| 2012 |
|
|
Bulletin #111 - 1/24/12: Insurance Requirements for
Licensed Independent Practitioners (Update)
|
Word File |
PDF |
Bulletin #110 - 1/11/12: Insurance Requirements for
Licensed Independent Practitioners |
Word File |
PDF |
| Bulletin #109 - 1/5/12: Claims Submissions |
Word File |
PDF |
|
______________________________________
2011 – Bulletin #106 - #108
|
|
|
| Bulletin #108 - 12/23/11: Checkwrite Schedule |
Word File |
PDF |
|
Bulletin #107 - 12/09/11 (Updated 12/30/11):
Medicaid Submission Authorization Guidelines
|
Word File |
PDF |
|
Bulletin #106 - 10/01/11: Targeted Case Management
Transition Planning
|
Word File |
PDF |
|
______________________________________
2010 – Bulletins #102 - #105
|
|
|
|
Bulletin #105 - 11/19/10: SAIOP Benefit Changes
|
Word File |
PDF |
|
Bulletin #104 - 10/25/10: Billing Instructions for CABHA Services for State Funded Consumers
|
Word File |
PDF |
|
Bulletin #103 - 09/17/10: Family Size and Family Income Reporting Requirements for New and Active Consumers
|
Word File |
PDF |
|
Bulletin #102 -09/15/10: IPRS Benefit Design Changes
|
Word File |
PDF |
|
______________________________________
|
|
|
|
2009 – Bulletins #89 - #101
|
|
 |
|
Bulletin #101 - 11/13/09: Billing Charge for Medicaid Claims Processed by the LME
|
Word File |
PDF |
|
Bulletin #100 - 10/09/09: IPRS Benefit Changes
|
Word File |
PDF |
|
Bulletin #99 - 08/17/09: IPRS Benefit Changes
|
Word File |
PDF |
|
Bulletin #98 - 07/24/09: Extension of Coverage for Provisionally Licensed Providers
|
Word File |
PDF |
|
Bulletin #97 - 06/23/09: Changes in Contractual Agreements
|
Word File |
PDF |
|
Bulletin #96 - 06/16/09: Benefit Changes Effective 7/15/09
|
Word File |
PDF |
|
Bulletin #95 - 06/09/09: Exceptions for a Paper vs Electronic CCIS Submission
|
Word File |
PDF |
|
Bulletin #94 - 05/13/09: Room & Board Contracts
|
Word File |
PDF |
|
Bulletin #93 - 05/07/09: Claims Submission Deadlines for Fiscal-Year End
|
Word File |
PDF |
|
Bulletin #92 - 02/26/09: Authorization Number Adjudication
|
Word File |
PDF |
|
Bulletin #91 - 01/21/09: Community Support Services - Tiered Rates
|
Word File |
PDF |
|
Bulletin #90 - 01/16/09: Electronic Data Submission Implementation
|
Word File |
PDF |
|
Bulletin #89 - 01/13/09: New IPRS Target Populations
|
Word File |
PDF |
|
______________________________________
|
|
|
|
2008 – Bulletins #72 - #88
|
|
|
|
Bulletin #88 - 12/23/08: WHN Basic Benefit Package Adult/Child MH/SA
Please review WHN Newsletter dated April 3, 2009 for an update.
