SlideShare a Scribd company logo
1 of 36
Superusers
 Each LME/MCO is required to have superusers to provide technical
assistance to providers.
 Each provider is required to have superusers.
 Manage NC-TOPPS compliance for agency
 Transfer NC-TOPPS from one agency location/QP to another
 Remove QPs no longer at agency
How to Become a Superuser
 New users need to enroll in NC-TOPPS as a user and be approved before
they can apply to become a superuser.
 Current users should contact the NC-TOPPS Help Desk at
nctopps@ncsu.edu to request a Superuser Enrollment Form verifying that
you have authorization to access the data.
Important Reminders
 Having the member present for an in-person interview is expected.
 NC-TOPPS interviews must be entered into the web-based system by the
QP or DEU
 Copies of all submitted NC-TOPPS interviews must be included in the
member’s service record.
Additional Important Reminders
 A Release of Information must be provided with the request when a
member’s provider agency changes. The QP at the new provider agency
must notify the MCO so the MCO superuser can change the NC-TOPPS to
the new provider QP.
 The member’s QP in the provider agency is the person responsible for
ensuring that NC-TOPPS interviews are completed.
Consent and Confidentiality
 Any email communications containing private health or sensitive
information (PHI/SI) must be sent to Vaya Health securely. Vaya uses
Zixmail to send and receive secure email.
 Providers must ensure an appropriate Release of Information (ROI) or
consents are in place when sharing information and completing NC-
TOPPS.
 The primary provider agency may share a member’s PHI only with those
provider agencies explicitly named on the signed consent form.
 The consent form must be renewed at least annually.
Who Gets an NC-TOPPS Interview?
 Members who have been formally admitted to the LME/MCO and are
receiving qualifying mental health and/or substance use disorder services
from a public-funded source
 Vaya Health Members with NC Health Choice receiving Therapeutic Foster
Care
Residential Services Requiring NC-
TOPPS
 Level II and Level III Residential Services
 Psychiatric Residential Treatment Facilities
 SA Community Residential Treatment
 Therapeutic Foster Care
Opioid Treatment Programs (OTP)
 All OTPs are required to participate in NC-TOPPS:
 Private-pay/self-pay: The provider will register with the NC-TOPPS
Help Desk at nctopps@ncsu.edu.
 Medicaid/non-Medicaid-funded: The provider will use the LME/MCO
assigned record number.
 If a member changes from Medicaid/non-Medicaid-funded to private pay
(or vice versa), the provider should contact the
NC-TOPPS Help Desk to request the change.
Dual Diagnosis Members
 Members who receive intellectual and developmental disability
(IDD) services and supports as well as mental health (MH) or
substance use disorder (SUD) services require NC-TOPPS
participation only when the services are predominantly treating
MH or SUD needs
Qualifying Service Codes Requiring
NC-TOPPS
90832-90838*
90846*
90847*
90849*
90853*
H0004*
H0004 HQ*
H0004 HR*
H0004 HS*
YP831
YP832
YP833
YP834
H0005*
YP835
H0015
H0040
H2015 HT
H2022
H2033
H2035
YP630
YM645
H2023 U4
H2026 U4
H0035
H2012 HA
H0020
H0012 HB
H0013
H0019
H2020
YA230
YP780
S5145
*If the member has an SUD
diagnosis and is only receiving
outpatient services with these
service codes funded through
Medicaid Basic Benefits, the
member is not expected to
participate in NCTOPPS.
For updates to this list, please
refer to Appendix A of the
NC-TOPPS Guidelines
Members Receiving Multiple
Services
 When a member is receiving more than one qualifying service,
responsibility for completing NC-TOPPS interviews is determined by a
hierarchy of services based on age and disability.
 The provider of the service in the highest order in the NC-TOPPS
hierarchy is responsible for NC-TOPPS interviews (see next slide).
 As services change, the NC-TOPPS record will be transferred to the
provider agency providing the next highest level of services in the
hierarchy.
Adults
Residential Services
Partial Hospitalization
Assertive Community Treatment (ACT)
Team
Substance Abuse Comprehensive
Outpatient Treatment (SACOT)
Substance Abuse Intensive Outpatient
Treatment (SAIOP)
Community Support Team (CST)
Opioid Treatment
Supported Employment
Periodic (non-Mediciad-funded
SUD only)
Child/Adolescent
Residential – PRTF
Partial Hospitalization
Multisystemic Therapy Services (MST)
Intensive In-Home Services (IIH)
Substance Abuse Intensive Outpatient
Treatment (SAIOP)
Child and Adolescent Day Treatment
Residential Services (except PRTF) and
Therapeutic Foster Care Services
Supported Employment
Periodic (non-Mediciad-funded
SUD only)
High-Fidelity Wraparound
NC-TOPPS Hierarchy
Exceptions
 Members receiving only one or more of the following services: MH
Outpatient Therapy and/or Medication Management
 Psychosocial Rehabilitation
 Crisis Services
 Psychiatric Inpatient Hospitalization Services
 Developmental Disability Services and Supports
 Members in the Adult with Developmental Disability (ADSN) target
Population or in the Children with Developmental Disability (CNDSN)
target population are not required to participate in
NC-TOPPS.
Timeframes for Submitting NC-
TOPPS Interviews
 Initial interviews should be completed with the member during
an in-person interview by the second treatment visit.
 Initial interviews should not be submitted before the member is
formally enrolled with the LME/MCO.
Timeframes for Submitting NC-
TOPPS Updates
 Three-month update: 90 days following the initial episode submission
 Six-month update: 180 days following the initial episode submission
 12-month update: 365 days following the initial episode submission
 Biannual updates: 18 months, 24 months, 30 months, etc., after the initial
submission (until the episode completion is submitted)
Preparing for the Interview
 NC-TOPPS interviews include a common set of items that are generally
collected as part of developing and revising a MH and SUD member’s
treatment plan.
 It is important that the QP is familiar with the interview questions prior to
contacting a member.
 Careful preparation will increase the chances of engaging the member
and completing NC-TOPPPS interviews with accurate information.
Conducting the Interview
 NC-TOPPS interview questions can be used as a tool during a
QP-member discussion to help identify areas of concern.
 Interviews for children (ages 6-11) should be conducted with the child’s
parent/guardian or other adult responsible for the child’s care.
 Interviews must be submitted through the NC-TOPPS system on or before
the due date.
Interview Reminders
 Please note that all items in the interview are required to be
answered before you can submit the interview.
 There are also certain items on the Update and Episode Completion
interview that are required to be asked directly to the member either
