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INSPIRE WELLNESS
A Newsletter for Providers of Northeast Health Partners
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In this issue:
- Public Health Information
- Monkeypox Resources
- Become a Monkeypox Vaccine Provider
- COVID-19 Provider Strategies
- COVID-19 Therapeutics Program for Health Care Providers
- Stay Up To Date With the Public Health Emergency Declarations
- Colorado COVID-19 Health Care Provider Vaccine Information Toolkit
- Statewide COVID-19 Vaccine Information
- Various New COVID-19 Updates and Information
- Provider Resources and Information
- Health Literacy Month
- Breast Cancer Awareness Month
- October is National Depression and Mental Health Screening Month
- Colorado Prescription Drug Monitoring Program
- Ensuring Full Continuum Substance Use Disorder (SUD) Benefits
- Contexture-Digital Health Record System
- Screening, Brief Intervention, and Referral to Treatment (SBIRT) Program
- eConsult Platform-Electronic Consultation Platform
- Reporting Adverse Incidents
- Health First Colorado Data Analytics Portal (DAP)
- Prescriber Tool Pre-Alternative Payment Model (APM) Provider Toolkit
- Online PCP Toolkit for Behavioral Healthcare Management
- ICYMI: RAE Roundtable Behavioral Health Resources
- Behavioral Health Claims and Billing Information
- Member Complaint and Appeal Information for Providers
- Upcoming Events and Webinars
- Member Resources
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Public Health Information | |
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MONKEYPOX RESOURCES
The Centers for Disease Control (CDC) has a webpage with Monkeypox information, resources and vaccine information.
The Colorado Department of Public Health & Environment (CDPHE) also has a webpage with local statistics and information as well as a social media tookit which is encouraged to be shared with the public.
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BECOME A MONKEYPOX VACCINE PROVIDER
The Colorado Department of Public Health & Environment has provided the resources below for providers who are interested in becoming a Monkeypox vaccine provider.
If you have any questions, email cdphe_covidvax@state.co.us.
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COVID-19--PROVIDER STRATEGIES
Northeast Health Partners (NHP) would like to share the following resources with providers related to Test to Treat and COVID treatment strategies to help increase vaccine uptake and reduce hospitalizations as well as overcome disparities.
If you have any questions around this please contact NHP's Regional Care Coordination Manager, Ashley Clement ashley@nhpllc.org.
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COVID-19 THERAPEUTICS PROGRAM FOR HEALTH CARE PROVIDERS
In an ongoing effort to decrease hospitalizations for at-risk Coloradans by ensuring access to COVID-19 therapeutics, we are sharing information provided by the Colorado Department of Public Health and Environment (CDPHE) for health care providers. Included here is updated National Institutes of Health (NIH) recommendations, as well as provider eligibility and enrollment information for both the CDPHE Therapeutics program and Health and Human Services (HHS) Test to Treat program, Health care providers are encouraged to learn more about these lifesaving treatments and talk about them with patients who may be eligible to receive them.
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STAY UPDATED WITH THE PUBLIC HEALTH EMERGENCY DECLARATIONS
Another extension started July 15, 2022, and if extended the full 90 days, runs through October 13, 2022.
Keep updated on the public health emergency declarations for COVID-19 by visiting this site.
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COLORADO COVID-19 HEALTH CARE PROVIDER VACCINE INFORMATION TOOLKIT
In an effort to best organize and make readily available the wide array of health care provider vaccine resources, trainings and materials related to the COVID-19 vaccination program, the Colorado Department of Public Health and Environment (CDPHE) has created the online Colorado COVID-19 Health Care Provider Vaccine Information Toolkit. The toolkit has a variety of robust elements for providers to use.
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STATEWIDE COVID-19 VACCINE INFORMATION
Colorado Department of Public Health and Environment provides extensive resources and up to date information regarding the COVID-19 vaccine.
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VARIOUS NEW COVID-19 UPDATES AND INFORMATION FOR PROVIDERS AND MEMBERS
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Omicron doses are here in Colorado! Coloradans can get updated vaccines that target the omicron variant at any of the state’s large community vaccine sites. Click this link for vaccination sites and to book an appointment.
