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Provider Council Updates
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The Provider Advisory Council is representative of providers in the entire 23-county Catchment Area of Smoky Mountain LME/MCO.
Click Link for Information on Meetings and Events
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Trainings
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Motivational Interviewing for Healthcare Providers Series
How to Integrate Primary Care into a Behavioral Health Setting:
Lessons Learned from the SAMHSA Primary and Behavioral Health Care Integration Program
September 26, 2014
Comprehensive Clinical Assessments
Morganton
Waynesville
LOCUS/CALOCUS
Train the Trainer
Keeping Our Children Safe-McDowell
NCTOPPS Training
Motivational Interviewing
Routine Monitoring for Licensed Independent Practitioners
Operationalizing Effective Care
Advanced Comprehensive Clinical Assessments: An updated look at CCA's including Medical Necessity, Denials, DSM-5 and More
Supported Employment 101 Training
Screening and Treatment Planning for Individuals with Co-Occuring Disorders
Clinical Supervision in the MH/IDD/SA System: Meeting Audit and New Monitoring Requirements
Person Centered Thinking: A 12 hour training
Pathways to Intergration
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| Program Integrity and Providers in Medicaid Managed Care |  Program Integrity is one of the primary functions of an LME/MCO operating as a Medicaid managed care organization pursuant to 42 CFR Part 438. A standardized training has been developed to educate providers on LME/MCO Program Integrity responsibilities. The session will include an overview of the structure and day-to-day functions of LME/MCO Program Integrity including but not limited to the purpose, investigation process, referral sources, possible sanctions, and laws/regulations related to Program Integrity. Session Objectives: Upon completion of the presentation, participants will be able to: 1. Define purpose of Program Integrity in Medicaid Managed Care Organizations 2. Differentiate between types of investigations conducted by the LME/MCO 3. List Program Integrity Referral Sources 4. Define Program Integrity investigation Process 5. List possible outcomes from Program Integrity investigations 6. Identify laws/Regulations/Statues related to Program Integrity Target Audience: Provider Agencies, Licensed Independent Practitioners, Quality Management staff members, Compliance staff members. Royal Conference Center, 3801 Hillsborough St, Raleigh, NC, October 14, 2014 9am - 12pm This training is offered on a first come first serve basis. (Minimum attendees: 40 registered participants needed in order for the training to occur. Maximum attendees: 72) There are 3 CE credits available for APA, NBCC & ASWB |
| NC IDD Listening Sessions | DHHS Deputy Secretary of Behavioral Health and Developmental Disabilities Services to attend listening session for NC IDD services The North Carolina Department of Health and Human Services (DHHS) is working to create a better way to provide services for people with intellectual and/or developmental disabilities (IDD) and needs your help. In an effort to inform the State, please join Smoky as we welcome Dave Richard, Deputy Secretary of Behavioral Health and Developmental Disabilities Services, to our area. Dave will talk briefly about IDD services and the direction that North Carolina is headed in, but the most important reason for his attendance is to hear from you. Please come prepared to talk about your experiences, suggestions and concerns. The next session in the Smoky area will be Wednesday, October 15, 2014, 6:00pm - 8:30pm, at Haywood Community College, in the Charles Beall Auditorium. To send feedback to the Department of Health and Human Services regarding the Listening Sessions or the future of services for individuals with IDD, please use IDDListeningSessions@DHHS.NC.Gov |
| Medical Loan Repayment Program | |
We are pleased to announce that Jerry Boylan, medical placement specialist with the NC Office of Rural Health, will be delivering an informational session on Medical Loan Repayment program, October 22nd at MAHEC.
Click link to learn more about the Session.
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| 2014-2015 Contracting Process | |
ATTENTION PROVIDERS
Please see below as an update to our September 11, 2014 communication regarding the use of DocuSign:
2014-2015- Contracting Process
Smoky has upgraded its contracting processes to improve efficiency and response time through the adoption of an electronic signature process. The electronic signature process is administratively efficient, legal and free to providers. Smoky will use DocuSign, the same electronic signature vendor utilized by the State of North Carolina, for the execution of all contracts, including State and Medicaid provider contracts.
How to Sign Steps:
Step 1: Click the link in your notification email from DocuSign. With one click on virtually any internet-enabled device, providers can access their contract, review it and start the document signing process.
Step 2: Follow the DocuSign tabs. Tabs and simple instructions guide providers through the signing process, even adopting an electronic signature. Electronic signatures are secure and legal.
Step 3: Confirm. Once finished, click "Confirm Signing" and the process is complete.
