OBH TECHNICAL ASSISTANCE WEB OBH TECHNICAL ASSISTANCE WEB CONFERENCECONFERENCE

#2 FOR#2 FOROBH OBH CONTRACTCONTRACT PROVIDERS PROVIDERS

February 23, 2012February 23, 2012

PRESENTERSPRESENTERSPeter J. CalamariPeter J. Calamari

Quinetta WomackQuinetta WomackAnn DarlingAnn Darling

Tricia HensarlingTricia HensarlingDanita LeBlancDanita LeBlanc

GOAL GOAL

• Goal of today’s conference is to reinforce some fundamental elements of the transition from current OBH service patterns to the service patterns provided under the La Behavioral Health Partnership.

• Link to Magellan Provider Trainings: http://new.dhh.louisiana.gov/index.cfm/page/1093

SERVICE RECIPIENTSSERVICE RECIPIENTS

SERVICE RECIPIENTSSERVICE RECIPIENTS• All OBH service recipients currently receiving services,

either through OBH clinics or Contracts, will continue to receive services after March 1, 2012 either funded by Medicaid or OBH.

• The Office has made a commitment to consumers that services will not be interrupted because of the transition to Louisiana Behavioral Health Partnership.

• Regional Clinics and Contractors are to do all in their power to assure this commitment is fulfilled.

NON-CONTRACTED SERVICESNON-CONTRACTED SERVICES

NON-CONTRACTED SERVICESNON-CONTRACTED SERVICES• A Non-Medicaid Manual of services is under development. Until it is

published, providers are to assume the services described in the Medicaid Manual are available for patients who do not qualify for Medicaid.

• Non-contracted services described in the Medicaid Manual, whether funded by Medicaid or State General Funds, must begin to be entered into Clinical Advisor beginning March 1, 2012.

• Medicaid Service Manual: http://dhh.louisiana.gov/assets/docs/BehavioralHealth/LBHP/LBHPSvcsManv5.pdf

• Service Rates Document: http://new.dhh.louisiana.gov/index.cfm/page/538

SPECIAL OBH CONTRACTED SPECIAL OBH CONTRACTED SERVICESSERVICES

SPECIAL OBH CONTRACTED SERVICESSPECIAL OBH CONTRACTED SERVICES

• The following services in OBH contracts are also required to be entered into Clinical Advisor beginning March 1, 2012: Assertive Community Treatment (ACT), Multi-systemic Therapy (MST), Family Functional Therapy (FFT), Homebuilders and all Addiction services delivered through OBH Contracts (excluding Gambling and Prevention).

• OBH contracted services NOT described in the Medicaid Manual will NOT be entered in Clinical Advisor and will continue to be documented and reimbursed via contract specifications.

• Note: Up to 1yr. to bill Medicaid for services not entered in Clinical Advisor by March 1st.

CURRENT CONTRACTSCURRENT CONTRACTS

CURRENT CONTRACTSCURRENT CONTRACTS

• OBH will be amending current year contracts in the next 30-45 days to recognize the 2 sources of funding available after March 1, 2012 through Magellan’s enrolled providers and therefore the OBH state funded contracts will be reduced to recognize the Medicaid funded services.

• OBH will have individual discussions with providers concerning these proposed amendments.

OBH TECHNICAL ASSISTANCE TEAMSOBH TECHNICAL ASSISTANCE TEAMS

OBH TECHNICAL ASSISTANCE TEAMSOBH TECHNICAL ASSISTANCE TEAMS• Behavioral Health Adults (1915i) – Medicaid & Non-Medicaid

– Team Lead: Tricia Hensarling, 225.342.1075, Tricia.Hensarling@la.gov– Associate Lead: Leslie Brougham Freeman, 225.342.5705,

Leslie.BroughamFreeman@la.gov• Assertive Community Treatment and Intensive Case Management – Medicaid

& Non-Medicaid– Team Lead: Ann Darling, 225.342.3564, Ann.Darling@la.gov– Associate Lead: Tara DeLee, 225.342.8705, Tara.Delee@la.gov

• Adult & Child/Youth Residential – Medicaid & Non-Medicaid– Team Lead: Danita LeBlanc, 225.342.9682, Danita.Leblanc@la.gov– Associate Lead: Bill Blanchard, 225.342.7142, Bill.Blanchard@la.gov

• Addictive Disorders/Mental Health for Children/Youth (Non-CSoC) Intensive Outpatient (IOP) & Outpatient – Medicaid & Non-Medicaid– Team Lead: Quinetta Womack, 225. 342.8952, Quinetta.Womack@la.gov– Associate Lead: Brian Knight, 225.342.6818, Brian.Knight@la.gov

OBH TECHNICAL ASSISTANCE TEAMS OBH TECHNICAL ASSISTANCE TEAMS (CONTINUED)(CONTINUED)

• Addictive Disorders Adult Intensive Outpatient (IOP) & Outpatient – Medicaid & Non-Medicaid– Team Lead: Charlene Gradney, 225.342.9239, Charlene.Gradney@la.gov– Associate Lead: Traci Perry, 225.342.5159, Traci.Perry@la.gov

• Professional Services– Team Lead: Sue Austin, 225.342.4624, Sue.Austin@la.gov– Associate Lead: Robyn Howard, 225.342.0859, Robyn.Howard@la.gov

• Crisis Services– Team Lead: Cassandra Wilson, 225.342.3889, Cassandra.Wilson@la.gov– Associate Lead: Joanna Tonguis, 225-342-8641, Joanna.Tonguis@la.gov

NOTE: If uncertain about appropriate team to contact, please contact Tricia Hensarling (tricia.hensarling@la.gov ) for services to the adult population and Quinetta Womack (quinetta.womack@la.gov)for services to the child/youth population. We will direct you to the appropriate team.

ACTION NEEDED FOR LBHP ACTION NEEDED FOR LBHP ENROLLMENTENROLLMENT

ACTION NEEDED FOR LBHP ENROLLMENTACTION NEEDED FOR LBHP ENROLLMENT

• OBH Certification http://new.dhh.louisiana.gov/index.cfm/page/538– Complete Certification Application (Individual or

Organization)• Complete training components of Certification if applicable;

keep track of the trainings– Be familiar with LBHP Service Manual & codes

• Magellan www.magellanoflouisiana.com (Provider Tab)

– Enrollment=complete Credentialing application– Contract with Magellan– Take advantage of trainings and provider forums

ACTION NEEDED FOR LBHP ENROLLMENT ACTION NEEDED FOR LBHP ENROLLMENT (CONTINUED)(CONTINUED)

• Licensing – LMHPs: Individual Licenses from respective boards– Organizational Licensing

• DHH Bureau of Health Standards http://new.dhh.louisiana.gov/index.cfm/page/248/n/24

• DCFS for Non-Medicaid Group Homes (NMGH) http://www.dss.state.la.us/index.cfm?md=pagebuilder&tmp=home&pid=260

• Accreditation: – Bodies:

• Counsel On Accreditation (COA) http://coanet.org/• Counsel On Accreditation for Rehabilitation Facilities (CARF)

http://www.carf.org/home/• Joint Commission http://www.jointcommission.org/

– Who needs it?• Psychiatric Residential Treatment Facility (PRTF) –before payment• Therapeutic Group Homes (TGH) & AD Residential – up to 18 months to get

accredited

http://new.dhh.louisiana.gov/index.cfm/faq/category/87

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