This webinar provided updates on Early Intervention Targeted Case Management (EI TCM) implementation in Virginia. Participants were given information on recent changes to the ITOTS data system, physician certification forms, billing processes, and quality management reviews. Attendees were also able to ask questions and discuss challenges with EI TCM certification, documentation requirements, collaborating with other agencies, and other implementation issues.
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EI TCM QA Implementation Webinar 11-14-11
1. Webinar provided by the Integrated Training Collaborative, with funding support from the Virginia Department of Behavioral Health and Developmental Services (DBHDS) FOR THIS WEBINAR QUESTION AND ANSWER SESSION – EI TCM IMPLEMENTATION Webinar November 14, 2011 1:00-2:30 pm Please Call 866-842-5779 Enter Code 463 661 9330#
29. THANK YOU! All documents related to the implementation of EI TCM can be found here: http://www.infantva.org/wkg-EI-TCM.htm .
30.
Hinweis der Redaktion
Good morning, everyone. Thank you for joining today’s webinar. We will start in 1 minute. <OK it’s 1PM let’s get started>
Good afternoon. This is Deana Buck of the Integrated Training Collaborative. Thank you for joining us today. This is the fourth webinar planned by the Early Intervention Targeted Case Management Task Force which includes service coordinator from across the state as well as system managers, ID Directors, Integrated Training Collaborative representatives in addition to DBHDS and DMAS representatives. We are grateful to the members of the task force for their very significant contributions of time and work in developing this program. Today’s Q&A webinar was planned to provide an opportunity for stakeholders to ask questions about implementing EI TCM, which started on 10/1. Specifically, we scheduled this event to respond to questions that HAD NOT YET BEEN ASKED and to provide needed clarification to answers that have already been provided. If you have a question, please review the Q&A document to see if it has already been answered. Jeff Beard, from DMAS, and Beth Tolley and David Mills, from the Part C office, will be the presenters for this afternoon’s webinar. When you registered for today’s webinar, there was a link to download the Q&A document. It would be most helpful to have that document in front of you for today’s webinar. We asked SCs and LSMs to submit additional questions, and those will be addressed during today’s webinar. In addition, participants will have opportunities to submit additional questions during the webinar. Questions asked today will then be answered, in writing, in the revised Q&A document. We will do our best to answer all questions during today’s webinar. In the interests of time, we may group similar questions.
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Deana
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Jeff WE will address questions later.
Jeff WE will address questions later.
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Now going to have time to ask additiona questions about these areas…..
David field Questions
Jeff Question: Are we required to bill commercial insurance for TCM (even if we’ve been told by the insurance rep that it’s not covered)as we do Medicaid? If we do bill commercial insurance and get a denial, because that service is not covered, do we have to continue billing for it? Draft Response: TCM is not covered by commercial payors. You do not need to bill and receive a denial prior to submitting the claim to DMAS for TCM. Question: Do we bill Medicaid under TCM for talking with a family about rescheduling/scheduling an appt.? Draft Response: If the only activity on behalf of the child/family was a scheduling contact that could be performed by a clerical staff member, this would not be an allowable activity. Question: When we ask a family how they most prefer contact for their x1/3 month direct contacts and they say they prefer to have an option of email, phone and direct because different things come up at different times is it O.K. to list all three? If a family is forced to pick one (let’s say they pick face to face, for example)and something comes up during a phone conversation, are we then not to bill for it as a direct service? We have many families who use all three forms of communication regularly and it would not be the “exception” , to use one form over another. You address this concern on page three of the attached Q and A but I am still not clear on the answer to the question. Draft Response: It is ok to document that the family doesn’t have a specific preference or that the family prefers different methods depending on the purpose of the contact. The key is documentation of the family’s response about their preference and consistency of the mode(s) of contact with the family’s preference(s)
