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Monthly Friday Provider Call Agenda (7/06/2018) Program updates/announcements from today’s meeting: Announcement #1: Billing Inpatient Discharge Dates Training *Note this was an email blast sent to providers on June 5, 2018. Magellan of Virginia has posted a brief presentation in billing inpatient discharge dates to the training section of our website. This presentation covers claims forms, options for submitting inpatient electronic claims, and tips for billing for the discharge date for an inpatient stay. To access this training, please go to the Other Training page on www.magellanofvirginia.com and look under the “Claims” heading. If you have any questions, please call our customer service center at 1-800-424-4046 or select Contact Us on www.magellanofvirginia.com Additional information and links can be found on that email blast. July 06, 2018 VA DMAS – Monthly Friday Provider Call Agenda 1

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Page 1: Monthly Friday Provider Call Agenda July 2018 · Monthly Friday Provider Call Agenda (7/06/2018) Program updates/announcements from today’s meeting: Announcement #1: Billing Inpatient

Monthly Friday Provider Call Agenda (7/06/2018)Program updates/announcements from today’s meeting:

Announcement #1: Billing Inpatient Discharge Dates Training

*Note this was an email blast sent to providers on June 5, 2018.

Magellan of Virginia has posted a brief presentation in billing inpatient discharge dates to the training section of our website. This presentation covers claims forms, options for submitting inpatient electronic claims, and tips for billing for the discharge date for an inpatient stay.

To access this training, please go to the Other Training page on www.magellanofvirginia.com and look under the “Claims” heading.

If you have any questions, please call our customer service center at 1-800-424-4046 or select Contact Us on www.magellanofvirginia.com

Additional information and links can be found on that email blast.

July 06, 2018 VA DMAS – Monthly Friday Provider Call Agenda1

Page 2: Monthly Friday Provider Call Agenda July 2018 · Monthly Friday Provider Call Agenda (7/06/2018) Program updates/announcements from today’s meeting: Announcement #1: Billing Inpatient

Monthly Friday Provider Call Agenda (7/06/2018)Program updates/announcements from today’s meeting:

Announcement #2: IACCT Refresher Training

*Note this was an email blast sent to providers on June, 7 2018.

Magellan of Virginia posted an Independent Assessment Certification and Coordination Team (IACCT) provider refresher training to the Magellan of Virginia website. This training provides an overview of the current IACCT process, special consideration process, and uploading the Child and Adolescent Needs and Strengths (CANS) assessment.

To access the training, please go to the Residential Training page on www.magellanofvirginia.com.

If you have any questions, select Contact Us on www.magellanofvirginia.com or call our customer service center at 1-800-424-4046.

Additional information and links can be found on that email blast.

July 06, 2018 VA DMAS – Monthly Friday Provider Call Agenda2

Page 3: Monthly Friday Provider Call Agenda July 2018 · Monthly Friday Provider Call Agenda (7/06/2018) Program updates/announcements from today’s meeting: Announcement #1: Billing Inpatient

Monthly Friday Provider Call Agenda (7/06/2018)Program updates/announcements from today’s meeting:

Announcement #3: Recovery Navigation

*Note this was an email blast sent to providers on June 11, 2018.

Magellan of Virginia has posted a Recovery Navigation flier to the Magellan of Virginia website. This flier describes what our recovery navigators do to assist members, and also provides a map of the Commonwealth with contact info for the recovery navigators responsible for each of Virginia’s six territories. This flier may be found at the top of the GAP Information page of www.magellanofvirginia.com.

If you have any questions, please use the Contact Us form on www.magellanofvirginia.com or call our Member Services at 1-800-424-4046.

Additional information and links can be found on that email blast.

July 06 2018 VA DMAS – Monthly Friday Provider Call Agenda3

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Monthly Friday Provider Call Agenda (7/06/2018)Program updates/announcements from today’s meeting:

Announcement #4: CMHRS Transition into Medallion 4.0 DMAS Memo

Note this was an email blast sent to providers on June 12, 2018

This is being sent on behalf of the Virginia Department of Medical Assistance Services (DMAS). A

DMAS special memo regarding the transition of Community Mental Health Rehabilitation Services

(CMHRS) into the Medallion 4.0 program has been posted to the Magellan of Virginia website. The

memo can be accessed here.

If you have any questions, please call 1-800-424-4046 or select the Contact Us page on

www.magellanofvirginia.com.

Additional information and links can be found on that email blast.

