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CBHNP RTF Provider Meeting Spring 2007

CBHNP RTF Provider Meeting Spring 2007. Agenda. Introductions Quality Improvement Clinical Provider Relations Questions. Quality Improvement Agenda. Critical Incident Reporting Quality Treatment Record Reviews IPRO . Clinical Agenda. Referrals of children over age 17

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CBHNP RTF Provider Meeting Spring 2007

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  1. CBHNPRTF Provider MeetingSpring 2007

  2. Agenda • Introductions • Quality Improvement • Clinical • Provider Relations • Questions

  3. Quality Improvement Agenda • Critical Incident Reporting • Quality Treatment Record Reviews • IPRO

  4. Clinical Agenda • Referrals of children over age 17 • Lack of therapeutic value vs immediate safety risks • Discharge Planning • July 1, 2007 HealthChoices Expansion • Engagement of family • strategies that have been successful or not

  5. Clinical • Referrals of children over age 17 • This age range is difficult to place • What are the issues around accepting children in this age group? • Therapeutic Value • Requests to remove CBHNP funded children to CYS and JPO w/o discussing with CBHNP • Immediate safety – assess for Inpatient • Lack of therapeutic progress-call team meeting • Opportunity for transfer to new facility vs. placing into shelter without treatment

  6. Clinical • Discharge Planning • Engagement of Families into treatment • July 1, 2007 HealthChoices Expansion • Packets submission beginning June 19 • CBHNP will review for remainder of request period • Zone changes and potential impact to RTF • Review of Appendix V codes • Check insurance to verify payment source • Non-medically necessary placements

  7. Provider Relations Agenda • Billing • NPI # • Can apply online at https://nppes.cms.hhs.gov/NPPES/Welcome.do • Website for more information: http://www.cms.hhs.gov/NationalProvIdentStand/ • Providers must communicate their NPI to CBHNP • Send by faxing to Provider Relations at 717-671-6522 • Provider updates • Vision Quest

  8. Questions?

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