Information Session and Trainings

Transcription

1 Information Session and Trainings For Erie County Behavioral Health Service Providers Information Session for Senior Leaders of Network Providers May 5, 2011 Sheraton Erie Bayfront Hotel 55 West Bay Drive, Erie, PA Provider Training Sessions May 17, 18, 19, and June 7, 8, 9, 2011 The Ambassador Center 7794 Peach Street, Erie, PA SAVE THE DATE! As a follow-up to the provider trainings, Question and Answer sessions will be held on July 19, 20, and 21, Mark your calendar and watch for details.

2 ABOUT THE TRAININGS AND INFORMATION SESSION Welcome to Community Care! On July 1, 2011, Community Care will begin to manage behavioral health services for individuals who reside in Erie County and receive Medical Assistance benefits through the Pennsylvania HealthChoices program. Community Care is holding an Information Session for senior leaders of network providers on May 5, 2011, from noon to 2 p.m. at the Sheraton Erie Bayfront Hotel at 55 West Bay Drive in Erie, PA. This session is offered at no cost; lunch will be provided. Please register for the Information Session using the form on page 7. Community Care is also holding training sessions on May 17, 18, and 19, 2011, and June 7, 8, and 9, 2011, for the Erie County behavioral health services providers who serve HealthChoices members. All of the trainings include an overview of Community Care and a choice between Administrative and Clinical sessions. Administrative sessions will cover network credentialing and contracting, and provider reimbursement. Clinical sessions, which will include an overview of Quality Management activities and the role of providers, will focus on Adult Mental Health Services, Children s Services, and Drug and Alcohol Services. Providers attending the Children s Services clinical session can choose from three workshops: 1). BHRS and BHRS Exceptions, FFT, MST, and SMART; 2). RTF and IRT/MTFC; and 3). FBMH and Psych/Neuropsych Testing. Duplicate sessions are offered in morning and afternoon sessions as well as on different days to accommodate providers schedules. All of the provider trainings, offered at no cost to the provider, are being held at The Ambassador Center at 7794 Peach Street in Erie, PA. Because space is limited, registration is required. Providers may register for one or more sessions using the registration form included on page 7. SAVE THE DATE! After the July 1 implementation, follow-up question and answer sessions for providers will be held on July 19, 20, and 21, Watch for more details! - 2 -

3 AGENDA: MORNING AND AFTERNOON SESSIONS ON MAY 17 AND JUNE 7, 2011 MAY 17 AND JUNE 7, 2011 MORNING SESSIONS: 8:30 a.m. - 12:15 p.m. AFTERNOON SESSIONS: 1:00 p.m. - 4:45 p.m. 1 hour 15 minutes 2-1/2 hours Overview of Community Care An overview of Pennsylvania s Behavioral Health HealthChoices Program as well as Community Care policies, procedures, and initiatives. Break Administrative Session Network Credentialing and Contracting, and Provider Reimbursement. Target audience includes office managers, office staff, billing managers, billing supervisors, billing clerks/staff. OR Clinical Session Quality Management and Children s Services, which includes a choice of workshops: 1. BHRS and BHRS Exception, FFT, MST, and SMART. 2. RTF and IRT/MTFC. 3. FBMH and Psych/Neuropsych Testing. Target audience includes psychologists, clinical/program directors, prescribers/evaluators, utilization management staff, care/case managers, and direct line staff. Please note that all of the sessions on May 17 and June 7, 2011, will cover the same materials. Four duplicate sessions are offered to accommodate providers schedules

4 AGENDA: MORNING AND AFTERNOON SESSIONS ON MAY 18 AND JUNE 8, 2011 MAY 18 AND JUNE 8, 2011 MORNING SESSIONS: 8:30 a.m. - 12:15 p.m. AFTERNOON SESSIONS: 1:00 p.m. - 4:45 p.m. 1 hour 15 minutes 2-1/2 hours Overview of Community Care An overview of the HealthChoices Program as well as Community Care policies and procedures. Break Administrative Session Network Credentialing and Contracting, and Provider Reimbursement Target audience includes office managers, office staff, billing managers, billing supervisors, billing clerks/staff. OR Clinical Session Quality Management and Adult Mental Health Services. Community Care s Care Management Department will present information related to the authorization process for adult mental health services. Inpatient hospital services (authorization and transition for both children and adults), as well as precertification, continued stay review, and discharge processes will be discussed. An overview of Quality Management activities, including the role of providers, will be presented. Target audience includes hospital/provider line staff, nurse managers, psychiatrists, utilization and quality management staff. Please note that all of the sessions on May 18 and June 8, 2011, will cover the same materials. Four duplicate sessions are offered to accommodate providers schedules.