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A Statewide COVID Vaccination Collaborative will be meeting monthly to discuss Long Term COVID vaccination strategies, successes, and opportunities. Collaborative meetings are held on the second Tuesday of every month from 1pm-2:20pm (MST) Join with Google Meet: meet.google.com/yuk-mcda-hrc; Join by Phone (US) +1 858 771-4942 PIN: 511150215
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Providers who are unable to facilitate vaccinations/boosters at their clinics/facilities, can request rapid response vaccination services through CPDHE by clicking here . Please allow for 2 weeks to process and plan all requests.
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Provider Resources and Information | |
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HEALTH LITERACY MONTH
A large portion of the people we serve are poor and medically underserved. They need help understanding and navigating a complex health care system. They require culturally competent providers who speak their language so they can make informed health care choices. A number of patients may be confused with certain medical language, have difficulty understanding English, struggle with filling out forms, or have limited access to health providers in their community. With the proper training, health care professionals can identify patients' specific health literacy levels and make simple communication adjustments. For more information and resources, please utilize the links below.
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BREAST CANCER AWARENESS MONTH
Breast cancer is the second most common cancer among women in the United States. Finding breast cancer early and getting state-of-the-art cancer treatment are the most important strategies to prevent deaths from breast cancer. Breast cancer that’s found early, when it’s small and has not spread, is easier to treat successfully. Getting regular screening tests is the most reliable way to find breast cancer early. Below are resources and websites for you to utilize.
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OCTOBER IS NATIONAL DEPRESSION AND MENTAL HEALTH SCREENING MONTH
This observance brings awareness to the need for depression and mental health screenings. A number of different factors can often come into play with depression that can include a mix of environmental, genetic, psychological, and biological /biochemical components. Not everyone experiences depression in the same way, but it can affect anyone at any time. So, it is important to take that next step and seek out professional help and be screened if someone feels they may be depressed. Depression is a highly treatable condition with many different options available, but a professional should be sought out to help determine the best course of action for every individual that is suffering from it. Mental health screenings allow for early identification and intervention and help bridge the gap. Early identification and treatment leads to better outcomes. Early treatment may also lessen long-term disability and prevent years of suffering. Below are facts sheets and resources that are at hand.
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NORTHEAST HEALTH PARTNERS VOLUNTEER BOARD MEMBER OPPORTUNITY
Northeast Health Partners is seeking volunteer leaders to join it's Board of Managers. More information can be found here.
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COLORADO PRESCRIPTION DRUG MONITORING PROGRAM
The Colorado Prescription Drug Monitoring Program (PDMP) is a powerful tool for prescribers and dispensers to help reduce prescription drug misuse, abuse, and diversion: helping them to make more informed decisions when considering prescribing or dispensing a controlled substance to a patient.
Click here to be taken to the webpage with more information.
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ENSURING FULL CONTINUUM SUBSTANCE USE DISORDER (SUD) BENEFITS
The Department of Health Care Policy and Financing (the Department) is committed to better health outcomes for the whole person by offering a full range of healthcare services for Health First Colorado (Colorado’s Medicaid program) members. Health First Colorado members get physical health and dental services and are also eligible for behavioral health services, which include substance use disorder (SUD) treatment. Behavioral health services including SUD treatment are available to all members without the need for a referral or copay. Click here to be taken to the Department's webpage with more information on this topic.
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CONTEXTURE-DIGITAL HEALTH RECORD SYSTEM
Colorado Health Information Exchange, formally COHRIO, is now Contexture. Contexture helps "connect the digital health record systems" for healthcare providers so that regardless of where a patient goes for care, their medical history is accessible to the physicians and healthcare professionals who need it". For more information, please visit this webpage.
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SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) PROGRAM
Screening, Brief Intervention, and Referral to Treatment is designed to prevent members from developing a substance use disorder, for early detection of a suspected substance use disorder, or to refer members for treatment. These services are not intended to treat members already diagnosed with a substance use disorder or those members already receiving substance use disorder treatment services. The Colorado Department of Health Care Policy & Financing has provided a webpage with extensive information regarding this program.
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ECONSULT PLATFORM-ELECTRONIC CONSULTATION PLATFORM
The Colorado Department of Health Care Policy and Financing is implementing a statewide Medicaid electronic consultation platform called the eConsult Platform. This platform will promote the Department's mission to improve healthcare equity, access and outcomes for the people we serve. For more information, please visit this webpage.
