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Implementation Update #75 Summary
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A summary of Implementation Update #75 has been posted.
http://www.ncdhhs.gov/mhddsas/servicedefinitions/servdefupdates/index.htm
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Implementation Update #76
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Implementation Update #76 has been posted to the DMH/DD/SAS web site. http://www.ncdhhs.gov/mhddsas/servicedefinitions/servdefupdates/index.htm
- Reporting provider Fraud and Abuse
- Changes to Administrative Requirements
- CAP-MR/DD Clinical Policy/Manuals & Technical Amendment Number One
- Direct Billing for I/DD TCM Providers
- Update on New PA Guidelines for Outpatient
- CABHA Transition Updates
- CABHA Review Process
- Medicaid Enrollment for CABHA Applicants
- Incident Response and Improvement System
- Community Support Team Providers
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Implementation Update #76 Summary
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All NCARF Members should have received their 2010/2011 Membership Renewal by email. If you did not receive an invoice or have any questions please contact the Association.
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Final Independent Assessment Language
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Here is how the language on independent assessment for enhanced services was changed and passed in the budget technical corrections bill - S1202. If you go to the GA website and look up the bill, it has a different title - it is the budget technical corrections bill.
Here is the language on pages 8 and 9.
SECTION 4.2. Section 10.36(a) of S.L. 2010-31 reads as rewritten:
"SECTION 10.36.(a) The Starting October 1, 2010, the Department of Health and Human Services, Division of Medical Assistance, shall require that, prior to the delivery of selected enhanced mental health services in the Medicaid program, as determined by the Department, an independent assessment be conducted that meets all of the following criteria:
(1) An initial assessment or a continuing need reassessment is performed by an independent assessment entity (IAE) that is not the provider of the services in question.
(2) The IAE authorizes independent assessment entity recommends the type and amount of service to be provided based on the specific health condition and needs of the intended recipient of the service."
10.36b stays as it was in the original budget bill:
SECTION 10.36.(b) If the Department of Health and Human Services, Division of Medical Assistance, does not achieve the required savings as a result of implementation of the independent assessment activities set forth in subsection (a) of this section, then, in addition to the independent assessments required by subsection (a) of this section, the Department of
Health and Human Services, Division of Medical Assistance, shall also require that targeted independent assessments be conducted prior to the delivery of services to each of the following categories of individuals:
(1) Individuals exiting inpatient facilities.
(2) High-cost/high-risk individuals with high behavioral health or medical
needs.
(3) Individuals for whom additional continuing care authorizations are being requested.
(4) Individuals moving to a higher, more intensive level of care.
SECTION 10.36.(c) The Department of Health and Human Services
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2010 GR Report to Divisions and Partners
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Save the Date!
NCARF Annual Training Conference
September 29-October 1, 2010
Embassy Suites
Winston-Salem, NC
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