IDD Connects · Health & Wellness 101. Individual’s Record Tab 102 Individual 360 Status...

IDD Connects

Disclaimer: Please note that screens used in this

presentation are for demonstration purposes only

and actual content may vary.

Provider

Key Objectives

• How to search for and access individuals’ records Task bar and Dashboard view

• How to upload and label documents within the IDD Connects System• View Individual Service Plans (ISP) • How to look at assessments in the IDD Connects System

• Nursing, Behavioral, Social Work, SIS, HRST

• View Requests for Clinical Review and Support Notes• Request for Clinical Review formerly SCTAR

• View Coaching and Referrals• View Individual 360• View Claims

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IDD Connects System

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https://IDDgeorgiacollaborative.com/IDDPortal/dbhdd

IDD Connects System

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Reset Password/Forgot password/Forgot username?Click on the Forgot Password hyperlink

IDD Connects System: Staff Access

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Reset Password?

Click the submit button

How to Reset Password

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IDD Connects System: Landing Page

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Each tile is connected to a designated part of the IDD Connects System for quick access

IDD Connects System: Open Tasks

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IDD Connects: View My Task

View My Task Categories:Assigned DateTask DescriptionCID#First Name, Last NameDue DateAssigned by

View My Tasks

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To search a particular task, click on the Filter icon.The page expands to enter the information in the fields available in filter section.

Click on the CID# to begin assigned task.

IDD Connects System: Open Notification

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Notifications

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Types of Tasks and Notifications for Providers

Type of Task

Complete HRST.

Type of Notifications

Document removal request accepted/rejected.

Document Categorization for an document a provider uploaded was updated by another user.

PA has been updated.

A new provider has been identified and entered into the PA#.

A new Coaching or Referral is added• Including Focus area, Target completion date, Status, Comments entered by SC.

Granted/revoked access to view information for an Individual.

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IDD Connects System: Messages

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Messages

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How do I Send a New Messages?

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IDD Connects System: Landing Page

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Search an Individual

Access to individuals served

How can I Search for an Individual?

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Consumer ID (CID#)Last Name, First Name

Birth Month, Social Security#, Medicaid ID, Status, Region, County

Eligibility Status, Funding Source, Planning List, SC Agency, SC Supervisor, Support Coordinator

How can I Access an Individual?

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Individual Demographic Information

Displays

Individual Record Displays

Click CID#

Sections of the Individual’s Record

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Tabs Providers have view access to:• Demographics• Evaluation • ISP• Documents • Outcome & Support Notes• Services • Individual 360

Sections of the Evaluation Tab

Diagnosis Summarytab displays an Individual’s IDD diagnosis.

HRST/SIS tab displays and provides a link to

access the Health Risk Screening Tool

(HRST) and the Support Intensity

Scale tool (SIS)

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Health Risk Screening Tool (HRST)

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HRST Log In Page

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IDD Connects populates information in HRST About Me Page

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HRST About Me Page

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Provider Hierarchy of HRST Assignment

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• Community Residential Alternative Services (CRA)

• Community Living Support Services (CLS)

• Nursing Services - RN

• Community Access Group Services (CAG)

• Prevocational Services (Prevoc)

• Community Access Individual Services (CAI)

• Supported Employment Individual Services (SEI)

• Supported Employment Group Services (SEG)

• DBHDD Staff

Individual’s RecordIndividual Service Plan (ISP) Tab

Provider

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Accessing the ISP

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Step 2

Step 1

Search for ISP

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Click on the ISP type (NOW) to access the ISP.

Select date range and ISP type to search for a ISP.

Accessing Historical ISP Versions

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Click on the icon next to the ISP type to view historical ISPs.

View the Individual Service Plan (ISP)

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Sections of the ISP

ISP History Section

ISP Approval Section

Common ISP Features

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Each page of the ISP has the download and print capability

ISP

Back to Summary (ISP table/ Search page

ISP Effective Date

ISP Expiration Date

Calendar/Download/Print (features)

Current Needs: HRST/SIS Information

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ISP Current Needs: SIS Information

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Click on the sign to expand the Domain and view Comments.

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ISP Current Needs: Support Intensity Scale (SIS)

Click on the hyperlink for each domain to view the full ratings for that domain, along with any comments entered by the SIS Assessor.

Current Needs: Continue view of the Support Intensity Scale (SIS)

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Current Needs: Continue view of the Support Intensity Scale (SIS)

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System populates data from the Individual’s SIS into the Exceptional Behavioral Supports section of the SIS.

