MHCP Provider News

May 18, 2015 News


  • • ​Provider Revalidation Letters and Schedule: On April 24, 2015, we sent letters to the first group of provider types on the 2015 MHCP revalidation schedule, asking that they provide us with information to revalidate their enrollment with MHCP. Refer to the Provider Screening Requirements section in the MHCP Provider Manual for more information. If you are enrolled with MHCP as one of the provider types on the revalidation schedule, look for your letter in your MN–ITS mailbox, under the PRVLTR file type. If you or your organization does not have a registered MN–ITS account, you will receive the letter by mail (U.S. Postal Service) at the address we have on file. Please refer to the MN–ITS Mailbox User Guide for instructions on using the mailbox. We will be sending revalidation letters to other provider types soon. (Revised 5/21/15)
  • • Autism RFP: DHS, through the Disability Services Division (DSD), requests proposals for respite programming for individuals with autism. Responses submitted from this request for proposal (RFP) must be received no later than 4 p.m. Central Standard Time on Friday, June 12, 2015. We will not consider late proposals. See the State Register notice Monday, May 4, 2015, page 1547 (PDF). The request for proposals (PDF) is posted on the DHS Grants and RFP's Web Page.
  • • Emergency Medical Assistance (EMA) Care Plan Certification: Effective immediately, use the following phone and fax numbers to contact Telligen about EMA Care Plan Certification (CPC) requests:
  • • Phone: 866-438-5698
  • • Fax: 844-887-5288
  • • Emergency Medical Assistance (EMA) claims for Home and Community-Based Services (HCBS): We updated the EMA Home and Community-Based Services Provider Update, originally posted on March 20, 2014, to add that DHS cannot authorize services past June 15, 2015. Claims must be submitted correctly by June 25, 2015, to receive payment by June 30, 2015. Review the Provider Update if you receive authorizations for HCBS services for EMA recipients. See HCBS Funding Available to Emergency Medical Assistance (EMA) Recipients Ending June 30, 2015 (PDF) (Bulletin 15-25-08) for more information.
  • • Community Alternatives for Disabled Individuals (CADI) Waiver: DHS is seeking public comments on the proposed policy changes for the Community Alternatives for Disabled Individuals (CADI) Waiver application (PDF) before they are submitted to the Centers for Medicare & Medicaid Services (CMS). The public comment period began at 8 a.m. Tuesday, May 5, 2015, and ends at 4 p.m. Wednesday, June 3, 2015. For more information view the DSD announcement.

  • Review recent Provider Updates:


    Claims

    Youth Assertive Community Treatment (YACT) rates

    The increased Youth Assertive Community Treatment (YACT) rates have received federal approval. The new rates are for dates of service on and after June 1, 2014. We will reprocess all YACT claims back to the date of service of June 1, 2014. The replaced claims will appear on the May 19, 2015, remittance advice.


    Payment Error Rate Measurement (PERM)

  • • The Centers for Medicare & Medicaid Services is offering audio and webinar sessions for providers on the Payment Error Rate Measurement (PERM) process. Read more on the CMS PERM web page. Download the 2015 Education Session Invitation (PDF) for the dates and log-in instructions for the sessions.
  • • The Centers for Medicare & Medicaid Services (CMS) will host four PERM provider education sessions during fiscal year 2015. Watch for more information or refer to the CMS PERM website. The PERM overview video, PERM: Responding to Medical Records/Documentation Requests, is available on the CMS YouTube channel. If you have PERM questions, call or email Laurie Grussing, Manager, 651-431-3959, laurie.grussing@state.mn.us or Eileen Dejdar, RN, 651-431-3944, eileen.dejdar@state.mn.us.
  • Training and VideoPresence Opportunities

    Refer to the session for registration and session details.

  • • Mental Health Information System (MHIS) Update: Videoconference on June 2, 2015, 2:00 – 3:30 p.m. will include review of the MHIS reporting process and technical assistance resources. Email questions to dhs.amhis@state.mn.us. To enroll, follow these steps:
  • • Go to the AMH Learning Center: http://pathlore.dhs.mn.gov/stc/amh. If you do not already have a unique key ID, go through the Unique Key Request process.
  • • Click Sign On in the upper right corner, enter your Unique Key and click Go.
  • • Click Class Schedules and Registration
  • • Find the class “MHIS Update” and click the “Go” button
  • • Choose a site location and enroll
  • Quality Improvement Focus Area: Staff Retention and Support Part Two on Tuesday, May 19, 2015, from 10:30 –11:30 a.m.
  • ACRE Certified Customized Employment Training (PDF) for Moving Home Minnesota (MHM): May 18–20, 2015, and June 1–3, 2015, from 8:30 a.m. to 4 p.m. This training is six days, split into two sessions. You must attend all six days.
  • Understanding the Mental Health Continuum on Wednesday, June 10, 2015, from 2:30 – 4 p.m.
  • • Early Intensive Developmental and Behavioral Intervention (EIDBI): Live in-person and webinar sessions June 19, 2015, and June 22, 2015, for interested mental health providers and others to prepare for the July 1, 2015, effective date of the new EIDBI benefit. Afternoon sessions are for Children’s Therapeutic Service and Support (CTSS) providers and morning sessions are for other provider types. Refer to the EIDBI Training web page for more information. (Revised 5/20/15)

  • MN–ITS

    MN–ITS Account reminder

    As an MHCP enrolled provider, you must register your MN–ITS account to receive important communication electronically. Provider Enrollment places information about your provider file into the PRVLTR folder of your MN–ITS mailbox so you can get information immediately. This gives you more time to review and respond to time sensitive requests. If you received your revalidation request letter through the U.S. Postal Service, that means you need to register your MN–ITS account. The Welcome Letter you received when you first enrolled has instructions. If you do not have a copy of your Welcome Letter, call the MHCP Provider Call Center to ask for a copy. When you register your account, you can choose who you want to be in charge of the account as the administrator. This person will be able to give others access, if needed, and check the mailbox regularly for communication from MHCP.

