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Western Highlands Network Provider Newsletters

Following are the archives of all Friday E-Mail Newsletters for Providers. As of January 2008 we are posting the newsletters as Word documents or PDF files for more convenient downloading and printing.

June 27, 2008: Word File or PDF

  • Buncombe County System of Care Training Opportunities
  • Social Security Representative Payees
  • NAMI Family-to-Family

June 20, 2008: Word File or PDF

  • Clarification Regarding WHN Communication Bulletin #82: Revised CDW Reporting Requirements and Family Size and Family Income Data for Active Consumers.

June 13, 2008: Word File or PDF

  • Dual Recovery Anonymous
  • Uninsured Resources Website
  • Monitoring of QP Services
  • System of Care Training & Calendar Information

June 06, 2008: Word File or PDF

  • Upcoming CMS Audits
  • Utilization Management - Getting a Case Number
  • Claims & Reimbursement - 837 with NPI, NPI Training Schedule
  • Buncombe County Special Needs Registry

May 16, 2008: Word File

  • Claims and Reimbursement News - NPI Edits
  • Hospital Diversion Sites
  • NCTOPPS Information
  • SOAR (Sisters Overcoming Abusive Relationships) Caucus Meeting

May 09, 2008: Word File or PDF File

  • Monitoring of Qualified Professions (QP) Service
  • Grand Opening Ceremony for the Crisis Stabilization Unit
  • Claims and Reimbursement News
  • Neil Dobbins Center - Crisis Stabilization Unit Admission Procedure
  • WHN Service Gap Study
  • Consumer Run Business Event

May 02, 2008: Word File or PDF File

  • Claims and Reimbursement News
  • Coordination Of Care Task Force
  • Upcoming Event

April 25, 2008: Word File or PDF File

  • Next Step Recovery 2nd Annual Golf Tournament
  • Claims & Reimbursement
  • Consumer Run Business Event

April 18, 2008: Word File or PDF File

  • State Funded - Timely Filing Edit
  • Working for your Future

April 11, 2008: Word File or PDF File

  • NC TOPPS Guidelines
  • NPI Implementation Training
  • State Funded – Timely Filing Edit
  • Access/Utilization Management Information

April 4, 2008: Word File or PDF File

  • Polk County Wellness Coalition Announcement
  • Jail Assessment and Coordination Codes
  • State Funded-Timely Filing Edit
  • Upcoming Trainings, Meetings and Events

March 28, 2008: Word File or PDF File

  • Claim Submissions Information
  • Uninsured Resource for Buncombe County
  • Authorization Data
  • Upcoming Trainings / Meetings

March 21, 2008: Word File or PDF File

  • Access Dept Reminder: Providers should use 225-2785
  • NC TOPPS News
  • National Core Indicators Study
  • Critical Incident Reporting
  • Upcoming Trainings / Meetings

March 14, 2008: Word File or PDF File

  • Rutherford County is seeking requests for grant proposals in the area of Behavioral Health
  • Services Management: SAIOP News
  • Rejected SAR Reminder
  • Authorization Data
  • Upcoming Trainings / Meetings

March 7, 2008: Word File or PDF File

  • New Leadership Team Set for Mental Health, Developmental Disabilities, and Substance Abuse Services
  • Monitoring Corner
  • National Provider Identification (NPI)
  • Integrated Dual Diagnosis Treatment (IDDT)
  • Authorization Data
  • Upcoming Trainings / Meetings

February 29, 2008: Word File or PDF File

  • Special Bulletin from the DMA to Check Medicaid Eligibility
  • Authorization Data
  • Upcoming Trainings / Meetings

February 22, 2008: Word File or PDF File

  • Community & Consumer Happenings - NAMI and More
  • Authorization Data
  • Upcoming Events and Trainings
  • The Monitoring Corner

February 15, 2008: Word File or PDF File

  • Updates to the Monitoring Corner
  • Crisis Continuum/Care Coordination (CC)
  • Authorization Data
  • Upcoming Events and Trainings
  • Helpful Links

February 8, 2008: Word File or PDF File

  • DMA Enrollment Application Update
  • Therapeutic Foster Care Crisis Beds for Children
  • Upcoming Events and Trainings
  • Helpful Links

January 25, 2008: Word File or PDF File

  • WHN Welcomes New Employees
  • Meet the Monitoring Unit
  • Upcoming Trainings
  • Community & Consumer Happenings

January 18, 2008: Word File or PDF File

  • Court Orders
  • Introduction to the Monitoring Unit

Number 103: 11/16/2007

  • Happy Thanksgiving!
  • Changes Within Western Highlands

Number 102: 11/09/2007

  • WHO Does WHAT in this SYSTEM?

