Provider Communication Bulletins

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Communication Bulletins
Bulletin #84 - 06/30/2008 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
PCP Admission 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
Case Status Determination Tool (4/25/08)	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
Assignment of Case Reponsibility/1st Responder	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
Bulletin #71 - 12/14/07 Provider Responsibilities as the First Responder to Consumer Crisis; Consumer Follow-up and 1st Responder Crisis Response Policy & Procedures This has been superceded by Bulletin #84	Word File	PDF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 has been superceded by Bulletin #84.	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 Notice: 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 *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
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 This has been superceded by Bulletin #84.	Word File	PDF
Bulletin #44 - 07/06/06 Consumer Demographic Registration Update (see also: Registration and Access page) This Bulletin Supersedes Communication 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 Historical use only, policy no longer applies. Please refer to Communication Bulletin #44. Notification of New Consumer Demographic Registration Form Requirements	Word File	PDF
Bulletin #41 - 06/12/06 14-Day Limit on Pended Service Authorization Requests (see also: Service Authorization page)	Word File	PDF
Bulletin #40 - 06/15/06 Policy & Procedure for WHN Authorizations for Initial Mobile Crisis Management (MCM) (see also: Emergency Services page)	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 page)	Word File	PDF
Bulletin #38 - 06/06/06 Clarification of Service Authorizations for Individuals with Out of County Medicaid (see also: Service Authorization page)	Word File	PDF
Bulletin #37 - 06/02/06 Room and Board Reimbursement Rates for Child Mental Health Residential Providers (see also: Reimbursement and Claims page)	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 Please refer to Communication Bullletin #75 for an update to this Communication.
Bulletin #32 - 03/31/06 Provider Appeals Policy (see also: Grievances and Appeals page)	Word File	PDF
Bulletin #31 - 03/30/06 Medicaid Authorization Process during transition to state-wide vendor (see also: Service Authorization page)	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 page)	Word File	PDF
Bulletin #26 - 03/07/06 Provider Responsibilities as the First Responder to Consumer Crisis (see also: Emergency Services page) * Refer to Communication Bulletin 71: Consumer 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
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 Residential Treatment RB SII Worksheet	Word File Word File Word File	PDF 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 page)	Word File	PDF
Bulletin #12 - Updated 04/02/08 Reimbursement Business Practice Modifications and Medicaid Direct Enrolled Provider Registration	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 page)	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
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