in-person or via telephone.
 The QP should refrain from providing opinions, advice, feelings or
suggestions for answers.
Helpful Tips
 Use the LME/MCO assigned record number. (Do not make up a number
or use the provider-generated record number.)
 If the record number does not have enough digits, add a zero to the
beginning of the number (ex. 1234 becomes 01234). Do not add zeros to
the end.
 Use the CNDS# assigned to the member. (Do not make up a number or
use the Social Security Number.)
More Helpful Tips
 Check the correct spelling of the member’s name.
 Make sure to use the correct date of birth (this information can be
found in AlphaMCS).
 After submitting NC-TOPPS, look for the green checkmark at the top
of the page to make sure the information was accepted.
Video Example
Submitting NC-TOPPS Episode
Common Name Data Service
Numbers (CNDS#)
 The LME/MCO is required to give the provider agency the LME/MCO
assigned record number and the CNDS# or Medicaid number when a
member is enrolled.
 If a member has Medicaid, use that number for the CNDS#.
 To obtain a CNDS# for Vaya Health members, e-mail the following
information to nctopps@vayahealth.com:
 First and last name (no nicknames)
 Date of birth
 Social Security Number
 Gender
 Race/ethnicity
 Language spoken
Provider Change
If a member transfers to a new provider agency and will continue in a service
requiring NC-TOPPS …
 The new QP should contact the MCO superuser to request
NC-TOPPS be transferred.
 For Vaya members, e-mail nctopps@vayahealth.com, provide the
Release of Information, the address of the provider and the name of the
QP who will be responsible for submitting NC-TOPPS.
 The new QP will continue the current NC-TOPPS updates based on the
schedule established by the previous agency.
Episode Completion
Episode Completion interviews must be submitted when a member has:
 Successfully completed treatment and is not continuing in a service that
requires NC-TOPPS
 Been discharged at the program initiative
 Refused treatment
 Not received any services for 60 days
 Transitioned to a service that does not require NC-TOPPS
 Moved out of area or changed to different LME/MCO
 Been incarcerated or institutionalized
 Passed away
Features Available to Users
 Interview Search: Searches for interviews by various criteria
 Updates Needed List: Assists in tracking the dates when updates are due
for a member
 Individual Report: Displays select NC-TOPPS items from the initial
interview and the two most recent updates for a member
Searching for Interviews
 Once logged in, click on the “Locations” tab and select the correct
LME/MCO (and provider location, if applicable).
 Click on the “Reports” tab, then click on “Interview Search.”
 You can search for all interviews associated with your profile by clicking
“Find Interviews” with no criteria items selected, or you can add criteria on
the left to narrow the search.
 To find an interview that was started, but not submitted, choose “Website
Submission” and click on “Manage Episode of Care.”
Updates Due
 After logging in and choosing an LME/MCO, click on the “Reports” tab
 Click on “Updates Needed.” This is the list of all members who currently
have an interview due.
 At the bottom of the page, you may choose “Print” or “Export Data.”
Video Example
 Finding particular interviews
 Findings interviews started, but not submitted
 Updates Needed
How to Request Assistance
 For assistance with Vaya members, email nctopps@vayahealth.com.
 Use encrypted email when sending PHI.
 Provide your name and agency (include address).
 Provide at least two forms of information about the member (name, date
of birth, record number).
 State the issue or question.
 Transfer a member (provide the ROI)
 Received an error message (give the specific message)
Pre-Test – True or False
 Every provider andLME/MCO is required to have a superuser.
 Only superusers can submit NC-TOPPS interviews.
 When a member transfers from one provider to another, the NC-TOPPS should transfer with
them.
 If I have a question about NC-TOPPS, there is no one who can help me.
 True – A provider can have more than one, but every provider should have at least one
superuser.
 False – QPs and DEUs can also submit NC-TOPPS interviews.
 True – Contact the MCO’s Superuser and request that the NC-TOPPS be transferred.
 False – Review the NC-TOPPS manual, ask your agency superuser or e-mail
nctopps@vayahealth.com or nctopps@ncsu.edu .
Pre-Test – Multiple Choice
 After a member enters into a service requiring NC-TOPPS, the initial
interview should be submitted when?
 At any time, as long as the person is still receiving services
 During the first or second treatment visit
 Within the first month of services
 Within the first 90 days
 (b) The NC-TOPPS interview should be submitted by the second
treatment visit.
Pre-test – Multiple Choice
 NC-TOPPS updates are required at three months, six months, 12 months and
biannually. How are the timeframes calculated?
 The three-month interview is due 90 days after the initial is submitted; the
six-month is due 180 days after the initial is submitted, etc.
 The three- and six-month interviews are submitted any time as long as the person is
still receiving services.
 The reviews are based on the member’s birthday.
 None of the above
 (a) The three-month interview is due 90 days after the initial is submitted, the
six-month is due 180 days after the initial is submitted, etc.
Scenario 1
 Your agency is providing ACT services to a member, and after four
months, the member is transitioning to another provider for ACT services.
What will you do with NC-TOPPS?
 Answer: If the member is continuing services at a new provider agency,
the new QP must contact the member’s LME/MCO so that the LME/MCO
superuser can change the member’s NC-TOPPS submissions to the new
QP/provider agency. If the new agency fails to request the transfer,
contact nctopps@vayahealth.com for assistance.
Scenario 2
 Your agency is providing Intensive In-Home Services to a member who has
transitioned home from Residential Services. You are unable to submit an NC-
TOPPS because there is already an open NC-TOPPS in the system. What do you
do?
 Answer: Contact the LME/MCO NC-TOPPS superuser at
nctopps@vayahealth.com and provide your name, agency address, the name of
the member and a copy of the signed Release of Information form allowing the
NC-TOPPS information to be transferred to your agency.
NOTE: Your agency will continue with NC-TOPPS submissions based on when the initial NC-
TOPPS was submitted by the previous provider.
Link to Test
 This concludes the NC-TOPPS presentation. If you would like to receive a
Certificate of Training, please click the link to the left and take the NC-
TOPPS test.
 If you have additional questions, please e-mail nctopps@vayahealth.com.
Nc topps provider training - part 2