July 06, 2018 VA DMAS – Monthly Friday Provider Call Agenda4

Page 5: Monthly Friday Provider Call Agenda July 2018 · Monthly Friday Provider Call Agenda (7/06/2018) Program updates/announcements from today’s meeting: Announcement #1: Billing Inpatient

Monthly Friday Provider Call Agenda (7/06/2018)Program updates/announcements from today’s meeting:

Announcement #5: ARTS Service Authorizations for ASAM DMAS Memo

Note this was an email blast sent to providers on June 14, 2018

The Department of Medical Assistance Services (DMAS) has updated the following forms for the Addiction and Recovery TreatmentServices (ARTS) program:

ARTS Initial Service Authorization Request form

ARTS Service Authorization Extension Request form

The ARTS Initial and Extension Service Request Authorization (SRA) forms will replace the current versions and will be required starting July 1, 2018. A DMAS special memo announcing the updated forms and updated Medication Assisted Treatment (MAT) requirements within ARTS Residential Services has been posted on the Magellan of Virginia website. The memo can be accessed here.

If you would like to upload these forms to your Electronic Health Record (EHR), please submit them to Magellan at [email protected] no later than June 26, 2018 to begin using them July 1, 2018.

Magellan of Virginia has posted updated versions of the ARTS SRA forms on our website. The new versions of these forms are located under the “Addiction and Recovery Treatment Services” header of our Forms page, as well as on the ARTS Information page under the “ARTS Service Request Authorizations” header.

DMAS has also updated the ARTS SRA forms on the DMAS ARTS webpage located at http://www.dmas.virginia.gov/Content_pgs/bh-home.aspx.

If you have any questions, please contact us at 1-800-424-4046 or go to the Contact Us page on www.magellanofvirginia.com/.

Additional information and links can be found on that email blast. July 06, 2018 VA DMAS – Monthly Friday Provider Call Agenda5

Page 6: Monthly Friday Provider Call Agenda July 2018 · Monthly Friday Provider Call Agenda (7/06/2018) Program updates/announcements from today’s meeting: Announcement #1: Billing Inpatient

Monthly Friday Provider Call Agenda (7/06/2018)Program updates/announcements from today’s meeting:

Announcement #5: ARTS Service Authorizations for ASAM DMAS Memo Con’t

Note this was an email blast sent to providers on June 14, 2018

Magellan of Virginia has posted updated versions of the ARTS SRA forms on our website. The new versions of these forms are located under the “Addiction and Recovery Treatment Services” header of our Forms page, as well as on the ARTS Information page under the “ARTS Service Request Authorizations” header.

DMAS has also updated the ARTS SRA forms on the DMAS ARTS webpage located at http://www.dmas.virginia.gov/Content_pgs/bh-home.aspx.

If you have any questions, please contact us at 1-800-424-4046 or go to the Contact Us page on www.magellanofvirginia.com/.

Additional information and links can be found on that email blast.

July 06, 2018 VA DMAS – Monthly Friday Provider Call Agenda6

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Monthly Friday Provider Call Agenda (7/06/2018)Program updates/announcements from today’s meeting:

Announcement #6: Invitation to BBI Family Engagement Webinar Part 3Note this was an email blast sent to providers on June 19, 2018.

Building Bridges Initiative, Part 3/Advanced: Successful Strategies for Residential and Child Welfare Partnerships to Support Permanency & Family Engagement

What: As part of Magellan’s commitment to support improved outcomes for youth and families and programmatic changes in residential programming that incorporates Building Bridges Initiative (BBI) principles, Magellan is offering this training opportunity to Virginia Residential providers at no charge.

This webinar is the third and final in a series of three BBI webinars focused on successfully engaging and partnering with families. This webinar is being presented by the national Building Bridges Initiative, in partnership with Plummer Youth Promise of Massachusetts.

When: July 12, 2018, 10:30 a.m. – noon EST

Where: Please register for this webinar using the link below:https://magellanhealth.zoom.us/webinar/register/WN_4a45xYZaQ5CN8KzG6dm37AAfter registering, you will receive a confirmation email containing information about joining the webinar. Please note the time for this webinar is at Eastern Standard Time as listed above.

Who: Residential leadership, state agency leaders, and family and youth advocate organizations

If you have any questions, please call 1-800-424-4046 or go to the Contact Us tab at www.magellanofvirginia.com/.

Additional information and links can be found on that email blast.

July 6, 2018 VA DMAS – Monthly Friday Provider Call Agenda7

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Monthly Friday Provider Call Agenda (7/06/2018)Program updates/announcements from today’s meeting:

Announcement #6: Invitation to BBI Family Engagement Webinar Part 3 Con’t

Note this was an email blast sent to providers on June 19, 2018.