|
Word File |
PDF |
|
Bulletin #87 - 08/22/08: Child Consumers Involved with Juvenile Justice
Juvenile Justice Consult PPT Updated 04/15/10
|
Word File
|
PDF |
| Bulletin #86 - 08/20/08: Procedure for Programs Closing or Ending Service Lines |
Word File |
PDF |
| Bulletin #85 - 07/18/08: Consumers With Private Insurance |
Word File |
PDF |
| Bulletin #84 - 06/30/2008, Updated 02/24/09: Outpatient Commitment (OPC) Policy & Procedures |
Word File |
PDF |
|
Attachment A - Notice of Commitment Change
|
|
PDF |
|
Attachment B - Request For Hearing
|
|
PDF |
|
Attachment C - Request For Transportation Order
|
|
PDF |
|
Attachment Cb - Request For Transportation Order
|
|
PDF |
|
Attachment D - Examination and Recommendation to Determine Necessity for Involuntary Commitment
|
|
PDF |
|
Attachment E - Affidavit and Petition for Involuntary Commitment
|
|
PDF |
|
Attachment F - Request for Supplemental Hearing
|
|
PDF |
| Bulletin #83 - 06/26/2008: Provisionally Licensed and Non-Licensed Substance Abuse Counseling Professionals |
Word File |
PDF |
| Bulletin #82 - 06/04/2008: Revised CDW Reporting Requirements and Family Size and Family Income Data for Active Consumers. |
Word File |
PDF |
|
Family Size/Income Data Collection Form
|
Excel Spreadsheet |
|
|
LME Consumer Admission and Discharge Form (6/02/08)
|
Word File |
|
|
STR Registration Form (6/02/08)
|
Word File |
|
| Bulletin #81 - 05/05/2008: Monitoring of Qualified Professional (QP) Service Requirements in Community Support Services |
Word File |
PDF |
| Bulletin #80 - 05/01/2008: Case Status Determination |
Word File |
PDF |
|
Bulletin #79 - 04/18/09: Assessment Procedures
|
Word File |
PDF |
| Bulletin #78 - 04/02/2008: 60-Day Timely Filing Limit Temporarily Lifted |
Word File |
PDF |
| Bulletin #77 - 03/18/2008: Communication with Primary Care Physicians |
Word File |
PDF |
Communication Tool
|
Word File |
PDF |
| Bulletin #76 - 02/11/08: National Provider Identification (NPI) Implementation Transition Assistance |
Word File |
PDF |
|
Bulletin #75 - 01/25/08:
Case Responsible Transfer Procedure (This Bulletin Supersedes#33) |
Word File |
PDF |
Consumer Transfer and Notification Consent Form 01/25/08
|
Word File |
PDF |
Procedure for the Transition of Consumers 01/25/08
|
Word File |
PDF |
| Bulletin #74 - 01/17/08: Verbal Service Orders |
Word File |
PDF |
| Bulletin #73 - 01/11/08: Basic PCP Usage |
Word File |
PDF |
| Bulletin #72 - 01/01/2008: Unfunded FY 2007 Services |
Word File |
PDF |
FY 2007 Spreadsheet - submit by January 8, 2008. See above bulletin #72 for instructions.
|
Excel |
|
|
______________________________________
|
|
|
|
2007 – Bulletins #51 - #71
|
|
|
| Bulletin #71 - 12/14/07: Provider Responsibilities as the First Responder to Consumer Crisis; Consumer Follow-up and 1st Responder Crisis Response Policy & Procedures |
Word File |
PDF |
Updated Outpatient Commitment (OPC) Policy & Procedures
|
Word File |
PDF |
Attachment A - Notice of Commitment Change
|
|
PDF |
Attachment B - Request For Hearing
|
|
PDF |
Attachment C - Request For Transportation Order
|
|
PDF |
Attachment Cb - Request For Transportation Order
|
|
PDF |
Attachment D - Examination and Recommendation to Determine Necessity for Involuntary Commitment
|
|
PDF |
Attachment E - Affidavit and Petition for Involuntary Commitment
|
|
PDF |
Attachment F - Request for Supplemental Hearing
|
|
PDF |
| Bulletin #70 - 11/20/07: Community Support Services – Secondary Modifier |
Word File |
PDF |
| Bulletin #69 - 10/30/07: PPCR Implementation Reviews |
Word File |
PDF |
| Bulletin #68 - 10/29/07: Western Highlands Network Corporate Compliance Policy |
Word File |
PDF |
| Bulletin #67 - 10/15/07: Claim Submission Requirements |
Word File |
PDF |
| Bulletin #66 - 09/12/07: Community Support Audit Notification |
Word File |
PDF |
Audit Schedule For Providers
|
Word File |
PDF |
| Bulletin #65 - 08/02/07: Community Support Plan of Corrective Action Implementation Reviews |
Word File |
PDF |
| Bulletin #64 - 07/06/07: Medicaid Changes Regarding Accessing Services |
Word File |
PDF |
Bulletin #63 - 06/19/07: Outpatient Commitment Policy & Procedures (This Supersedes Communication Bulletin #45)
|
Word File |
PDF |
Bulletin #62 - 05/10/07: Release of New State Funded (IPRS) Benefit Package
|
Word File |
PDF |
Bulletin #61 - 04/24/07: DMA Lapse Dates for Enhanced Benefit Services
|
Word File |
PDF |
Bulletin #60 - 04/24/07: National Provider Identifier (NPI) Deadline Lifted
|
Word File |
PDF |
Bulletin #59 - 04/13/07: Full Endorsement
|
Word File |
PDF |
Bulletin #58 - 03/28/07: Attachment Therapy
|
Word File |
PDF |
|
Bulletin #57 - 03/27/07: National Provider Identifier (NPI) Clarification
Note: Not having a properly registered NPI with Medicaid and/or Western Highlands may result in non-payment for services.
