Revised Provider Operations Manual

Partners has updated its Provider Operations Manual, located at https://providers.partnersbhm.org/orientation-packet-provider-operations-manual/. This manual outlines the requirements and responsibilities for agencies, hospitals, facilities and practitioners in Partners’ Provider Network. All providers should review and be familiar with this manual.

Clinical Documentation: Essential Elements of an Individualized Plan

Complete, accurate and timely clinical documentation is important for the delivery of compliant healthcare, especially in today’s shifting healthcare landscape. Not only does proper documentation support services requested and claims billed, it also helps ensure appropriate treatment is given and assists with continuity of care. Federal and state laws, regulations and clinical coverage policies govern the requirements for the preparation of clinical documentation.

In previous Provider Communications Bulletins, we touched on elements required for the preparation of Comprehensive Clinical Assessments (CCA), and Person-Centered Plans (PCP). In this article, we will review some of the elements needed for an individualized plan of care, service plan, treatment plan, hereinafter referred to as “plan.”. All mental health, intellectual or developmental disabilities, and substance use services reimbursed by Medicaid, except for assessments or evaluations, must be ordered prior to, or on the day of the service and re-ordered, at a minimum, on an annual basis.

There are some situations when a treatment plan (or service plan) is used instead of a PCP, e.g., an individual who receives outpatient treatment services only. When a service plan is used instead of a PCP, a separate service order is required for the services listed in the plan, unless the format provides for orders to be signed on the service plan or unless the service itself does not require an order.

The service order must be signed and dated by the appropriate professional for Medicaid-covered services prior to or on the date of service and filed in the individual’s record. For outpatient behavioral health services, the following Licensed Professionals, who provide and bill for the services, may serve as the professional ordering the service:

  • Licensed Psychologist (LP) or Psychological Associate (LPA)
  • Licensed Professional Counselor (LPC) or Associate (LPCA)
  • Licensed Clinical Social Worker (LCSW) or Associate (LCSWA)
  • Licensed Marriage and Family Therapist (LMFT) or Associate (LMFTA)
  • Licensed Clinical Addiction Specialist (LCAS) or Associate (LCAS-A)

In the Program Integrity Department, we see missing signature(s), signatures from ineligible professionals, signatures missing credentials, missing dates and back dated signatures. These issues result in claims pay back.

It is important to remember that APSM 45-2 requires

  • Medicaid services must be ordered prior to, or on the day of the service and re-ordered, at a minimum, on an annual basis.
  • The dated signature of the appropriate professional in the designated service order section of the PCP for the services outlined in the PCP becomes the service order.
  • Providers of Medicaid-covered outpatient treatment services must also follow the specific requirements outlined in CCP 8C for service orders.

If the service plan is not completed in compliance with law, rule, or regulation then the claims associated with the service may be subject to repayment. If the service plan contains fraudulent information, the provider/clinician may also face civil and/or criminal liability. If you suspect that someone may have engaged in fraudulent behavior, call the Partners Fraud AlertLine at 1-866-806-8777, or report online at https://partnersbhm.alertline.com.

Remember, it is the provider’s responsibility to stay abreast of the requirements for delivering the medical services they are credentialed and contracted to provide in the Partners’ Provider Network.

Additional resources to help ensure your clinical documentation is properly prepared:

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.

December 2020: Medicaid—Number of Days to Process and Pay All Claims
Received Date to Paid Date: 10.4

 

Top Five Medicaid Claim Denials for December 2020

Claim Denial

Provider Recommended Action Steps

Service is not authorized. Verify Service Authorization for consumer/member. 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.
Submitting Replacement Provider does not match original Provider. Look at the RA with the original claim header and make sure you entered correctly.
No coverage available for Patient/Service/Provider combo.

 

Go to Patient -> Patient Search and search for the patient/member 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.