When: July 12, 2018, 10:30 a.m. – noon EST

Where: Please register for this webinar using the link below:https://magellanhealth.zoom.us/webinar/register/WN_4a45xYZaQ5CN8KzG6dm37AAfter registering, you will receive a confirmation email containing information about joining the webinar. Please note the time for this webinar is at Eastern Standard Time as listed above.

Who: Residential leadership, state agency leaders, and family and youth advocate organizations

If you have any questions, please call 1-800-424-4046 or go to the Contact Us tab at www.magellanofvirginia.com/.

Additional information and links can be found on that email blast.

July 6, 2018 VA DMAS – Monthly Friday Provider Call Agenda8

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Monthly Friday Provider Call Agenda (7/06/2018)Program updates/announcements from today’s meeting:

Announcement #7: Behavior Therapy Continued Stay SRA Update 08-1-18

Note this was an email blast sent to providers on June 21, 2018.

Magellan of Virginia has made changes to the Continued Stay Behavior Therapy Service Request Authorization (SRA). Effective August 1, 2018 the treating physician is no longer required to sign an updated order or letter of recommendation, or sign off on the Treatment Plan Summary at the Continued Stay review. The signature will continue to be required at the initial review. The provider must continue to summarize the results of Behavioral Therapy including outcomes from the care coordination activity and submit an update to the individual’s primary care provider. Documentation that the update was sent to the individual’s primary care provider must be included in the individual’s record. ”Question “6F” has been removed from the SRA to align with this change. No other changes have been made to the Continued Stay SRA and no changes have been made to the Initial SRA.

Magellan of Virginia has posted an updated version of the Behavior Therapy SRA on our website. The new version of this form is located on our Forms page under the “Community Mental Health Rehabilitative Services (CMHRS) and other State Plan Option Services” heading. The new version of the SRA will be required starting August 1, 2018.

If you would like to upload these forms to your Electronic Health Record (EHR), please submit them to Magellan at [email protected] no later than June 26, 2018 to begin using them July 1, 2018.

If you have any questions, please call 1-800-424-4046 or use the Contact Us page on www.magellanofvirginia.com.

Additional information and links can be found on that email blast.

July 06, 2018 VA DMAS – Monthly Friday Provider Call Agenda9

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Monthly Friday Provider Call Agenda (7/06/2018)Program updates/announcements from today’s meeting:

Announcement #7: Behavior Therapy Continued Stay SRA Update 08-1-18 Con’t

Note this was an email blast sent to providers on June 21, 2018.

If you would like to upload these forms to your Electronic Health Record (EHR), please submit them to Magellan at [email protected] no later than June 26, 2018 to begin using them July 1, 2018.

If you have any questions, please call 1-800-424-4046 or use the Contact Us page on www.magellanofvirginia.com.

Additional information and links can be found on that email blast.

July 06, 2018 VA DMAS – Monthly Friday Provider Call Agenda10

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Monthly Friday Provider Call Agenda (7/06/2018)Program updates/announcements from today’s meeting:

Announcement #8: Roster Provider Screening Web Enhancement

Note this was an email blast sent to providers on June 22, 2018.

This is a follow-up to the provider communication, “Roster Provider Reminder” dated August 15, 2017. Magellan of Virginia, on behalf of the Department of Medical Assistance Services, must screen providers, including licensed roster staff, in order to comply with Federal law. These requirements can be found in 42 CFR 455 subpart E: Provider Screening and Enrollment.

Organizational providers are required to report licensed (i.e. LMHP) roster staff at all contracted service locations, at which point Magellan will complete the screening for each individual practitioner. Magellan recently completed an enhancement to the provider website, which displays the Medicaid screening verification date for each roster staff.

To verify the screening date, providers must login to www.magellanhealth.com/provider. From there, select the “display/edit practice information link under the “My Practice” heading on the left hand side. Select the “Provider TIN/MIS” associated with the location that you wish to view and click “Go”. From there, click the “roster maintenance” option. The column labeled “Medicaid Verification/Expiration Dates” shows the date Magellan completed the screening and the screening expiration date.

July 06, 2018 VA DMAS – Monthly Friday Provider Call Agenda11

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Monthly Friday Provider Call Agenda (7/06/2018)Program updates/announcements from today’s meeting:

Announcement #8: Roster Provider Screening Web Enhancement Con’t

Note this was an email blast sent to providers on June 22, 2018.

Only licensed roster staff with a completed screening will have a date displayed. Magellan will send formal written notification for any licensed roster staff that do not pass screening.

