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Only a Month Remaining for the Regional Conference in Estero, Florida

Only a month remaining for Therap Regional Conference in Estero, Florida. The conference will be held on August 1, 2019.

Have you booked your seat yet? The conference is going to be a one-day event full of sessions by Florida Therap experts and it will give you a chance to network with your counterparts from across the state.

The event will be a good place to learn about recent developments in the Therap system, as well as individual support documentation and reporting, electronic health records (EHR) and training management from the technology leader in the developmental disabilities field. The training intensive event will include beginner, intermediate, and advanced level sessions conducted by Therap experts on various Therap modules.

Discussion will include:

  • Scheduling/Electronic Visit Verification (EVV)
  • Billing and Service Utilization Management
  • Mobile Workforce Management
  • Better Goal and Outcome Tracking
  • Incident Management (GER)
  • Person-Centered Planning (ISP)
  • Organizational and Program Performance Tracking
  • Better Health Tracking and Medication Management
  • Data Security and Protection
  • Better Behavior Data

Therap experts Tricia Woods, Nadine Sturgess, and Fayonne Johnson will walk you through the event and will talk about the recent updates of the modules. Click here to register and be a part of this exciting conference at Embassy Suites Ft Myers-Estero in Florida!

Visit our state page to know more about what Therap has in store for the state of Florida.

Florida Medicaid Provider Self Audit Resources – Now Available

FLORIDA MEDICAID
A Division of the Agency for Health Care Administration

Florida Medicaid Health Care Alert
July 2015

Provider Self Audit Resources are Now Available on the Agency’s Website

Medicaid providers are encouraged to voluntarily conduct self-audits and remedy any issues of non-compliance that are identified, including either voiding/adjusting improper claims or submitting to the Agency’s Bureau of Medicaid Program Integrity (MPI), the self-audit findings and repayment of the improper claims.

MPI recommended that providers review claims with dates of service as old as five years to the present.  MPI also encourages providers to engage in routine self-audits of more current claims (most recent twelve months).  This allows providers to have the opportunity to remedy the claims before an Agency-initiated audit.  When the Agency conducts an audit, it is entitled to recover the costs of the audit and is required to assess sanctions for the non-compliance.  A provider who conducts a self-audit, submits the results, and remits payment, may avoid sanctions for their voluntary disclosure and repayment of overpayments so long as the Agency determines that the disclosure is valid and so long as it is not discovered to be an attempt to alleviate liability for fraudulent practices.

Information about conducting self-audits is available on the Agency’s website, on the MPI landing page.  Please see the below screen-shot which demonstrates how to navigate from the Agency’s home page to the MPI landing page.

Medicaid providers are encouraged to voluntarily conduct self-audits and remedy any issues of non-compliance that are identified, including either voiding/adjusting improper claims or submitting to the Agency’s Bureau of Medicaid Program Integrity (MPI), the self-audit findings and repayment of the improper claims.

Questions regarding conducting a self-audit may be directed to Pam Fante via email at Pam.Fante@ahca.myflorida.com and please include the question in the email.

By |2016-11-03T10:01:43+00:00August 18th, 2015|Categories: Uncategorized|Tags: , , , , , , , , , , , |Comments Off on Florida Medicaid Provider Self Audit Resources – Now Available

CMS Releases Heightened Scrutiny Guidance for Home and Community Based Services (HCBS) Rules

Washington, DC (June 26, 2015)

The Centers for Medicaid and Medicare Services (CMS) issued guidance on how they intend to address “heightened scrutiny” for settings that are subject to the home and community based services (HCBS) rule that went into effect on March 17, 2014.  The guidance restates the standard for settings that are presumed institutional (located in a building that is also a publicly or privately operated facility that provides inpatient institutional treatment, or in a building located on the grounds of, or immediately adjacent to, a public institution).  Additionally, any setting which has the effect of isolating individuals will be presumed to be institutional.  For any of these instances, a state may submit evidence to overcome the presumption and demonstrate how the setting does meet the HCBS standards set forth.  The new rules also offer states the option to develop “tiered standards for residential settings” which will allow states to “close the front door” to some providers while allowing existing providers of the same services to continue.  This means that a state could set one compliant standard for existing providers and set a different, higher standard for new providers.

