• 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

• www.westernhighlands.org/pr_training.htm

• Medicaid Provider - www.dhhs.state.nc.us/dma
• State Funded Provider - WHN website www.westernhighlands.org/pr_grievances.htm

• Medicaid Provider - DMA website www.dhhs.state.nc.us/dma
• State Funded Provider - WHN web site www.westernhighlands.org/contact.htm

• Medicaid Provider - (USE DMA forms) www.dhhs.state.nc.us/dma
• State Funded Provider - Please complete and submit the Agency Provider Profile and the Access Referral Form to the Provider & Consumer Relations Department.

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

• Medicaid Provider - www.dhhs.state.nc.us/dma
• Value Options - http://www.valueoptions.com/providers/Providers.htm
• State Funded Provider - WHN web site www.westernhighlands.org/pr_servauthprocedures.htm

Section IV

Claims

• State Funded Provider - WHN web site www.westernhighlands.org/pr_reimbursement.htm

• Medicaid Provider - www.dhhs.state.nc.us/dma
• State Funded Provider - WHN web site www.westernhighlands.org/pr_reimbursement.htm

• Medicaid Provider - www.dhhs/state.nc.us/dma
• State Funded - WHN web site www.westernhighlands.org/pr_reimbursement.htm

• Medicaid Provider - DMA web site www.dhhs.state.nc.us/dma
• State Funded - WHN web site www.westernhighlands.org/pr_reimbursement.htm

Section V

Provider Documentation Submission Requirements -

• Medicaid Provider - DMA web site www.dhhs.state.nc.us/dma
• For a listing of State Funded documentation requirements please review the Western Highlands web site under the specific area of interest - www.westernhighlands.org/forproviders.htm

Section VI

Quality Improvement & Performance Monitoring

Provider Monitoring (AP surveys, reporting on Performance Indicators)

• www.westernhighlands.org/pr_performance.htm

• http://www.ncdhhs.gov/mhddsas/consumeradvocacy/customerserviceandcommunityrights/client-rights-laws-rules-policies.htm
• www.westernhighlands.org/clientrights.htm

• http://www.ncdhhs.gov/mhddsas/statspublications/manualsforms/index.htm
• www.westernhighlands.org/pr_incident.htm

• DMH - www.dhhs.state.nc.us/mhddsas
• WHN - www.westernhighlands.org/pr_crisisplan.htm

Section VII

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

• Please refer to the above full WHN Provider Manual for complete details
• A listing of all WHN Communication Bulletins can be accessed at www.westernhighlands.org/pr_commbulletins.htm

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

• www.westernhighlands.org/links.htm