    MN–ITS announcements and availability

    Refer to the 5010/D.0 Announcements page for information about MN–ITS functionality, technical information, scheduled downtimes and other notifications.

    Industry Initiatives

    This Industry Initiatives section gives you quick, easy access to current federal and state industry initiatives that potentially impact your business. Please review these pages on a regular basis.

    5010/D.0

    Watch the 5010/D.0 page for announcements about both direct data entry (DDE) and batch transactions. We also add messages about MN–ITS availability on this page.

    Electronic Health Records (EHR)

     

    ICD-10

    DHS is conducting internal testing for system changes required for ICD-10 implementation. As internal testing nears completion, we will provide more information about external testing opportunities on our ICD-10 web page.

    Essential Community Supports

    MHCP is in the process of programing MN–ITS to identify eligibility for Essential Community Supports (ECS) program recipients who have a Service Agreement (SA) authorized from the Lead Agency. Until those programming changes are complete, providers may rely on the service agreement letter sent through MMIS as adequate verification to provide those services. We will update this message when the programing has been completed.

    Hospital Inpatient DRG Project Overview

    DHS is in the process of redesigning the MHCP fee-for-service inpatient prospective payment system. Legislation (Minn. Stat. 256.969 subd. 2b(c)) passed in 2013 to develop the new payment methodologies for fee-for-service inpatient hospital services by diagnosis related groups (DRG) hospitals, critical access hospitals, and rehabilitation hospitals.

    Refer to Payment Methodology for Inpatient Hospitals web page for detailed information about the proposed changes and impacts for affected providers, including the APR-DRG Payment Model (PDF).

    Indian Health Services

    Encounter Rate
    The 2015 rate was published in the Federal Register on April 7. The current rate is $350. All dates of service from Jan. 1, 2015, and ongoing will receive a mass adjustment for claims paid at $342.

    All chemical dependency service agreements with an encounter rate of $342 will deny. The Alcohol and Drug Abuse Division at DHS is in the process of updating the service agreements (SA). We will make a mass adjustment when all SAs are updated and plan to reprocess claims for the May 19, 2015, remittance advice.

    Individualized Education Program (IEP)

    DHS and the Minnesota Department of Education posted a joint guidance document, ICD-10-CM Reporting for Schools (DHS-7092) (PDF), with information for schools about ICD-10 implementation.

    Moving Home Minnesota

    New Moving Home Minnesota billing lab sessions are posted for July 2015 through July 2016. Refer to the Moving Home Minnesota Billing page for more information.

    PCA

    DHS is hosting weekly information calls to provide updates about changes to Personal Care Assistance Choice (PCA Choice), Consumer Directed Community Support (CDCS), and the Consumer Support Grant (CSG). The calls will be each Friday from 1 p.m. to 2 p.m. starting Friday April 17, 2015, and ending on June 26, 2015.

    Review the DSD E-List announcement for conference call information.

    Waiver Services

    Restriction on adding or changing service agreements
    The 2013 Minnesota Legislature authorized a 1 percent rate increase for continuing care providers. This quality add-on rate increase is effective July 1, 2015. Lead agency (county and tribal) staff will be unable to add or make changes to service agreements (SAs) from June 4 to June 10, 2015, while we update the system for this change. This includes SAs for AC, BI, CAC, CADI, DD and EW (including home care lines and Moving Home Minnesota services on waiver service agreements), Consumer Support Grant (CSG) and Essential Community Supports. This does not affect ADAD and homecare SAs. DHS will notify lead agencies when they are again able to update SAs.

    Duplicate Self-assessment Link in MN–ITS
    MHCP dropped duplicate memos for the Self-Assessment for Child Foster Care (CFC) and Supported Living Services (SLS) into provider's MN–ITS PRVLTR mailboxes. If you provide adult foster care, select Adult Foster Supported Living Self-Assessment. If you provide child foster care, select CFC self-assessment-Memo. Disregard the link titled, SLS HBCS Self-assessment.

    Self-assessments
    We are extending the time providers have to submit the self-assessment to measure compliance with the HCBS federal rule. All self-assessments are due by, Friday, May 29, 2015. MHCP enrolled providers of the following home and community-based waiver services must complete a self-assessment for each setting in which they deliver services: adult day care, customized living, day training & habilitation (DT&H), foster care (children and adults), prevocational services, residential care services, structured day, supported living services (children and adults in a foster care setting). We dropped (or will soon drop) a memo with a link to the self-assessment into your MN–ITS mailbox. If you have any questions about the self-assessment or the new federal rule, visit our website at www.mn.gov/dhs/hcbs-transition.

    Related Links

    Visit our Provider website for more comprehensive information, including these pages:

  • Latest Manual Revisions
  • • Previously published Provider News items
  • Provider Updates (we also place newly published Provider Updates in your MN–ITS Mailbox, as appropriate)

  • This page includes news and resources for providers enrolled to serve Minnesota Health Care Programs (MHCP) recipients. Get notices of Provider News through our free Provider Email Lists.

    If you have questions about this information, call the MHCP Provider Call Center at 651-431-2700 or 800-366-5411.

    Sign up to receive Provider Updates and other MHCP notices in your email account.


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