More Related Content

Similar to Nc topps provider training - part 2

Nc topps provider training - part 3
Nc topps provider training - part 3Nc topps provider training - part 3
Nc topps provider training - part 3vayawebsite
 
Nc topps provider training - part 4
Nc topps provider training - part 4Nc topps provider training - part 4
Nc topps provider training - part 4vayawebsite
 
Connecticut EHR Program: MUforBH.com
Connecticut EHR Program: MUforBH.comConnecticut EHR Program: MUforBH.com
Connecticut EHR Program: MUforBH.comQualifacts
 
November 2016 Problem Gambling Treatment Providers Webinar
November 2016 Problem Gambling Treatment Providers WebinarNovember 2016 Problem Gambling Treatment Providers Webinar
November 2016 Problem Gambling Treatment Providers WebinarOregon Problem Gambling Services
 
PBJ Reporting: Staffing Strategies for Success
PBJ Reporting: Staffing Strategies for SuccessPBJ Reporting: Staffing Strategies for Success
PBJ Reporting: Staffing Strategies for SuccessOnShift
 
OLU_-_March2016_NE
OLU_-_March2016_NEOLU_-_March2016_NE
OLU_-_March2016_NEZoe Stetson
 
UMASS_Sell Sheet_SNEPTN_ FAQ sheet v3_2016
UMASS_Sell Sheet_SNEPTN_ FAQ sheet v3_2016UMASS_Sell Sheet_SNEPTN_ FAQ sheet v3_2016
UMASS_Sell Sheet_SNEPTN_ FAQ sheet v3_2016Ronald Adler
 
What does ARRA, HITECH and Meaningful Use mean to you
What does ARRA, HITECH and Meaningful Use mean to youWhat does ARRA, HITECH and Meaningful Use mean to you
What does ARRA, HITECH and Meaningful Use mean to youHealth 2.0
 
Utilization Management in 2016
Utilization Management in 2016Utilization Management in 2016
Utilization Management in 2016John Raymond
 
Meaningful Use: Programs, Penalities, and Payments
Meaningful Use: Programs, Penalities, and PaymentsMeaningful Use: Programs, Penalities, and Payments
Meaningful Use: Programs, Penalities, and PaymentsBen Quirk
 
Webinar_Dangerous_Trends_James_Muir_Jan2015V6
Webinar_Dangerous_Trends_James_Muir_Jan2015V6Webinar_Dangerous_Trends_James_Muir_Jan2015V6
Webinar_Dangerous_Trends_James_Muir_Jan2015V6James Muir
 
Minnesota HIPAA Collaborative Minnesota HIPAA Collaborative
Minnesota HIPAA Collaborative 	 Minnesota HIPAA CollaborativeMinnesota HIPAA Collaborative 	 Minnesota HIPAA Collaborative
Minnesota HIPAA Collaborative Minnesota HIPAA CollaborativeMedicineAndDermatology
 
A new opening for transparency and transformation - the benefits of the commu...
A new opening for transparency and transformation - the benefits of the commu...A new opening for transparency and transformation - the benefits of the commu...
A new opening for transparency and transformation - the benefits of the commu...Department of Health
 
PQRS Claims-based Reporting in 2014
PQRS Claims-based Reporting in 2014PQRS Claims-based Reporting in 2014
PQRS Claims-based Reporting in 2014Practice Fusion
 
Opportunities in today's healthcare delivery system final
Opportunities in today's healthcare delivery system finalOpportunities in today's healthcare delivery system final
Opportunities in today's healthcare delivery system finalWilliam Cockrell
 
