Upcoming Provider Meetings

Partners’ Provider Council: The Partners’ Provider Council is a group of professional representatives and advocates for all service providers in the Partners’ catchment area. The Council facilitates an open exchange of ideas and brings forward concerns and solutions while promoting collaboration and mutual accountability among providers. Meetings are being held virtually until further notice.

September Provider Council

Sept. 25, 2020, 9:30 a.m.

Click here to register.

October Provider Council

Oct. 23, 2020, 9:30 a.m.

Click here to register

November Provider Council

Nov. 19, 2020, 1 p.m.
(Date change due to the Thanksgiving holiday)

Click here to register

Provider Information Sessions: Partners continues to host Provider Information Sessions to discuss topics of interest to providers. To register for a session, click on the date and time listed below. You may submit your questions to questions@partnersbhm.org in advance. We also recommend that you review the FAQs from past information sessions before submitting a new question.

Innovations-I/DD Provider Information Session:  Sept. 22, 2020, 4 p.m., Online via Zoom

Click here to register.

Autism Services Learning Collaborative: Partners offers an Autism Services Learning Collaborative as an opportunity for providers of Research Based-Behavioral Health Treatment (RB-BHT) and Partners’ employees to meet periodically as we work to expand the continuum of care available to children diagnosed with autism.
The collaborative will meet on Wednesday, October 7, 2020 at 1 p.m. To register, click here.

If you have any problems with registration, please contact I/DD UM Supervisor Sara Wilson at swilson@partnersbhm.org.

Global Continuous Quality Improvement Committee: Global CQI is independently composed and led by providers, CFAC members, and stakeholder members with Partners’ staff serving only in a facilitative role. The purpose of this committee is to promote improvements and processes within provider agencies that lead to greater consumer satisfaction. Some of the topics discussed are services, provider choice and best practice models of treatment available in the Partners’ catchment area. Aggregate trends of network performance are also reviewed and addressed in this committee.

Global CQI is also requesting provider feedback regarding the 2019 Perception of Care Survey results. In response, the Global CQI committee has formed a subcommittee of mental health and substance use providers serving the Partners’ catchment area. The initial meeting will be held on September 22, 2020 from 2-4 p.m. If you are a Partners’ service provider and would like to be part of the solution regarding items found in the Perception of Care Survey, please RSVP to Jennifer Williams at jwilliams@cvbh.org. You do not need to be a regular GCQI participant to join.

If you are interested in learning more about the Global CQI, please contact Tamikka Woods at twoods@partnersbhm.org or call 704-884-2568.

Licensed Independent Practitioner Collaborative: The Licensed Independent Practitioner (LIP) collaborative was developed to improve communication between Partners and Licensed Independent Practitioners. Meetings are held quarterly via webinar. The LIP Collaborative will meet on Nov. 18, 2020 from noon-1 p.m. Learn more

State News/COVID-19 Updates

Providers are reminded to check Partners’ COVID-19 provider webpage and the NCDHHS COVID-19 Guidance and Resources for Medicaid Providers for the most up-to-date information. If you have questions, please email your provider account specialist or the Provider Network Contacts at pas@partnersbhm.org.

Impact of COVID-19 Survey: The 2020 National Children with Special Health Care Needs Research Network Summit will be held on Sept. 22 and will include a presentation on how the pandemic has highlighted system failures and the needs of families and communities in North Carolina. They also want to know how the Summit and a blueprint they will be creating can be a catalyst for improving and advancing the services and system for CYSHCN and families. Please share your experience with and the impact of the COVID-19 public health emergency on you, your children and the systems serving you by completing this survey. This survey is provided by the Access Family Support Health Information Center, a collaboration between Family Support Network™ of the Greater Triangle, an affiliate of Family Support Network™ of North Carolina, and Family Resource Center South Atlantic Family to Family Health Information Center.

