Western Highlands Network
Western Highlands Network

Operations Manual

Operations Manual (11/30/07)

 

  PDF (374K)

WHN Provider Manual

 
  • Medicaid and State Funded Providers
  • The absence of a designation (Medicaid or State Funded)
    means information or source applies to both types of providers
   

Section I

Provider Relations

   
  Technical Assistance, Training Collaboration
 
   
  Problem Resolution (Disputes and Appeals)
 
   
  Who to Contact for Questions
 
   
  Notification of Change of Address
 
   

Section II

Comprehensive List of Requirements (new/updated grid)

 
  • For the Comprehensive List of Requirements please see the above WHN Provider Manual.
   

Section III

Authorization Process

 
   

Section IV

Claims

   
  LME fee collection policy and minimum fee/sliding scale fee schedules
 
   
  Claims Filing Requirement
 
   
  Payment Schedule
 
   
  Claims Adjudication
 
   

Section V

Provider Documentation Submission Requirements -

 
   

Section VI

Quality Improvement & Performance Monitoring

   
 

Provider Monitoring (AP surveys, reporting on Performance Indicators)

   
  Client Rights Reporting
 
   
  Incident Reporting
 
   
  Person-Centered Planning
 
   

Section VII

Area Authority-Specific Policies/Forms/Local Governance Requirements (not included elsewhere) - State Funded Providers

 
   

Section VIII

Glossary of Terms (Division and LME)

 
  • A full listing of Glossary of Terms can be accessed within the above WHN Provider Manual
   

Section IX

Appendix of Resource List - Website - Council

 
   
   

 

 

Western Highlands Network | 356 Biltmore Avenue | Asheville, NC 28801

Consumers: 828-225-2800 or 1-800-951-3792 | Providers: 828-225-2785 or 1-800-671-6560 | Fax: 828-225-2784