Upcoming Provider Meetings

Partners’ Provider Council

The Partners’ Provider Council is a professional representative and advocate 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 held on the fourth Friday of the month. Providers will meet beginning at 9:30 a.m.; Partners staff will join at 10:30 a.m. Registration details are available on the Partners’ Event Calendar.

Save the Date: Partners’ Quarterly Provider Webinar

March 10, 2021, 1 p.m.-3 p.m. (Register)

Partners hosts a quarterly Provider Webinar to communicate important information and detailed updates to our providers about a variety of topics. To view content from previous quarterly webinars, click here.

Partners’ Roundtable Discussion: Delivery of Psychological Testing and Evaluations

February 15, 2021, 2 p.m.- 4 p.m. (Register)

Partners is engaged in a participatory planning effort to improve and increase network capacity for a continuum of Psychologists (PHD and/or PsyD) and Licensed Psychological Associates, including Individuals and Groups, to perform psychological evaluations for Medicaid, State-funded and Medicare members. The psychological services are designed to meet our continuum of care needs for our diverse population (MH/IDD).

JOIN US! In order to collaboratively develop solutions and interventions that will address the challenges/barriers that providers experience in delivering Psychological Testing and Evaluations, please join us for a round table discussion via Zoom on February 15, 2021 at 2 p.m. Pre-Registration is required.

Licensed Independent Practitioner Collaborative (LIP)

Feb. 17, 2021, Noon-1 p.m. (Register)

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 also meet on May 19, Aug. 18 and Nov. 17. Learn more about the LIP Collaborative at https://providers.partnersbhm.org/licensed-independent-practitioners-collab/.

CBT Learning Community

Feb. 17, 2021 from 2:00 PM to 3:30 PM EST (Register)

March 17, 2021 from 2 p.m. to 3:30 p.m. (Register)

Join likeminded 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.

What do we do in this learning community: self-care, reduce burnout, professional growth, connection to a community, explore evidence based practices, gain a sense of mastery, invest in your own emotional bank account, improve in quality of care delivered, and learn and practice skills that are reimbursable.

Global Quality Improvement Committee

March 5, 2021, 9:30 a.m.-11:30 a.m., Online, (Register)

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.

Partners’ Trainings for Members, Providers and the Community

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

Member Education and Involvement

We ask all providers to check out our Partners’ Member Education Page on www.partnersbhm.org for new information. Partners offers our members and providers the following array of resources and opportunities for involvement:

  • Member Cafés: Grab a cup of coffee, sit down and join us virtually the second Tuesday of each month at 1 p.m. We will have new content each month about services, resources and updates to keep you informed. Get to know Partners and learn how we can help members. Members can ask questions about available resources and services and who to call to access those services. View/Download the Flyer.
  • Member Portal: Members can register for seamless communication with Partners and have access to updates and information by visiting https://www.partnersbhm.org/member-education/#Member-Portal.
  • Pyx Health App: This app offers companionship, wellness tips, screenings and encouragement during tough times. Call 1-855-499-4777 to register.
  • Aunt Bertha/findhelp.org: Aunt Bertha supports the social determinants of health (SDOH) needs of members by offering a search tool to find free and reduced costs community services and resources. Visit https://partnerslink.auntbertha.com/ and enter your zip code. There is also a link on the Provider Knowledge Base for the search tool.
  • Consumer & Family Advisory Committee (CFAC): CFAC is a volunteer group of individuals who either have received or currently receive services for themselves and/or their family members. CFAC advocates on behalf of members in Partners’ service area to plan and deliver services to individuals with mental health, intellectual or developmental disabilities, and substance use challenges. CFAC also advises Partners on improving effectiveness. Members and/or their family members can ask about joining by contacting Partners’ CFAC liaison, Shirley Moore at smoore@partnersbhm.org or 704-884-2646.

