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EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
EI TCM QA Implementation Webinar 11-14-11
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EI TCM QA Implementation Webinar 11-14-11

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  • Good morning, everyone.  Thank you for joining today’s webinar.  We will start in 1 minute.   <OK it’s 1PM let’s get started>
  • Good afternoon. This is Deana Buck of the Integrated Training Collaborative. Thank you for joining us today. This is the fourth webinar planned by the Early Intervention Targeted Case Management Task Force which includes service coordinator from across the state as well as system managers, ID Directors, Integrated Training Collaborative representatives in addition to DBHDS and DMAS representatives. We are grateful to the members of the task force for their very significant contributions of time and work in developing this program. Today’s Q&A webinar was planned to provide an opportunity for stakeholders to ask questions about implementing EI TCM, which started on 10/1. Specifically, we scheduled this event to respond to questions that HAD NOT YET BEEN ASKED and to provide needed clarification to answers that have already been provided. If you have a question, please review the Q&A document to see if it has already been answered. Jeff Beard, from DMAS, and Beth Tolley and David Mills, from the Part C office, will be the presenters for this afternoon’s webinar. When you registered for today’s webinar, there was a link to download the Q&A document. It would be most helpful to have that document in front of you for today’s webinar. We asked SCs and LSMs to submit additional questions, and those will be addressed during today’s webinar. In addition, participants will have opportunities to submit additional questions during the webinar. Questions asked today will then be answered, in writing, in the revised Q&A document. We will do our best to answer all questions during today’s webinar. In the interests of time, we may group similar questions.
  • Quick housekeeping reminders: Lines will be muted throughout the call.  You will be able to ask questions and interact during the webinar using the chat feature on your screen. As a reminder, to use the chat feature, click the mouse in the box in the lower right corner of your screen, type a message and hit enter. Take a minute to give it a try.  Remember anything you type in the chat box is public and will be seen by all. We will try to answer as many questions as possible and similar questions may be grouped together.
  • Another feature you might want to take advantage of, is the ability to full these slides in full screen. They are best viewed in this format. To go into full screen mode locate the button with 4 arrows on it. You can find it on the bar below this slide. When you’ve found the button, click it.   When you go into full screen mode you do lose the view of chat, but we will always guide you back to chat when necessary. To get out of slide view, hit the escape key on your keyboard. 
  • Following this webinar, you’ll receive an email asking you to complete a brief survey to give us feedback. We ask that you please take a few moments and let us know about your experience participating in the webinar. This will help us as we develop future professional development opportunities.   
  • Deana
  • Deana
  • David
  • Beth
  • Beth
  • Jeff
  • Jeff
  • Jeff WE will address questions later.
  • Jeff WE will address questions later.
  • Deana
  • deana
  • deana
  • deana
  • deana
  • deana
  • Now going to have time to ask additiona questions about these areas…..
  • David field Questions
  • Jeff Question:  Are we required to bill commercial insurance for TCM (even if we’ve been told by the insurance rep that it’s not covered)as we do Medicaid?  If we do bill commercial insurance and get a denial, because that service is not covered, do we have to continue billing for it? Draft Response:  TCM is not covered by commercial payors.  You do not need to bill and receive a denial prior to submitting the claim to DMAS for TCM.   Question:  Do we bill Medicaid under TCM for talking with a family about rescheduling/scheduling an appt.? Draft Response:  If the only activity on behalf of the child/family was a scheduling contact that could be performed by a clerical staff member, this would not be an allowable activity.    Question:  When we ask a family how they most prefer contact for their  x1/3 month direct contacts and they say they prefer to have an option of email, phone and direct because different things come up at different times is it O.K. to list all three?  If a family is forced to pick one (let’s say they pick face to face, for example)and something comes up  during a phone conversation, are we then not to bill for it as a direct service?   We have many families who use all three forms of communication regularly and it would not be the “exception” , to use one form over another.  You address this concern on page three of the attached Q and A but I am still not clear on the answer to the question. Draft Response:  It is ok to document that the family doesn’t have a specific preference or that the family prefers different methods depending on the purpose of the contact.  The key is documentation of the family’s response about their preference and consistency of the mode(s) of contact with the family’s preference(s)
  • Jeff and Beth
  • Jeff and beth
  • ASK IF FOLKS STILL HAVE UNANSWERED QUESTIONS…..
  • Transcript

