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INSPIRE WELLNESS

March 3, 2021

In this issue:

  • Billing and Rendering NPI Required on Claim Submission
  • COVID
  • Statewide COVID Vaccine Information
  • Colorado Vaccine Equity Taskforce
  • Provider Resources and Information
  • Electronic Visit Verification Compliance
  • New Utilization Management Partner for Colorado Medicaid
  • Feds Announce Open Enrollment
  • Become a CARE Network Provider
  • Upcoming events and webinars

Billing and Rendering NPI Required on Claim Submissions

Beacon Health Options is excited to announce that we are enhancing our claims processing system. In an effort to reduce the need to adjust or correct claims periodically, the following adjustment is being made to our claims documentation requirements to enhance our claims processing accuracy.

Effective March 1st, 2021:

  • Providers must include both the billing and the rendering NPI numbers in the appropriate boxes on all HCFA 1500 (professional) paper claim submissions and/or the 837-p equivalent.
  • Solo practitioners must submit their NPI in both the billing and rendering fields.
  • Group and facility providers must submit the billing NPI as well as the rendering NPI numbers in the appropriate fields. Please note, for group and facility providers, the billing NPI is different and distinct from the rendering NPI.

As of 3/1/21, claims that are missing either NPI number will be denied if received on paper or rejected if received electronically as the claim will not meet our enhanced claims management criteria. Providers should resubmit denied or rejected claims with appropriate NPI numbers within applicable timeframes for processing.


Thank you in advance for taking the time to assist in our commitment to enhance the provider claims experience.

COVID

Statewide COVID Vaccine Information

Colorado Department of Public Health and Environment has extensive resources and information regarding the COVID vaccine. 

Colorado Vaccine Equity Taskforce

The Colorado Vaccine Equity Taskforce exists to ensure that all groups – regardless of race, ethnicity, ability and other factors – have all the facts to make informed decisions about the safety of vaccines for their families, and to hold leaders accountable for ensuring access to these vaccines for all.

Please visit the Colorado Vaccine Equity Taskforce webpage for more in depth information regarding the "facts" surrounding the safety of the vaccine, what you should know about taking the vaccine and the access to the vaccine for everyone.

PROVIDER RESOURCES AND INFORMATION

Electronic Visit Verification Compliance

 A message from The Colorado Department of Health Care Policy & Financing:


HCPF OM 21-020 Electronic Visit Verification (EVV) Compliance Timeline Update is now available on the 2021 Memo Series Communications web page under the 2021 Operational Memos drop-down section. This memo informs EVV stakeholders of the updated implementation timeline and how the Colorado Department of Health Care Policy & Finance (the Department) will enforce implementation.

For more EVV updates, visit the Electronic Visit Verification web page.

New Utilization Management Partner for Colorado Medicaid

A message from The Colorado Department of Health Care Policy & Financing:


Keystone Peer Review Organization (Kepro) will be the new utilization management (UM) partner for Health First Colorado (Colorado’s Medicaid Program). Kepro is replacing eQHealth Solutions, Inc. and will begin to receive Prior Authorization Requests (PARs) no earlier than May 1, 2021. Kepro will also be responsible for the prior authorization of select Physician Administered Drugs (PAD).

Click here for more information and to view the entire letter.

Feds Announce Open Enrollment

President Biden issued an Executive Order that re-opens enrollment of the Affordable Care Act marketplaces. While the order pertains to states that use the federal exchange (healthcare.gov), Colorado’s exchange (Connect for Health Colorado) will mirror the order by also re-opening enrollment. In fact, Coloradans without health insurance will be able to enroll in coverage through ConnectforHealthCO.com between Feb. 8 - May 15, 2021. This special enrollment period is for people who are without health insurance and begins a week earlier than the federal exchange. CLICK HERE for the entire letter from Kim Bimestefer with more information.

UPCOMING EVENTS AND WEBINARS

RAE ROUNDTABLE BEHAVIORAL HEALTH

  • Second Friday of every month at 11am

Please click the link below to join the Zoom webinar:

https://beaconhealthoptions.zoom.us/j/99574388100?

pwd=ekdsNkFQTHp3Qi9kUDVhZlh3bEtLZz09



Or By Telephone: 1-669-900-6833 

Webinar ID: 995 7438 8100

Passcode: 173943

Visit the HCI website for details on previous calls.

SUD EXPANDED BENEFIT PROVIDER FORUM

  • Third Tuesday of every month at 10am

Please click the link below to join the webinar:

https://beaconhealthoptions.zoom.us/j/92568619312?pwd=UGI1SDdyUjN3TGJycGZGUXBvSzhiQT09

 

Or By Telephone: 1-669-900-6833

Webinar ID: 925 6861 9312

Passcode: 867336

Visit the HCI website for details on previous calls.