Training for Providers

Partners’ Training Library: Are you looking for a recent presentation from a previous Partners’ Training Academy event? Our on-demand training library is available as a resource in the Partners Training Academy. Presentations are listed in chronological order, from newest to oldest. Find slide decks, tip sheets and video tutorials. https://www.partnerstraining.org/training-library/

Illness Management Recovery

Feb. 2 and 4, 2021, 9 a.m.-12:30 p.m., online (Register)

Join Partners Training Academy for this two-day, interactive virtual live training. Illness Management and Recovery (IMR) is an evidenced-based practice designed to provide mental health consumers with knowledge and skills necessary to cope with aspects of their mental illness while maintaining and achieving goals in their recovery. If you cannot access audio and video on your device, you will need to wait to take a face-to-face class. If you are not participating on video, you will be removed from the session. This training consists of two sessions (February 2 and 4.) You must attend both trainings to receive credit. No partial credits will be given.

Trainer: Eric Ottinger

NCSAPPB approval code 20-059-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.

NC-TOPPS Discussion Webinar

  • 3, 2021 2 p.m. – 2:30 p. m., Online (Register)
  • 3, 2021, 2 p.m.-2:30 p.m., Online (Register)

Description: The purpose of the monthly NC-TOPPS Discussion Webinar is to provide a space for the attendees to receive updates, ask questions and for Partners’ staff to provide feedback to the NC-TOPPS superuser as well as other superusers.  All are welcome, both new and existing users.  This webinar does not offer NBCC credits.

Target Audience: Providers who use NC-TOPPS.

Provider Open House

  • 4, 2021, 9 a.m.-11 a.m., online (Register)
  • March 4, 2021, 9 a.m.-11 a.m., online (Register)

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.

Target Audience: Providers new to Partners’ network or who may have questions for subject matter experts.

Cultural Competency CLAS Standards

Feb. 16, 2021, 8:45 a.m.-Noon, online (Register)

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.  This course does not offer NBCC credits.

Target Audience: Providers and agency leaders involved with Cultural Competency training.

Trainer: Provider Network Trainers

Person Centered Thinking

Feb. 24, 2021, 8:30 a.m.-5 p.m., online, (Register)

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 12-hour requirement of NC service definitions. This is a virtual live class requiring video and audio participation. This class does not offer NBCC CEs.

Basic Motivational Interviewing Training

March 12 and March 19, 2021, 8:30 a.m.-5 p.m., online (Register)

Join Partners Training Academy for this 2-day, interactive virtual live 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 February/March (Feb. 26 and March 5.) You must attend both training to receive credit. No partial credits will be given.

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.

CBT Foundations Training

March. 9 and March. 11, 2021, 9 a.m.-12:30 p.m., Online, (Register)

Cognitive Behavioral Therapy (CBT) is an evidenced-based practice focuses on challenging and changing unhelpful cognitive distortions and behaviors, improving emotional regulation, and the development of personal coping strategies that target solving current problems.
Training will take place over two days, Mach 9th 9:00 a.m. – 12:30 p.m. and Mach 11th 9:00 a.m. – 12:30 p.m. , utilizing the same training link. 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
NCSAPPB approval code 20-453-S up to 6 hours
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.

Trauma Informed Care for Individuals with Intellectual and Developmental Disabilities

March 16, 2021, 9 a.m.-12:30 p.m., (Register)

The impact of trauma is experienced by people with Intellectual and Developmental Disabilities at a higher rate than the general population. Join Partners Training Academy in a basic introduction to the impact of trauma on the brain, historical barriers to mental health treatment, and the use of trauma informed care with the I/DD population.
Training will take place on March 16 from 9 a.m.-12:30 p.m. via zoom. Participants will have to be present with audio and visual capabilities for to receive credit. No Partial credit will be given.
3 NBCC CE Credits Approved
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.

CST Service Definition

March 17-18, 2021, 8:15 a.m.-11:45 a.m., online (Register)

This webinar meets the requirement for three hours of CST Service Definition Training. Registrants will view a previously recorded training that includes two ten-minute breaks. In order to receive a training certificate, registrants will need to view the full webinar and pass a ten question quiz with a score of 80% or greater.  This course does not offer NBCC credits.