The North Carolina Department of Health and Human Services Launches Campaign to Encourage Mask Wearing: “Whatever Your Reason” features North Carolinians and the personal reasons they choose to wear a mask daily. Learn more

State Announces $175 Million to Assist with Rental, Utility Payments for North Carolinians: On Aug. 25, 2020, Governor Roy Cooper shared information about three programs designed to work together to help people avoid eviction and pay their bills. Learn more

NCDHHS Announces COVID-19 Support Services Program for Individuals in Isolation or Quarantine: NCDHHS awarded four contracts to regional organizations to administer its new COVID-19 Support Services program. The program will support North Carolinians in 20 targeted counties who are asked to isolate or quarantine due to COVID-19 and need assistance such as food, relief payments or access to primary medical care. Gaston County is part of Region 1. Learn more

Hope4Healers: NC health care professionals, EMS, first responders, childcare workers, other front-line staff and their families can call Hope4Healers (919-226-2002) to access licensed mental health professionals offering confidential counseling. Hope4Healers is a collaboration between NCDHHS and the North Carolina Psychological Association.

Medicaid Bulletins: All bulletin articles, including those related to COVID-19, are available on the DHB webpage.

NCTracks: Providers are encouraged to review NCTracks communications. To subscribe to NCTracks communications, visit https://www.nctracks.nc.gov/content/public/providers/provider-communications.html.

Joint Communication Bulletins, which are issued by the NC Department of Health and Human Services, can be found at https://www.ncdhhs.gov/divisions/mhddsas/joint-communication-bulletins.

Recent Joint Communication Bulletins:

Joint DMHDDSAS and DHB (NC Medicaid) COVID-19 Update Call For BH/IDD Consumers, Family Members and Community Stakeholders:
This call occurs every fourth Monday at 2:00 p.m.; check the Partners’ COVID-19 Provider webpage for weekly call-in details.

Joint DMHDDSAS and DHB (NC Medicaid) COVID-19 Update Call for NC Providers:
This call occurs every first Thursday at 3:00 p.m.; check the Partners’ COVID-19 Provider webpage for weekly call-in details.

Claims Information

Explanation of Benefits Requests for Coordination of Benefits Claims: As a reminder, Partners does request copies of the Explanation of Benefits (EOB) for members/claims submitted indicating Coordination of Benefits. The request will originate via email from Partners’ Claims Department. Once requested, please submit the information, via secured email, prior to the date indicated in the emailed request. If a response is not received, the original claim payment will be recouped.

August 2020: Medicaid—Number of Days to Process and Pay All Claims
Received Date to Paid Date: 8.7

 

Top Five Medicaid Claim Denials for August 2020

Claim Denial

Provider Recommended Action Steps

Service is not authorized Verify Service Authorization for consumer. Contact Utilization Management.
Duplicate Claim The claim has previously been submitted and adjudicated. Do not refile.
Claim received after billing period. Write-off charges as non-billable. Do not rebill.
No coverage available for Patient/Service/Provider Combo Go to Patient -> Patient Search and search for the patient in question. Check the insurance to ensure the patient has effective insurance covering to date of service submitted on the claim. If this appears to be correct, contact the MCO for further assistance.
R&B Service already exists – cannot bill another one. Only one occurrence of service is billable per day. Adjust off charges and do not refile.

September is Recovery Month

Each year for over 30 years, SAMHSA has observed September as National Recovery Month to educate citizens that mental health services and substance use treatment can help those with mental health and substance use disorders live healthy and rewarding lives.

This year’s theme is “Join the Voices for Recovery: Celebrating Connections.” There are several events planned in September to celebrate how connections matter in the recovery journey.

Mark your calendar and make sure to keep an eye on Partners’ social media (Facebook, Twitter, LinkedIn) to learn about additional opportunities!

Partners Connect: Focus on Recovery | Sept. 23, 2020, 9-11 a.m.

Virtual Zoom conference, registration is required. Click here to register.

Across the country, people in recovery are celebrating their successes and sharing them with others to educate the public about treatment, how it works, for whom and why. Because these successes often go unnoticed by the broader population, these personal stories, or Voices for Recovery, provide a vehicle for people to share their recovery stories. Join us for a virtual discussion to learn more about services and supports that are available in the recovery community.

Iredell Walk for Recovery

Multiple Virtual Events throughout the month

All events will be streamed on Facebook: https://www.facebook.com/IREDELLWALKFORRECOVERY

Click here for the schedule.