PQRS Claims-Based Reporting in 2013
PQRS Claims-Based Reporting in 2013PQRS Claims-Based Reporting in 2013
PQRS Claims-Based Reporting in 2013Emily Richmond
 
Exploring the Revised Medicare 855 Enrollment Form for 2024
Exploring the Revised Medicare 855 Enrollment Form for 2024Exploring the Revised Medicare 855 Enrollment Form for 2024
Exploring the Revised Medicare 855 Enrollment Form for 2024Conference Panel
 

Similar to Nc topps provider training - part 2 (20)

Nc topps provider training - part 3
Nc topps provider training - part 3Nc topps provider training - part 3
Nc topps provider training - part 3
 
Nc topps provider training - part 4
Nc topps provider training - part 4Nc topps provider training - part 4
Nc topps provider training - part 4
 
Connecticut EHR Program: MUforBH.com
Connecticut EHR Program: MUforBH.comConnecticut EHR Program: MUforBH.com
Connecticut EHR Program: MUforBH.com
 
November 2016 Problem Gambling Treatment Providers Webinar
November 2016 Problem Gambling Treatment Providers WebinarNovember 2016 Problem Gambling Treatment Providers Webinar
November 2016 Problem Gambling Treatment Providers Webinar
 
Making Sense of PQRS
Making Sense of PQRSMaking Sense of PQRS
Making Sense of PQRS
 
PBJ Reporting: Staffing Strategies for Success
PBJ Reporting: Staffing Strategies for SuccessPBJ Reporting: Staffing Strategies for Success
PBJ Reporting: Staffing Strategies for Success
 
OLU_-_March2016_NE
OLU_-_March2016_NEOLU_-_March2016_NE
OLU_-_March2016_NE
 
UMASS_Sell Sheet_SNEPTN_ FAQ sheet v3_2016
UMASS_Sell Sheet_SNEPTN_ FAQ sheet v3_2016UMASS_Sell Sheet_SNEPTN_ FAQ sheet v3_2016
UMASS_Sell Sheet_SNEPTN_ FAQ sheet v3_2016
 
What does ARRA, HITECH and Meaningful Use mean to you
What does ARRA, HITECH and Meaningful Use mean to youWhat does ARRA, HITECH and Meaningful Use mean to you
What does ARRA, HITECH and Meaningful Use mean to you
 
Program Proposal.pptx
Program Proposal.pptxProgram Proposal.pptx
Program Proposal.pptx
 
Utilization Management in 2016
Utilization Management in 2016Utilization Management in 2016
Utilization Management in 2016
 
Meaningful Use: Programs, Penalities, and Payments
Meaningful Use: Programs, Penalities, and PaymentsMeaningful Use: Programs, Penalities, and Payments
Meaningful Use: Programs, Penalities, and Payments
 
Webinar_Dangerous_Trends_James_Muir_Jan2015V6
Webinar_Dangerous_Trends_James_Muir_Jan2015V6Webinar_Dangerous_Trends_James_Muir_Jan2015V6
Webinar_Dangerous_Trends_James_Muir_Jan2015V6
 
Minnesota HIPAA Collaborative Minnesota HIPAA Collaborative
Minnesota HIPAA Collaborative 	 Minnesota HIPAA CollaborativeMinnesota HIPAA Collaborative 	 Minnesota HIPAA Collaborative
Minnesota HIPAA Collaborative Minnesota HIPAA Collaborative
 
A new opening for transparency and transformation - the benefits of the commu...
A new opening for transparency and transformation - the benefits of the commu...A new opening for transparency and transformation - the benefits of the commu...
A new opening for transparency and transformation - the benefits of the commu...
 
PQRS Claims-based Reporting in 2014
PQRS Claims-based Reporting in 2014PQRS Claims-based Reporting in 2014
PQRS Claims-based Reporting in 2014
 
Opportunities in today's healthcare delivery system final
Opportunities in today's healthcare delivery system finalOpportunities in today's healthcare delivery system final
Opportunities in today's healthcare delivery system final
 
PQRS Claims-Based Reporting in 2013
PQRS Claims-Based Reporting in 2013PQRS Claims-Based Reporting in 2013
PQRS Claims-Based Reporting in 2013
 
Open Door Forum: Next Generation ACO Model - Completing Model Participant Lis...
Open Door Forum: Next Generation ACO Model - Completing Model Participant Lis...Open Door Forum: Next Generation ACO Model - Completing Model Participant Lis...
Open Door Forum: Next Generation ACO Model - Completing Model Participant Lis...
 
Exploring the Revised Medicare 855 Enrollment Form for 2024
Exploring the Revised Medicare 855 Enrollment Form for 2024Exploring the Revised Medicare 855 Enrollment Form for 2024
Exploring the Revised Medicare 855 Enrollment Form for 2024
 

Recently uploaded

PPT Item # 7&8 6900 Broadway P&Z Case # 438
PPT Item # 7&8 6900 Broadway P&Z Case # 438PPT Item # 7&8 6900 Broadway P&Z Case # 438
PPT Item # 7&8 6900 Broadway P&Z Case # 438ahcitycouncil
 
Value, protect, respect and invest in our nuses for a sustainable future for ...
Value, protect, respect and invest in our nuses for a sustainable future for ...Value, protect, respect and invest in our nuses for a sustainable future for ...
Value, protect, respect and invest in our nuses for a sustainable future for ...Christina Parmionova
 