Trainer:  Jessie Green, UM Department, Partners Health Management

Target Audience: CST providers.

 Quality Improvement Project (QIP) Training

March 23, 2021, 9 a.m.-1 p.m. online (Register)

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 off of the QIP results. Learn the state requirements for QIP documentation. Practice a “test” project.

This will be a live course using the Zoom format. Using a laptop, tablet or desktop provides a better experience than a cell phone. Both audio and video are required. Registration is limited. Registrants will receive the Zoom link on March 22, 2021 via email. This course does not offer NBCC continuing education units.  This course does not offer NBCC credits.

Trainer:  Tamikka Woods, QM Department, Partners Health Management

Target Audience: Providers who write, develop, measure, audit and implement change from Quality Improvement Projects.

LOCUS Training 

March 24, 2021, 8:30 a.m.-12:30 p.m. (Register)

Service providers are required to use the LOCUS clinical tool to evaluate and determine the level of psychiatric or addiction service care needed for adults. This training is conducted by Partners’ MHSU Utilization Management staff. Registration is limited. The zoom registration confirmation and handouts will be sent by email one day prior to the training. This course does not offer NBCC credits.

Trainer:  Elizabeth Perdue, UM Manager, Partners Health Management

Target Audience:  Providers who evaluate members.

CALOCUS Training

March 25, 2021, 8:30 a.m.-12:30 p.m. (Register)

The CALOCUS clinical tool to evaluate and determine the level of psychiatric and addiction services care needed for individuals ages 6-18.  This training is conducted by Partners’ MHSU UM staff.   Registration is limited. Participants will receive the zoom registration confirmation and handouts will be sent by email one day prior to the training. This course does not offer NBCC credit hours.

Trainer: Elizabeth Perdue, UM Department, Partners Health Management.

Target Audience: Providers who evaluate members.

Other Training Resources and Opportunities

Medicaid Managed Care Webinar Series for Providers:

  • Medicaid Managed Care Fireside Chat Webinar Series
  • Clinical Quality Webinar Series

Pertinent information regarding the NC transition to Medicaid Managed Care Providers can view the entire series, download slide decks and transcripts as the link provided.  Hosted by NC Division of Health Benefits.

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

Improving Cultural Competency for Behavioral Health Professionals

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.

Community Events and Training

You can find more training opportunities at www.partnersbhm.org/event-calendar/

Risk & Resilience Buffering Toxic Stress (Module 3: Building Resilience through Early Relationships)

Jan. 27, 2021, 2 p.m.-3:30 p.m., online (Register)

Risk & Resilience Buffering Toxic Stress (Module 3: Building Resilience through Early Relationships) This is part three of a three-part series. Modules stand alone and prerequisites are not required in order to attend any of the modules. Module 3 helps us understand the concept of resilience and the social emotional characteristics that lead to life success. It includes specific guidance on the qualities of nurturing interactions and relationships that promote early brain development, particularly the integration of the emotional and thinking centers of the brain.

Community Resilience Model® (CRM)

Jan. 28, 2021, 1 p.m.-3 p.m., online (Register)

The Community Resilience Model® teaches participants about the impact of trauma and chronic stress on the nervous system, behavior, and long-term health. Participants learn how to reset the nervous system with easy to learn, concrete, coping skills. One of the goals of CRM® is to create trauma-informed and resilient communities.

Question, Persuade, Refer (QPR) Suicide Prevention Training

Feb. 9, 2020, 9 a.m.-11 a.m., online (Register)

QPR (Question Persuade Refer) Suicide Prevention – Many of us are isolated because of social distancing. Many have experienced losses. The risk of suicide is higher than ever. This training teaches the skills to intervene in a suicide crisis.