    • 1. Webinar provided by the Integrated Training Collaborative, with funding support from the Virginia Department of Behavioral Health and Developmental Services (DBHDS) FOR THIS WEBINAR QUESTION AND ANSWER SESSION – EI TCM IMPLEMENTATION Webinar November 14, 2011 1:00-2:30 pm Please Call 866-842-5779 Enter Code 463 661 9330#
    • 2. Beth WELCOME! Deana Jeff David
    • 3. Phones Are Muted Chat For Communication HOUSEKEEPING
    • 4. Esc. Key to Return to Normal View locate this button on bar below slides click to view slides in full screen VIEW IN FULL SCREEN MODE
    • 5. COMPLETE A SURVEY
    • 6. Training Outcomes <ul><li>Participants will: </li></ul><ul><li>Receive updated information </li></ul><ul><li>Share their experiences, and </li></ul><ul><li>Have an opportunity to ask questions about EI TCM </li></ul>
    • 7. Information Update – Key Areas <ul><li>ITOTS </li></ul><ul><li>Revised Physician Certification/Health Status Indicator Form </li></ul><ul><li>Billing and Claims </li></ul><ul><li>CM Quality Management Reviews Timeline </li></ul><ul><li>Referral and Transition of Children from Other CM Services </li></ul>
    • 8. ITOTS UPDATE <ul><li>Resolved Issues </li></ul><ul><li>Issues that are being addressed </li></ul>
    • 9. ITOTS Data Entry Reminders <ul><li>Intake date must be entered in ITOTS within 10 business days of the intake visit date </li></ul><ul><li>Medicaid number must be entered in ITOTS </li></ul><ul><ul><li>Within 10 business days of intake date </li></ul></ul><ul><ul><li>Within 30 calendar days of disposition date for: </li></ul></ul><ul><ul><ul><li>Children who don’t have coverage at time of intake </li></ul></ul></ul><ul><ul><ul><li>Children whose coverage is restored after being lost </li></ul></ul></ul>
    • 10. Revised MD Certification/HSI Form Please see attached form…..
    • 11. Corrected Initial EI SC Form <ul><li>“ NPI/API” was inadvertently added to the form in the section for the Local System number </li></ul><ul><li>The Local System Number is optional </li></ul>
    • 12. Billing and Claims <ul><li>Physician Certification is NOT required for Service Coordination </li></ul><ul><li>T 1024 limitation has been fixed </li></ul><ul><li>Diagnosis Codes for billing for EI TCM </li></ul><ul><ul><li>V710.9 and 799.9 </li></ul></ul>
    • 13. Case Management QMR <ul><li>Planned to begin July 2012 </li></ul>
    • 14. Other TCM Services <ul><li>All children birth to 3 receiving other Case Management Services must be referred to Part C </li></ul>
    • 15. Other TCM Services <ul><li>The EI Service Coordinator and the CM for the other program must work together to: </li></ul><ul><ul><li>Assure the connection is made between the Part C Service Coordinator and the family </li></ul></ul><ul><ul><li>Plan transition of case management/service coordination for children eligible for Part C </li></ul></ul><ul><ul><li>In the case of Therapeutic Foster Care, determine which case management program is most appropriate to bill for the case management services </li></ul></ul>
    • 16. How are things going so far? <ul><li>Have you billed yet? </li></ul><ul><li>Were there any issues? </li></ul>
    • 17. How are things going so far? <ul><li>Have you run into any unanticipated snags </li></ul><ul><li>or barriers? </li></ul><ul><li>If so , what are they? </li></ul>
    • 18. How are things going so far? <ul><li>  Any feedback from families? </li></ul>
    • 19. How are things going so far? <ul><li>  How has this impacted your relationship with physicians in your community? </li></ul>
    • 20. How are things going so far? <ul><li>  Reflections/comments on the impact of asking the health indicator status questions?  </li></ul>
    • 21. How are things going so far? <ul><li>How has the EI TCM certification process worked in your locality? </li></ul><ul><li>Any challenges? </li></ul>
    • 22. It’s TIME for Questions and Answers <ul><li>ITOTS </li></ul><ul><li>Billing/Allowable Activities </li></ul><ul><li>Claims </li></ul><ul><li>Family Contacts </li></ul><ul><li>Documentation Requirements </li></ul><ul><li>Collaborating with Other Agencies </li></ul>
    • 23. <ul><li>WHAT ADDITIONAL QUESTIONS DO YOU HAVE ABOUT ITOTS DATA ENTRY REQUIREMENTS ? </li></ul>Burning Questions? Use Chat to Respond
    • 24. <ul><li>WHAT ADDITIONAL QUESTIONS DO YOU HAVE ABOUT BILLING, ALLOWABLE ACTIVITIES and CLAIMS ? </li></ul>Burning Questions? Use Chat to Respond
    • 25. <ul><li>WHAT ADDITIONAL QUESTIONS DO YOU HAVE ABOUT FAMILY CONTACTS? </li></ul>Burning Questions? Use Chat to Respond
    • 26. <ul><li>WHAT ADDITIONAL QUESTIONS DO YOU HAVE ABOUT DOCUMENTATION REQUIREMENTS? </li></ul>Burning Questions? Use Chat to Respond
    • 27. <ul><li>WHAT ADDITIONAL QUESTIONS DO YOU HAVE ABOUT COLLABORATING WITH OTHER AGENCIES THAT PROVIDE CASE MANAGEMENT? </li></ul>Burning Questions? Use Chat to Respond
    • 28. OTHER Questions ??? Use Chat to Respond
    • 29. THANK YOU! All documents related to the implementation of EI TCM can be found here: http://www.infantva.org/wkg-EI-TCM.htm .
    • 30. To contact today’s speakers: <ul><li>Beth Tolley: [email_address] </li></ul><ul><li>Jeff Beard: [email_address] </li></ul><ul><li>Deana Buck: [email_address] </li></ul><ul><li>David Mills [email_address] </li></ul>All documents related to the implementation of EI TCM can be found here: http://www.infantva.org/wkg-EI-TCM.htm .

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