Idaho Association of Community Providers - IACP

Paper Checks for Magellan - no EFT option at this time.

I just got done attending one of the billing meetings Magellan is offering this week. I heard straight from David Welsh that Magellan will NOT be offering EFT for payments. They claim it is due to the recent cyber-attacks and they want to make sure their system is super strong. So, they are ONLY offering paper checks for payment. When I asked David W. when we could expect EFT to come into play, he did not have a time frame, but did say they were working on it.

There is another session being offered today at 1pm, and a couple more sessions offered on the 16th. I am not able to copy the link into this post, but you should have gotten an email from Magellan about these meetings if you would like to attend. Overall the meeting was about general use of billing practices, but a good reminder of what we all should be doing in our practice.

Hang in there team. Each transition brings unique challenges but we will get through this!!

Jennifer M. Browning LCPC

Thank you again to Project Patch who sponsored our BH lunch this last week. We had a great meeting with Magellan and Optum attending!

Here is a video about Project Patch:

Take A Tour | Project Patch Take A Tour The video below takes you on a tour of our Youth Program campus in the mountains of southwest Idaho.  We filmed in November and you will see we had early snow.  Most days are beautiful blue sky days even in the midst of winter.  Our winters often bring snow from December through March...

Looking for something to do today…. Or even a Mother’s Day present? I’ll be at Barnes and Noble from 2-4 signing books! 🙂💡🥰☀️♥️

https://www.facebook.com/share/Vt6B3xv6w8GqC2VJ/?mibextid=WC7FNe

The Light Bulb Effect Getting Back To Your Peace After Life Has Broken You Into Pieces

Reminder of our quarterly meetings starting tomorrow!!! Not a member? Come as our guest to 1 meeting on us!

Check us out at:

Home - Idaho Association of Community Providers

We are thrilled to have Project Patch sponsor the BH sub-group lunch at our May meeting!!

Project Patch is a licensed and accredited Therapeutic Residential Treatment Program which houses up to 36 boys and girls, ages 12-17. During their stay teens attend our on-site accredited school, participate in individual, family, and group therapy, learn life skills, and are mentored by highly trained Christian staff.

For more information, visit their website at:
www.projectpatch.org

Your leadership team currently hard at work during our regular Board Meeting.

Behavioral Health Providers-

Laura just emailed out Magellans Supervisor Protocol over the BH list-serve!

It’s now available for you to review 😁

Thanks Laura S!!!!!

Small update as of 3/6/24, 9am:

I was able to touch base with an Optum Rep, who informed me that they got word as of Friday, 3/1 that all claims which have been submitted through Change Healthcare should still go through with a 10-15 day delay. Optum has worked on their systems and going forward expect things to go smoothly.

Please take into account that this came from a mid-level Optum Rep, not a high-level rep. With that being said, I have called and emailed Andrea Hansen who is my regional rep for Optum, and I am waiting for contact back from her to confirm this information, as well as to see if there are any new updates. BUT - I wanted to get this small update out there ASAP so our members could be informed of the latest news that we have come across.

After touching base with Andrea, I will create another post with (hopefully) additional information for this group.

Hang in there, we are trying our best to help everyone with this process. I do know it's difficult.

​Jen B

Ok Organization!

We are working on some things around the cyber-attack that has occurred with Change Healthcare. Here are some of the things we have learned tonight and steps we will be taking tomorrow:

Some Providers have reported that bunches of their claims are no longer paying due to this cyber-attack. After touching base with a couple of you tonight, and some billers, I'd like to share the plan of action going forward:

Zero-interest Loan
Optum is potentially offering ZERO percent loans if you are one of the agencies effected by this situation. This could be a beneficial opportunity to take advantage of to make sure you, and your staff get paid until these claims can get processed. If you are interested in exploring this option, please contact Optum directly to see if you might qualify.

Submission of claims -
You should be able to submit claims directly though Provider Express if you are no longer able to submit them through your EHR due to the attack. In order to do this:
1. Sign into Provider Express (this is where you update your staff roster for Medicaid)
2. Then go to the tab on the right, click on claim entry
3. Then you should be able to submit your claims

* If you can submit claims through Provider Express, they pay within a couple weeks if the claim is clean.
* You can also see your denied claims and claims that have already gone through, in Provider Express - With these claims, you may be able to attach a claim number for a claim you have submitted but got caught in the cyber-attack, and it has a chance of paying.

Optum Provider Express CAP
I have been informed that Provider Express may have a cap on how many individual claims you can send through that portal, so I will be calling Optum tomorrow on behalf of the IACP to see if, due to the circumstances, they will take the cap off so you all can bill as many claims as you need to until this situation gets rectified. I will send updates out to this group once I get feedback around this topic.