Trauma Informed Care

Feb. 11, 2021, 1 p.m.- 3 p.m., online (Register)

Let’s look at how our behavior affects others with trauma history. What are some simple changes we can make using what we know about trauma?

Community Resilience Model® (CRM)

Feb. 16, 2021, 9 a.m.-11 a.m., online (Register)

The Community Resilience Model® teaches participants about the impact of trauma and chronic stress on the nervous system, behavior, and long-term health. Participants learn how to reset the nervous system with easy to learn, concrete, coping skills. One of the goals of CRM® is to create trauma-informed and resilient communities.

Risk & Resilience Buffering Toxic Stress – Modules 1-3

Feb. 17, 2021, 1 p.m.-3 p.m., online (Register)

This training provides information about how early childhood stress and trauma can result in negative outcomes in areas of learning, behavior and health throughout the lifespan. The definition of early childhood mental health as promoting healthy social emotional development through nurturing young minds from birth throughout early childhood is the core principle of this training.

Human Trafficking During Quarantine: Keeping Our Children Safe

Feb. 18, 2021, 1 p.m.- 3 p.m., online (Register)

Many of us are still working from home, and our children may be learning from home as well. Children may spend more time online than usual. Learn about trafficking and how to keep our children safe.

Domestic Violence During COVID-19

Feb. 19, 2021, 1 p.m.- 3 p.m., online (Register)

Many of us are still home more than usual, and the risk for domestic violence is high. Learn how to spot the signs of domestic violence and how to help.

Question, Persuade, Refer (QPR) Suicide Prevention Training

Feb. 24, 2020, 1 p.m.-3 p.m., online (Register)

QPR (Question Persuade Refer) Suicide Prevention – Many of us are isolated because of social distancing. Many have experienced losses. The risk of suicide is higher than ever. This training teaches the skills to intervene in a suicide crisis.

Community Resilience Model® (CRM)

March 10, 2021, 1 p.m.-3 p.m., online (Register)

The Community Resilience Model® teaches participants about the impact of trauma and chronic stress on the nervous system, behavior, and long-term health. Participants learn how to reset the nervous system with easy to learn, concrete, coping skills. One of the goals of CRM® is to create trauma-informed and resilient communities.

Human Trafficking During Quarantine

March 16, 2021, 1 p.m.-3 p.m., online (Register)

Many of us are still working from home, and our children may be learning from home as well. Children may spend more time online than usual. Learn about trafficking and how to keep our children safe.

Risk & Resilience Buffering Toxic Stress – Module 1, Early Brain Development and Self-Regulation

March 17, 2021, 2 p.m.-3:30 p.m., online (Register)

Part 1 of a three-part series. This training provides information about how early childhood stress and trauma can result in negative outcomes in areas of learning, behavior and health throughout the lifespan. The definition of early childhood mental health as promoting healthy social emotional development through nurturing young minds from birth throughout early childhood is the core principle of this training.

Domestic Violence During COVID 19

March 18, 2021. 1 p.m.- 3 p.m., online (Register)

Many of us are still home more than usual and the risk for domestic violence is high. Learn how to spot the signs of domestic violence and how to help.

Question, Persuade, Refer (QPR) Suicide Prevention Training

Two Opportunities:

  • March 2, 2021, 9 a.m.-11 a.m. (Register)
  • March 17, 2012, 9 a.m.- 11 a.m. (Register)

Many of us are isolated because of social distancing. Many have experienced losses. The risk of suicide is higher than ever. This training teaches the skills to intervene in a suicide crisis.

Risk & Resilience Buffering Toxic Stress – Module 2, Toxic Stress and Effects on Early Development

March 24, 2021, 2 p.m.-3:30 p.m., online (Register)

Part two of a three-part series. Modules are stand-alone and prerequisites are not required in order to attend any of the modules.

Module 2 examines the stress response and how stress can benefit or hurt young children, depending on the level of stress and the availability of supportive relations with adult caregivers.

