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
- Continuation of Telehealth Services
- Updated Behavioral Health Uniform Services Coding Manual
- Are you Accepting New Clients?
- Verify Medicaid Eligibility without ID Card
- Connect For Health Colorado Uninsured Enrollment Period Toolkit
- Billing Health First Colorado Members
- Understanding Harm Reduction
- The Future of Care Delivery: 5 Critical Components for Virtual Care Transformation
- 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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DO YOU PROVIDE TELEHEALTH SERVICES?
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UPDATED BEHAVIORAL HEALTH UNIFORM SERVICES CODING MANUAL
Please see the links below for the new April 1, 2021 revision of the Behavioral Health Uniform Services and Coding Standards Manual.
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ARE YOU ACCEPTING NEW CLIENTS?
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VERIFY MEDICAID ELIGIBILITY WITHOUT ID CARD
Providers are reminded that members do not need to present their Health First Colorado ID cards to receive services. The Health First Colorado Member Handbook states that members only need their date of birth and either their Social Security number or Health First Colorado ID Number (Medicaid ID). Providers should check eligibility via the Provider Web Portal, Integrated Voice Response (IVR) System or batch.
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CONNECT FOR HEALTH COLORADO UNINSURED ENROLLMENT PERIOD TOOKIT
Connect for Health Colorado has opened an Uninsured Enrollment Period to help as many people as possible protect their health and safety during this time. Coloradans who are currently uninsured and don’t qualify for Health First Colorado can sign up for a health insurance plan through May 15, 2021.
Please help spread the word!
Community partners can easily find social media graphics/copy, newsletter copy and virtual brochures in the new toolkit.
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BILLING HEALTH FIRST COLORADO MEMBERS FOR SERVICES
It is important that all health care providers know that Health First Colorado members cannot be billed for services covered by Health First Colorado. Please visit this policy statement for more detailed information.
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UNDERSTANDING HARM REDUCTION--A BLOG SERIES FROM THE NATIONAL COUNCIL FOR BEHAVIORAL HEALTH
America continues to struggle with a public health crisis that remains overshadowed: Overdose deaths increased last year in all but three states, a fact obscured by the COVID-19 pandemic. In our new blog series, we share insights from public health experts and harm reduction advocates about the overdose increase occurring across the country. Read part one and part two, and part three of this blog series.
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THE FUTURE OF CARE DELIVERY: 5 CRITICAL COMPONENTS FOR VIRTUAL CARE TRANSFORMATION
As the use of telehealth visits and other forms of virtual care skyrocketed during the pandemic, no longer is virtual care viewed as an episodic, one-time-only transaction for urgent care. Instead, it has evolved into a vehicle that supports the broader goals of longitudinal care. But virtual access and digital touchpoints alone won’t provide the value patients seek.
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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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AN EXPLORATION OF SUBSTANCE USE FUNDAMENTALS & YOUTH PERSPECTIVE ON THE IMPACTS OF COVID--WEBINAR
In a national assessment of 600 youth (ages 13-18) conducted in January 2021, nearly a quarter of the respondents reported that accessing substances was easy or very easy during the COVID-19 pandemic. Hear Thomas E. Freese, PhD, co-director for the UCLA Integrated Substance Abuse Programs and the Pacific Southwest Addiction Technology Transfer Center, address the effects of the pandemic on youth and why it is more important than ever to understand youth substance use.
- Thursday, April 29, 2021 1pm - 2:30pm (MST)
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Click here for more information and to register.
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QUESTION, PERSUADE, REFER (QPR) ONLINE TRAINING
Colorado is consistently ranked as one of the top ten states for suicide rates. Learn what you can do to help when someone is in a suicide crisis, and gain the confidence to take action and save a life.
- Thursday, April 29, 2021 9am-10:30am (MST)
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Click here to register.
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COLORADO SUICIDE PREVENTION COMMISSION QUARTERLY MEETING
- Friday, April 30, 2021 9am - 11:30am
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Commission meetings are free and open to the public. If you are interested in attending, please visit the Suicide Prevention Commission website for the call in information.
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MINDS AFTER COVID~~TALKS ON GROWTH AND HOPE--WEBINAR
Speakers Elinore McCance-Katz (past leader of SAMSHA), Tom Insel (past president of NIMH), How Mental, and (drum roll please) Guy Winch, just to name a few, will address mental health after COVID. How do we recover into stronger and mentally healthier communities than we ever were before?
- Tuesday, May 4, 2021 6-7pm (MST)
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Click here for more information and to register.
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INTERSECTIONALITY THROUGH THE LENS OF ANDY ARIAS--WEBINAR
What is Intersectionality Theory? The term was originally coined in 1989 by Professor Kimberle Crenshaw. “It is the theory that the overlap of various social identities, as race, gender, sexuality, and class, contributes to the specific type of systematic oppression and discrimination experienced by an individual.” Andy Arias will talk about this life experiences and offer the audience an opportunity to engage in a Q & A about how intersectionality effects marginalized communities.
- Wednesday, May 5, 2021 2pm (MST)
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Click here for the flyer with more details and the call in information.
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GRIT & RESILIENCE--WEBINAR
Participants learn foundational information on core principles of psychological first aid, stress, disaster stress, resilience, and self- efficacy, as well as self-care and referring to professional mental health support when needed.
- Friday, May 7, 2021 12pm-1:30pm (MST)
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Click here for more details and to register.
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COVID-19 AND THE FUTURE OF BEHAVIORAL HEALTH CARE DELIVERY--WEBINAR
The COVID-19 pandemic resulted in a broad and swift shift to telehealth for many behavioral health providers. As we settle into a new normal that is likely to sustain expanded use of telehealth, it is critical to assess the impact and lessons learned over the past year and use them to inform future service delivery that promotes quality, improved patient access to services and outcomes. This session will explore the experiences and implications of telehealth practice and policy during COVID-19 and beyond from provider, payer and state perspectives.
- Tuesday, May 11, 2021 12:30pm-2pm (MST)
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Click here to register.
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ADDRESSING TRAUMA IN YOUNG ADULTS WITH IDD IN A POST-COVID WORLD--WEBINAR
This forum will look at the trauma experienced by young adults with IDD, the impact of the lack of social interaction, and strategies for addressing the trauma as we reintegrate to a new “normal” in a post-Covid world.
- Wednesday, May 12, 2021 12pm (MST)
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Click here to register.
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ADDRESSING THE CLINICAL NEEDS OF PEOPLE WHO SUFFER FROM SEXUAL COMPULSIVITY--
WEBINAR
This presentation will outline crucial issues that need to be addressed as counselors attempt to diagnose and treat sexually compulsive behavior. Participants will review the four stages of process addiction, the different levels of sex addiction, and a simple way of defining sexual sobriety.
- Thursday, May 13, 2021 11am-1pm (MST)
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Click here for more details and to register.
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TREATING VETERANS WITH MILD TRAUMATIC BRAIN INJURY--WEBINAR
Treating veterans with mild Traumatic Brain Injury (mTBI) requires an understanding of military culture and the ways mTBI sustained by service members in a military setting are unique. Tina Fanello, MA, LCSW, CBIS and Catharine H. Johnston-Brooks, PhD, ABPP-CN from the Marcus Institute for Brain Health, University of Colorado Anschutz Medical Campus will provide training on how to best serve members of the Veteran population with mTBI.
- Friday, May 14, 2021 10AM-12PM (MST)
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Click here for the flyer with more details and the call in information.
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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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