Electric Vehicle infrastructure planning in Rural Planning Organizations
Electric Vehicle infrastructure planning in Rural Planning OrganizationsElectric Vehicle infrastructure planning in Rural Planning Organizations
Electric Vehicle infrastructure planning in Rural Planning OrganizationsRPO America
 
World Migratory Bird Day 2024 "Protect insects, Protect Birds"
World Migratory Bird Day  2024 "Protect insects, Protect Birds"World Migratory Bird Day  2024 "Protect insects, Protect Birds"
World Migratory Bird Day 2024 "Protect insects, Protect Birds"Christina Parmionova
 
Characterizing wildlife trafficking and associated crime.
Characterizing wildlife trafficking and associated crime.Characterizing wildlife trafficking and associated crime.
Characterizing wildlife trafficking and associated crime.Christina Parmionova
 
PPT Item # 5 -- Announcements Powerpoint
PPT Item # 5 -- Announcements PowerpointPPT Item # 5 -- Announcements Powerpoint
PPT Item # 5 -- Announcements Powerpointahcitycouncil
 
History of DAVAO DE ORO Municipality of Maragusan
History of DAVAO DE ORO Municipality of MaragusanHistory of DAVAO DE ORO Municipality of Maragusan
History of DAVAO DE ORO Municipality of Maragusannarzilgulmatico
 
Rocky Mount Greenville Willson Regional Transit Plan
Rocky Mount Greenville Willson Regional Transit PlanRocky Mount Greenville Willson Regional Transit Plan
Rocky Mount Greenville Willson Regional Transit PlanRobert Hiett
 
YHRGeorgetown Spring 2024 America should Take Her Share
YHRGeorgetown Spring 2024 America should Take Her ShareYHRGeorgetown Spring 2024 America should Take Her Share
YHRGeorgetown Spring 2024 America should Take Her Shareyalehistoricalreview
 
International Day of Plants Health 2024, May 12th.
International Day of Plants Health 2024, May 12th.International Day of Plants Health 2024, May 12th.
International Day of Plants Health 2024, May 12th.Christina Parmionova
 
“Bee engaged with Youth”. World Bee Day 2024; May. 20th.
“Bee engaged with Youth”. World Bee Day 2024; May. 20th.“Bee engaged with Youth”. World Bee Day 2024; May. 20th.
“Bee engaged with Youth”. World Bee Day 2024; May. 20th.Christina Parmionova
 
International Day of Families - 15 May 2024 - UNDESA.
International Day of Families - 15 May 2024 - UNDESA.International Day of Families - 15 May 2024 - UNDESA.
International Day of Families - 15 May 2024 - UNDESA.Christina Parmionova
 
RPO America Peer Exchange: Rural Transportation Planning Programs
RPO America Peer Exchange: Rural Transportation Planning ProgramsRPO America Peer Exchange: Rural Transportation Planning Programs
RPO America Peer Exchange: Rural Transportation Planning ProgramsRPO America
 
Introduction to The Guidelines for the Long-term Sustainability of Outer Spac...
Introduction to The Guidelines for the Long-term Sustainability of Outer Spac...Introduction to The Guidelines for the Long-term Sustainability of Outer Spac...
Introduction to The Guidelines for the Long-term Sustainability of Outer Spac...VICTOR MAESTRE RAMIREZ
 
Help set up SERUDS Orphanage virtual classroom
Help set up SERUDS Orphanage virtual classroomHelp set up SERUDS Orphanage virtual classroom
Help set up SERUDS Orphanage virtual classroomSERUDS INDIA
 
Ian Bremmer's message for those graduating in toxic times.pdf
Ian Bremmer's message for those graduating in toxic times.pdfIan Bremmer's message for those graduating in toxic times.pdf
Ian Bremmer's message for those graduating in toxic times.pdfEnergy for One World
 
Securing the Future | Public Good App House
Securing the Future | Public Good App HouseSecuring the Future | Public Good App House
Securing the Future | Public Good App HouseTechSoup
 
Plant health, safe trade and digital technology.
Plant health, safe trade and digital technology.Plant health, safe trade and digital technology.
Plant health, safe trade and digital technology.Christina Parmionova
 
Topical Guide for RID 3830 Public Image Training Series.ppsx
Topical Guide for RID 3830 Public Image Training Series.ppsxTopical Guide for RID 3830 Public Image Training Series.ppsx
Topical Guide for RID 3830 Public Image Training Series.ppsxAnbr Cama
 
World Wildlife Crime Report 2024 - Introduction
World Wildlife Crime Report 2024 - IntroductionWorld Wildlife Crime Report 2024 - Introduction
World Wildlife Crime Report 2024 - IntroductionChristina Parmionova
 

Recently uploaded (20)

PPT Item # 7&8 6900 Broadway P&Z Case # 438
PPT Item # 7&8 6900 Broadway P&Z Case # 438PPT Item # 7&8 6900 Broadway P&Z Case # 438
PPT Item # 7&8 6900 Broadway P&Z Case # 438
 
Value, protect, respect and invest in our nuses for a sustainable future for ...
Value, protect, respect and invest in our nuses for a sustainable future for ...Value, protect, respect and invest in our nuses for a sustainable future for ...
Value, protect, respect and invest in our nuses for a sustainable future for ...
 