Risk & Resilience Buffering Toxic Stress – Module 3, Building Resilience through Early Relationships

March 31, 2021, 2 p.m.-3:30 p.m., online (Register)

Part three of a three-part series. Modules are stand-alone and prerequisites are not required in order to attend any of the modules.

Module 3 helps us understand the concept of resilience and the social emotional characteristics that lead to life success. It includes specific guidance on the qualities of nurturing interactions and relationships that promote early brain development, particularly the integration of the emotional and thinking centers of the brain.

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/.

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 Help Desk at pnas@partnersbhm.org.

You have a spot. Take your shot. Make sure to frequently check https://covid19.ncdhhs.gov/vaccines for the most up-to-date information about North Carolina’s COVID-19 vaccine efforts.

Get the SCOOP for Stress: Strategies for Stress Management in Challenging Times

January – March 2021 | 6:00 – 8:00 pm

Now that 2021 is underway, it’s more important now than ever to build resiliency skills in ourselves and help to foster those strategies in others. In the wake of COVID-19, social and political unrest, and other challenges we face in our day-to-day lives, it’s important to know that we will get through this together. NCDHHS’ Division of Mental Health, Developmental Disabilities, and Substance Abuse Services is pleased to share helpful strategies on managing stress now and beyond these challenging times we are living in. Join the UNC-TV Live Stream Event on the Governor’s Institute Facebook* Page at: facebook.com/GovInst/ and get the #SCOOP4Stress with the NC DHHS Stress Management Series.  For more information, contact the Community Engagement & Empowerment Team at: CEandE.Staff@dhhs.nc.gov.

Sessions

  • 2, 2021: Stay Connected to Friends and Family
  • 16, 2021: Compassion for Yourself and Others
  • March 2, 2021: Observe Your Use of Substances
  • March 16, 2021: It’s OK to Ask for Help. It’s EMPOWERING!
  • March 30, 2021: Physical Activity to Boost Your Mood

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.

  • JCB #J384 – The Centers for Medicare and Medicaid Services – Medicaid Managed Care Regulations Revisions
  • JCB #385 – Capitation Payment Discrepancy Reporting Process Changes
  • JCB #386 – Rescinded JCB #248 Critical Access Behavioral Health Agencies (CABHAs) Sunsetting
  • JCB #387 – FY 2020 and 2021 Network Adequacy and Accessibility Analysis

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 DMHDDSAS and DHB (NC Medicaid) COVID-19 Update Call for NC Providers:
This call occurs every first Thursday at 3 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 BH/IDD Consumers, Family Members and Community Stakeholders:
This call occurs every fourth Monday at 2 p.m.; check the Partners’ COVID-19 Provider webpage for weekly call-in details.

Training, Announcements and Reminders

Homeless Veteran Winter Event: Foothills Veterans Helping Veterans and other sponsors are hosting a homeless veteran winter event on Feb. 8, 2021 from 9 a.m.-1 p.m. at Burke United Christian Ministries. For more information, please contact John Helton, john.helton@abccm.org.

Prevention of Youth Problem Gambling and Gaming Training: The United States is in the largest expansion of legalized gambling in its history. Youth gamble at young ages with parents and friends with little to no awareness that gambling can even become an addition. With legalization of sports betting in many states across the country and the converging of the gaming and gambling industries, it is more important than ever to address the growing public health concern of youth problem gambling.

This training will be held Feb. 4-5, 2021 and is hosted by the UNC School of Social Work Behavioral Health Springboard and NCDHHS. Registration is free, but participants must pre-register for this training. We will confirm your registration by email. When registering participants will be signed up to attend both days. However, attending day two is not required to receive credit for day one. In order to attend day two participants must attend day one. Visit https://bhs.unc.edu/youth-pg-gaming/dashboard for more information and to register.

Target audience: This training is targeted to school administrators, teachers, coaches, athletic directors, school counselors, school therapists, adolescent-focused nonprofit administrators and staff, child mental health therapists, and school social workers are encouraged to attend.

