCADSP is visiting to assist us in developing a state Chapter of the National Alliance for Direct Support Professionals. This meeting will help determine the initial vision for the NC Chapter, with steps and time lines to roll out this initiative across the state. Event and registration details here.
Expand Your Toolbox

Expand Your Toolbox

...a series for Parents, Teachers and Support Staff 

providing intensive training experience for parents and teachers who want to increase their knowledge and acquire specific intervention skills to maximize success of their children with behavioral challenges, social interactions, sensory issues and speech delays.
May 9, 2014     9:00 - 3:30
Strategies for Disrupting Behavior & Social Skills
All sessions presented by experts in their field.
Click here for more information.

Smoky Mountain Center's Access Call Center is available 24 hours a day, 7 days a week to provide information, screening, triage and referrals for mental health, substance abuse and intellectual/developmental disability services. The toll-free phone number is 1-800-849-6127.