Electric Vehicle infrastructure planning in Rural Planning Organizations
Electric Vehicle infrastructure planning in Rural Planning OrganizationsElectric Vehicle infrastructure planning in Rural Planning Organizations
Electric Vehicle infrastructure planning in Rural Planning Organizations
 
World Migratory Bird Day 2024 "Protect insects, Protect Birds"
World Migratory Bird Day  2024 "Protect insects, Protect Birds"World Migratory Bird Day  2024 "Protect insects, Protect Birds"
World Migratory Bird Day 2024 "Protect insects, Protect Birds"
 
Characterizing wildlife trafficking and associated crime.
Characterizing wildlife trafficking and associated crime.Characterizing wildlife trafficking and associated crime.
Characterizing wildlife trafficking and associated crime.
 
PPT Item # 5 -- Announcements Powerpoint
PPT Item # 5 -- Announcements PowerpointPPT Item # 5 -- Announcements Powerpoint
PPT Item # 5 -- Announcements Powerpoint
 
History of DAVAO DE ORO Municipality of Maragusan
History of DAVAO DE ORO Municipality of MaragusanHistory of DAVAO DE ORO Municipality of Maragusan
History of DAVAO DE ORO Municipality of Maragusan
 
Rocky Mount Greenville Willson Regional Transit Plan
Rocky Mount Greenville Willson Regional Transit PlanRocky Mount Greenville Willson Regional Transit Plan
Rocky Mount Greenville Willson Regional Transit Plan
 
YHRGeorgetown Spring 2024 America should Take Her Share
YHRGeorgetown Spring 2024 America should Take Her ShareYHRGeorgetown Spring 2024 America should Take Her Share
YHRGeorgetown Spring 2024 America should Take Her Share
 
International Day of Plants Health 2024, May 12th.
International Day of Plants Health 2024, May 12th.International Day of Plants Health 2024, May 12th.
International Day of Plants Health 2024, May 12th.
 
“Bee engaged with Youth”. World Bee Day 2024; May. 20th.
“Bee engaged with Youth”. World Bee Day 2024; May. 20th.“Bee engaged with Youth”. World Bee Day 2024; May. 20th.
“Bee engaged with Youth”. World Bee Day 2024; May. 20th.
 
International Day of Families - 15 May 2024 - UNDESA.
International Day of Families - 15 May 2024 - UNDESA.International Day of Families - 15 May 2024 - UNDESA.
International Day of Families - 15 May 2024 - UNDESA.
 
RPO America Peer Exchange: Rural Transportation Planning Programs
RPO America Peer Exchange: Rural Transportation Planning ProgramsRPO America Peer Exchange: Rural Transportation Planning Programs
RPO America Peer Exchange: Rural Transportation Planning Programs
 
Introduction to The Guidelines for the Long-term Sustainability of Outer Spac...
Introduction to The Guidelines for the Long-term Sustainability of Outer Spac...Introduction to The Guidelines for the Long-term Sustainability of Outer Spac...
Introduction to The Guidelines for the Long-term Sustainability of Outer Spac...
 
Help set up SERUDS Orphanage virtual classroom
Help set up SERUDS Orphanage virtual classroomHelp set up SERUDS Orphanage virtual classroom
Help set up SERUDS Orphanage virtual classroom
 
Ian Bremmer's message for those graduating in toxic times.pdf
Ian Bremmer's message for those graduating in toxic times.pdfIan Bremmer's message for those graduating in toxic times.pdf
Ian Bremmer's message for those graduating in toxic times.pdf
 
Securing the Future | Public Good App House
Securing the Future | Public Good App HouseSecuring the Future | Public Good App House
Securing the Future | Public Good App House
 
Plant health, safe trade and digital technology.
Plant health, safe trade and digital technology.Plant health, safe trade and digital technology.
Plant health, safe trade and digital technology.
 
Topical Guide for RID 3830 Public Image Training Series.ppsx
Topical Guide for RID 3830 Public Image Training Series.ppsxTopical Guide for RID 3830 Public Image Training Series.ppsx
Topical Guide for RID 3830 Public Image Training Series.ppsx
 
World Wildlife Crime Report 2024 - Introduction
World Wildlife Crime Report 2024 - IntroductionWorld Wildlife Crime Report 2024 - Introduction
World Wildlife Crime Report 2024 - Introduction
 

