EI TCM QA Implementation Webinar 11-14-11

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EI TCM QA Implementation Webinar 11-14-11

  1. 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. 2. Beth WELCOME! Deana Jeff David
  3. 3. Phones Are Muted Chat For Communication HOUSEKEEPING
  4. 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. 5. COMPLETE A SURVEY
  6. 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. 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. 8. ITOTS UPDATE <ul><li>Resolved Issues </li></ul><ul><li>Issues that are being addressed </li></ul>
  9. 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. 10. Revised MD Certification/HSI Form Please see attached form…..
  11. 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. 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. 13. Case Management QMR <ul><li>Planned to begin July 2012 </li></ul>
  14. 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. 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. 16. How are things going so far? <ul><li>Have you billed yet? </li></ul><ul><li>Were there any issues? </li></ul>
  17. 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. 18. How are things going so far? <ul><li>  Any feedback from families? </li></ul>
  19. 19. How are things going so far? <ul><li>  How has this impacted your relationship with physicians in your community? </li></ul>
  20. 20. How are things going so far? <ul><li>  Reflections/comments on the impact of asking the health indicator status questions?  </li></ul>
  21. 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. 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. 23. <ul><li>WHAT ADDITIONAL QUESTIONS DO YOU HAVE ABOUT ITOTS DATA ENTRY REQUIREMENTS ? </li></ul>Burning Questions? Use Chat to Respond
  24. 24. <ul><li>WHAT ADDITIONAL QUESTIONS DO YOU HAVE ABOUT BILLING, ALLOWABLE ACTIVITIES and CLAIMS ? </li></ul>Burning Questions? Use Chat to Respond
  25. 25. <ul><li>WHAT ADDITIONAL QUESTIONS DO YOU HAVE ABOUT FAMILY CONTACTS? </li></ul>Burning Questions? Use Chat to Respond
  26. 26. <ul><li>WHAT ADDITIONAL QUESTIONS DO YOU HAVE ABOUT DOCUMENTATION REQUIREMENTS? </li></ul>Burning Questions? Use Chat to Respond
  27. 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. 28. OTHER Questions ??? Use Chat to Respond
  29. 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. 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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