5 AGENDA: MORNING AND AFTERNOON SESSIONS ON MAY 19 AND JUNE 9, 2011 MAY 19 AND JUNE 9, 2011 MORNING SESSIONS: 8:30 a.m. - 12:15 p.m. AFTERNOON SESSIONS: 1:00 p.m. - 4:45 p.m. 1 hour 15 minutes 2-1/2 hours Overview of Community Care An overview of the HealthChoices Program as well as Community Care policies and procedures. Break Administrative Session Network Credentialing and Contracting, and Provider Reimbursement. Target audience includes office managers, office staff, billing managers, billing supervisors, billing clerks/staff. OR Clinical Session Quality Management and Drug and Alcohol Services. Community Care s Care Management Department will present information related to the authorization process for drug and alcohol services. Inpatient hospital services (authorization and transition for both children and adults), as well as precertification, continued stay review, and discharge processes will be discussed. An overview of Quality Management activities, including the role of providers, will be presented. Target audience includes drug and alcohol counselors, hospital/ provider line staff, nurse managers, psychiatrists, utilization and quality management staff. Please note that all of the sessions on May 19 and June 9, 2011, will cover the same materials. Four duplicate sessions are offered to accommodate providers schedules

6 HealthChoices Information Session May 5, 2011 Noon 2 p.m. Sheraton Erie Bayfront Hotel 55 West Bay Drive Erie, PA In addition to trainings for providers, Community Care is holding an information session for senior leaders of network providers. This session is free of charge. Lunch will be provided. Please register for the Information Session using the registration form on page 7. To register, complete the form on the following page and return to: Karen Neal Community Care One Chatham Center, Suite Washington Place Pittsburgh, PA Phone: nealkv@ccbh.com Fax: Instructions 1. Print your contact information. 2. Indicate if you are planning to attend the Information Session on May 5, 2011, at the Sheraton Erie Bayfront Hotel from noon to 2 p.m. (Lunch will be provided). 3. Indicate the day(s) you plan to attend a provider training(s). 4. Indicate if you are planning to attend the morning and/or afternoon session. 5. Choose between the Administrative or Clinical session. 6. If you select a Clinical- Children s Services session, please choose a workshop: 1. BHRS and BHRS Exception, FFT, MST, and SMART 2. RTF and IRT/MTFC 3. FBMH and Psych/ Neuropsych Testing - 6 -

7 REGISTRATION FORM for Erie County Provider Trainings and Information Session Return to Karen Neal, Community Care, One Chatham Center, Suite 700, 112 Washington Place, Pittsburgh, PA 15219; Phone: ; Fax: NAME: TITLE: AGENCY: ADDRESS: PHONE: FAX: May 5 Information Session for Senior Leaders at the Sheraton Erie Bayfront Hotel May 17 Morning Administrative or Clinical-Children s Services Afternoon Administrative or Clinical-Children s Services May 18 Morning Administrative or Clinical-Adult Services Afternoon Administrative or Clinical-Adult Services May 19 Morning Administrative or Clinical-Drug/Alcohol Services Afternoon Administrative or Clinical-Drug/Alcohol Services June 7 Morning Administrative or Clinical-Children s Services Afternoon Administrative or Clinical-Children s Services June 8 Morning Administrative or Clinical-Adult Services Afternoon Administrative or Clinical-Adult Services June 9 Morning Administrative or Clinical-Drug/Alcohol Services Afternoon Administrative or Clinical-Drug/Alcohol Services Note: Duplicate sessions mornings and afternoons May 17/June 7; May 18/June 8; and May 19/June 9. Workshop 1 2 3

8 One Chatham Center, Suite Washington Place Pittsburgh, PA NON-PROFIT ORG U.S. POSTAGE PAID PITTSBURGH, PA PERMIT NO. 293