Nc topps provider training - part 2

  • 1. Superusers  Each LME/MCO is required to have superusers to provide technical assistance to providers.  Each provider is required to have superusers.  Manage NC-TOPPS compliance for agency  Transfer NC-TOPPS from one agency location/QP to another  Remove QPs no longer at agency
  • 2. How to Become a Superuser  New users need to enroll in NC-TOPPS as a user and be approved before they can apply to become a superuser.  Current users should contact the NC-TOPPS Help Desk at nctopps@ncsu.edu to request a Superuser Enrollment Form verifying that you have authorization to access the data.
  • 3. Important Reminders  Having the member present for an in-person interview is expected.  NC-TOPPS interviews must be entered into the web-based system by the QP or DEU  Copies of all submitted NC-TOPPS interviews must be included in the member’s service record.
  • 4. Additional Important Reminders  A Release of Information must be provided with the request when a member’s provider agency changes. The QP at the new provider agency must notify the MCO so the MCO superuser can change the NC-TOPPS to the new provider QP.  The member’s QP in the provider agency is the person responsible for ensuring that NC-TOPPS interviews are completed.
  • 5. Consent and Confidentiality  Any email communications containing private health or sensitive information (PHI/SI) must be sent to Vaya Health securely. Vaya uses Zixmail to send and receive secure email.  Providers must ensure an appropriate Release of Information (ROI) or consents are in place when sharing information and completing NC- TOPPS.  The primary provider agency may share a member’s PHI only with those provider agencies explicitly named on the signed consent form.  The consent form must be renewed at least annually.
  • 6. Who Gets an NC-TOPPS Interview?  Members who have been formally admitted to the LME/MCO and are receiving qualifying mental health and/or substance use disorder services from a public-funded source  Vaya Health Members with NC Health Choice receiving Therapeutic Foster Care
  • 7. Residential Services Requiring NC- TOPPS  Level II and Level III Residential Services  Psychiatric Residential Treatment Facilities  SA Community Residential Treatment  Therapeutic Foster Care
  • 8. Opioid Treatment Programs (OTP)  All OTPs are required to participate in NC-TOPPS:  Private-pay/self-pay: The provider will register with the NC-TOPPS Help Desk at nctopps@ncsu.edu.  Medicaid/non-Medicaid-funded: The provider will use the LME/MCO assigned record number.  If a member changes from Medicaid/non-Medicaid-funded to private pay (or vice versa), the provider should contact the NC-TOPPS Help Desk to request the change.
  • 9. Dual Diagnosis Members  Members who receive intellectual and developmental disability (IDD) services and supports as well as mental health (MH) or substance use disorder (SUD) services require NC-TOPPS participation only when the services are predominantly treating MH or SUD needs
  • 10. Qualifying Service Codes Requiring NC-TOPPS 90832-90838* 90846* 90847* 90849* 90853* H0004* H0004 HQ* H0004 HR* H0004 HS* YP831 YP832 YP833 YP834 H0005* YP835 H0015 H0040 H2015 HT H2022 H2033 H2035 YP630 YM645 H2023 U4 H2026 U4 H0035 H2012 HA H0020 H0012 HB H0013 H0019 H2020 YA230 YP780 S5145 *If the member has an SUD diagnosis and is only receiving outpatient services with these service codes funded through Medicaid Basic Benefits, the member is not expected to participate in NCTOPPS. For updates to this list, please refer to Appendix A of the NC-TOPPS Guidelines
  • 11. Members Receiving Multiple Services  When a member is receiving more than one qualifying service, responsibility for completing NC-TOPPS interviews is determined by a hierarchy of services based on age and disability.  The provider of the service in the highest order in the NC-TOPPS hierarchy is responsible for NC-TOPPS interviews (see next slide).  As services change, the NC-TOPPS record will be transferred to the provider agency providing the next highest level of services in the hierarchy.
  • 12. Adults Residential Services Partial Hospitalization Assertive Community Treatment (ACT) Team Substance Abuse Comprehensive Outpatient Treatment (SACOT) Substance Abuse Intensive Outpatient Treatment (SAIOP) Community Support Team (CST) Opioid Treatment Supported Employment Periodic (non-Mediciad-funded SUD only) Child/Adolescent Residential – PRTF Partial Hospitalization Multisystemic Therapy Services (MST) Intensive In-Home Services (IIH) Substance Abuse Intensive Outpatient Treatment (SAIOP) Child and Adolescent Day Treatment Residential Services (except PRTF) and Therapeutic Foster Care Services Supported Employment Periodic (non-Mediciad-funded SUD only) High-Fidelity Wraparound NC-TOPPS Hierarchy
  • 13. Exceptions  Members receiving only one or more of the following services: MH Outpatient Therapy and/or Medication Management  Psychosocial Rehabilitation  Crisis Services  Psychiatric Inpatient Hospitalization Services  Developmental Disability Services and Supports  Members in the Adult with Developmental Disability (ADSN) target Population or in the Children with Developmental Disability (CNDSN) target population are not required to participate in NC-TOPPS.
  • 14. Timeframes for Submitting NC- TOPPS Interviews  Initial interviews should be completed with the member during an in-person interview by the second treatment visit.  Initial interviews should not be submitted before the member is formally enrolled with the LME/MCO.
  • 15. Timeframes for Submitting NC- TOPPS Updates  Three-month update: 90 days following the initial episode submission  Six-month update: 180 days following the initial episode submission  12-month update: 365 days following the initial episode submission  Biannual updates: 18 months, 24 months, 30 months, etc., after the initial submission (until the episode completion is submitted)
  • 16. Preparing for the Interview  NC-TOPPS interviews include a common set of items that are generally collected as part of developing and revising a MH and SUD member’s treatment plan.  It is important that the QP is familiar with the interview questions prior to contacting a member.  Careful preparation will increase the chances of engaging the member and completing NC-TOPPPS interviews with accurate information.
  • 17. Conducting the Interview  NC-TOPPS interview questions can be used as a tool during a QP-member discussion to help identify areas of concern.  Interviews for children (ages 6-11) should be conducted with the child’s parent/guardian or other adult responsible for the child’s care.  Interviews must be submitted through the NC-TOPPS system on or before the due date.
  • 18. Interview Reminders  Please note that all items in the interview are required to be answered before you can submit the interview.  There are also certain items on the Update and Episode Completion interview that are required to be asked directly to the member either in-person or via telephone.  The QP should refrain from providing opinions, advice, feelings or suggestions for answers.