ISP Current Needs: Support Intensity Scale (SIS)

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If the exceptional behavioral supports indicate yes for a PBSP/Safety Plan, the SSC/SC enters the due date.

ISP Clinical Recommendations

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Clinical recommendations populate from the clinical assessment completed under the Evaluation tab.

Assessments Tied to Service Decisions

• Social Work

• Behavioral

• Nursing

• Support Intensity Scale- SIS

• Health Risk Screening Tool- HRST

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Individual’s RecordIndividual Service Plan (ISP) Tab:

ISP Goals

Provider

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ISP Person Centered Work Goals

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ISP Individual Goals Summary

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Once the goals are added click on the ISP Individual Goals Summary button to view and print.

Printable version of the ISP Goals Summary

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ISP Service Summary

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The system populates all the services from the clinical recommendations into the service summary page.

Review services

ISP Signature

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The ISP meeting participants are listed in this section.

Note: • The ISP meeting signature page is uploaded and available

to print or download.

ISP: Signature Page

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Hard copy of the ISP signature page.

ISP Clinical Reviewer Approval

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ISP Clinical Reviewer selects to approve or reject ISP.

Following ISP Clinical Reviewer Approval

• SC obtains Individual’s approval of the completed ISP that they were present and helped to complete during the ISP meeting (system required)

• The IDD Connects System generates the Prior Authorization or PA

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Individual Dashboard: Access ISP

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Individual access the portal and clicks on the Approve Individual Service Plan

to review, approve, or reject the ISP.

Individual’s RecordPrior Authorization Tab

Provider

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Prior Authorizations (PA)

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To view existing PAs click on the IDD PA Number.

Click on the Filter icon collapse the section. There are multiple ways to filter information for PAs.

Prior Authorizations (PA)

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The system displays PA detail information.

Individual’s RecordDocuments Tab

Provider

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Documents Providers Upload

• Behavior Support Plans

• Safety Plans

• Healthcare Plans

• Physician’s Orders

• www.georgiacollaborative.com

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Individual’s Record Tab

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Documents

View Documents Upload DocumentsRequest for Removal

of Documents

How can I View Documents?

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Enter a key word to search for a document or use the filtering components below.

Use the filtering Components to View Documents

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Documents By Individual

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Document columns

Legacy documents

What can I do with a document?

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Sending a Document using Email

Sending a Document using Internal Message

How Do I Request for Document Removal

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Select the document to removeEnter reason for removal Submit Request for Removal

Request for Removal

View Documents

Upload Documents

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Document Type & Category

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All required fields (*) must be entered to complete the uploading process

Individual’s RecordOutcomes & Support Notes Tab

Provider

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Sections of the Outcomes & Support Notes Tab

Individual Quality Outcome Measures Review

Referral and Coaching

Clinical Recommendations

Request for Clinical Review

Support Notes

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Referral and Coaching

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The system populates referrals and coaching from the Outcome Review in this section

Referral and Coaching

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Click on the green (+) hyperlink to view the detailed information.

Clinical Recommendations

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Click on the green (+) hyperlink to view the detail information.

Request for Clinical Review (RCR)

• The Request for Clinical Review will replace the current STAR process.

• Support Coordinators will submit Requests for Clinical Review based one the clinical discipline that is specific to the identified need.• Social Work, Behavioral, Nursing

• Support Coordinators can also submit requests for completion of a new SIS and HRST within this module of the system.

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Individual’s RecordServices Tab

Provider

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Services

Service Authorizations & Utilizations

Claims

GCAL (under development)

Hospitalization Admissions & Discharges

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Claims Billing for NOW/COMP

• Still through GAMMIS.

• Only exception is Family Supports which as of July 1 will be using the Beacon system (Provider Connect) to submit claims.

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Provider File Maintenance

Provider

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Provider File Maintenance

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• Communication regarding Provider File Maintenance in Provider Connect

• Active Provider File Excel document

• Attestation verifying the following items are adequate or inadequate• Beacon Provider ID (GAC Number – GAC000012)

• Provider Legal Name (Name used when completing application)

• Georgia Agency Mailing Address (Where you receive mail)

• Vendor Number (ID number specific to site location)

• Vendor Name

• Service Address/Vendor Address (Location where services are provided)

• Approved Service(s) (Services approved by DBHDD and DCH)

• Medicaid Number (Assigned by DCH)

• Fund Source (Comp, Now, SFDD)

Provider File Maintenance

• Complete review and return attestation as soon as possible to Gacollaborativepr@beaconhealthoptions.com

• Inaccurate or incomplete information can impact successful transmission of your agency’s authorizations and timely payment of both Medicaid and State Funded Claims

• If your agency has not received a communication, please email GACollaborativePR@beaconhealthoptions.com immediately. Include the legal name of the agency, primary point of contact name, correct email address and phone number.

