Year end rush

It seems like forever since I was in the office long enough to catch up on things. I believe I am not the only one who has had a very busy year. So, here is wishing everyone a little peace and quiet as we usher out 2014. Despite year end there remains a lot of [...]

DISCO IS ALIVE!!

Some things just never go away and here is a link that can detail how to become a DISCO. This power point has timelines, definitions, and details the care coordination aspect of managed care.  As usual Therap has been aware of these upcoming challenges and will work with the provider network to ensure support  of [...]

By |2014-07-25T15:24:53+00:00July 25th, 2014|Categories: Billing, General, Medicaid, Regulations|Tags: , , , , , , , , , , , , , , |Comments Off on DISCO IS ALIVE!!

Hmmm, How IS NY health care plans?

Disabled Medicaid Beneficiaries File Lawsuit over unexplained Medicaid Home Care Cuts. On July 15, 2014, the New York Times reported on a lawsuit brought by the New York Legal Assistance Group against the Department of Health and the Office of Temporary and Disability Assistance for allegedly denying or cutting Medicaid home care services to chronically [...]

By |2015-02-16T13:43:46+00:00July 17th, 2014|Categories: Medicaid, New York, Regulations|Tags: , , , , , , , , |Comments Off on Hmmm, How IS NY health care plans?

How is NY Health Care Plan?

Here is something you may want to watch. - DSRIP Delivery System Reform Incentive Program Evaluation Plan. New York posted a draft of its DSRIP evaluation plan for public comment. The broad goals of the New York State DSRIP evaluation are to assess program effectiveness on a statewide level with respect to the Medicaid Redesign [...]

By |2015-02-16T13:43:46+00:00July 17th, 2014|Categories: General, Medicaid, New York|Tags: , , , , , |Comments Off on How is NY Health Care Plan?

Person Centered Planning – Risk Inventory

OPWDD has released a new tool designed to assist in person centered planning. It is called a Strengths and Risks Inventory.  Here is a statement of the intent of this form. Intent*:   The person-centered planning process should address the challenges, risk factors, and rewards inherent for each person to live his/her life the way that [...]

By |2016-11-03T10:08:37+00:00July 15th, 2014|Categories: Audits, General, Medicaid, Regulations|Tags: , , , , , , , , , , , , , , , , |Comments Off on Person Centered Planning – Risk Inventory

Community Hab. Proposed Reg. Changes

More news from OPWDD. I do not see any of our current methods changing except for billing limitations. The limitations on CH vary depending on the individual’s receipt of day habilitation and prevocational services, and the certified setting where the individual resides. Here is a link to the proposed regulations. file:///C:/Users/Kevin/Downloads/CHamendmentsRegsText.pdf

By |2014-07-15T12:36:04+00:00July 15th, 2014|Categories: Billing, General, Medicaid, Regulations, Technology|Tags: , , , , , , , , , , , , , , , , , |Comments Off on Community Hab. Proposed Reg. Changes

CMS – HBCS – NY – Oh My

Here is a site worth looking at. Recently, the Centers for Medicare and Medicaid Services (CMS) published the final rule related to Home and Community Based Services Settings (HBCS) for Medicaid-funded long term services and supports provided in non-institutional residential settings. This rule implements a number of changes to home and community based waivers, finalizes [...]

By |2014-07-10T14:32:23+00:00July 10th, 2014|Categories: General, Medicaid, Regulations|Tags: , , , , , , , , , , , , , , , , , |Comments Off on CMS – HBCS – NY – Oh My

New York User Group Meetings

Greetings to summer. This is a great time of year to be with family and go on outings. So, it is also a great time to meet with fellow Therapites and meet together at a user group meeting. Here is a reminder of the upcoming schedule. Please note we do not have a site scheduled [...]

By |2016-11-03T10:08:38+00:00July 8th, 2014|Categories: Audits, Billing, Conferences, General, Medicaid, New York, Technology|Tags: , , , , , , , , , , , , , , , , |Comments Off on New York User Group Meetings

Managed Care Update for NY and People with Disabilities

Office for People with Developmental Disabilities (OPWDD) and the People First Waiver. OPWDD and the Department of Health are working with CMS on an agreement called the People First Waiver, a 1915 (b)/(c) concurrent Comprehensive Home and Community Based Services (HCBS) waiver. This agreement will renew the OPWDD 1915(c) Comprehensive HCBS Medicaid Waiver for People [...]

By |2016-11-03T10:08:38+00:00July 3rd, 2014|Categories: General, Medicaid|Tags: , , , , , , , , , , , , , |Comments Off on Managed Care Update for NY and People with Disabilities

OMIG and Therap

Whenever you hear the word OMIG it always conjures something foreboding. However, they have also been pretty good as of late in getting out guidelines in order to assist agencies with their compliance efforts. This is a good publication that outlines specific risk areas they have found in conducting review. Here is the link. OMIG [...]

By |2014-06-26T15:06:28+00:00June 26th, 2014|Categories: Audits, Billing, General, Medicaid, Technology|Tags: , , , , , , , , , , , |Comments Off on OMIG and Therap
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