Yadkin and Surry County’s Third Annual HopeFest for Recovery

Virtual event being held on Sept. 30 from 1:00 p.m.-2:30 p.m. Learn more and register

SAMHSA’s 2020 National Recovery Month Webinar Series

Partners Training for Members, Providers and the Community

All training sessions are free to registered attendees. Register in advance at www.PartnersTraining.org. If you have any questions, please email Training@PartnersBHM.org.

Member Education

Psychiatric Advance Directive (PAD) Training

Multiple sessions are available. Sessions will be held:

In this training, hosted by Partners and NAMI South Mountains, members will be provided with the resources needed to create their own PAD so that treatment preferences, should they not be able to communicate for themselves, are shared with and heard by the treatment provider. A certified trainer will provide participants with the information and tools needed to create a PAD.

Community Events and Training

Human Trafficking: Keeping Our Children Safe (Register)

Sept. 23, 2020, 1:00 p.m., Online

Many of us are working from home, and our children may be home more than usual. They may spend more time online than before. Learn about human trafficking and how to keep our children safe from online predators.

Domestic Violence: How to Help (Register)

Sept. 24, 2020, 1:00 p.m., Online

Learn the warning signs of domestic violence and how to help.

Training for Providers

Providing ASAM Informed Treatment

Four opportunities for training:

  • 23, 2020 1 p.m. – 4:15 p.m. Online (Register)
  • 30, 2020 8:15 a.m. – 11:30 a.m. Online (Register)

This American Society of Addiction Medicine course meets service definition requirements for ASAM training. Participants will receive tools in the form of handouts and watch a pre-recorded webinar training. A certificate is offered once registrants pass a 10-question quiz. Course content includes the purpose of ASAM, an overview of ASAM changes and DSM5 changes, ASAM dimensions and level of care, clinical assessment and the application to treatment planning, level of care and risk assessments as well as informed treatment and medical necessity.

Target Audience: Providers who need initial training and/or a refresher.

Trainer: Partners’ Utilization Management Staff

Quality Improvement Project (QIP) Training (Register)

Sept. 30, 2020, 1:00 p.m.-2:30 p.m., Location to be determined

This course will review the key components for developing a new QIP, tracking data through the course of the project, analyzing results and implementing change based on the QIP results. You will learn the state requirements for QIP documentation and complete a practice or “test” project. We hope this can be an in-person training in Hickory. One week prior to the date of training, a decision for the course format will be evaluated. If an in-person course is not feasible, we will switch to a virtual format. Registrants will be notified via email regarding the final format. The course will be limited to 18 registrants. This course will not provide NBCC continuing education units.

Target Audience: Providers who develop and monitor Quality Improvement Projects

Trainer: Tamikka Woods, QM Manager

Provider Open House (Register)

Oct. 1, 2020, 9 a.m. – 11 a.m., Online

Join Partners’ Provider Network, Claims, Access to Care, Utilization Management, Care Management and Quality Management staff for an interactive information session. This open-house style event will allow each attendee time to work one-on-one with Partners’ staff to discuss any issues, questions or unfamiliar topics.

For this session, we will be using Zoom and breakout rooms. These sessions will not have a formal presentation or start time but are the providers’ time to meet one-on-one with Partners’ staff for technical assistance. Providers will need to register prior to the event. As a registered attendee, you are welcome to arrive and exit at your convenience, depending on the amount of time you feel is needed with our staff. The intended audience for the open house includes established and new providers in Partners’ network. Providers who are new to Partners’ network are advised to have already established access to AlphaMCS and have reviewed the provider orientation toolkit prior to attending a session.

Target Audience: Existing and new providers in the Partners’ network

Dialectical Behavioral Therapy (DBT) Help for Complex Cases (Register)

Oct. 7 and Oct. 9, 2020, 9 a.m.-noon, Online

Join Partners Training Academy as we host Dialectical Behavioral Therapy (DBT), an evidence-based practice geared for complex cases involving multiple diagnoses that are difficult to treat and understand. Learn foundational principles of contemporary behavioral therapy to target and work with the processes that occur across many diagnoses. Training will take place over two days, October 7th and 9th from 9:00 a.m.- 2:30 p.m., utilizing the same training link both days. Participants will have to be present with audio and visual capabilities for both sessions to receive credit. No partial credit will be given.