Zoom Call
I would like to know if this group would like to schedule a Zoom call with myself and my biller, to brainstorm any claim submission concerns you might be having? We would like to support you and your agencies through this difficult time and make sure we are doing our best to reduce the amount of damage caused by this unfortunate situation. Please let me know if this is something you would be interested in, and we will schedule a call for the IACP BH group (and any other IACP members that might want to join).

FAQ's
Thanks to: Michelle Tueller for giving us the following resource!!!
Follow this link and Advanced MD has created a FAQ page on how to submit claims and they provide updates on Change Healthcare.
advancedmd.com/blog/change-healthcare-outage/

On a personal note - I know times like these can make us lose sleep and create a lot of stress, but the IACP wants to come alongside of you to help ease some of that tension. We might not be able to fix the entire situation, but maybe we can provide some support, advocacy, and even sometimes a listening ear to help brainstorm.

Know that we are on top of this and are taking it very seriously!

Jen Browning

Additional updates around this topic will be posted to the Behavioral-Health Subgroup message board on the IACP website.

Change Healthcare Outage | AdvancedMD As we continue to work through the Change Healthcare outage, we would like to offer an update and additional guidance.

The handbook has been released!!

Handbooks and forms | Magellan Healthcare Providers-Learn about working with Magellan. Review medical necessity criteria, the provider handbook Idaho supplement, and more, to be posted soon.

Providers spotted out in the "Wild."

Photos Provided by:
https://www.haydenlittlephotography.com/

Shout out!!!

Kelly Head-Halliday, Shawn Johansson, and Caroline Merritt have been amazing leaders for our supported living subgroup and Home and Community Based Services in general. This year the advocacy and team were strong! We can’t wait to continue this effort in the future. The encouragement and drive of our leaders have been very inspiring.

They have taught us that we can be advocates in this field and that we each have the power to make changes for the better in our community.

Thank you, Caroline, Shawn, and Kelly!

Hey Group!

I was just informed of a meeting for Region 2 Providers in the morning. It looks like there is an "in-person" option or an online option. Here is the info:

For those who are interested we are having a team from Magellan coming to Region 2 in the morning.

A team from Magellan will be traveling the state to have Q&A sessions with providers. The Magellan team is slated to be in Lewiston on Tuesday February 20th from 9am – noon.
This meeting will be held at the Public Health office at 215 10th Street in Lewiston. The meeting will also be accessible via the Teams link, below.
________________________________________________________________________________
Microsoft Teams meeting

Join on your computer, mobile app or room device
Click here to join the meeting:

https://teams.microsoft.com/dl/launcher/launcher.html?url=%2F_%23%2Fl%2Fmeetup-join%2F19%3Ameeting_YzBiNjU2NjEtMTUwYy00N2EzLWI2MDItMWY0ZjkxYmY5OGQz%40thread.v2%2F0%3Fcontext%3D%257B%2522Tid%2522%253A%2522f2e0c746-b57e-4fbb-bc49-6d637fb3c790%2522%252C%2522Oid%2522%253A%252263590e7e-dc59-48fd-bf14-9f0da72aa2cc%2522%257D%26anon%3Dtrue&type=meetup-join&deeplinkId=efda5c5d-99c1-4b07-8d36-d6a694083c3c&directDl=true&msLaunch=true&enableMobilePage=true&suppressPrompt=true

Meeting ID: 251 221 172 582

Passcode: m2UsKz

Download Teams | Join on the web

Or call in (audio only)
+1 469-998-7653,,145937650 # United States, Dallas

Phone Conference ID: 145 937 650 #

Join conversation

Team!!!!

The fee scheduled JUST came out from MAGELLAN for Behavioral Health.

Follow this link for more information. Please let us know if this reflects your current rates, or if you notice anything that is paying under what you are currently receiving from Optum.

www.magellanhealthcare.com

IF you plan on going to tonight's book launch for Jennifer Michelle (Browning), AND you want to pre-order your book to save a couple $'s, you can do so until 1pm today by scanning the attached Venmo code.

When you pre-order, you will get a personalized note in your book from the author!!

Hope to see you there!!

Counseling compact update from ICA!

Counseling Compact Home Scroll Down Applications for Counseling Compact privileges to practice are expected to open in 2024. Please read the FAQ page for more information about practicing under the Compact.For information on the relationship between the Counseling Compact and counselor professional identity, please re...

