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Join us for the CBHNP Provider Meeting Spring 2007, focusing on critical topics in quality improvement, clinical practices, and provider relations. The agenda includes discussions on critical incident reporting, quality treatment record reviews, and challenges surrounding referrals of children over age 17. We will address strategies for engagement of families in treatment, discharge planning, and recent health choices expansions. Providers are encouraged to share experiences and insights. Collaboration will enhance service quality and address the complexities of care delivery.
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Agenda • Introductions • Quality Improvement • Clinical • Provider Relations • Questions
Quality Improvement Agenda • Critical Incident Reporting • Quality Treatment Record Reviews • IPRO
Clinical Agenda • Referrals of children over age 17 • Lack of therapeutic value vs immediate safety risks • Discharge Planning • July 1, 2007 HealthChoices Expansion • Engagement of family • strategies that have been successful or not
Clinical • Referrals of children over age 17 • This age range is difficult to place • What are the issues around accepting children in this age group? • Therapeutic Value • Requests to remove CBHNP funded children to CYS and JPO w/o discussing with CBHNP • Immediate safety – assess for Inpatient • Lack of therapeutic progress-call team meeting • Opportunity for transfer to new facility vs. placing into shelter without treatment
Clinical • Discharge Planning • Engagement of Families into treatment • July 1, 2007 HealthChoices Expansion • Packets submission beginning June 19 • CBHNP will review for remainder of request period • Zone changes and potential impact to RTF • Review of Appendix V codes • Check insurance to verify payment source • Non-medically necessary placements
Provider Relations Agenda • Billing • NPI # • Can apply online at https://nppes.cms.hhs.gov/NPPES/Welcome.do • Website for more information: http://www.cms.hhs.gov/NationalProvIdentStand/ • Providers must communicate their NPI to CBHNP • Send by faxing to Provider Relations at 717-671-6522 • Provider updates • Vision Quest