Trainer: Eric Ottinger

This course is NCSAPPB approved for up to 6 hours SS (EBT) (PSY) 20-282-S

Partners has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6932. Programs that do not qualify for NBCC credit are clearly identified. Partners is solely responsible for all aspects of the programs.

Cognitive Behavioral Therapy (CBT) Learning Community (Register)

Oct. 14, 2020, 2 p.m.-3:30 p.m.

Join like-minded providers in a learning community to explore skills, concepts, case studies, and expand your own techniques. This learning community will you learn practical ways to use evidence based practices in your day to day work with members.

Motivational Interviewing (Register)

Oct. 16 and Oct. 23, 2020, 8:30 a.m.-5 p.m., Online

Join Partners Training Academy for this two-day, interactive training that will cover the fundamentals of Motivational Interviewing (MI). This training will be done by a MINT trainer and will meet NC service definition training requirements.

This is a virtual live event; you will need to participate using audio and video capabilities. If you cannot access audio and video, you will need to wait to take a face-to-face class. If you are not participating by video, you will be removed from the session. This training is for two Fridays in October (Oct. 16 and Oct. 23). You must attend both trainings to receive credit. No partial credits will be given.

Cultural Competency: CLAS Standards (Register)

Oct 20, 2020, 8:45 a.m. -11:30 a.m., Online

The Office of Minority Health has established Culturally and Linguistically Appropriate Services (CLAS) standards to address health equity and improve outcomes. This training will not only review the standards themselves but review the wealth of tools and training materials available free of charge to providers.

Target Audience: Providers who wish to enhance knowledge of CLAS standards and training resources

Trainers: Provider Network Trainers

LOCUS (Register)

Oct. 28, 2020, 8:45 a.m.-noon, Online

Service Providers are required to use the Level of Care Utilization System for Psychiatric and Addiction Services (LOCUS) clinical tool to evaluate and determine the level of psychiatric or addiction service care needed for adults. This training is conducted by Partners’ Mental Health and Substance Use Utilization Management staff. Training will include a case study and use of the LOCUS screening form to score the level of care needed. Providers responsible for service authorization requests for mental health and substance use services for adults should attend. Due to COVID-19, this course will be presented using a Zoom platform.

CALOCUS (Register)

Oct. 28, 2020, 1 p.m.-4:30 p.m., Online

Providers are required to use the Child and Adolescent Level of Care Utilization System for Psychiatric and Addiction Services (CALOCUS) clinical tool to evaluate and determine the level of psychiatric or addiction services care needed for individuals ages 6-18. This training is conducted by Partners’ Mental Health and Substance Use Utilization Management staff. The training includes a review of a case and the use of the CALOCUS screening form to score the level of care needed. Providers responsible for service authorization requests for mental health and substance use services for members ages 6-18 should attend. This virtual training will use a Zoom platform.

Person Center Planning Essential Elements Training (Register)

Oct. 30, 2020 from 8:30 AM to 12:15 PM EDT

This training meets the three-hour service definition requirement for Person Centered Planning Essential Elements.  It will focus on documentation for both PCPs and Crisis Plans. This will be a live virtual training with a maximum of 40 registrants. Providers must actively participate with both audio and visual connection in order to gain a training certificate.

Target Audience: Providers who document on plans and/or agency leadership.

Trainers: Partners Utilization Management staff

Person Centered Thinking (Register)

Nov. 3 and 4, 2020, 8:30 a.m.-4:30 p.m., Online

Person Centered Thinking (PCT) is a foundation and philosophical framework for those involved in supporting people with disabilities. This activity-filled, two-day training consists of applied stories, guided exercises, group work and discussion. This approved National Learning Community Curriculum meets the requirements of NC service definitions.

This is a virtual live event. All participants will be required to have audio and visual capabilities for the full two days. You will receive a Learning Community Certificate for completing the class. No partial credit will be given. This class meets the required 12-hour Person Centered Thinking requirement for NC. This class does not offer NBCC CEs.

Target Audience: Providers

Other Training Resources and Opportunities

Northwest AHEC Presents:

Addiction Treatment in the Age of Social Distancing: Embracing New Technology and Old School Outreach in Treating Substance Use Disorders (Register)

September 23, 2020,  9:00 a.m.-10:00 a.m.

