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| Relative As Direct Service Employee (RADSE) Process | |
The Network Development Cross Functional Team (NDCFT) is responsible for conducting administrative reviews of the Verification of Relative/Legal Guardian as Direct Service Employee applications (Part A and Part B) to determine if the application meets the criteria for approval of relative as employee. Provider agencies that have had their Part A or Part B applications denied for a relative/legal guardian can resubmit the application with additional information that shows the employment criteria are met. Only one (1) resubmission is allowed per plan year, subsequent resubmissions for the same relative/legal guardian will be denied automatically.
The NDCFT also reviews all Part C Requests to exceed 40 hours. Ordinarily, no more than 40 hours of service per week, or seven (7) daily units per week, may be approved for service provision between all relatives who reside in the same household as the waiver participant. A step down plan may be required to introduce staff outside the natural family to promote community integration. Denials of Part C Requests may be grieved through the Smoky grievance process by contacting Customer Services Department.
Approvals of Relative/Legal Guardian as Direct Service Employee are provider agency and service specific. If there is a change in the type(s) of service provided by the relative/legal guardian under this policy, a new Part B application must be submitted by the provider agency. Likewise, if the Relative/Legal Guardian as Direct Service Employee changes the waiver recipient's services to a new provider, the new provider agency must submit a Part A to the Network Development Cross Functional Team.
The Relative/Legal Guardian as Direct Service Employee is an administrative process. If a provider agency receives a denial for a Part A, B or C they may contact radse@smokymountaincenter.com regarding their concerns or for clarification or the reasons for denial.
It is the responsibility of the Provider Agency/Employer of Record to explain to their employee the outcome of the review. NDCFT will not engage in conversation with Provider Agency/Employer of Record employees regarding status of their employment. Provider Agencies/Employers of Record may direct relatives/legal guardians who have questions about the process or concerns about how the denial impacts their family members to the Smoky Customer Services office. Relatives/Legal Guardians who contact the Provider Network Department will be redirected back to the Provider Agency/Employer of Record and/or to the Smoky Customer Services office.
See attached talking points that can be shared with families and the community.
Here too is a link to the US Department of Labor regarding new caregiver laws effective 1/1/15. http://www.dol.gov/whd/homecare/
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| Benchmark will be hosting.... | |
Public/Private Behavioral Health Forum
July 25, 2014
10:30am - 2:30pm
Royal Conference Center
3801 Hillsborough Street
Raleigh, NC
Click link for Registration Information
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Cognitive Behavior Therapy: Learn It, Use It and Teach It
Sept 17-18 & 24
9:00am - 4:00 pm
Royal Conference Center
3801 Hillsborough Street
Raleigh, NC
Click link for Registration Information
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| Printing the NC-SNAP | |
An original NC-SNAP assessment form must be used to complete all NC-SNAP for each individual. The NC-SNAP Assessment forms are available in PDF format and should not be altered in anyway.
The supplemental information sheet should be printed separately as a single page document. All completed NC-SNAP assessments MUST be accompanied by an NC-SNAP Supplemental Information Sheet.
All completed NC-SNAP assessments MUST be uploaded to Alpha then submitted to the LME/MCO for keying into the NC-SNAP data base. Send to Tammy.Harwood@smokymountaincenter.com or Mitzi.Bivens@smokymountaincenter.com
NC-SNAP information and forms may now be accessed via the DMH/DD/SAS web site at http://www.ncdhhs.gov/mhddsas/providers/NCSNAP/index.htm
Links to the updated NC SNAP manuals and forms can be found at the bottom of that page.
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| NC TOPPS News.... |
For assistance with NC TOPPS issues email nctopps@smokymountaincenter.com
CNDS numbers can be obtained through Smoky Mountain LME/MCO for NON-Medicaid consumer. If you need to request a number please email nctopps@smokymountaincenter.com with the following information:
- Consumer's first name, middle initial, and last name
- Consumer's date of birth
- Gender
- Consumer's social security number
- Race and ethnicity
- Primary language spoken
- Provider agency name and address of location services received
Be sure to use secured or encrypted email to send this information to Smoky because it contains PHI. The LME/MCO superusers will funnel those requests to Eligibility and Enrollment and get a number back to you.
MH/SA Supported Employment Provider
NC TOPPS are required for MH/SA Supported Employment consumers. You can begin submitting these reports now, and implementation will be mandatory on 10/1/14. Below is the new hierarchy for the responsibility of NC TOPPS submissions.
