Weekly Friday Provider Call Agenda (09/22/2017) Program updates/announcements from today s meeting:

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1 #1-IACCT Inquires for Youth Residing in DJJ *Note this was an blast sent to providers on 09/15/2017 in summary: Effective October 1, 2017, we will be no longer accepting IACCT inquires for youth residing in Virginia Department of Juvenile Justice (DJJ) detention facilities because youth residing in DJJ facilities are not eligible for Medicaid coverage. In the event that an inquiry is made throught the IACCT process, the referring entity will be notified that the inquiry is not eligible at that time. Additional information, sign up links and contact information are located in the provider communication. 1

2 #2-Guidance for youth admitted in a Psychiatric Residential Treatment Facility or a Therapeutic Group Home prior to July 1, Reassessment Due October *Note this was an blast sent to providers on 09/18/2017 in summary: Any youth placed in a Psychiatric Residential Treatment Facility (PRTF) or a Therapeutic Group Home (TGH) prior to July 1, 2017 will need an IACCT reassessment to complete the CANS. Residential facilities will be contacted by the IACCT LMHP to be informed of members at their facility who require an IACCT reassessment and a Release of Information. The IACCT Provider will provide the date of the reassessment and the name of the team to be included in the Release of Information. Providers may use their own release form for these purposes. In order to facilitate this process, the PRTF and TGH provider needs to obtain a release from the guardian to share information with the IACCT provider. This will allow for care coordination and the sharing of pertinent clinical information between the IACCT provider and the facility to help facilitate the member s progress in treatment. 2

3 #2-Residential Billing for ORP *Note this was an blast sent to providers on 08/31/2017 in summary: This notification is an update to the communication titled Requirements for Residential Billing for Ordering, Referring or Other Professionals dated June 2, Magellan of Virginia will delay the requirement of the ordering or referring physician NPI on the claim for residential treatment effective for dates of service beginning 10/1/17. Any previously submitted claim for revenue codes 1001 or 0961 that denied for no referring NPI will be adjusted by Magellan no later than 9/1/17. Providers do not need to resubmit these claims. A claims training is also on the Magellan of Virginia website on the 2017 Provider Training page with specific guidance outlining these billing requirements. 3 VA DMAS Weekly Friday Provider Call Agenda February 10, 2017

4 Questions/Topics to be Covered in Today s Call (09/22/2017) *Please note, all questions covered on the call are global questions. Global questions submitted by COB each Wednesday that are not listed below require additional research and will be covered on a future call. If you submitted a question that was specific in nature, you will receive an with a direct response. Topic 1: Service Specific Provider Intake (SSPI) Question # 1 For TDT, MHSS and IIH: When the LMHP assessor completes the assessment/diagnostic review, when does the document have to be signed? Question # 2 For IIH, can the intake be done somewhere in the community besides the client's house with proper justification? Topic 2: Screening, Brief Intervention and Referral to Treatment (SBIRT), CPT Code Question # 3 Can SBIRT-Alcohol and/or Substance use screening minutes, CPT 99408, be performed and billed by a nurse? 4

5 Questions/Topics to be Covered in Today s Call (09/22/2017) Topic 4: QMHP-A and QMHP-C Question # 4 Does QMHP-C enable one to provide services to adults? Topic 5: Mental Health Case Management Intake Question # 5 Are there regulations regarding where a case management intake can occur? 5 VA DMAS Weekly Friday Provider Call Agenda February 10, 2017