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The Office of Developmental Programs (ODP) has shared ODPANN 24-002: Qualification Process for New Intellectual Disability Autism (IDA) Provider Applicants Update. The purpose of this announcement is to communicate the process for Administrative Entities (AE) to validate that new Provider Applicants have satisfied all Waiver Provider Qualification requirements effective January 1, 2024.
NOTE: Announcement 23-054 Qualification Process for New Providers will become obsolete as of the date of this publication.
This is a reminder that RCPA will be holding the first meeting for our newly-established Performance-Based Contracting/Selective Contracting for ODP Services Work Group on Tuesday, January 16, 2024, from 1:00 pm – 2:30 pm.
As the Office of Developmental Programs (ODP) continues moving quickly on plans to migrate towards a performance-based contracting system, RCPA believes there is value in developing a work group for our members to keep informed and to prepare for future changes. We anticipate continuing to share news regarding any developments and updates from ODP and Strategic Thinking Work Group members both at these work group meetings and also in our IDD Committee meetings. More importantly, in this work group, we are encouraging discussion from members, with the goal of sharing thoughts and developing prudent strategies in order to prepare for performance-based contracting.
To begin this process, we will look at the proposed strategy from ODP and goals for the work group. As we move forward, we may determine it best to have meetings specific to Residential Services and Supports Coordination.
Please register here for the meeting, and come prepared to participate in a lively discussion. Questions can be directed to Carol Ferenz.
The Office of Developmental Programs (ODP) has shared ODPANN 24-001: Notice of a Change to the Federal Reimbursement of Transportation Costs Effective January 1, 2024. The purpose of this communication is to share that the United States General Services Administration announced a change for the rate of Transportation Mile reimbursement rate, procedure code W7271, beginning January 1, 2024. The new rate is $0.67 per mile. This communication provides notice of the rate change, as well as instructions for Supports Coordination Organizations (SCO) on how to add transportation mileage to the vendor screen. It also instructs direct service providers on how to submit claim adjustments, if applicable. This communication obsoletes ODP Announcement 23-005.
The Office of Developmental Programs (ODP) has shared ODPANN 23-106: Medication Administration Train-the-Trainer Quarter 1 (Q1) 2024 Course Schedule, which announces the 2024 Quarter 1 (Q1) Train-the-Trainer Face-to-Face course schedule. All Train-the-Trainer Face-to-Face classes will continue to be virtual through March 31, 2023. Classes for new trainers and recertifying trainers will be held separately. Please refer to Announcement 23-105 regarding important changes beginning January 1, 2024.
The Office of Developmental Programs (ODP) has shared ODPANN 23-105: Medication Administration Paper Course Discontinuation Reminder, Online System Trainer Refresher Course, Grading Observations, and accessing the User Report (Initial Summary & Qualification Form). This announcement reminds Medication Administration trainers that the 2004 paper course and the 2004 and 2013 manuals will be discontinued and no longer valid for use in training students after December 31, 2023. The paper exam will also be discontinued as of this date.
The announcement also provides instructions on how to advertise an Online System Trainer Refresher Course being held in January 2024. In addition, it details instructions for trainers on how to grade Observation Checks in the Online Student courses and access the User Report (Initial Summary & Qualification Form).
If providers have not already started implementing EVV, providers are at risk of being out of compliance on January 1, 2024.
All claims and encounters for HHCS are subjected to EVV requirements for dates of service on or after January 1, 2024 and must have a corresponding EVV visit, or claims payment will be impacted. Manual editing compliance rates will also go into effect on January 1, 2024. Please reference the recently released bulletin “Electronic Visit Verification Requirements for Home Health Care Services in the Fee-for-Services Delivery and Managed Care Delivery Systems Bulleting, number 05-22-09, 07-22-03, 54-22-01, 59-22-01, 00-22-06.”
The Department of Human Services (DHS) will continue to monitor EVV data. If any systemic issues occur, DHS will communicate the issue and resolution via the Listserv and the website as soon as they can. Support volume is expected to increase now through the end of January 2024. Please be aware that response times may be longer than normal during this time.
As a reminder, available resources are on the DHS EVV website. There is also an FAQ page, which may answer a majority of your questions as well.
EVV ERROR STATUS CODES
Error Status Codes (ESC) are actively setting for all claims with services subject to EVV that are submitted through PROMISe for fee-for-service programs. EVV ESCs are currently setting in a pay and list status, so while claims continue to pay, the ESC still sets to educate the provider. Providers should be actively reviewing these ESCs to determine if their claims and EVV data are matching appropriately. The EVV Error Status Codes (ESC) published on the DHS EVV website outlines the conditions when claims would deny beginning with dates of service January 1, 2024, and after.
Providers experiencing issues should reach out to the appropriate contacts, which are included below, based on the issues they are experiencing.
For technical issues, such as DHS Sandata account assistance, Welcome Kit reissuance, account unlock issues either for DHS Aggregator or DHS Sandata EVV, and/or issues with the DHS Aggregator accepting file submissions, please contact: Provider Assistance Center (PAC) or 800-248-2152.
For issues related to HHAeXchange and CHC billing, please contact HHAeXchange and/or the appropriate CHC-MCO.
For general EVV program issues or requests to be added to the EVV Listserv, please contact the EVV Resource Account.
For billing issues, such as why EVV ESCs are setting, what the EVV ESCs mean, and questions about what is in the Aggregator, please contact the following program office claims:
ODP Claims Resolution Section | 1-866-386-8880, Hours of operation: Monday – Friday, 8:30 am –12:00 pm and 1:00 pm – 3:30 pm |
OLTL Provider Call Center | 1-800-932-0939
Hours of operation: Monday – Thursday, 9:00 am – 12:00 pm and 1:00 pm – 4:00 pm |
OMAP Provider Inquiry Line | 1-800-537-8862, choose option 2, then
option 6, then option 1 Hours of operation: Monday-Friday, 8:00 – 12:00 pm and 12:30 pm – 4:30 pm |