INSPIRE WELLNESS
HCI Behavioral Health Provider Newsletter
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In this issue:
- Billing and Rendering NPI Required on Claim Submission
- Provider Resources and Information
- Support following the Boulder shooting
- Colorado Begins Planning for 988 Rollout
- Continuation of Telehealth Services
- Electronic Visit Verification Compliance
- New Utilization Management Partner for Colorado Medicaid
- SUD Documentation Training Opportunity
- Become a CARE Network Provider
- COVID
- Vaccine Dashboard Includes County Data
- Statewide COVID Vaccine Information
- Upcoming events and webinars
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BILLING AND RENDERING NPI REQUIRED ON CLAIM SUBMISSIONS
Beacon Health Options is excited to announce that we are enhancing our claims processing system. In an effort to reduce the need to adjust or correct claims periodically, the following adjustment is being made to our claims documentation requirements to enhance our claims processing accuracy.
Effective March 1st, 2021:
- Providers must include both the billing and the rendering NPI numbers in the appropriate boxes on all HCFA 1500 (professional) paper claim submissions and/or the 837-p equivalent.
- Solo practitioners must submit their NPI in both the billing and rendering fields.
- Group and facility providers must submit the billing NPI as well as the rendering NPI numbers in the appropriate fields. Please note, for group and facility providers, the billing NPI is different and distinct from the rendering NPI.
As of 3/1/21, claims that are missing either NPI number will be denied if received on paper or rejected if received electronically as the claim will not meet our enhanced claims management criteria. Providers should resubmit denied or rejected claims with appropriate NPI numbers within applicable timeframes for processing.
Thank you in advance for taking the time to assist in our commitment to enhance the provider claims experience.
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PROVIDER RESOURCES AND INFORMATION
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SUPPORT FOLLOWING THE BOULDER SHOOTING
In the aftermath of the recent tragedy in Boulder, we would like to remind everyone that free, confidential, 24/7 counseling support is always available at Colorado Crisis Services. Their staff is ready to listen and will connect you or a loved one to resources. Call 1-844-493-8255 or text the word TALK to 38255. Learn more at coloradocrisisservices.org.
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COLORADO BEGINS PLANNING FOR 9-8-8 ROLLOUT
OBH has convened a 9-8-8 Implementation Planning Committee to advise on key coordination, capacity, funding and communication issues, and develop a roadmap for the 9-8-8 launch in Colorado that will be released this fall. Committee members represent behavioral health providers, government and law enforcement agencies, community and advocacy organizations, and people with lived experience with mental health and substance use conditions. Because 9-8-8 is not yet operational, Coloradans who need mental health and substance use support should continue to contact Colorado Crisis Services by calling 1-844-493-TALK (8255) or texting TALK to 38255. Read the press release and visit the Committee's website to learn more, including how to provide input into the process.
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DO YOU PROVIDE TELEHEALTH SERVICES?
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ELECTRONIC VISIT VERIFICATION COMPLIANCE
A message from The Colorado Department of Health Care Policy & Financing:
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NEW UTILIZATION MANAGEMENT PARTNER FOR COLORADO MEDICAID
A message from The Colorado Department of Health Care Policy & Financing:
Keystone Peer Review Organization (Kepro) will be the new utilization management (UM) partner for Health First Colorado (Colorado’s Medicaid Program). Kepro is replacing eQHealth Solutions, Inc. and will begin to receive Prior Authorization Requests (PARs) no earlier than May 1, 2021. Kepro will also be responsible for the prior authorization of select Physician Administered Drugs (PAD).
Click here for more information and to view the entire letter.
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SUD DOCUMENTATION TRAINING OPPORTUNITY FOR PROVIDERS AND STAFF
Beacon's Quality Team is offering a SUD documentation standards training opportunity to providers and staff to assist in meeting the standards required by HCPF and Medicaid. Click here for more information.
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BECOME A CARE NETWORK PROVIDER
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VACCINE DASHBOARD NOW INCLUDES COUNTY DATA
Colorado Department of Public Health and Environment (CDPHE) announced that the vaccine data dashboard includes county-level vaccine administration data in beta. The goal of the expanded data dashboard is part of the state's commitment to prioritize data transparency throughout the COVID-19 response, to inform an equitable vaccine distribution process, and ensure accountability. Continue to stay up to date by visiting the Colorado COVID-19 website.
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STATEWIDE COVID-19 VACCINE INFORMATION
Colorado Department of Public Health and Environment provide extensive resources and up to date information regarding the COVID vaccine.
For vaccine information from the Colorado Department of Public Health and Environment, visit this webpage.
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UPCOMING EVENTS AND WEBINARS
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RAE ROUNDTABLE BEHAVIORAL HEALTH---2nd Fri of every month at 11am
Or By Telephone:1-669-900-6833---Webinar ID: 995 7438 8100----Passcode: 173943
Visit the HCI website for details on previous calls.
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SUD EXPANDED BENEFIT PROVIDER FORUM--3rd Tues of every month at 10am
Or By Telephone: 1-669-900-6833---Webinar ID: 925 6861 9312---Passcode: 867336
Visit the HCI website for details on previous calls.
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LIFE CARE PLANNING ADVANCE DIRECTIVES VIRTUAL WORKSHOP
A monthly workshop hosted by Health Colorado and Beacon
- Providers, Care Coordinators, and Members are invited to participate in this "working" workshop where forms are available for members to state their wishes if they were unable to communicate them.
- The last Thursday of each month
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2 sessions are available: 11:30am-1:00pm AND 6:30pm-8:00pm
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Click here for the call-in information and to access to the materials.
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THE ENVISION:YOU LGBTQ+ BEHAVIORAL HEALTH PROVIDER TRAINING PROGRAM
This course will challenge providers to examine their personal and professional frameworks as they relate to: Gender; sexuality; and the intersections of race, religion, and power, while enhancing their knowledge, skills, and cultural competence when working with lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) youth, adults, couples, and family systems. Please visit the program web page to learn more and register for the training.
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TRAININGS FROM THE OFFICE OF SUICIDE PREVENTION
SUICIDE PREVENTION TRAINING FOR DOMESTIC VIOLENCE ADVOCATES
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The Office of Suicide Prevention (OSP) is partnering with the Education Development Center (EDC) to provide a suicide prevention training for domestic violence and crime victim advocates in Colorado in 2021. To directly receive more information, please fill out this interest list.
INTENTIONAL PEER SUPPORT TRAINING
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The OSP is partnering with IPS to provide their Core, Advanced, and Train the Trainer trainings to peer support specialists in Colorado in 2021. To directly receive more information, please fill out this interest list.
ALTERNATIVES TO SUICIDE TRAINING
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The OSP is partnering with Western Mass Recovery Learning Community to provide their Alternatives to Suicide training to peer support specialists in Colorado in 2021. To directly receive more information, please fill out this interest list.
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ONGOING TRAINING OPPORTUNITIES
- Colorado Cross-Systems Training Institute offers courses for providers.
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View their website for more information.
- Partners For Children's Mental Health is offering a free on demand training on DBT SKILLS TO HELP YOUTH MANAGE EMOTIONS AND BUILD RESILIENCY
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Click here for more information and to register.
- The U.S. Department of Health & Human Services offers a free, comprehensive CULTURAL COMPETENCY online training
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Click here for more information and sign up.
- Improving Care for People with Disabilities: A Free Self Paced Online DISABILITY CULTURAL COMPETENCY TRAINING
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Click here for more information and sign up.
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