If you have licensed roster staff actively seeing members and they are not listed on the provider website, please add them using the roster maintenance option in order for Magellan to complete the screening. Magellan requires that providers update their staff roster no less than quarterly.

As a reminder, this impacts billing and claims submissions. Medicaid cannot reimburse providers who do not have an approved screening and claims submitted with a provider that does not have an approved screening will be denied. Magellan will send another communication 30 days prior to the implementation with the effective date of the billing changes.

If you have any questions regarding the information in this communication, please contact the Magellan of Virginia Network Department at 1-800-424-4536. Thank you.

Additional information and links can be found on that email blast.

July 06, 2018 VA DMAS – Monthly Friday Provider Call Agenda12

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Monthly Friday Provider Call Agenda (7/06/2018)Program updates/announcements from today’s meeting:

Announcement #9: The Virtual Project ECHO Buprenorphine Waiver Training

Registration is now open! Register Now!

Note this was an email blast sent to providers on June 29, 2018.

The Department of Medical Assistance Services, the Virginia Department of Health, and the

American Society of Addiction Medicine (ASAM) are collaborating for a virtual "live" course that will

cover all medications and treatments for opioid use disorder, and provides the required education

needed to obtain the waiver to prescribe buprenorphine. The first session is on July 6, 2018 from

noon to 4:00 p.m. This course is available for physicians, nurse practitioners, and physician

assistants interested in seeking their waiver to prescribe buprenorphine in the treatment of opioid

use disorders. This online session will deliver the required live portion of the total training hours.

Following the training, participants who have successfully completed their course may apply to the

Substance Abuse and Mental Health Services Administration (SAMHSA) to obtain their waiver.

July 06, 2018 VA DMAS – Monthly Friday Provider Call Agenda13

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Monthly Friday Provider Call Agenda (7/06/2018)Program updates/announcements from today’s meeting:

Announcement #9: The Virtual Project ECHO Buprenorphine Waiver Training

Registration is now open! Register Now! Con’t

Note this was an email blast sent to providers on June 29, 2018.

Please register here: https://elearning.asam.org/p/VADOH1_2018

Per ASAM's requirements, participants may take the four hour online portion either before or after

the "virtual" Project ECHO session. Participants must complete the online session within 30 days of

the "virtual" Project ECHO session or they will not receive credit for the course. No partial credit

will be given.

There will be additional trainings during the summer/fall: August 3, 2018, September 7, 2018,

October 19, 2018, and November 2, 2018. More information will be provided soon, which will

include links to the required online portion of the total training hours. Links to register for the

virtual trainings will be posted online at: http://www.dmas.virginia.gov/Content_pgs/bh-meet.aspx.

Additional information and links can be found on that email blast.

July 06, 2018 VA DMAS – Monthly Friday Provider Call Agenda14

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Questions/Topics to be Covered in Today’s Call (7/06/2018)

*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 email with a direct response.

Topic 1: Intensive Community Treatment (H0039)

Question # 1 Does a QMHP Trainee meet the staff requirements to provide or bill ICT services?

Topic 2: Electronic Health Record (EHR) Service Request Forms

Question # 2 What is the process for adding service request form to our agency Electronic Health Record (EHR)?

July 6, 2018VA DMAS – Monthly Friday Provider Call Agenda15

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Questions/Topics to be Covered in Today’s Call (7/06/2018)*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 email with a direct response.

Topic 3: CCC Plus to Medicaid FFS (fee for service) Transition

Question #3 What is Magellan’s submission process when a member transitions from CCC Plus Coverage to Medicaid FFS coverage?

Topic 4: MHSS ( H0046) and PSR (H2017)

Question # 4 When is a discharge and new request submission required after no member contact?

July 6, 2018VA DMAS – Monthly Friday Provider Call Agenda16

Page 17: Monthly Friday Provider Call Agenda July 2018 · Monthly Friday Provider Call Agenda (7/06/2018) Program updates/announcements from today’s meeting: Announcement #1: Billing Inpatient

Questions/Topics to be Covered in Today’s Call (7/06/2018)*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 email with a direct response.

Topic 5: GAP

Question # 5 What is the review period for the GAP Case Management (H0023) Monthly ISP review?

Topic 6: ARTS 2.1 Substance Use Intensive Outpatient Service

Question # 6 Is the signature of the LMHP required on the following SAIOP documentation if completed by a Resident or Supervisee for the Assessment, ISP, ISP Summary Review and Counseling?

July 6, 2018VA DMAS – Monthly Friday Provider Call Agenda17