Adult SA/MH
- Residential Services
- Partial Hospitalization
- Assertive Community Treatment Team (ACTT)
- Substance Abuse Comprehensive Outpatient Treatment
- Substance Abuse Intensive Outpatient Treatment
- Community Support Team
- Opioid Treatment
- Supported Employment or Long Term Vocational Supports
- Periodic (State Funded SA only)
Child SA/MH
- Residential PRTF
- Partial Hospitalization
- Multisystemic Therapy Service
- Intensive In Home
- Substance Abuse Intensive Outpatient
- Child and Adolescent Day Treatment
- Residential Services (except PRTF) & Therapeutic Foster Care
- Supported Employment or Long Term Vocational Supports
- Periodic (State Funded SA only)
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| Upcoming LBDA Webinar: The Primary Care | |
Upcoming LBDA Webinar: The Primary Care Physician's Perspective - Could this be LBD?
Wednesday, July 30, 2014, 2:00-3:00 pm ET
Join LBDA for a free, 1-hour webinar on Wednesday, July 30, 2014, at 2:00 PM ET, featuring Charles Driscoll, MD, FAAFP.
Click to Learn more and to Register
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| Benefit Plan Streamlining Implementation |
Click link to Benefit Plan Streamlining Implementation
Communication Bulletin # 142 on NC Divison of Mental Health, Development Disabilities and Substance Abuse Services
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| Youth Mental Health First Aid | |
Date: July 31, 2014 (8:30a-5:00p) - McDowell
Presenters: Melissa Ledbetter & Robin Winkler, SMC Community Specialist
Training and Registration Information
Date: August 7, 2014 (8:30a-5:00p) - Polk
Presenters: Ann Dupre Rogers & Marilyn Kaylor, SMC Community Outreach Team
Training and Registration Information
Date: August 19, 2014 (8:30a-5:00p) - Jackson
Training and Registration Information
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| Peer Academy | |
A unique, intensive training opportunity offered by Meridian Behavioral Health Services in collaboration with Smoky Mountain LME/MCO
This training is open to individuals interested in pursuing em-ployment as a peer support specialist and obtaining certifica-tion as PSS through the Peer Support Specialist Registry from the Behavioral Healthcare Resource Program, School of Social Work, UNC-Chapel Hill.
August 18 - 22, 2014
154 Medical Park Loop, Sylva NC
Click flyer for details
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| NC Innovations Stakeholders Group |
Smoky Mountain LME/MCO is hosting quarterly stakeholders meetings for participants, families and providers involved in the N.C. Innovations waiver. The first meeting will be:
July 28, 2014
6:00pm-8:00pm
Please see flyer to register! |
| System of Care Training | |
System of Care Child & Family Team II Training
July 30 & 31, 2014
9:00am-4:00pm
Western Carolina University-Asheville
Click link to learn more... |
| Person-Centered Thinking Training | |
This two-day workshop is designed to introduce the principles and use of Person- Centered Thinking.
Date: August 28th & 29th-Caldwell County
Questions: Call Lisa Allen, Training Coordinator 828-586-5501 Ext.1163
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| Training Opportunities | |
Adult Mental Health First Aid Train-The-Trainer
August 11-15, 2014
Location:
Alliance Behavioral Healthcare
4600 Emperor Blvd.
Durham, NC 27703
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Cognitive Behavioral Therapy
July 29-31st, 2014
Location:
505 Oberlin Rd, Suite 100
Raleigh, NC
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| Developmental Disabilities Training Institute Presents: | |
Cultural Diversity Training
August 5, 2014
9:00am-4:00pm
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| Upcoming MAHEC Trainings | |
Kimberly Strom-Gottfried, LISW, PhD presents:
July 24, 2014 - October 9, 2014
August 18, 2014 - August 22, 2014
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| Smoking Cessation Class | |
The Free Clinic is sponsoring a Smoking Cessation Class
Tuesday Evenings 6:00p-8:00p begining 7/01/14 - 8/12/14
The class is free for anyone who is interested in quitting smoking!
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| Keeping Our Children Safe | |
Steward of Children is a prevention training program that teaches adults how to prevent, recognize, and react responsibly to child sexual abuse.
August 5, 2014-Caldwell
5:00 pm to 8:00 pm
Smoky Mountain Office
825 Wilkesboro Boulevard, Lenior, NC
Training and Registration Information
October 14, 2014-McDowell
9:00 am to 12:00 pm
Smoky Mountain Office
408B Spaulding Road, Marion, NC
Training and Registration Information |
| t3 Think Teach Transform - onlineTrainings | |
Upcoming trainings starting in May include:
- Beyond the Basics - Motivational Interviewing (15 hrs CEU credits)
- Housing First - (10 hours CEU credits)
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Smoky Mountain'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.
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