|
Word File |
PDF |
Bulletin #56 - 03/27/07: ValueOptions Therapeutic Foster Care Authorizations
|
Word File |
PDF |
Bulletin #55 - 03/05/07: Western Highlands Network IPRS Timely Filing Limits
|
Word File |
PDF |
Bulletin #54 - 02/19/07: National Provider Identifier (NPI)
What is NPI, How to Register, and How to Bill
|
Word File |
PDF |
WHN NPI Collection Form
|
Excel Spreadsheet |
|
|
Bulletin #53 - 01/18/07: Consumer Follow-up Policy & Procedures
Note: Refer to Communication Bulletin #71- Consumer Follow-up and 1st Responder Crisis Response Policy & Procedures for updates to this policy.
|
Word File |
PDF |
Bulletin #52 - 01/10/07: Children’s Residential Treatment Level II Group (H2020) Children Residential Treatment Level III and IV (H0019) Medicaid Reimbursement
|
Word File |
PDF |
| Bulletin #51 - 01/02/07: Standardized Children in Residential Placement Room and Board Authorization/ Reimbursement |
Word File |
PDF |
Standardized State Authorization of Room & Board Letter (06/08/07)
|
Word File |
PDF |
Standardized Parent Letter of Notification
|
|
PDF |
Standardized DSS Letter of Notification
|
|
PDF |
|
______________________________________
|
|
|
|
2006 – Bulletins #22 - #50
|
|
|
| Bulletin #50 - 12/08/06: Lifting of 60-day Timely Filing Edit |
Word File |
PDF |
Bulletin #49 - 12/05/06: Electronic Claims Submission
Effective July 1, 2007 |
Word File |
PDF |
| Bulletin #48 - 11/07/06: Request to Change Contract Maximum |
Word File |
PDF |
Request to Change Contract Maximum Form
|
Word File |
PDF |
| Bulletin #47 - 08/17/06: Western Highlands Network IPRS Timely Filing Limits |
Word File |
PDF |
| Bulletin #46 - 07/20/06: Guidelines for Medical/Psychiatric Consultation |
Word File |
PDF |
|
Bulletin #45 - 07/20/06: Outpatient Commitment Policy & Procedures
Note: For historical use only, policy no longer applies. Please refer to Communication Bulletin #63
|
Word File |
PDF |
|
Bulletin #44 - 07/06/06: Consumer Demographic Registration Update (see also: Registration and Access)
Note: Bulletin #44 supersedes Bulletin #42
|
Word File
|
PDF
|
Consumer Demographic Info (Form is no longer valid, posted for historical use only.)
|
Word File |
PDF |
Access Screening (Form is no longer valid, posted for historical use only.)
|
Word File |
PDF |
| Bulletin #43 - 06/29/06: Mobile Crisis Management (MCM) in the Hospital Emergency Room (ER) |
Word File |
PDF |
Bulletin #42 - 06/15/06: Notification of New Consumer Demographic Registration Form Requirements
(Posted for historical purposes only. Please refer to Communication Bulletin #44.)
|
Word File |
PDF |
| Bulletin #41 - 06/12/06: 14-Day Limit on Pended Service Authorization Requests (see also: Service Authorization) |
Word File |
PDF |
Bulletin #40 - 06/15/06: Policy & Procedure for WHN Authorizations for Initial Mobile Crisis Management (MCM)
(see also: Emergency Services) |
Word File |
PDF |
Mobile Crisis Team Referral Form (06/15/06)
|
Word File |
PDF |
| Bulletin #39 - 06/06/06: General Procedures for use of Diagnostic Assessment (see also: Registration and Access) |
Word File |
PDF |
| Bulletin #38 - 06/06/06: Clarification of Service Authorizations for Individuals with Out of County Medicaid (see also: Service Authorization) |
Word File |
PDF |
| Bulletin #37 - 06/02/06: Room and Board Reimbursement Rates for Child Mental Health Residential Providers (see also: Reimbursement and Claims) |
Word File |
PDF |
| Bulletin #36 - 06/02/06: Purchase of Services Agreements (Contracts) for IPRS Funded Services for Fiscal Year 2007 |
Word File |
PDF |
| Bulletin #35 - 05/05/06: CAP-MR/DD Waiver Equipment and Supply Reimbursement Effective July 1, 2006 |
Word File |
PDF |
CAP-MR/DD Supply/Equipment Receipt and Authorization Confirmation Form
|
Word File |
PDF |
| Bulletin #34 - 04/25/06: Level III and IV Residential Rates |
Word File |
PDF |
|
Bulletin #33 - 04/17/06: Case Responsible Transfer Procedure
Note: Communication Bullletin #75 providesan update to this Bulletin #33.