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REPORTING ADVERSE INCIDENTS
Managing care effectively and assuring the safety of members is a principal philosophy of Beacon Health Options Colorado. Every provider is required to report incidents involving Medicaid members who have either harmed or and occurrence exists with had the potential to harm a member. This includes members receiving services now, and those discharged in the last 90 days. Click here for information on the requirement.
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HEALTH FIRST COLORADO DATA ANALYTICS PORTAL (DAP)
For Primary Care Medical Providers (PCMP)-
To support the Accountable Care Collaborative's (ACC's) goal of improving member health and reducing costs, the Colorado Department of Health Care Policy & Financing (HCPF) along with IBM Watson Health have created this data analytics tool for PCMPs and Regional Accountable Entities (RAEs) for population and performance information. For more information, click here to be directed to the webpage.
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PRESCRIBER TOOL PRE-ALTERNATIVE PAYMENT MODEL (APM) PROVIDER TOOLKIT
The Colorado Department of Health Care Policy & Financing has designed this toolkit to help guide practices through steps to participate in the Pre-APM phase of the Prescriber Tool APM. This Tool refers to a collection of capabilities that healthcare providers can access through their Electronic Health Records (EHR) system, including prescription benefit information, electronic prior authorization, and access to an opioid risk module for Health First Colorado members. Click here for more information, FAQs and additional links.
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ONLINE PCP TOOLKIT FOR BEHAVIORAL HEALTH CARE MANAGEMENT
Primary care settings are increasingly the first line of identification for behavioral health (BH) issues. As your patients’ primary medical practitioner, you already know the large number of patients who present with both physical and behavioral health disorders. Beacon Heath Options (Beacon) supports PCPs as the locus of treatment for a wide variety of BH diagnoses. To that end, Beacon offers PCPs this toolkit to help with identification and next steps in treatment of BH conditions. Click here to access the PCP toolkit online resource.
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IN CASE YOU MISSED IT: RAE ROUNDTABLE BEHAVIORAL HEALTH RESOURCES
Here is a link to information that was offered in previous Beacon RAE Roundtables, including the September call information on IDD waivers and supports, the prescriber tool and suicide awareness.
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BEHAVIORAL HEALTH CLAIMS AND BILLING INFORMATION
Beacon Colorado Provider Relations team previously hosted a training on behavioral health billing and claims. If you missed the training or need a refresh, please click here and it will take you to the NHP webpage where you can access the Zoom recording and slides.
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MEMBER COMPLAINT AND APPEAL INFORMATION FOR PROVIDERS
Health First Colorado members have the right to file a complaint at any time and also have the right to file an appeal. Please familiarize yourself with the following document in the event a member has questions. You will then be able to direct them appropriately. This can also be found on the Northeast Health Partners website.
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PROVIDER HANDBOOKS
As a reminder, you can access both the primary care provider and behavioral health provider handbooks on Northeast Health Partners' website under the Provider Handbooks & Policies section. Please utilize these resources to answer questions in regards to member services, provider information, key performance indicators, etc.
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Upcoming Events and Webinars | |
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NEW!!! RAE ROUNDTABLE ---2nd Fri of every month at 11am
All behavioral health and primary care medical providers are encouraged to attend! Please join the Beacon Colorado Provider Relations team every month for important updates, relevant trainings, resources, and discussion.
Click here to join the webinar.
Or By Telephone:1-669-900-6833---Webinar ID: 995 7438 8100---Passcode: 173943
Visit the NHP website for details on previous calls.
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FALL FUN DAY
This fair in Greeley will showcase services for those with disabilities and is sponsored by Adaptive and Inclusive Recreation (AIR).
- Saturday, October 8, 2022 1 - 4pm Twin Rivers Amphitheater in Greeley
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Click here for the flyer with more information.
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8TH ANNUAL COLORADO HEALTH LITERACY COALITION CONFERENCE: HOW INFORMED IS YOUR CONSENT?
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ADULT UROLOGY IN PRIMARY CARE OFFICE HOURS
Hosted by ECHO Colorado in partnership with University of Colorado School of Medicine Division of Urology
This is a new, monthly, free, drop-in opportunity designed for Colorado-based primary care providers (MD, DO, NP, PA, APP) to discuss urology topics of their choice and receive feedback from a urology specialist. This ongoing series will allow participants to share de-identified cases, including de-identified patient imaging, and ask questions for peer-to-peer and specialist consultation to support one another in patient diagnosis and management.
