MCO Shared Roster Template

In an effort to ease the administrative burden on providers, MCOs have approved a shared roster template. Providers can complete the roster template below and submit the same document to all MCOs. See where to submit to each MCO below.

Shared Roster Template

Note from MCOs on updating Provider Rosters, 1/30/19:
Once you’re credentialed, you’re good for 3 years – you only need to update the provider roster if there are changes. In order to process correctly in system, we need to rosters updated as you have changes. We would accept monthly, but would rather be notified of changes as they come. If we don’t have one of your providers loaded for the correct facility, then run the risk of being rejected. Let the MCOs know as soon as you have someone new coming on.

Amerigroup
waopsrequest@amerigroup.com

CHPW
provider.changes@chpw.org

Coordinated Care
contracting@coordinatedcarehealth.com

Molina
MHWProviderInfo@MolinaHealthcare.com

 

WISe forms & monthly tracker submission

Forms & information about submitting Wraparound with Intensive Services (WISe) to MCOs will be posted here as it is received.

MCO WISe Provider Education update PPT – includes contact information

Molina

WISe members are submitted monthly to Molina via the “Member Summary” tab on each BH Agency’s WISe invoice.

Coordinated Care

From Mindy Watson (Mindy.L.Watson@coordinatedcarehealth.com)

I would like to take this opportunity to go over Coordinated Care specific monthly WISe tracker that will be completed each month by our contracted WISe providers:
WISe Reporting Tracker excel
WISe Notification Form 2019_Fillable

Please refer to our website https://www.coordinatedcarehealth.com/providers.html for the most up to date forms.

 WISe monthly tracker  

  • This monthly spreadsheet will be completed by each WISe provider.

  • The WISe provider will list all of the Coordinated Care members currently receiving or waiting for WISe services for the specified month.

  • This is used to track and report WISe numbers; capacity and is in some contracts used for payment purposes. Please refer to your contract on any questions or specifics in regards to billing. 

  • The Wise tracker will be completed each month. This is due by the 10th of the following month of service. For example, for the month of January, the WISe tracker will be due no later than February 10th.

  • The WISe tracker will be submitted to the following email SOCTeam@coordinatedcarehealth.com.

If your agency is not able to send an encrypted/secure email and would like to set up a SFTP web portal for submittal, please contact John Cooper (JOCOOPER@coordinatedcarehealth.com) by email to make this request and CC Mindy.L.Watson@coordinatedcarehealth.com in this email.

The MCO’s have worked together to have a similar reporting format and spreadsheet to simplify this process for WISe providers.

Please feel free to reach out to the identified contacts within each MCO for additional information.

Amerigroup

To be received

CHPW

To be received

Interpreter Services resources – updated 10/1/19

Interpreter services through HCA will be different than what many BH providers are using currently. HCA’s Interpreter Services program has shared an FAQ page and slide deck to help providers understand what to expect from upcoming changes in interpreter services, which start January 1 as part of Integrated Managed Care (IMC).

Update 10/1/19 from HCA:
The Health Care Authority (HCA) is reaching out to provide information about how to use our interpreter services vendor, Universal Language Service. Please forward this information on to the Integrated Managed Care (IMC) providers in your region.

In order for interpreter services to be covered by HCA, you must provide Universal Language Service (Universal) the client’s ProviderOne number, client’s full name and date of birth, and your NPI in order to verify:

  • Services are an eligible Washington Apple Health (Medicaid) medical benefit; and

  • The client is an eligible Washington Apple Health (Medicaid) client; and

  • Services are authorized and provided by a HCA Medicaid Provider (Enrolled as an HCA provider)

Universal reviews eligibility of clients at the time of request, 48 hours prior to the appointment, and the day of the service. If you do not provide the client’s ProviderOne number or your NPI, you will be responsible for paying for the interpreter services appointment. 

If eligibility is verified but Universal is unable to fill the request with an interpreter, the provider/requester has the option to cancel the request and go to a private agency and follow our reimbursement process.

For additional information about our interpreter services program, please visit HCA’s Interpreter Services webpage.

Update 12/17/18 from HCA:
Good afternoon, we would like to share the recorded versions of the Interpreter Services webinar for managed care providers in regions integrating Jan. 1. Below are links to all four sessions for those who would like to review the material prior to the New Year:

9/25      https://attendee.gotowebinar.com/register/8381003587167261955
10/4      https://attendee.gotowebinar.com/register/2757391937263771395
11/15    https://attendee.gotowebinar.com/register/1329891592875710211
11/20    https://attendee.gotowebinar.com/register/6688722150655965699

Questions that came up during the presentation have been incorporated into the Q&A on the Interpreter Services website:
https://www.hca.wa.gov/billers-providers-partners/programs-and-services/interpreter-services

Look under “Resources” and be sure to check back later for updates. Also, don’t forget to sign up to the GovDelivery Interpreter Services mailing list if you would like messaging about this program (or any other Apple Health program) sent to your inbox: 
https://public.govdelivery.com/accounts/WAHCA/subscriber/new?preferences=true#tab1

If you have questions about these webinars or other Interpreter Services questions, contact Jason Bergman at jason.bergman@hca.wa.gov.

Updated 10/29/18: The HCA has provided an American Sign Language (ASL) interpreter services FAQ. For more information on ASL services, including who to contact with questions, see HCA’s Oct. 26 bulletin.


Rapid Response Calls

Through the month of January, the HCA will host “Rapid Response” calls to respond to emerging systemic issues and questions needing immediate attention. See the schedule below. Call-in information is available on our IMC main page, under Meetings.

Beginning in February, we will move to monthly webinars, which will focus on review and response of the Early Warning System Indicators. More details on those to come. If it is determined that we still need more frequent calls, we can do so.

For more details on the Rapid Response calls, including standing agenda, see the HCA’s Rapid Response Calls document.

Notes from the Rapid Response calls can be found here.

Email sarah@betterhealthtogether.org with questions.

Important update on NPI/Taxonomy

On Nov. 16, BHT received this important update from HCA on taxonomy codes:

HCA has received a notification from clearinghouses that they cannot accept the local taxonomy codes created by HCA. Clearinghouses can only accept federal taxonomies provided by the National Plan & Provider Enumeration System (NPPES).

This impacts the following local HCA taxonomy codes: 101Y99993L, 101Y99994L, 101Y99995L, 101Y99996L.

To resolve this issue, HCA recommends the following:

  1. Clinicians with the above noted taxonomies should enroll your NPI with HCA under the local taxonomy as well as your NPPES taxonomy

  2. When submitting claims/encounters to the MCOs, these clinicians should always use the NPPES taxonomy

If you have already registered the clinician’s NPI under one of these local taxonomies, please also register the clinician’s NPI with HCA under the NPPES taxonomy.

If you have not yet registered, please be sure to register the clinician’s NPI with HCA under both our local taxonomy as well as the clinician’s selected NPPES taxonomy.

Please find an updated NPI/Taxonomy fact sheet reflecting these changes.

We apologize if this change causes any inconvenience or confusion. If you have any questions or need assistance with enrolling providers in ProviderOne, please contact Provider Enrollment at ProviderEnrollment@hca.wa.gov or call 1-800-562-3022 (extension 16137).

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Note: BHT has updated our SERI and NPI guidance page to reflect this update.