pcb-06-15-23-issue-60

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JUNE 15, 2023 COMMUNICATION

JUNE 15, 2023 | COMMUNICATION BULLETIN

2022-23 ISSUE 60

2022-23 ISSUE 60

IN THIS ISSUE: IN ISSUE: Vaya Health Holiday Closing | Provider Touchpoint | Loan Repayment Opportunity for Eligible Mental Health Professionals | Reminder: 1915(i) Waiver Member Assessments | Late Incident Response Improvement System (IRIS) Submissions | Open Office Hours for Providers: Authorization Submission Questions | 1915(i) Trainings for Providers | NC Medicaid Managed Care Updates Webinar

ALL NETWORK PROVIDERS NETWORK PROVIDERS

Vaya Health Holiday Closing Vaya Health Holiday Closing

In observance of the Juneteenth holiday, Vaya will be closed Monday, June 19, 2023 Our Provider Support Service Line (1-866-990-9712) and Member and Recipient Service Line (1-800-962-9003) will continue to operate from 7 a m to 6 p m , every day except Sundays, including on holidays Our 24/7 Behavioral Health Crisis Line is open 365 days a year at 1-800-849-6127.

Provider Touchpoint Provider Touchpoint

June 23, 2023, 11 a.m.-12 p.m. June 23, 11 a.m.-12 p.m.

Provider Touchpoint webinar is your source for the latest information on topics that affect Vaya network providers. We encourage all network providers to attend. Registration is not required. The link to each webinar is published both the week prior to and the week of the event in the Provider Communication Bulletin.

Loan Repayment Opportunity for Eligible Mental Health Loan Repayment Opportunity for Eligible

Professionals Professionals

North Carolina’s State Loan Repayment Program (SLRP) application cycle is now open This program offers up to $50,000 in educational loan repayment for mental health providers in exchange for a three-year commitment to a team providing comprehensive behavioral health services to rural

PROVIDER TOUCHPOINT – JUNE 23, 2023 PROVIDER TOUCHPOINT – JUNE 23, 2023
Health

Applications are due June 30, 2023 More information is available on the NCDHHS SLRP webpage the NCDHHS

BEHAVIORAL HEALTH, I/DD, AND TBI PROVIDERS BEHAVIORAL HEALTH, I/DD, AND TBI PROVIDERS

Reminder: 1915(i) Waiver Member Assessments Reminder: 1915(i) Waiver Member Assessments

As we advised in Provider Communication Bulletin, Issue 46 Provider Communication Bulletin, Issue 46 (March 23, 2023), provider-based Tailored Care Management (TCM) agencies should continue outreach to members currently receiving 1915(b)(3) services in preparation for North Carolina’s transition to the 1915(i) Home and Community-Based Services Waiver, which is scheduled to go live July 1, 2023

TCM providers must complete independent assessments for these members to access 1915(i) services. Vaya requests that providers submit the completed assessments and eligibility Vaya requests submit the assessments and eligibility spreadsheets to spreadsheets to 1915i@vayahealth com 1915i@vayahealth com by 5 p m on the 15 by 5 m on the 15tth h day of each month to ensure we can day of each month to ensure we can meet NCDHHS deadlines. meet NCDHHS deadlines.

If you have questions, email Jennifer Jennings, Substance Use Network Development Director, at jennifer jennings@vayahealth com

jennifer

Late Incident Response Improvement System (IRIS) Late Incident Response Improvement System (IRIS) Submissions Submissions

Vaya monitors IRIS incident reports and issues plans of correction for providers who fall below 85% timeliness As a reminder:

IRIS incident reports are due within 72 hours of the time a provider learns of the incident (see the IRIS reporting manual IRIS reporting manual for exceptions)

The “Date of Incident” is the date the incident took place.

The “Date Provider Learned of Incident” is the date the provider first learned about the incident.

The “Date Submitted” is when the provider saved and fully submitted the incident report, providing the thumbs up with the incident report number.