New Personal Care and Support Coordination Rates for APD providers

New Rates for July 1, 2015

APD announced that effective July 1, 2015, Personal Supports QH, Personal Supports Day, Support Coordination and CDC+ Consultant will all have an increased rate.  Please see the link below for all the new rates.  The changes to the cost plans and budgets will be made electronically and will not require the WSCs to redo any service authorizations and will not require the Regions to re-approve any service authorizations. That is the good news!

1) iBudget will be brought down on July 1st so the changes can be made.  All FY 15-16 cost plans must be in approved status.  Any cost plans that are in draft, or pending review status will have to be deleted by IT and any changes that have been made to those plans will be lost.

2) Please review all cost plans that are Pending Area Office Review for FY 15-16 and get them to approved status as soon as possible.  If the reason for the pending review is due to a rejected service authorization that you are unable to resolve, complete a help desk ticket.

3) State Office staff will be reviewing any cost plans in Pending State Office Review to get them in approved status.

4) If support coordinators have consumers who currently have a FY 15-16 budget, however; they will not have a cost plan built prior to 7/1/15; the support coordinator will need to work with Region staff to get the budgets adjusted manually.  Since those cost plans may or may not come for Region review, they will need to notify you who those consumers are.

5) Please encourage support coordinators to stop making any changes to cost plans after June 28, 2015 unless there is an emergency.  This will give both the Region and State Office staff time to assist with getting all plans into approved status.

New Hampshire House Passes First-In-The-Nation Legislation To End Payment of Subminimum Wages To People with Disabilities

New Hampshire House Passes First-In-The-Nation Legislation To End Payment of Subminimum Wages To People with Disabilities

Press  Release,  April 15, 2015
CONCORD, NH – Today the New

Hampshire House of Representatives passed SB 47. New Hampshire becomes the first state in the country to repeal statutes that permit employers to pay persons with disabilities less than the state minimum wage simply because they have a disability. SB 47 received unanimous bipartisan support in both the house and the senate.

“SB 47 is a historic policy statement that reflects the current approach to hiring persons with disabilities that has evolved since the 1940’s in New Hampshire – every person with a disability can be competitively employed with the right supports and right job match,” said Chris Rueggeberg, Policy Director for the New Hampshire Council on Developmental Disabilities. “Paying people with disabilities subminimum wages is not necessary or helpful for them to get a job. They can be hired on their merits and abilities,” added Rueggeberg.

SB 47 prime sponsor Senator Hosmer has hired people with disabilities at his AutoServ business for the past 20 years. “The people I hire improve the whole culture and working atmosphere for all my employees,” said Senator Hosmer. SB 47 repeals outdated statutes and outdated approaches to hiring persons with disabilities that date to 1949.  Employers in New Hampshire no longer pay persons with disabilities a subminimum wage. Sheltered workshops are closed. Disability rights organizations, rehabilitation professionals, persons with disabilities working at competitive wage jobs and their employers, the NH Labor Department, the NH Department of Health and Human Services, and Vocational Rehabilitation and Services for Blind and Visually Impaired in the NH Department of Education all worked to pass SB 47. “I’m very pleased that the House has approved SB 47.  Last year, when I discovered that it is was legal in New Hampshire to pay persons with a disability less than the minimum wage simply because of their disability I introduced legislation to study this issue. The
study committee that I chaired unanimously recommended legislation to ban this practice in New Hampshire, ”  said former State
Representative  Chris Muns.

The New Hampshire Council on Developmental Disabilities is a federally funded state agency that supports public policies and initiatives that remove barriers and promote opportunities in all areas of life. The Council carries out its mission through education, advocacy and the funding of innovative projects that make a difference in people’s lives. Find out more at http://www.nhddc.org.

By |2016-11-03T10:01:44+00:00April 20th, 2015|Categories: Uncategorized|Tags: , , , , , , , , , , , , , , , , , |Comments Off on New Hampshire House Passes First-In-The-Nation Legislation To End Payment of Subminimum Wages To People with Disabilities

Alert: Florida APD Billing Instruction for Life Skills Development Level 3

 

Florida Medicaid Health Care Alert
February 2015

Provider Type(s): 67Billing Instruction for Life Skills Development Level 3 (ADT) Services

 

Beginning March 1, 2015, Individual Budgeting (iBudget) providers of life skills development level 3 services (procedure codes S5102UC and T2021UC) must adhere to the following billing procedure:

 

  • Providers must submit claims for life skills development level 3 at the end of the month(or on the last day of the service period).
  • The claim must include the total actual hours of services provided.
  • The provider must round the total number of hours to the nearest hour. Providers should round only once at the end of the month (or the end of the billing period).