Number 101: 10/05/2007

  • Some tips about the SAR!
  • Something we've noticed...
  • NEW PHONE NUMBERS
  • Basic Benefit
  • A Final Note

Number 100: 10/01/2007

  • Updated Grids!
  • Division Changes to PCP and Accessing Services
  • WESTERN HIGHLANDS POLICY ABOUT PROTECTION OF PATIENT INFORMATION

Number 99: 9/07/2007

  • For New Consumers, the Process Starts with Access
  • General Notes to Consider...
  • Electronic Entry of SARs is Coming!
  • New UR Guidelines Coming for State Funds!
  • New Telephone Numbers for Providers!

Number 98: 7/20/2007

  • Western Highlands Network Announces An Initiative to Facilitate Monitoring for Metabolic Syndrome

Number 97: 6/29/2007

  • A few reminders about PCPs revisions and rules...
  • Lost in the mail LONs?
  • SFY08 Purchase for Service Contracts
  • Coming Soon: Western Highlands Website Survey

Number 96: 5/18/2007

  • CASES MUST BE OPENED BEFORE COMMUNITY SUPPORT BEGINS!

Number 95: 4/27/2007

  • Update on New Vistas/Mountain LaurelMedical Records

Number 94: 4/13/2007

  • WHN Announces Updated Training Schedule

Number 93: 3/30/2007

  • URGENT MESSAGE
    REGARDING National Provider Identification Numbers (NPI)!!!

Number 92: 3/23/2007

  • Western Highlands Network Announces New Substance Abuse Target Population

Number 91: 3/16/2007

  • News from the Community Support Audit

Number 90: 3/9/2007

  • Back By Popular Demand
    More Answers to Frequently Asked Questions!

Number 89: 3/2/2007

  • So What Do You Mean When You Say Recovery?

Number 88: 2/23/2007

  • Western Highlands Network Announces New Federal Poverty Guidelines

Number 87: 2/16/2007

  • Work Smarter Not Harder! Answers to some Frequently Asked Questions

Number 86: 2/9/2007

  • Western Highlands Announces Upcoming Training Opportunities, a Quick Reminder Regarding Pended SARS, and an Update on Value Options.

Number 85: 2/2/2007

  • Western Highlands Network Announces Best Practice Guidelines for Consumer Follow-up and an Additional Training Opportunity

Number 84: 1/26/2007

  • Western Highlands Network Relaxes Requirement for SA Intensive Outpatient Programs

Number 83: 1/19/2007

  • Update on PCPs and the NVML Transition

Number 82: 1/5/2007

  • Update on Children’s Residential Room and Board Rates…
    Get the details!

Number 81: 12/29/2006

  • Happy Birthday WHN, plus a few facts on services provided
  • Holiday Schedule

Number 80: 12/22/2006

  • NC Health Choice Recognizes Targeted Case Management for Children

Number 79: 12/15/2006

  • Western Highlands Network Announces Lifting of 60-day Timely Filing Edit

Number 78: 12/8/2006

  • WHN Announces New Policy for Electronic Claims Effective July 1, 2007

Number 77: 12/1/2006

  • How Can I Become a More Culturally Competent Clinician?

Number 76: 11/17/2006

  • WHN Announces New Child/Adolescent Hospital Liaison

Number 75: 11/3/2006

  • New Vista/Mountain Laurel Transition Information

Number 74: 10/27/2006

  • An Urgent Message from Anne Doucette,
    Director of Provider and Consumer Relations

Number 73: 10/20/2006

  • WHN Announces Training Opportunities

Number 72: 10/13/2006

  • Back to the Basics in Adult Mental Health…Sometimes What You See Can Be Misleading!