Beacon Health Options’ Quality Team is hosting a Zoom training: MENTAL HEALTH AND SUD DOCUMENTATION STANDARDS

  • March 11, 2021 from 9am-12PM (MST)
  • Click here for details and call in information.

Beacon Health Options’ Quality Team is hosting a Zoom training: THE NEW SUD INPATIENT TREATMENT DOCUMENTATION STANDARDS

  • March 18, 2021 from 9am-12pm (MST)
  • Click here for details and call in information.

Health Colorado and Beacon host a monthly workshop: LIFE CARE PLANNING ADVANCE DIRECTIVES VIRTUAL WORKSHOP

  • Providers, Care Coordinators, and Members are invited to participate in this "working" workshop where forms are available for members to state their wishes if they were unable to communicate them.
  • The last Thursday of each month
  • 2 sessions are available: 11:30am-1:00pm AND 6:30pm-8:00pm
  • Click here for the call-in information and to access to the materials.

FIRST RESPONDERS: RESILIENT MINDS FOR CHAOTIC TIMES--WEBINAR


Join Summit BHC and Dr. Stephanie Conn, former police officer & now a Licensed Psychologist who will describe how first responders can develop a resilient mindset to cope with the turbulence of anti-police sentiment and a pandemic, in addition to the normal traumas and stressors of the job.  


  • Tuesday, March 9, 2021 11am-12:30pm (MST)
  • Click here for more details and to register.

LGBTQ 101--WEBINAR


Join Peak View Behavioral Health / Summit BHC for an introduction to the LGBTQ community terminology related to gender identity, gender expression, and sexual orientation. Learn heteronormative bias in community and workplace.


  • Tuesday, March 9, 2021 11:30am-12:30pm (MST)
  • Click here for more details and to register

BEHAVIORAL HEALTH STRATEGIES FOR IMPROVED CARE OUTCOMES AND CONSUMER WELL-BEING--WEBINAR


Panelists will discuss the skyrocketing demand for behavioral health services and the need for broader access to services as well as the link between mental health and chronic illnesses. 


  • Friday, March 19, 2021 7:30am-8:45am (MST)
  • Click here for more details and to register.
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QUESTION, PERSUADE, REFER (QPR)--WEBINAR


Question, Persuade, Refer (QPR) is a gatekeeper course focused on reducing suicidal behaviors by providing innovative, practical and proven suicide prevention training. This PCMH-led course is specifically focused on youth in Colorado, however, the skills of QPR transfer to other ages and states. 


  • Friday, March 19, 2021 9:00-10:30am
  • Click here for more details and to register.

ADOLESCENT SOCIAL ISOLATION AND LONELINESS--WEBINAR


Being socially disconnected or perceiving the absence of companionship and support can have a large effect on health and mortality risks for adolescents. This presentation will explore factors that lead to social isolation and loneliness; determine how physical and emotional health can be influenced; and discuss ways to improve social integration and support in order to improve outcomes and life satisfaction for adolescents.


  • Friday, March 19, 2021 12:30pm (MST)
  • Click here to register.

THE ENVISION:YOU LGBTQ+ BEHAVIORAL HEALTH PROVIDER TRAINING PROGRAM


This course will challenge providers to examine their personal and professional frameworks as they relate to: Gender; sexuality; and the intersections of race, religion, and power, while enhancing their knowledge, skills, and cultural competence when working with lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) youth, adults, couples, and family systems. Common countertransference and transference concerns will also be addressed. Application of terms, concepts, models, and affirmative interventions will be demonstrated. Please visit the program web page to learn more and register for the training.

SUICIDE PREVENTION TRAINING FOR DOMESTIC VIOLENCE ADVOCATES


The Office of Suicide Prevention (OSP) is partnering with the Education Development Center (EDC) to provide a suicide prevention training for domestic violence and crime victim advocates in Colorado in 2021. To directly receive more information, please fill out this interest list.

INTENTIONAL PEER SUPPORT TRAINING


The OSP is partnering with IPS to provide their Core, Advanced, and Train the Trainer trainings to peer support specialists in Colorado in 2021. To directly receive more information, please fill out this interest list.

ALTERNATIVES TO SUICIDE TRAINING


The OSP is partnering with Western Mass Recovery Learning Community to provide their Alternatives to Suicide training to peer support specialists in Colorado in 2021. To directly receive more information, please fill out this interest list.

  • Colorado Cross-Systems Training Institute offers courses for providers. View their website for more information.


  • Partners For Children's Mental Health is offering a free on demand training on DBT SKILLS TO HELP YOUTH MANAGE EMOTIONS AND BUILD RESILIENCY
  • Click here for more information and to register.


  • The U.S. Department of Health & Human Services offers a free, comprehensive CULTURAL COMPETENCY online training
  • Click here for more information and sign up.


  • Improving Care for People with Disabilities: A Free Self Paced Online DISABILITY CULTURAL COMPETENCY TRAINING
  • Click here for more information and sign up.
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