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OBH TECHNICAL ASSISTANCE WEB CONFERENCE #2 FOR OBH CONTRACT PROVIDERS. February 23, 2012. PRESENTERS Peter J. Calamari Quinetta Womack Ann Darling Tricia Hensarling Danita LeBlanc. GOAL.
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OBH TECHNICAL ASSISTANCE WEB CONFERENCE#2 FOROBH CONTRACT PROVIDERS February 23, 2012 PRESENTERS Peter J. Calamari Quinetta Womack Ann Darling Tricia Hensarling Danita LeBlanc
GOAL • Goal of today’s conference is to reinforce some fundamental elements of the transition from current OBH service patterns to the service patterns provided under the La Behavioral Health Partnership. • Link to Magellan Provider Trainings: http://new.dhh.louisiana.gov/index.cfm/page/1093
SERVICE RECIPIENTS • All OBH service recipients currently receiving services, either through OBH clinics or Contracts, will continue to receive services after March 1, 2012 either funded by Medicaid or OBH. • The Office has made a commitment to consumers that services will not be interrupted because of the transition to Louisiana Behavioral Health Partnership. • Regional Clinics and Contractors are to do all in their power to assure this commitment is fulfilled.
NON-CONTRACTED SERVICES • A Non-Medicaid Manual of services is under development. Until it is published, providers are to assume the services described in the Medicaid Manual are available for patients who do not qualify for Medicaid. • Non-contracted services described in the Medicaid Manual, whether funded by Medicaid or State General Funds, must begin to be entered into Clinical Advisor beginning March 1, 2012. • Medicaid Service Manual: http://dhh.louisiana.gov/assets/docs/BehavioralHealth/LBHP/LBHPSvcsManv5.pdf • Service Rates Document: http://new.dhh.louisiana.gov/index.cfm/page/538
SPECIAL OBH CONTRACTED SERVICES • The following services in OBH contracts are also required to be entered into Clinical Advisor beginning March 1, 2012: Assertive Community Treatment (ACT), Multi-systemic Therapy (MST), Family Functional Therapy (FFT), Homebuilders and all Addiction services delivered through OBH Contracts (excluding Gambling and Prevention). • OBH contracted services NOT described in the Medicaid Manual will NOT be entered in Clinical Advisor and will continue to be documented and reimbursed via contract specifications. • Note: Up to 1yr. to bill Medicaid for services not entered in Clinical Advisor by March 1st.
CURRENT CONTRACTS • OBH will be amending current year contracts in the next 30-45 days to recognize the 2 sources of funding available after March 1, 2012 through Magellan’s enrolled providers and therefore the OBH state funded contracts will be reduced to recognize the Medicaid funded services. • OBH will have individual discussions with providers concerning these proposed amendments.
OBH TECHNICAL ASSISTANCE TEAMS • Behavioral Health Adults (1915i) – Medicaid & Non-Medicaid • Team Lead: Tricia Hensarling, 225.342.1075, Tricia.Hensarling@la.gov • Associate Lead: Leslie Brougham Freeman, 225.342.5705, Leslie.BroughamFreeman@la.gov • Assertive Community Treatment and Intensive Case Management – Medicaid & Non-Medicaid • Team Lead: Ann Darling, 225.342.3564, Ann.Darling@la.gov • Associate Lead: Tara DeLee, 225.342.8705, Tara.Delee@la.gov • Adult & Child/Youth Residential – Medicaid & Non-Medicaid • Team Lead: Danita LeBlanc, 225.342.9682,Danita.Leblanc@la.gov • Associate Lead: Bill Blanchard, 225.342.7142, Bill.Blanchard@la.gov • Addictive Disorders/Mental Health for Children/Youth (Non-CSoC) Intensive Outpatient (IOP) & Outpatient – Medicaid & Non-Medicaid • Team Lead: Quinetta Womack, 225. 342.8952, Quinetta.Womack@la.gov • Associate Lead: Brian Knight, 225.342.6818, Brian.Knight@la.gov
OBH TECHNICAL ASSISTANCE TEAMS (Continued) • Addictive Disorders Adult Intensive Outpatient (IOP) & Outpatient – Medicaid & Non-Medicaid • Team Lead: Charlene Gradney, 225.342.9239, Charlene.Gradney@la.gov • Associate Lead: Traci Perry, 225.342.5159, Traci.Perry@la.gov • Professional Services • Team Lead: Sue Austin, 225.342.4624, Sue.Austin@la.gov • Associate Lead: Robyn Howard, 225.342.0859, Robyn.Howard@la.gov • Crisis Services • Team Lead: Cassandra Wilson, 225.342.3889, Cassandra.Wilson@la.gov • Associate Lead: Joanna Tonguis, 225-342-8641, Joanna.Tonguis@la.gov NOTE: If uncertain about appropriate team to contact, please contact Tricia Hensarling (tricia.hensarling@la.gov) for services to the adult population and Quinetta Womack (quinetta.womack@la.gov)for services to the child/youth population. We will direct you to the appropriate team.
ACTION NEEDED FOR LBHP ENROLLMENT • OBH Certification http://new.dhh.louisiana.gov/index.cfm/page/538 • Complete Certification Application (Individual or Organization) • Complete training components of Certification if applicable; keep track of the trainings • Be familiar with LBHP Service Manual & codes • Magellanwww.magellanoflouisiana.com(Provider Tab) • Enrollment=complete Credentialing application • Contract with Magellan • Take advantage of trainings and provider forums
ACTION NEEDED FOR LBHP ENROLLMENT (Continued) • Licensing • LMHPs: Individual Licenses from respective boards • Organizational Licensing • DHH Bureau of Health Standards http://new.dhh.louisiana.gov/index.cfm/page/248/n/24 • DCFS for Non-Medicaid Group Homes (NMGH) http://www.dss.state.la.us/index.cfm?md=pagebuilder&tmp=home&pid=260 • Accreditation: • Bodies: • Counsel On Accreditation (COA) http://coanet.org/ • Counsel On Accreditation for Rehabilitation Facilities (CARF)http://www.carf.org/home/ • Joint Commission http://www.jointcommission.org/ • Who needs it? • Psychiatric Residential Treatment Facility (PRTF) –before payment • Therapeutic Group Homes (TGH) & AD Residential – up to 18 months to get accredited
Question/Answers Are Available At: http://new.dhh.louisiana.gov/index.cfm/faq/category/87