Number 71: 10/6/2006

  • New state-required Screening, Triage and Referral (STR) and PCP Admission forms required by the state for the Access and registration system

Number 70: 9/29/2006

  • New Vistas Mountain Laurel Announces Closing Date

Number 69: 9/22/2006

  • WHN Announces Streamlined Process for IPRS Funded SA IOP Authorizations

Number 68: 9/15/2006

  • A few friendly reminders regarding the use of the new PCP format

Number 67: 9/8/2006

  • Guidelines for Medical/Psychiatric Consultation and a Quick Reminder about Respite

Number 66: 8/25/2006

  • Follow-up On Outpatient Commitments: The Good, The Bad, and The Required

Number 65: 8/18/2006

  • A Few Reminders Regarding Value Options Authorizations

Number 64: 8/11/2006

  • Western Highlands Network Provides Additional Clarification on Community Support and Mobile Crisis Team Services

Number 63: 8/04/2006

  • New Features Now Available on WHN Website
  • WHN Provider Survey Open until 8/14/06

Number 62: 7/28/2006

  • A Few Words About Service Authorization Requests, Progress Towards Goals, Value Options and Incident Reporting...
  • Please participate in the Provider Survey, open until 8/14/06

Number 61: 7/21/2006

  • Important Information Coming With July Medicaid Cards
  • A Quick Reminder on Accessing the Officer of the Day

Number 60: 7/14/2006

  • Western Highlands Network Announces Provider Satisfaction Survey Now Available on the Web!
  • Extra Extra... Value Options Forum on requesting CAP-MR/DD services through their agency.
  • CBS to CAP-MR/DD Update
  • And now a word about H-codes and Value Options...

Number 59: 7/07/2006

  • Western Highlands Network Announces Additional Implementation Guidelines for Diagnostic Assessment

Number 58: 6/30/2006

  • Western Highlands Network Announces Clarification on the Use Mobile Crisis Management, First Responder, and Community Support Services

Number 57: 6/23/2006

  • Western Highlands Announces New Target Population
  • A Reminder for CAP-MR/DD Providers

Number 56: 6/16/2006

  • Western Highlands Network Announces Change in Substance Abuse Intensive Outpatient Authorization Procedure

Number 55: 6/09/2006

  • Western Highlands Network Receives Additional Clarification Regarding the Implementation of the New PCP Format

Number 54: 5/26/2006

  • Western Highlands Network Provides Additional Information For EPSDT Funds

Number 53: 5/19/2006

  • Value Options Announces Transition Dates for Medicaid Authorizations

Number 52: 5/12/2006

  • Community Support and Targeted Case Management. Which service do I use?

Number 51: 5/05/2006

Number 50: 4/28/2006

  • Western Highlands Provides Additional Clarification on Diagnostic Assessment

Number 49: 4/21/2006

  • Let's Review...The Out of Catchment Medicaid Procedure

Number 48: 4/07/2006

  • So What do you mean by Medical Necessity?

Number 47: 3/31/2006

  • NC Division of MH/DD/SAS Announces Cross Walk of Social Worker Roles in New Service Definitions

Number 46: 3/24/2006

  • WHN Announces New Child/Adolescent Hospital Liaison

Number 45: 3/17/2006

  • WHN Announces Revised Criteria for Assertive Outreach

Special Edition: 3/10/2006

  • WHN Announces Cross Walk of CBS and Case Management to Community Support

Number 44: 3/10/2006

  • Provider Responsibilities as the First Responder to Consumer Crisis

Number 43: 3/03/2006

  • WHN announces new Service Authorization and Utilization Review documents!

Number 42: 2/24/2006

  • I have a request outside of the Standard Care Guidelines, What do I do?

Number 41: 2/17/2006

  • Requests for the new Service Definitions may be submitted starting February 17, 2006

Number 40: 2/10/2006

  • Attention All Case Managers Who Serve Consumers With Developmental Disabilities!

Number 39: 2/03/2006

  • CPT Code Changes for 2006!
  • Update on Retroactive Authorizations

Number 38: 1/27/2006

  • Authorization and Reimbursement for CMSED Residential Treatment Room and Board.

Number 37: 1/20/2006

  • New Crisis Planning Worksheet for Providers and Families now avaiable on the WEB!
  • A Few Quick Reminders

Number 36: 1/13/2006

  • New and Enhanced Service Definitions have been approved!
  • A Few Quick Reminders

Number 35: 1/06/2006

  • Happy New Year from Western Highlands Network!
  • A Few Quick Reminders

Number 34: 12/16/2005

  • When to Step Down or Not to Step Down, That is the Question!
  • A Few Quick Reminders

Number 33: 12/09/2005

  • Coordination of Benefits and Third Party Liability... What's it all about?
  • A Few Quick Reminders

Number 32: 12/02/2005

  • Training Resources Available for Case Managers on the WHN Website!
  • A Few Quick Reminders

Number 31: 11/25/2005

  • WHN Announces "Grace Period" for November Residential Treatment Room and Board!