Met one on one with my Senator today: Senator Winder… and I survived! I’m making appointments with my Representatives as well. Reach out if you’d like to come and see how it’s done! ☺️🌼
(Posted by Jennifer Browning)

Ending our quarterly meeting in Boise. Lots of amazing collaboration between providers!! 🌼🌼🌼

Interested in joining?
Visit our website at:

https://www.iacp-idaho.com

At it again today!! 🥰

Productive day doing some advocacy work at the Capital today!!! If you’re free tonight, join us at 5pm Bardenay Restaurant & Distillery in downtown Boise!

Good morning!

For the second year in a row, LINC is bringing together folks with disabilities from across Idaho to talk with their legislators about issues important to them. From the direct care worker shortage to a lack of accessible transportation, Idahoans with disabilities have a lot to talk about. This event brings opportunity for all to come to the table and share with those that are making statewide policies into law.

Operation Advocacy: Our Care Can’t Wait 2024

Wednesday, January 31 - Day of Training

Thursday, February 1 - Day of Action

During day one of Operation Advocacy, we will present a training around interactive storytelling and how it can be used to create awareness of an issue. There will also be presentations about Fred Riggers Disability Awareness Day, the importance of voting, and the Our Care Can’t Wait campaign. Day one will wrap-up with tours of the State Capitol building.

On day two, everyone will meet up at the Idaho State Capitol building. We will be on hand for the activities surrounding Fred Riggers Disability Awareness Day. It’s a chance for us to show that there aren’t just one or two of us; we’re here in every community across Idaho.

Operation Advocacy is designed for the beginner in mind, but we welcome experienced folks as well. This event has been designed to be a two-day event so people feel prepared to participate in our law-making process. If you have concerns about getting to Boise or need help finding a place to stay while you’re here, our Independent Living Specialists can work with you on a plan to make that happen.

Registration is open now! To find out more, please see our website at lincidaho.org/operation-advocacy. Please consider joining us at Operation Advocacy: Our Care Can’t Wait 2024! Every voice matters. Please help us spread the word!

In solidarity,

Jen Grush-Dale (she/her)

Community Engagement Coordinator
Living Independence Network Corp.
1878 W Overland Rd, Boise, ID 83705
208-336-3335 ext. 219

Here is an amazing resource offered from the Idaho Coalition Against sexual and Domestic Violence

Get Help - Idaho Coalition Get Help Illustration by Favianna Rodriguez Home Get help If you are a survivor or seeking more information, please find a program near you for help: BlackfootBingham Crisis CenterBoise Idaho Anti-Trafficking CoalitionBoiseWomen’s & Children’s AllianceBonners FerryBoundary County Youth Crisis an...

Provider spotlight - Milestone Decisions INC

This is a pic of our Milestone team at the capital. We went to advocate for our services! We spoke with Senator Cook and Representative Mitchell.

Milestone Decisions is a non-profit in regions 1 and 2 that provides res hab services. As an organization we feel it is important to be part of our community and teach the people we support about advocacy no matter their functioning level. We have an advocacy team that stays caught up in in federal, state, and regional issues and try to help wherever we can. We are very active in IACP and believe in the work that is done in our res hab subgroup and association as a whole. If it is possible to tag Senator Cook and thank him for taking the time to listen to his constituents.

We are heading back to Boise at the end of January for Fred Riggers Day. We are bringing 8 people that we support to go to the capital to help advocate for their services and the decisions that are made on their behalf. We will send more pics then!

www.milestonedecisions.com

Dave to retire the end of December…

From DHW Director Dave Jeppesen: Saying goodbye to the best job I’ve ever had | Idaho Department of Health and Welfare Anyone who’s heard me talk very long about my work at the Department of Health and Welfare has also heard me say it’s the best and most challenging job I’ve ever had. It’s also been the greatest honor of my career.

Just for fun 😉

Remember, the time has come!

Who is the IACP?

The Idaho Association of Community Providers was created with the combination of several community-based provider associations.

Our unified association encompasses all the different provider type specialties that continue to address industry specific issues and opportunities.

Our goal is to better coordinate communication and policy platforms between the specialties in order to increase our effectiveness. In this way, we will achieve mutually beneficial outcomes for the industry and the people we serve.

For more information about our quarterly Provider Meetings and Membership, visit our website!

Home - Idaho Association of Community Providers

Little sneak peak into one of this weeks sub-group meetings.

Want to find out more about becoming a member?

Visit our website at:
https://www.iacp-idaho.com/

Thank you to Journeys for hosting this quarterly meeting!!!

Schedule of our upcoming meeting! Want to join? Shoot us a message 🙂