 

The Agency for Health Care Administration is committed to its mission of providing “Better Health Care for All Floridians.” The Agency administers Florida’s Medicaid program, licenses and regulates more than 45,000 health care facilities and 34 health maintenance organizations, and publishes health care data and statistics atwww.FloridaHealthFinder.gov.  Additional information about Agency initiatives is available via Facebook (AHCAFlorida), Twitter(@AHCA_FL) and YouTube (/AHCAFlorida).

 

Agency for Health Care Administration  |  2727 Mahan Drive, Tallahassee, FL 32308  |  http://ahca.myflorida.com


By |2016-11-03T10:01:44+00:00February 23rd, 2015|Categories: Uncategorized|Tags: , , , , , , , , , , |Comments Off on Alert: Florida APD Billing Instruction for Life Skills Development Level 3

Court Ruling Related to the DOL Companion – Home Care Rule

This is a follow up to the DOL emails we sent earlier today.  After consideration of the parties’ pleadings, the arguments of counsel and relevant law, and the entire record in this case, plaintiffs’ motion for a partial summary judgment is GRANTED, defendants motion is DENIED, and the Department of Labor’s Third Party Employer regulation scheduled to go into effect on Jan 1, is VACATED.  See below for a summary on the decision.

The United States District Court for the District of Columbia has today issued a partial summary judgment on two pieces of a lawsuit filed by the Home Care Association of America and other plaintiffs related to the Department of Labor’s Home Care Rule. Please note that this information is not legal advice, and is shared after a swift and preliminary review of the decision.

The decision notes that after consideration of the parties’ pleadings, the arguments of counsel and relevant law, and the entire record in this case, plaintiffs’ motion for a partial summary judgment is GRANTED, defendants motion is DENIED and the Departments Third Party Employer regulation scheduled to go into effect on Jan 1, is VACATED.

The largest area implicated by this decision is the third party employer regulation, which withdrew the availability of the companionship and live-in caregiver exemptions from third parties.

Companionship Exemption

As you know, the companionship exemption was impacted in two important ways by the Home Care rule. First, the rule established that the companionship services exemption is not applicable when the employee spends more than 20 percent of his or her workweek performing care services. This portion of the regulation is NOT impacted by this decision, so the companionship exemption is available only when this percentage test is met.

Second, the rule set forth that the companionship exemption is not available to third party employers. This portion of the rule, called the Third Party Employer regulation, is impacted by this court decision by allowing third party employers to avail themselves of the exemption. This means that, for situations meeting the definition of and test for companionship, workers can receive straight pay, not overtime for work over 40 hours/week even when there is a third party employer.

Live in Exemption

Like the Companionship exemption, the DOL rule removed the availability of the live-in caregiver exemption from third party employers. This ruling allows third parties to utilize the exemption, enabling straight pay for live-in caregivers, including for those hours worked over 40.  For details on what constitutes a “live-in” domestic service worker and other conditions of the exemption, see Fact Sheet #79B: Live-In Domestic Service Workers Under the FLSA. http://www.dol.gov/whd/regs/compliance/whdfs79b.htm

While this is decision is important, this case has not been fully decided (there are other counts to be considered by the court) and there will likely be appeals filed, even on this limited judgment.  As a result, states should remain vigilant in their planning and budgeting in the event that, at the conclusion of these legal proceedings, the original rule will be in full force and effect.

NASDDDS will continue to closely monitor developments and keep you apprised.

To read the court’s decision, visit:

https://ecf.dcd.uscourts.gov/cgi-bin/show_public_doc?2014cv0967-21

 

South Carolina Department of Disabilities and Special Needs Selects Therap Services as the Statewide Reporting System

DDSN Logo

From: http://www.prnewswire.com/news-releases/282434301.html

WATERBURY, Conn., Nov. 12, 2014 /PRNewswire/ — Therap Services, leader in electronic documentation software for Intellectual Disability and Developmental Disability Service Providers, announces it has been selected as the statewide Software as a System (SaaS) Reporting System for South Carolina Department of Disabilities and Special Needs (SCDDSN).

