In order to promote improved coordination between Medicare and Medicaid as the rollout of Community HealthChoices (CHC) in the Southeast portion of the state gets closer, the Office of Long-Term Living (OLTL) released a CHC Medicaid/Medicare billing fact sheet. The fact sheet includes information and answers to frequently asked questions (FAQs) regarding coverage and how billing works under CHC.
Contact Melissa Dehoff with questions.
The Centers for Medicare and Medicaid Services (CMS) recently announced they will be holding a National Provider Call for inpatient rehabilitation facilities (IRFs) that will focus on the changes included in the fiscal year (FY) 2019 inpatient rehabilitation facility prospective payment system (IRF PPS) final rule. The call is scheduled for Thursday, November 15, 2018 from 1:30 pm – 3:00 pm.
As a reminder, some of the key changes contained in this final rule, which will be a part of this discussion, included:
Prior to the call, participants are encouraged to review the Medicare Benefit Policy Manual, Chapter 1, Section 110. A question and answer session will follow the presentation; however, attendees may email questions in advance with “November 15 Call” in the subject line. These questions may be addressed during the call or used for other materials following the call.
Registration is required to participate in this call and will close by 12:00 pm on the day of the call or when it is full. RCPA encourages all of its members in the Rehabilitation Services Division to participate in this call to ask questions, share concerns, etc. with CMS.
Questions can be directed to Melissa Dehoff.
Main Line Rehabilitation Associates, a CARF-accredited home and community-based provider that specializes in Cognitive Rehabilitation Therapy (CRT), will be hosting a free conference, “Cognitive Rehabilitation Therapy: Clinical Strategies and Evidence Based Practices.” The conference is scheduled for Tuesday, November 13, 2018 from 8:30 am – 12:00 pm and will be held at the Sheraton- Harrisburg/Hershey. Please see the flyer for additional information, including registration.
RCPA’s Rehabilitation Services Divisions (Medical Rehabilitation Committee and Outpatient Rehabilitation Committee) will convene their first networking session in November 2018. To prepare for this session, a Survey Monkey was created to obtain member feedback on their preference for the date and topic for discussion. Members are encouraged to respond to the survey by October 2, 2018. Contact Melissa Dehoff, RCPA Rehabilitation Services Director, with any questions.
The Community HealthChoices (CHC) Third Thursday webinar coming up on September 20, 2018 will include updates on CHC by Kevin Hancock, Deputy Secretary for Office of Long-Term Living (OLTL). The remainder of the webinar will focus on brain injury that includes a brain injury panel discussion facilitated by members of RCPA’s Brain Injury Committee, including: Dr. Drew Nagele, Jack Poplar, and Bridget Lowery.
Register using this link to participate in the webinar and support your colleagues. After registering, you will receive a confirmation email containing information about joining the webinar. Contact RCPA Rehabilitation Services Director Melissa Dehoff with questions.
The Centers for Disease Control and Prevention (CDC) released a new Pediatric Mild Traumatic Brain Injury (mTBI) guideline. This guideline is based on the most comprehensive review of the science on pediatric mTBI (most commonly referred to as concussion) diagnosis and management to date.
This guideline was published in the Journal of the American Medical Association (JAMA) Pediatrics and includes 19 sets of clinical recommendations that are applicable to health care providers who care for patients with concussions in all settings.
The guideline provides the following key practice-changing recommendations:
Free tools were also developed by the CDC to assist health care providers use this guideline in their practice and include:
These tools and additional information are available online. Contact Melissa Dehoff, RCPA Rehabilitation Services Division Director, with questions.
The Office of Long-Term Living (OLTL) released the Service Coordinator (SC) training materials from the Community HealthChoices (CHC) Implementation for Participant-Directed Services training that was held on August 21, 2018. The presentation and training was to provide information and process updates to SCs on the implementation of CHC for participants who utilize participant-directed services in the Southeast Region, including Bucks, Chester, Delaware, Montgomery, and Philadelphia counties.
Contact Melissa Dehoff, RCPA Director of Rehabilitation Services, with any questions.
(From OLTL)
TO: Office of Long-Term Living (OLTL) Cognitive Rehabilitation Therapy Providers
RE: Procedure Code for Cognitive Rehabilitation Therapy Services – Processing Issue
This notice is to advise Cognitive Rehabilitation Therapy Providers that after removing service procedure 97532 SE and replacing it with the new procedure code 97127 for Cognitive Rehabilitation, a processing issue occurred causing many claims to deny.
OLTL is aware of this issue and is working on a system fix. OLTL will send a follow up communication in the very near future advising providers of the fix and when it is appropriate to rebill. In the meantime, OLTL asks that providers refrain from billing for Cognitive Rehabilitation in the Independence and OBRA waivers.
If you have any questions regarding the procedure code change, please contact the OLTL Provider Inquiry Unit at RA-ProviderOperation@pa.gov or 1-800-932-0939.
A listserv has been established for ongoing updates on the CHC program. It is titled OLTL-COMMUNITY-HEALTHCHOICES, please visit the ListServ Archives page at http://listserv.dpw.state.pa.us to update or register your email address.
Please share this email with other members of your organization as appropriate. Also, it is imperative that you notify the Office of Long-Term Living for changes that would affect your provider file, such as addresses and telephone numbers. Mail to/pay to addresses, email addresses, and phone numbers may be updated electronically through ePEAP, which can be accessed through the PROMISe™ provider portal. For any other provider file changes please notify the Bureau of Quality and Provider Management Enrollment and Certification Section at 1-800-932-0939 Option #1.
To ensure you receive email communications distributed from the Office of Long-Term Living, please visit the ListServ Archives page at http://listserv.dpw.state.pa.us to update or register your email address.
NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
The Centers for Medicare and Medicaid Services (CMS) has released the updated Inpatient Rehabilitation Facility Quality Reporting Program (IRF QRP) Measure Calculations and Reporting User’s Manual (Version 3.0). This version of the manual is effective on October 1, 2018. The manual provides detailed information for IRF Patient Assessment Instrument (PAI) based quality measures, including inclusion and exclusion criteria, quality measure definitions, and measure calculation specifications. All of the materials are available on the Downloads section located at the bottom of the IRF Quality Reporting Measures Information web page.
Contact Melissa Dehoff, RCPA Director of Rehabilitation Services, with any questions.
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