In this program, we will review processes created to reduce the risk of COVID-19 transmission for new and current patients and staff while delivering addiction treatment. Special emphasis will be placed on how social distancing challenges are being met via new technology and old school outreach in treating substance use disorders.

Speaker: Corey J. Richardson, DHSc, MBA, LCAS, CCS, CEO, Clinical Director

Available Credits: One Hour NCASPPB SS – The North Carolina Addictions Specialist Professional Practice Board has approved this workshop for 1.0 Substance Abuse Specific hour, Approval #20-577-S

One Hour Contact Hours (category A) CE for NC Psychologists – This program will provide 1.0 contact hour of (Category A) continuing education for North Carolina psychologists. No partial credit will be given.

1.0 Contact Hour from Northwest AHEC

ASAM Training Project (Online–live)

Please visit https://bhs.unc.edu/asam/dashboard for more information including continuing education credit options, training dates and registration. This is a skills-based training and is not the same general overview content as the ASAM training provided by the Partners Training Academy.

Events are scheduled throughout the year through June 2021.

Each course has limited registration. Fee: $90. Live training includes 13 contact hours, the time-limited use of an electronic version of The ASAM Criteria manual (third edition) and an opportunity to obtain a hard copy of the manual for $15.50.

Description: This training project is a part of the 1115 Substance Use Disorder Demonstration Waiver implementation plan. The plan includes 1) the use of The ASAM Criteria to determine the appropriate level of care required for beneficiaries and 2) ensuring direct enrolled professionals providing comprehensive clinical assessments (CCA), diagnostic assessments (DA) and other evaluations which have the knowledge, skills and ability to make an ASAM level of care determination for beneficiaries with a substance use disorder diagnosis.

Target Audience: Behavioral health clinicians in North Carolina who are contracted with an LME/MCO or provide CCA, DA and other evaluations (LCSW, LCSW-A, LCMHC, LCMHC-A, LCAS, LCAS-A, LMFT, LMFT-A, PA, NP, MD)

Trainer: Train for Change Inc, in collaboration with the UNC School of Social Work – Behavioral Health Springboard and NW AHEC

ASAM Training Project (Online–eTraining)

Please visit https://bhs.unc.edu/asam/dashboard for more information including continuing education credit options, training dates and registration. This is a skills-based training and is not the same general overview content as the ASAM training provided by the Partners Training Academy.

The fee is $75 and offers extended-access licenses for practitioners to access three modules of eTraining covering The ASAM Criteria. eTraining includes 12 contact hours and access to modules through June 30, 2021.

Description: This training project is a part of the 1115 Substance Use Disorder Demonstration Waiver implementation plan. The plan includes the use of The ASAM Criteria to determine the appropriate level of care required for beneficiaries and ensures direct enrolled professionals providing comprehensive clinical assessments (CCA), diagnostic assessments (DA) and other evaluations which have the knowledge, skills and ability to make an ASAM level of care determination for beneficiaries with a substance use disorder diagnosis.

Target Audience: Behavioral health clinicians in North Carolina who are contracted with an LME/MCO or provide CCA, DA and other evaluations (LCSW, LCSW-A, LCMHC, LCMHC-A, LCAS, LCAS-A, LMFT, LMFT-A, PA, NP, MD).

Trainer: Train for Change Inc, in collaboration with the UNC School of Social Work – Behavioral Health Springboard and NW AHEC

Resource for ACT and IPS Trainings

The Institute for Best Practices, UNC Chapel Hill, www.institutebestpractices.org.

  1. NC ACT Coalition Meeting (ACT coalition members only) is the third Tuesday of the month from 11:00 a.m.-12:30 p.m. (Register)
  2. The National ACT Meet Up for providers is the first Monday of the month (Oct. 5, Nov. 2) from 3:00 p.m.-4:30 p.m. (Eastern Time). (Register)
  3. Tea with CST (CST providers only) is every other Wednesday from 1:00 p.m.-1:45 p.m. (Register)
  4. IPS Executive Leadership is the second Thursday of every month (Oct. 8) from 1:00 p.m.-2:30 p.m. (Register)
  5. IPS Team Lead is the third Thursday of every month (Oct. 15) from 1:00 m.-2:30 p.m. (Register)

Improving Cultural Competency for Behavioral Health Professionals (Online)

https://thinkculturalhealth.hhs.gov/education/behavioral-health

Date, Time, Location: This training is a self-study from the Office of Minority Health website: FREE CEUs.