Number 30: 11/18/2005

  • WHN Announces Target Population Worksheet Changes
  • A Few Quick Reminders

Number 29: 11/11/2005

  • Adult Mental Health Utilization Review Update
  • A Few Other Reminders

Number 28: 11/04/2005

  • A Quick Reminder About Letters of Authorizations (LOAs)
  • Adult Mental Health Target Population Designations
  • A Few Reminders

Number 27: 10/28/2005

  • New Option for Verifying NC Health Choice Eligibility Available to Families in the Western Highlands Network
  • Feedback from the Division of MH/DD/SAS Audit
  • A Few Reminders... Effective November 1

Number 26: 10/21/2005

  • Crisis Continuum Services for Children and Adolescents
  • Respite Authorizations

Number 25: 10/14/2005

  • Planning for Crisis: The Time is NOW!
  • What do I do?
  • A few other reminders
  • Coming Next Week: The Continuum of Crisis services available to children and adolescents in the WHN network!

Number 24: 10/07/2005

  • My consumer has Medicaid active to a county outside of the WHN catchment area!
  • What happens now?
  • A few other reminders

Number 23: 09/30/2005

  • Help! It's Friday and I Have an Urgent Request!
  • What Should I Do?
  • A few other reminders

Number 22: 09/23/2005

  • Help! I need more units authorized!
  • What Should I Do?
  • Update on OTRs

Number 21: 09/16/2005

  • Information Regarding Hurricane Katrina Evacuees
  • What Should I Do?
  • Continuity of Care
  • New Director of Services Management Department at WHN

Number 20: 09/09/2005

  • What do I do for my consumer who is turning 18?

Number 19: 09/02/2005

  • It's Endorsement Time!

Number 18: 08/26/2005

  • Help Us Service You Better!

Number 17: 08/19/2005

  • End the Frustration of Pended SARs!!
  • New SAR Proposed

Number 16: 08/12/2005

  • Friday Tidbits
  • Providers Putting Consumers First - Thank You!

Number 15: 08/05/2005

  • Take the Hassle Out of Getting Residential Services Approved!
  • "I Don't Know Which Provider to Seek Authorization For"

Number 14: 07/29/2005

  • What Are 3 Often-Overlooked Elements of the PCP?

Number 13: 07/22/2005

  • "Standard Care" Makes Authorizations Easier
  • Implementation of CAP Waiver

Number 12: 07/15/2005

  • "You've Got to be Kidding about This NO Retro Thing!"
  • Why
  • The Rule and Exceptions

Number 11: 07/12/2005

  • Temporary Respite Benefits Defined for 2005-06

Number 10: 07/08/2005

  • "Tracking SARs is a Pain; I Have a Caseload of 120"
  • How to Use the Tracking Sheet

Number 09: 07/01/2005

  • IPRS Target Population Primer - Part 2
  • Pended SARS Will Not Be Automatically Denied

Number 08: 06/24/2005

  • IPRS Target Population Primer - Part 1

Number 07: 06/17/2005

  • Submitting Information to the LME
  • When a Consumer Changes Case-Responsible Agencies

Number 06: 06/10/2005

  • Your Letter of Authorization (LOA) Will Look Different
  • New and Improved OTR!

Number 05: 06/03/2005

  • Revised Provider Choice Policy
  • Resources on the Web!
  • Important Policy About Pended SARs

Number 04: 05/27/2005

  • NO More Administrative Denials!
  • IPRS Target Population Policy
  • Quiz Question of the Week
  • Age 3-5 Services
  • Are You Reading This Newsletter???

Number 03: 05/20/2005

  • 3 Ways to Avoid Pended SARs
  • Diagnoses: The Devil is in the Details!
  • Your Responsibility for UR

Number 02: 05/13/2005

  • Good News About Sending In SARs
  • Send Us Your Post-June 30 SARs
  • Retro May Be "In", But Not at the LME

Number 01: 05/06/2005

  • Staying In Touch With Providers
  • New Guidelines for Person-Centered Plans
  • What To Do When Consumers Change Providers