“Therap Services is excited to work with the state of South Carolina as the electronic documentation and communication solution for the Department of Disabilities and Special Needs.” Stated Justin Brockie, Therap Services COO. “We are honored to have the opportunity to bring Therap’s secure transparency to South Carolina’s state teams, DSN Boards, providers, and citizens.”

“The new partnership between SCDDSN and Therap is an exciting and vital step in improving the quality of care and services for thousands of individuals with disabilities in South Carolina. The benefits are multifold from both the individual perspective and the statewide level,” commented Dr. Beverly Buscemi, SCDDSN’s State Director. “Therap offers us a comprehensive system to facilitate communication between caregivers, support professionals, specialists and families to better meet the needs of an individual while simultaneously enhancing our ability as the state’s system to collect, track and report sensitive information to meet state and federal requirements. This new venture will move us forward in providing quality services.”

Barry Pollack, Southeast Regional Director for Therap Services, states “The partnership between Therap Services and South Carolina Department of Disabilities and Special Needs is a remarkable stride in its provision of the highest quality care to individuals. In its commitment to increase communication and maintain stellar documentation through use of Therap Services, SCDDSN remains on target with their mission to assist people with disabilities and their families in meeting needs, pursuing possibilities and achieving life goals.”

Therap Services applications and certified Electronic Health Record (EHR) provide the documentation components needed by Intellectual Disability and Developmental Disability Service Agencies to maintain their focus while adapting to a changing environment within the Human Services industry. State and federal agencies and standards, including CMS and HIPAA, mandate strict requirements on accurately tracking incidents, including those reports of abuse and neglect and prevention of Medicaid fraud. Therap’s customers can complete and monitor documentation efficiently across secure domains, enabling them to focus on providing higher quality services to individuals with intellectual and developmental disabilities.

Therap is used across disciplines in the I/DD field per the CMS home and community-based services (HCBS) requirements. Therap applications include over 70 modules ranging from documentation of service provision through a daily note, to person centered planning tools, incident report management, health assessments and individual care plans, an electronic MAR integrated with an industry-standard drug database, an individual referral process for state and multi-provider systems, a comprehensive report library for internal and external audits, to electronic billing direct to Medicaid through a secure, HIPAA 5010-compliant method.

About Therap Services, LLC

Therap Services provides secure, web-based documentation, communication and electronic billing services to over 1400 intellectual disability providers across the United States as well as for twelve state government ID systems of care.

This includes a certified EHR, HIPAA compliant Medicaid and private billing, service documentation and secure communication and data sharing between all stakeholders including families and self advocates.

Therap’s software-as-a-service solution is used in HCBS Waiver, ICF/IID and other services to document residential and community based supports, employment supports, case management, incident reporting, management of staff training records and for electronic billing claim submissions directly to Medicaid.

Learn more at www.TherapServices.net.

By |2016-11-03T10:01:45+00:00December 11th, 2014|Categories: General|Tags: , , , , , , , , , , , , , , , , , |Comments Off on South Carolina Department of Disabilities and Special Needs Selects Therap Services as the Statewide Reporting System

Therap Services Wins South Carolina DDSN Contract for Statewide EHR

South Carolina Department of Disabilities and Special Needs Selects Therap Services as the Statewide Reporting System:

Electronic Documentation Software Solution for Intellectual and Developmental Disability Providers Wins Competitive Bid as the SaaS for SCDDSN

WATERBURY, Conn., Nov. 12, 2014 /PRNewswire/ — Therap Services, leader in electronic documentation software for Intellectual Disability and Developmental Disability Service Providers, announces it has been selected as the statewide Software as a System (SaaS) Reporting System for South Carolina Department of Disabilities and Special Needs (SCDDSN).

“Therap Services is excited to work with the state of South Carolina as the electronic documentation and communication solution for the Department of Disabilities and Special Needs.” Stated Justin Brockie, Therap Services COO. “We are honored to have the opportunity to bring Therap’s secure transparency to South Carolina’s state teams, DSN Boards, providers, and citizens.”

“The new partnership between SCDDSN and Therap is an exciting and vital step in improving the quality of care and services for thousands of individuals with disabilities in South Carolina.  The benefits are multifold from both the individual perspective and the statewide level,” commented Dr. Beverly Buscemi, SCDDSN’s State Director.  “Therap offers us a comprehensive system to facilitate communication between caregivers, support professionals, specialists and families to better meet the needs of an individual while simultaneously enhancing our ability as the state’s system to collect, track and report sensitive information to meet state and federal requirements.  This new venture will move us forward in providing quality services.”