For information about the DocuSign electronic signature process please click and visit the below link to the DocuSign How To Video. https://www.docusign.com/support/signer
If you have any questions about Smoky's upgraded contracting proces, please contact your assigned Account Specialist or provider.contracts@smokymountaincenter.com.
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| Family Fun Day is scheduled for 12/13/14!! | |
In its 14th year of fun and celebration Family Fun Day Holiday Fest is coming up on December 13, 2014. Located inside the Expo building of the WNC Ag. Center the 27,000 sq. foot space is transformed into a winter wonderland of holiday characters to meet, llamas to pet, food, face painters, balloonists and much more. A Wide variety of craft, games and activities are provide by the service provider programs across the area. Through the wonderful efforts of multiple agencies this event is growing . Last year there were 776 people in attendance.
The event is free to all and it offers multiple ways to be involved.
1) Provide an 'Informational Booth',
2) Provide an activity for attendees while promoting
the services you offer,
3) Be a part of the planning team for the event (meets
monthly). Deadline for this is end of September.
4) Off set the costs of the event by offering a financial
or in-kind contribution
5) Inform families about it or just come and check it
out yourself.
Consider how you can be part of this really fun day, meet families and other providers of services.
For further details please contact Roxann Colwell at 828-230-3555, roxann.colwell@msj.org.
See link to see how you can be involved..
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| Denial and Appeal Letters | |
Attention: Smoky Providers
Revised Procedure for Reading Denial and Reconsideration Letters in AlphaMCS
Effective September 1, 2014, Smoky Mountain LME/MCO no longer mails paper copies of Notices of Action (letters notifying a consumer that Smoky has denied, reduced or terminated a requested service) or Notices of Decision (aka "Reconsideration Letters") to Providers. These letters are mailed to the affected consumer along with an appeal form, and providers may view copies of the letters in AlphaMCS in the SAR module by going to the "View SAR" tile and looking in Clinical Documents. (We previously directed Providers to look for these letters in the "SAR Justification" tile but have since learned that these documents migrate to the "View SAR" tile.) If you have questions about this change or about a specific case, please contact the Appeals Department at 1-800-893-6246, ext. 1400. |
| Crisis Survey | | As part of our ongoing efforts to accurately understand the high utilization of Emergency Departments by individuals in behavioral health crisis, the Division of MH/DD/SAS has developed a very short survey that we want to get to as many diverse service providers as possible. This survey will help us to assess the "Resource Availability for Persons Experiencing a Mental Health or Substance Use Crisis". We welcome completion by traditional MH/DD/SAS provider agencies and independent practitioners, as well as by other community responders and partners such as hospital emergency departments, DSS staff, EMS, law enforcement, primary care providers, and any others who may need to interface with behavioral health crisis resources on behalf of their clients.
Please forward the attached link to all providers within your organizations and networks. It should take only 3-5 minutes to complete. The survey will be open for one month, closing on September 26. Thank you in advance for partnering with us in this DHHS Crisis Solutions Initiative survey.
https://www.ncsurveymax.com/TakeSurvey.aspx?SurveyID=86KH6plK |
| NCARF Conference | |
The NC Association of Rehabilitation Facilities (NCARF) will be holding its Annual Fall Conference at the Hawthorne Inn in Winston-Salem on Sept 25th and 26th. Come find out what's happening in the Department of Health and Human Services straight from Dave Richard and learn how changes might affect how you provide support services. Gain insight into the Division of Medical Assistance and Medicaid Reform by hearing the latest news and commentary about what the future may hold. Learn to navigate your way through the labyrinth of milestones and BEAM from Vocational Rehabilitation. Understand upcoming changes to the Innovations Waiver and how they impact you and receive the latest news from Raleigh about Provider monitoring. In addition staff will have the chance to share best practices with peers and pick up a few techniques and tools to help you work smarter, not harder. Click on the link to see the agenda and register. The early bird discount ends September 1 so be sure to register soon.
http://events.constantcontact.com/register/event?llr=9lccshrab&oeidk=a07e9mhyo9je7845869
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| 4th Annual Regional Transition into Adulthood Fair | |
Family Support Network of WNC is gearing up for the
4th Annual Regional Transition into Adulthood Fair,
A Journey toward Independence: Positive Outcomes for Youth with Disabilities, to be held Saturday, October 4th from 11:00am to 4:00pm at Mission Reuter Children's Center.
Transition into Adulthold Flyer
Click link for Exhibitors letter and form |
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Smoky Mountain LME/MCO 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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