Description: Cultural and linguistic competency is recognized as an important strategy for improving the quality of care provided to clients from diverse backgrounds. The goal of this e-learning program is to help behavioral health professionals increase their cultural and linguistic competency.

  • In Course 1, An introduction to cultural and linguistic competency, you’ll learn what culture has to do with behavioral health care.
  • In Course 2, Know thyself – Increasing self-awareness, you’ll learn how to get to know your cultural identity and how it affects your work with clients.
  • In Course 3, Knowing others – Increasing awareness of your client’s cultural identity, you’ll learn how to get to know your client’s cultural identity.
  • In Course 4, Culturally and linguistically appropriate interventions and services, you’ll learn how to build stronger therapeutic relationships with clients from diverse backgrounds.

The estimated time to complete all four courses is between 4 – 5.5 hours.

Target Audience: This program is accredited for 4 – 5.5 contact hours for counselors, nurses, psychologists, psychiatrists and social workers. Other professionals may earn a Statement of Participation.

Resources to Improve Business Acumen:

SCORE is a resource partner of the U.S. Small Business Association and has been in existence since 1964. (https://www.score.org/)

SCORE offers a variety of training courses for a low cost or for free. In addition to training, they offer volunteer counselors, advisors and mentors who offer individual, free to low-cost counseling throughout the US. They also have many free online courses on many topics related to running and growing your business. (https://www.score.org/courses-demand?page=2)

The Small Business Development Center offers local business consulting and at-cost training on a variety of business-related topics at https://americassbdc.org/small-business-consulting-and-training/find-your-sbdc/.

There are SBDCs in Charlotte, Hickory, Boone, Winston-Salem, Greenville, Asheville and many other locations across the state.

Provider Alerts

Provider Alerts are sent to all providers who subscribed to receive Partners’ Provider Communications. Published alerts are available on the Provider Knowledge Base at https://providers.partnersbhm.org/provider-alert-archive/. To subscribe to Partners’ various communications, please visit https://www.partnersbhm.org/subscribe/.

  • August 21, 2020 – Perception of Care Survey Completion Date Extended
  • August 24, 2020 – Child Residential, TFC Providers Listening Session
  • August 27, 2020 – COVID-19 #32 – FL Codes | Eligibility and Enrollment
  • September 2, 2020 – AlphaMCS Scheduler | Provider Webinar | Fair Housing
  • September 9, 2020 – Perception of Care Survey Submission Date Extended to Sept. 21

Training, Announcements and Reminders

TBI Webinar: Join the Brain Injury Association of NC at noon on September 22 to learn more about Traumatic Brain Injury (TBI) and the different approaches to rehabilitation. Register for the FREE webinar at https://attendee.gotowebinar.com/register/8849980491604783117.

NCCDD Seeks Community Input on Supported Decision-Making: The North Carolina Council on Developmental Disabilities (NCCDD) needs your help filling out our first Supported Decision-Making Survey.

As part of NCCDD’s new initiative, Making Alternatives to Guardianship a Reality in North Carolina, which was launched in July, the survey aims to learn about your awareness and use of various forms of supported decision-making.

This survey is intended for individuals with disabilities of all ages, including individuals with intellectual and other developmental disabilities (I/DD); families providing support to these individuals; and providers that have direct engagement with individuals and families. Click here to fill out the Supported Decision-Making Survey. The deadline to complete the survey is Sept. 25, 2020 at 5 p.m.

The following events are being held by various organizations. Please check with the organization hosting the event regarding registration and cancellation information.

Save the Date – NAMI NC Annual Conference: NAMI NC is excited to announce its first-ever completely virtual Annual Conference. This year’s conference will be held on World Mental Health Day, October 10, 2020. To learn more about this event, visit https://naminc.org/2020conference/.