Barry Pollack, Southeast Regional Director for Therap Services, states “The partnership between Therap Services and South Carolina Department of Disabilities and Special Needs is a remarkable stride in its provision of the highest quality care to individuals. In its commitment to increase communication and maintain stellar documentation through use of Therap Services, SCDDSN remains on target with their mission to assist people with disabilities and their families in meeting needs, pursuing possibilities and achieving life goals.”

Therap Services applications and certified Electronic Health Record (EHR) provide the documentation components needed by Intellectual Disability and Developmental Disability Service Agencies to maintain their focus while adapting to a changing environment within the Human Services industry.  State and federal agencies and standards, including CMS and HIPAA, mandate strict requirements on accurately tracking incidents, including those reports of abuse and neglect and prevention of Medicaid fraud. Therap’s customers can complete and monitor documentation efficiently across secure domains, enabling them to focus on providing higher quality services to individuals with intellectual and developmental disabilities.

Therap is used across disciplines in the I/DD field per the CMS home and community-based services (HCBS) requirements. Therap applications include over 70 modules ranging from documentation of service provision through a daily note, to person centered planning tools, incident report management, health assessments and individual care plans, an electronic MAR integrated with an industry-standard drug database, an individual referral process for state and multi-provider systems, a comprehensive report library for internal and external audits, to electronic billing direct to Medicaid through a secure, HIPAA 5010-compliant method.

About Therap Services, LLC

Therap Services provides secure, web-based documentation, communication and electronic billing services to over 1400 intellectual disability providers across the United States as well as for twelve state government ID systems of care.

This includes a certified EHR, HIPAA compliant Medicaid and private billing, service documentation and secure communication and data sharing between all stakeholders including families and self advocates.

Therap’s software-as-a-service solution is used in HCBS Waiver, ICF/IID and other services to document residential and community based supports, employment supports, case management, incident reporting, management of staff training records and for electronic billing claim submissions directly to Medicaid.

Learn more at www.TherapServices.net.

 

Apple iOS “Masque Attack” Technique

NCCIC / US-CERTNational Cyber Awareness System:

11/13/2014 09:17 AM EST
Original release date: November 13, 2014

Systems Affected

iOS devices running iOS 7.1.1, 7.1.2, 8.0, 8.1, and 8.1.1 beta.

Overview

A technique labeled “Masque Attack” allows an attacker to substitute malware for a legitimate iOS app under a limited set of circumstances.

Description

Masque Attack was discovered and described by FireEye mobile security researchers.

[1] This attack works by luring users to install an app from a source other than the iOS App Store or their organizations’ provisioning system. In order for the attack to succeed, a user must install an untrusted app, such as one delivered through a phishing link.

This technique takes advantage of a security weakness that allows an untrusted app—with the same “bundle identifier” as that of a legitimate app—to replace the legitimate app on an affected device, while keeping all of the user’s data. This vulnerability exists because iOS does not enforce matching certificates for apps with the same bundle identifier. Apple’s own iOS platform apps, such as Mobile Safari, are not vulnerable.

Impact

An app installed on an iOS device using this technique may:

  • Mimic the original app’s login interface to steal the victim’s login credentials.
  • Access sensitive data from local data caches.
  • Perform background monitoring of the user’s device.
  • Gain root privileges to the iOS device.
  • Be indistinguishable from a genuine app.

Solution

iOS users can protect themselves from Masque Attacks by following three steps:

  1. Don’t install apps from sources other than Apple’s official App Store or your own organization.
  2. Don’t click “Install” from a third-party pop-up when viewing a web page.
  3. When opening an app, if iOS shows an “Untrusted App Developer” alert, click on “Don’t Trust” and uninstall the app immediately.

Further details on Masque Attack and mitigation guidance can be found on FireEye’s blog [1]. US-CERT does not endorse or support any particular product or vendor.

References

Revision History

  • November 13, 2014: Initial Release
By |2016-11-03T10:01:46+00:00November 13th, 2014|Categories: General|Tags: , , , , , , , , , , , , , , , , , , |Comments Off on Apple iOS “Masque Attack” Technique
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