All Smoky Mountain LME/MCO departments and staff can be reached at 828-586-5501
Administrative headquarters:
200 Ridgefield Court, Suite 206
Asheville, NC 28806
Provider questions: Call 1-866-990-9712, contact your account specialist or email
Confidential Compliance (Suspected Fraud and Abuse) Hotline: Report online or call
1-866-916-4255
AlphaMCS technical support: 828-586-5501, ext. 1500, 8:30 a.m. to 5 p.m. M-F
Visit the Smoky website for more about:
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Changes in psychiatric residential treatment billing requirements
The N.C. Department of Health and Human Services has announced a change in billing requirements for all institutional (UB-04/837-I) claims for Psychiatric Residential Treatment Facility (PRTF) services. Beginning July 1, 2015, all institutional claims for PRTF services must include the name and National Provider Identification (NPI) of the beneficiary's attending psychiatrist and billing provider.
To meet this requirement, all psychiatrists and advanced practice registered nurses (APRNs) involved in delivering PRTF services will be required to be credentialed by Smoky.
To start this process, practitioners must submit the Credentialing Initiation Form (CIF) found on the credentialing webpage of the Smoky website. This form includes submission instructions.
The credentialing process takes 15 to 60 business days, depending on the accuracy of submitted documentation. Any psychiatrist or APRN must be credentialed by Smoky to bill for services rendered after July 1, 2015. Retroactive billing and payment will be processed for these providers who have submitted a complete credentialing packet by June 30, 2015, and are subsequently credentialed through Smoky.
If you have questions, email credentialingteam@smokymountaincenter.com or call us at 1-855-432-9139. For more information, visit our website.
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Home and community-based self assessment pilot notice
On May 8, 2015, members of the Home and Community-Based Services (HCBS) Transition Plan and strategic workgroup trained providers participating in the HCBS self-assessment pilot. Participating providers received the assessment in an electronic format. The e-assessment went live Monday, May 11. The pilot dates are from Monday, May 11, through Sunday, May 24. The pilot will inform statewide implementation of the e-assessment.
Smoky has created a dedicated email for questions about this pilot and the HCBS Transition Plan. All questions and comments may be sent to hbs@smokymountaincenter.com.
At this time, the e-assessment is being shared with participating providers. The following providers are participating in the Smoky catchment area:
- Davidson Homes
- Home Care Management
- KD Support Services
- Macon Citizens Habilities
- Mountain Area Community Services
- Reach for Independence
For more information about HCBS, the self-assessment or the transition plan, visit the N.C. Department of Heath and Human Services website.
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About provider email alerts
You are receiving this alert because you are a member of the Smoky provider network or have signed up for our Provider Network Bulletin. Smoky issues email alerts to convey critical information as soon as possible. Please note that if you unsubscribe from these alerts, you will also be removed from the Provider Network Bulletin mailing list and may miss out on important information.
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Smoky Mountain LME/MCO manages publicly funded services for mental health, substance use and intellectual/developmental disabilities in Alexander, Alleghany, Ashe, Avery, Buncombe, Caldwell, Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, Watauga, Wilkes and Yancey counties in North Carolina. For immediate help or information about services, call 1-800-849-6127, 24 hours a day (TTY: Relay NC 711). Visit us at www.smokymountaincenter.com.
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