Providers should be consistent when entering their organization’s name on incident reports

Providers should submit incident reports on time, even if the initial report is missing information

If the IRIS website is down, providers can obtain a paper incident report form on Vaya’s Provider Provider Central Central or the NCDHHS website website and submit it within the required timeframe via fax to:

Vaya: Vaya: 828-398-4407

NC Division of MHDDSAS Customer Service and Community Rights Team: Division of MHDDSAS Customer Service Rights Team: 919-733-4962

NCDHSR Healthcare Personnel Registry: Healthcare Personnel Registry: 919-733-3207

In these cases, providers are still required to enter the incident report in IRIS when the system is available.

Reports regarding deaths (suicide, homicide/violence, accident, or restraint) in a licensed facility

Reports deaths (suicide, homicide/violence, accident, or restraint) in a licensed facility should always be reported to NCDHSR Complaint Intake Unit via fax at 919-715-7724 should always be reported to Intake Unit via fax at

For more information, contact the Vaya at IIncidentReport@vayahealth.com ncidentReport@vayahealth.com.

communities with a Health Professional Shortage Area score of 15 or higher
LEARNING LEARNING AND PARTICIPATION AND PARTICIPATION OPPORTUNITIES OPPORTUNITIES Open Office Hours for Providers: Authorization Submission Open Office Hours for Providers: Authorization Submission Questions Questions

Beginning April 1, 2023, Vaya implemented prior authorization flexibilities as we transitioned to our Provider Portal Provider Portal These flexibilities ended at 11:59 p m on May 31, 2023, for both Medicaid and State-funded services.

During a virtual, drop-in open office hours session for providers June 21, 2023, we will focus on authorization submissions We will not address questions unrelated to submitting authorizations We will not address to submitting authorizations during this session. during this session. Join online. Join online.

Reminder: Reminder: Providersmaynotdiscussmember/recipientprotectedhealthinformation(PHI)during thiscallduetothepresenceofmultipleVayastaffandotherproviders

1915(i) Trainings for Providers 1915(i) Trainings for Providers

Most current NC Medicaid 1915(b)(3) home and community-based services will be offered under the 1915(i) State Plan Option upon Tailored Plan launch on Oct. 1, 2023. To support providers in understanding these new services, Vaya will present the following 1915(i) trainings:

June 20, 2023, 10 a.m.-12 p.m 20, 10 a.m.-12 p.m. . – Evaluation and assessment requirements, Community Living and Supports, Community Transition, and completing a 1915(i) authorization in Vaya’s Provider Portal Join online Join online

June 22, 2023, 1-3 p.m. 22, 1-3 p.m. – Evaluation and assessment requirements, Individual and Transitional Supports, and Respite services Join online Join online

June 28, 2023, 10 a.m.-12 p.m. 28, 10 a.m.-12 p.m. – Evaluation and assessment requirements, Supported Employment, and Individual Placement and Supports Join online online

NC Medicaid Managed Care Updates Webinar NC Medicaid Managed Care Updates Webinar

June 22, 2023, 3-4 p.m. June 22, 3-4 p.m.

Part of the NCDHHS Community Partners webinar series designed to provide updates on NC Medicaid Managed Care and other Medicaid initiatives, this webinar will include information on Medicaid expansion, continuous coverage unwinding, and upcoming Tailored Plan milestones as well as an opportunity to ask questions. Register online. Register online.

Why did I receive this email? Why I receive this Vaya Health requires all network providers to subscribe to our Provider Communication Bulletin For more information, reference our Provider Operations Manual Provider Operations Manual VAYA HEALTH | vayahealth.com | providers.vayahealth.com

HEALTH | vayahealth.com | providers.vayahealth.com Vaya Health | 200 Ridgefield Court, Suite 218, Asheville, NC 28806 Unsubscribe provider.communication@vayahealth.com

June 21, 2023, 11 a.m.-1 p.m. June 21, 11 a.m.-1 p.m.
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