  • 19. Helpful Tips  Use the LME/MCO assigned record number. (Do not make up a number or use the provider-generated record number.)  If the record number does not have enough digits, add a zero to the beginning of the number (ex. 1234 becomes 01234). Do not add zeros to the end.  Use the CNDS# assigned to the member. (Do not make up a number or use the Social Security Number.)
  • 20. More Helpful Tips  Check the correct spelling of the member’s name.  Make sure to use the correct date of birth (this information can be found in AlphaMCS).  After submitting NC-TOPPS, look for the green checkmark at the top of the page to make sure the information was accepted.
  • 22. Common Name Data Service Numbers (CNDS#)  The LME/MCO is required to give the provider agency the LME/MCO assigned record number and the CNDS# or Medicaid number when a member is enrolled.  If a member has Medicaid, use that number for the CNDS#.  To obtain a CNDS# for Vaya Health members, e-mail the following information to nctopps@vayahealth.com:  First and last name (no nicknames)  Date of birth  Social Security Number  Gender  Race/ethnicity  Language spoken
  • 23. Provider Change If a member transfers to a new provider agency and will continue in a service requiring NC-TOPPS …  The new QP should contact the MCO superuser to request NC-TOPPS be transferred.  For Vaya members, e-mail nctopps@vayahealth.com, provide the Release of Information, the address of the provider and the name of the QP who will be responsible for submitting NC-TOPPS.  The new QP will continue the current NC-TOPPS updates based on the schedule established by the previous agency.
  • 24. Episode Completion Episode Completion interviews must be submitted when a member has:  Successfully completed treatment and is not continuing in a service that requires NC-TOPPS  Been discharged at the program initiative  Refused treatment  Not received any services for 60 days  Transitioned to a service that does not require NC-TOPPS  Moved out of area or changed to different LME/MCO  Been incarcerated or institutionalized  Passed away
  • 25. Features Available to Users  Interview Search: Searches for interviews by various criteria  Updates Needed List: Assists in tracking the dates when updates are due for a member  Individual Report: Displays select NC-TOPPS items from the initial interview and the two most recent updates for a member
  • 26. Searching for Interviews  Once logged in, click on the “Locations” tab and select the correct LME/MCO (and provider location, if applicable).  Click on the “Reports” tab, then click on “Interview Search.”  You can search for all interviews associated with your profile by clicking “Find Interviews” with no criteria items selected, or you can add criteria on the left to narrow the search.  To find an interview that was started, but not submitted, choose “Website Submission” and click on “Manage Episode of Care.”
  • 27. Updates Due  After logging in and choosing an LME/MCO, click on the “Reports” tab  Click on “Updates Needed.” This is the list of all members who currently have an interview due.  At the bottom of the page, you may choose “Print” or “Export Data.”
  • 28. Video Example  Finding particular interviews  Findings interviews started, but not submitted  Updates Needed
  • 29. How to Request Assistance  For assistance with Vaya members, email nctopps@vayahealth.com.  Use encrypted email when sending PHI.  Provide your name and agency (include address).  Provide at least two forms of information about the member (name, date of birth, record number).  State the issue or question.  Transfer a member (provide the ROI)  Received an error message (give the specific message)
  • 30. Pre-Test – True or False  Every provider andLME/MCO is required to have a superuser.  Only superusers can submit NC-TOPPS interviews.  When a member transfers from one provider to another, the NC-TOPPS should transfer with them.  If I have a question about NC-TOPPS, there is no one who can help me.  True – A provider can have more than one, but every provider should have at least one superuser.  False – QPs and DEUs can also submit NC-TOPPS interviews.  True – Contact the MCO’s Superuser and request that the NC-TOPPS be transferred.  False – Review the NC-TOPPS manual, ask your agency superuser or e-mail nctopps@vayahealth.com or nctopps@ncsu.edu .
  • 31. Pre-Test – Multiple Choice  After a member enters into a service requiring NC-TOPPS, the initial interview should be submitted when?  At any time, as long as the person is still receiving services  During the first or second treatment visit  Within the first month of services  Within the first 90 days  (b) The NC-TOPPS interview should be submitted by the second treatment visit.
  • 32. Pre-test – Multiple Choice  NC-TOPPS updates are required at three months, six months, 12 months and biannually. How are the timeframes calculated?  The three-month interview is due 90 days after the initial is submitted; the six-month is due 180 days after the initial is submitted, etc.  The three- and six-month interviews are submitted any time as long as the person is still receiving services.  The reviews are based on the member’s birthday.  None of the above  (a) The three-month interview is due 90 days after the initial is submitted, the six-month is due 180 days after the initial is submitted, etc.
  • 33. Scenario 1  Your agency is providing ACT services to a member, and after four months, the member is transitioning to another provider for ACT services. What will you do with NC-TOPPS?  Answer: If the member is continuing services at a new provider agency, the new QP must contact the member’s LME/MCO so that the LME/MCO superuser can change the member’s NC-TOPPS submissions to the new QP/provider agency. If the new agency fails to request the transfer, contact nctopps@vayahealth.com for assistance.
  • 34. Scenario 2  Your agency is providing Intensive In-Home Services to a member who has transitioned home from Residential Services. You are unable to submit an NC- TOPPS because there is already an open NC-TOPPS in the system. What do you do?  Answer: Contact the LME/MCO NC-TOPPS superuser at nctopps@vayahealth.com and provide your name, agency address, the name of the member and a copy of the signed Release of Information form allowing the NC-TOPPS information to be transferred to your agency. NOTE: Your agency will continue with NC-TOPPS submissions based on when the initial NC- TOPPS was submitted by the previous provider.
  • 35. Link to Test  This concludes the NC-TOPPS presentation. If you would like to receive a Certificate of Training, please click the link to the left and take the NC- TOPPS test.  If you have additional questions, please e-mail nctopps@vayahealth.com.