Sessions are held virtually every second Friday of the month from 12pm-1pm (MST) starting September 9th. CLICK HERE for more information and to sign up.
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ESERVICES OVERVIEW--WEBINAR
Hosted by Beacon Health Options
Webinar designed to provide an introduction and overview of the eServices platform for those health plans that use this portal. Topics covered include how to register, use, and submit claims and authorizations via eServices.
- Wednesday, October 12, 2022 12pm (MST)
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Click here to register.
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BEHAVIORAL HEALTH 101--WEBINAR
Hosted by Beacon Health Options
This 2-hour long training will provide a high-level, introductory overview of Behavioral Health and will provide statistics, common disorders, symptoms & treatments associated. This training is intended for healthcare professionals who are not already knowledgeable and/or experienced in behavioral healthcare. Experienced behavioral health providers are also welcome to attend as a content refresher. No CE Credit is available for this training.
- Wednesday, October 12, 2022 1pm (MST)
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Click here to register.
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MANAGED CARE 101--WEBINAR
Hosted by Beacon Health Options
Overview of managed care terms, definitions and general guidance on working with Beacon Health Options. This is an introductory webinar for new providers.
- Tuesday, October 18, 2022 10am (MST)
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Click here to register.
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CLAIM SUBMISSION GUIDELINES--WEBINAR
Hosted by Beacon Health Options
This live training provides an overview of billing and claims information and how to submit claims to Beacon Health Options along with reviewing best practices and avoiding claim denials.
- Wednesday, October 19, 2022 12pm (MST)
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Click here to register.
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PERSON-CENTERED PLANNING--WEBINAR
Person Centered Planning is an ongoing problem-solving process used to help people with disabilities or serious mental illnesses plan for their future. In this 1.5-hour training, attendees will learn the principles behind Person-Centered Care Planning and understand how to effectively assess individuals and develop Person-Centered treatment plans including S.M.A.R.T. goals. This is an introductory level topic training. There is no CE credit or certification associated with this training.
- Wednesday, October 19, 2022 1pm (MST)
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Click here to register.
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SBIRT: AN EVIDENCE-BASED APPROACH TO SUBSTANCE USE INTERVENTIONS--WEBINAR
Hosted by Beacon Health Options
SBIRT stands for Screening - Brief Intervention - Referral to Treatment. SBIRT is a widely used evidence-based approach to substance use intervention. This 2 hour webinar will provide an introductory level training on the approach including the purpose and importance of SBIRT, how to use screening tools to identify risk level, and strategies for implementing a brief intervention and/or referral to treatment. There is no CE credit or certification associated with this training.
- Thursday, October 20, 2022 1pm (MST)
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Click here to register.
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PROVIDERCONNECT OVERVIEW--WEBINAR
Hosted by Beacon Health Options
This webinar is intended for providers and office staff becoming familiar with ProviderConnect, Beacon's provider portal, for the first time.
- Wednesday, October 26, 2022 12pm (MST)
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Click here to register.
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INTERQUAL FOR PROVIDERS--WEBINAR
Hosted by Beacon Health Options
An overview of how to view and access Beacon’s Medical Necessity Criteria via InterQual.
- Thursday, October 27, 2022 11am (MST)
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Click here to register.
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HEALTH FIRST COLORADO: WHERE TO START--WEBINAR
Northeast Health Partners and Beacon will assist with questions new members have regarding Medicaid benefits.
- First Thursday of each month 11:00am - 11:30am (MST)
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Click here for the flyer and how to join.
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BIPOC PARENT VIRTUAL LISTENING SESSIONS
This fall members of the Exceptional Student Services Unit from the Colorado Department of Education are hosting BIPOC Parent Listening Sessions. The priority is to attend to the perspectives of representative voices when making decisions about policy, training and supports designed for students with exceptionalities. The desired outcome for these four fall listening sessions is to learn from parents about ways to better serve and support BIPOC students with exceptionalities. Below are English and Spanish flyers announcing the sessions which start September 10th. Please feel free to distribute widely to parents and guardians you believe would have an interest in participating. For additional information, please contact Michael Ramirez at 303-866-6991.
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