|
|
|
Bulletin #32 - 03/31/06: Provider Appeals Policy
(see also: Grievances and Appeals) |
Word File |
PDF |
| Bulletin #31 - 03/30/06: Medicaid Authorization Process during transition to state-wide vendor (see also: Service Authorization) |
Word File |
PDF |
| Bulletin #30 - 03/30/06: Enhanced Benefits Reimbursement |
Word File |
PDF |
| Bulletin #29 - 03/21/06: Conditional Endorsement and Service Authorizations |
Word File |
PDF |
| Bulletin #28 - 03/09/06: Community Support Continuation Crosswalk |
Word File |
PDF |
Bulletin #27 - 03/08/06: Medicaid & IPRS Letter of Notification Protocol
(see also: Service Authorization) |
Word File |
PDF |
|
Bulletin #26 - 03/07/06: Provider Responsibilities as the First Responder to Consumer Crisis (see also: Emergency Services)
Note:Refer to Communication Bulletin #71Consumer Follow-up and 1st Responder Crisis Response Policy & Procedures for updates to this policy.
|
Word File |
PDF |
| Bulletin #25 - 03/03/06: Western Highlands Definition of Assertive Outreach |
Word File |
PDF |
| Bulletin #24 - 03/03/06: Summary of forms that have been updated on this website as of 03/03/06, including Service Authorization, Utilization Review, LOC Standard Care Guidelines, Access Grid, and more. |
Word File |
PDF |
Bulletin #23 - 02/27/06: Claim Submission Requirements for State Funded Services
|
Word File |
PDF |
Deadlines for Submitting Claims for IPRS Reimbursement
|
|
PDF |
| Bulletin #22 - 02/22/06: Therapeutic Leave for ADMRI Residential Services |
Word File |
PDF |
|
______________________________________
|
|
|
|
2005 – Bulletins #7 - #21
|
|
|
| Bulletin #21 - 12/29/05: CPT 2006 Code Review |
Word File |
PDF |
Bulletin #21 Addendum (01/17/2006)
CPT 2006 Code Changes
|
Word File |
PDF |
| Bulletin #20 -12/28/05: Authorization and Reimbursement for CMSED Residential Treatment Room and Board. Related Documents: |
Word File |
PDF |
Co-pay Letter to Parents
SSI Letter to Parents
|
Word File
Word File
|
PDF
PDF
|
| Bulletin #19 - 11/20/05: Service Authorization Request - Access Screening and Emergency Service |
Word File |
PDF |
| Bulletin #18 - 11/18/05: Changes to IPRS Target Population Form |
Word File |
PDF |
| Bulletin #17 - 11/01/05: Authorization & Reimbursement for Residential Treatment Room & Board |
Word File |
PDF |
| Bulletin #16 - 09/30/05: DD Targeted Case Management Billing |
Word File |
PDF |
| Bulletin #15 - 09/30/05: Recoupment, Reimbursement, Direct Enrollment Updates |
Word File |
PDF |
| Bulletin #14 - 09/21/05: Rate Adjustments and Benefit Design Changes Respite and Room & Board |
Word File |
PDF |
| Bulletin #13 - 07/21/05: Consumers With Private Insurance: A Clarification of the Coordination of Benefits Policy of 01/13/05 (see also: Reimbursement and Claims) |
Word File |
PDF |
Bulletin #12 - Reimbursement Business Practice Modifications and Medicaid Direct Enrolled Provider Registration
(This form no longer valid, for historical use only.) |
Word File |
PDF |
| Bulletin #11 - 06/02/05: Western Highlands Payment Cycles - FY 2006 |
Word File |
PDF |
| Bulletin #10 - 05/05/05: Western Highlands Claims & Authorization Table |
Excel Spreadsheet |
|
| Bulletin #9 - 01/14/05: Coordination of Benefits Policy (see also: Reimbursement and Claims) |
Word File |
PDF |
| Bulletin #8 - 01/14/05: Issues Related to Claims and Reimbursement |
Word File |
PDF |
| Bulletin #7 - 01/12/05: Updates on important issues |
Word File |
PDF |
|
______________________________________
|
|
|
|
2004 – Bulletins #1 - #6
|
|
|
| Bulletin #6 - 12/10/04: Updates on important issues |
Word File |
PDF |
| Bulletin #5 - 10/28/04: Re: Direct Provider Access |
Word File |
PDF |
| Bulletin #4 - 11/17/04: Re: Language Translation and Interpretation |
Word File |
PDF |
| Bulletin #3 - 10/27/04: Re: Service Authorization Requests |
Word File |
PDF |
| Bulletin #2 - 10/14/04: Clarifications |
Word File |
PDF |
| Bulletin #1 - 09/23/04: Clarifications |
Word File |
PDF |
| |
|
|