Prevention Technology Transfer Center Network Trainings: All the following events can be registered for at https://pttcnetwork.org/centers/global-pttc/training-and-events-calendar.

Webinar: Improving Health Outcomes for Diverse Populations (Series) Part 3: Cultural Humility in the Behavioral Health Space: Behavioral Health Staff support diverse populations throughout the day that may have cultural backgrounds different from their own. It is imperative that workers build a bridge of understanding to better communicate and relate to a broad range of clients. Cultural Humility is a tool that allows workers to explore the culture of others as they explore themselves. Cultural Humility is achieved through respect, open mindedness, and a willingness to learn about diversity. This workshop explores the dynamics of cultural humility and how it can help bridge the gap between staff and diverse clients. “Cultural competence is widely seen as a foundational pillar for reducing disparities through culturally sensitive and unbiased quality care”- (U.S. Dept. of Health & Human Services)

1:00 p.m. – January 26, 2021 | Time Zone: US/Eastern

Registration Deadline: January 26, 2021

Listening Session: A Conversation with Pierluigi Mancini, Director, National Hispanic and Latino PTTC: Join Scott Gagnon, Director of the New England PTTC as he interviews Dr. Pierluigi Mancini during this one-hour special. This engaging hour-long discussion will focus on how to develop a successful cultural and linguistically appropriate Latino Prevention program; how to develop public service announcements and bilingual documentaries for communities who speak other languages; and how to develop and deliver a successful Pharmacy Bag campaign to combat prescription drug misuse. In addition, Dr. Mancini will speak to what the NHL-PTTC has done to address COVID-19 in our communities.

Dr. Mancini will respond to questions that participants submitted during the registration process for this event.

1:00 p.m. – January 27, 2021 | Time Zone: US/Eastern

Webinar: Building a Local Policy Campaign: The First Five Steps: This six-week course will provide the substance misuse prevention professional with policy skill-building focused on the first five steps of a local policy campaign.  The goal of the course is to build competencies necessary to advance prevention policies at the organizational or municipal level. The course will cover the first five steps of the 10-step Policy Adoption Model with a mix of skill-building, applied practice, and open learning forums. The course will equip participants to undertake the early stages of local policy change from writing the initial policy action statement to drafting a proposed policy or outline. Participants will be asked to complete the prep work before each session, be an active and engaged participant, and critically apply their new knowledge and skills to their work. Open learning forums will occur between the 3 classes where participants can receive more individual attention. The course is limited to 100 participants. Course information and materials will be housed in CANVAS with live sessions occurring in Zoom.

Schedule:

  • February 5 at 1:30 PM ET Week 1 – Class: Choosing a Policy & the Policy Action Statement (90 minutes)
  • February 12 at 1:30 PM ET Week 2 – Open Learning Forum (30 minutes)
  • February 19 at 1:30 PM ET Week 3 – Class: Engaging with Enforcement & Collecting Data (90 minutes)
  • February 26 at 1:30 PM ET Week 4 – Open Learning Forum (30 minutes)
  • March 5 at 1:30 PM ET Week 5 – Class: Writing an Issue Brief & Drafting the Policy (90 minutes)
  • March 12 at 1:30 PM ET Week 6 – Closing Open Forum (60 minutes)

Webinar: Building the Latinx Prevention Workforce: There are many destabilizing aspects of social adaptation in the United States for Latinos including discovering their career path. Prevention is not a very well-known field in the Hispanic/Latino community although many protective factors used in prevention are inherent to the Latino family. The journey toward building the Latinx Prevention Workforce must pay careful attention to issues of ethnic and cultural sensitivity and overall cultural competence. We know that culture and language pose significant barriers to providing the appropriate workforce for some populations.

11:00 a.m. – February 16, 2021 | Time Zone: US/Eastern

Registration Deadline: February 15, 2021