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

 



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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