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.

 

VBP Readiness tools & resources

NACHC Payment Reform resources
Payment and Delivery Reform webpage
NACHC Payment Reform Readiness Assessment Tool

AMA Steps Forward – Preparing your practice for value-based care
https://www.stepsforward.org/modules/value-based-care#section-references

Rural Health Value Team’s comprehensive Value-Based Care Strategic Planning Tool:
http://cph.uiowa.edu/ruralhealthvalue/TnR/VBC/VBCTool.php

Early Warning System update

Over the last few months, the Early Warning System (EWS) workgroup has been working to develop recommendations for a feedback loop and triage process to identify and resolve system issues as they arise during the IMC transition in 2019. The group approved their final Early Warning System Indicators list at the October 31 meeting.

Based on the progress made, the group decided not to meet in November and will re-convene in December to finalize preparations for the monitoring calls that will begin in January.

What to expect in 2019

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.

Beginning in February, we will move to monthly webinars, which will focus on review and response of the indicator data. 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.

Email sarah@betterhealthtogether.org with questions.