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Provider Connect Access

Provider

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An online tool where providers can:

• Verify eligibility for an Individual • Register an Individual for funds*

• Submit Updates to State-funded Individual Demographic Information

• Submit Claims and View Status

• Submit Customer Service Inquiries • Access ProviderConnect Message Center

• Access Provider Summary Vouchers (PSVs) * Limited to Family Support Services

INCREASED CONVENIENCE, DECREASED ADMINSTRATIVE PROCESSESDisclaimer: Please note that screens used in this presentation are

for demonstration purposes only and actual content may vary.

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Account Request Form

• Needs to be completed in order to obtain log in credentials to access Provider Connect.

• Very possible agency has access to Provider Connect, check with IT, Business Office, and UM teams to gain access.

• You will need Direct Claims Submission access to submit claims in portal.

• Registration and claims submission will begin Fall 2019.

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GeorgiaCollaborative.com

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Account Request Form (ARF)

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Review ARF (Pg. 1)

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ARF (Pg.1)

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ARF (Pg. 2)

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ARF (Pg. 2)

IDD Claims

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• State funded claims.

• Submitted through Provider Connect.

• Claims/Encounters paid weekly.

• Providers have 180 days from the date of service in which to submit a claim. Claims submitted outside this timeframe will be denied.

• State Funds Claims submission will begin in 2020.

Enter a Claim

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Select Service Address

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Step 1: Search for the Individual

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May use CID, SSN, or Medicaid number to identify member.

Step 2 Frequency Type

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For frequency type, you will select original.

Prior authorization is

required.

Step 3: Claim Line Entry

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All letters must be

capital.

Summary Page

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Review a Claim

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Search Claims

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Claim Search Results

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Claim Summary

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Service Line Detail

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Change / Reprocess Claim

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If a claim denies, see denial codes, if valid, review claim, and select Change / Reprocess Claim. You will resubmit original claim with corrections.

Change/Reprocess Claim

Corrected Claim

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If a claim pays, but provider recognizes that the information on claim is incorrect (ex. Units, Rate, Paid amount), you will submit a corrected claim, and follow claim submission steps.

Prior authorization is required.

Individual’s RecordIndividual 360: Status History and

Health & Wellness

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Individual’s Record Tab

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Individual 360

Status History Health & Wellness

Status History

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Status updates and request for status changes are tracked in this section

View the Health & Wellness

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Click on the Individual 360 tab to view the status history and the health and wellness information.

Health & Wellness

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Medical

• DNR, Medical Power of Attorney, Guardianship

• Medical Conditions

• Medications

• Medical Alerts/ Healthcare Plans

• Allergies

• Physician/Specialist Info

Communication

Hearing & Vision

Specialty Learning Needs

Adaptive Supplies

Adaptive Equipment

Health and Wellness Tab

• The Health and Wellness Tab provides Health and Safety information about the individual.

• Information from the HRST and HRST Nursing Assessment populates sections of the Health and Wellness section.

• Information populates based upon the most current date. • i.e. If Medical Conditions were updated in the Nursing Assessment

and there has not been an HRST update the information will come from the Nursing Assessment. However, if an HRST has been updated since the last Nursing Assessment, the more current list of Medical Conditions from the HRST will populate.

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Health and Wellness Tab

• There is a text area for the user to enter Additional Information below content populated from the HRST and/or Nursing Assessment (if available).

• Users are to add key information in absence of or in addition to an updated Nursing Assessment or HRST. Content is to be kept current by the Support Coordinator, Office of Health and Wellness, or any other DBHDD staff who become aware of updates to the individual’s health information.

• For each entry in Additional Information, the user is to indicate their name, role and date prior to the text entered.

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Health & Wellness

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Medical information is tracked and easily updated in this section

Health & Wellness

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Health & Wellness

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Health & Wellness

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Health & Wellness

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Health & Wellness

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Health & Wellness

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Thank youFor Georgia Collaborative ASO general inquiry or questions please email:

GACollaborativePR@beaconhealthoptions.com