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QUESTION AND
ANSWER SESSION –
EI TCM
IMPLEMENTATION
Webinar
Webinar provided by the Integrated Training
Collaborative, with funding support from the Virginia
Department of Behavioral Health and Developmental
Services (DBHDS)
November 14, 2011
1:00-2:30 pm
FOR THIS WEBINAR
Please Call
866-842-5779
Enter Code
463 661 9330#
Beth Deana Jeff
WELCOME!
David
Phones Are Muted
Chat For Communication
HOUSEKEEPING
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COMPLETE A SURVEY
Training Outcomes
Participants will:
Receive updated information
Share their experiences, and
Have an opportunity to ask questions
about EI TCM
Information Update – Key Areas
ITOTS
Revised Physician Certification/Health Status Indicator Form
Billing and Claims
CM Quality Management Reviews Timeline
Referral and Transition of Children from Other CM Services
ITOTS UPDATE
Resolved Issues
Issues that are being addressed
8
ITOTS Data Entry Reminders
Intake date must be entered in ITOTS within 10
business days of the intake visit date
Medicaid number must be entered in ITOTS
Within 10 business days of intake date
Within 30 calendar days of disposition date for:
Children who don’t have coverage at time of intake
Children whose coverage is restored after being lost
9
Revised MD Certification/HSI Form
Please see attached form…..
10
Corrected Initial EI SC Form 11
“NPI/API” was inadvertently added to
the form in the section for the Local
System number
The Local System Number is optional
Billing and Claims
Physician Certification is NOT required
for Service Coordination
T 1024 limitation has been fixed
Diagnosis Codes for billing for EI TCM
V710.9 and 799.9
12
Case Management QMR
Planned to begin July 2012
13
Other TCM Services
All children birth to 3 receiving
other Case Management Services
must be referred to Part C
14
Other TCM Services
The EI Service Coordinator and the CM for the
other program must work together to:
Assure the connection is made between the Part
C Service Coordinator and the family
Plan transition of case management/service
coordination for children eligible for Part C
In the case of Therapeutic Foster Care,
determine which case management program is
most appropriate to bill for the case
management services
15
How are things going so far?
Have you billed yet?
Were there any issues?
16
How are things going so far?
Have you run into any
unanticipated snags
or barriers?
If so , what are they?
17
How are things going so far?
Any feedback from families?
18
How are things going so far?
How has this
impacted your
relationship
with physicians
in your
community?
19
How are things going so far?
Reflections/comments on the
impact of asking the health
indicator status questions?
20
How are things going so far?
How has the EI TCM
certification process worked
in your locality?
Any challenges?
21
It’s TIME for Questions and Answers
ITOTS
Billing/Allowable Activities
Claims
Family Contacts
Documentation
Requirements
Collaborating with Other
Agencies
22
WHAT ADDITIONAL QUESTIONS
DO YOU HAVE ABOUT ITOTS DATA
ENTRY REQUIREMENTS?
Burning Questions?
Use Chat to Respond
WHAT ADDITIONAL QUESTIONS DO
YOU HAVE ABOUT BILLING,
ALLOWABLE ACTIVITIES and CLAIMS?
Burning Questions?
Use Chat to Respond
WHAT ADDITIONAL QUESTIONS
DO YOU HAVE ABOUT FAMILY
CONTACTS?
Burning Questions?
Use Chat to Respond
WHAT ADDITIONAL QUESTIONS DO
YOU HAVE ABOUT DOCUMENTATION
REQUIREMENTS?
Burning Questions?
Use Chat to Respond
WHAT ADDITIONAL QUESTIONS DO
YOU HAVE ABOUT COLLABORATING
WITH OTHER AGENCIES THAT
PROVIDE CASE MANAGEMENT?
Burning Questions?
Use Chat to Respond
OTHER Questions ???
Use Chat to Respond
THANK YOU!
All documents related to the
implementation of EI TCM
can be found here:
http://www.infantva.org/wkg-EI-TCM.htm.
To contact today’s speakers:
Beth Tolley: [email protected]
Jeff Beard: [email protected]
Deana Buck: [email protected]
David Mills [email protected]