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Less Than a Month Remaining for The Therap National Conference 2019

Less than a month remaining for the Therap National Conference 2019 which is scheduled to take place from January 29-31, 2019. Register today to book your seat!

This conference will be a great opportunity to learn about new Therap modules for those you may not be using and to network with other Therap users. Sessions covered in the conference ranges from walkthroughs of most modules, billing, and service utilization set-up, to user-driven discussions on how to meet licensing audits and the latest needs for state compliance.

There will be 200+ sessions which will be available on Whova App!

Session Include:

  • Interactive discussions and Q&A on Therap usage and best practices
  • Presentations from Therap users implementing Therap at different service providers
  • Brainstorming session about the future needs of the ID/DD services industry
  • Introduction to new modules and mobile apps
  • Training for various levels of users, from beginners to advanced
  • Mobile devices and Electronic Visit Verification
  • Business Intelligence for Data Driven Outcomes
  • New Mobile App for viewing schedule, networking and lot more.

To know more about what Therap has in store for you at the National Conference, visit our national conference page.

Click here to register now!

By |2019-01-02T10:59:15+00:00January 2nd, 2019|Categories: Conferences|Tags: , , , , , , , |Comments Off on Less Than a Month Remaining for The Therap National Conference 2019

Therap National Conference 2019 – Charlotte, North Carolina

We are almost at the very end, and this is that time of the year! Therap’s National conference in Charlotte, North Carolina, is scheduled to take place from January 29-31, 2019. The conference will be held at the Hilton Charlotte University Place.

This conference will be a great opportunity to learn about new Therap modules for those you may not be using and to network with other Therap users. Sessions covered in the conference ranges from walkthroughs of most modules, billing, and service utilization set-up, to user-driven discussions on how to meet licensing audits and the latest needs for state compliance.

Our plenary keynote speakers:

Cathy Ficker Terrill

Cathy, who is Chair of Human Services Research Institute, was a president and CEO of The Institute on Public Policy for People with Disabilities, an Illinois-based organization dedicated to providing leadership and technical assistance to drive public policy and promote best practices for individuals with disabilities.

Michelle C. Reynolds

Michelle is the Director of Individual Advocacy and Family Support of UMKC-Institute for Human Development (UCEDD), where she has worked for over 17 years.  In this role, she is responsible for projects that directly impact the lives of persons with disabilities and their families.

There will be 200+ Sessions which will be available soon on our Whova App!

Register today!

For more conference information, visit our conference page.

We look forward to seeing you at the conference!

Florida User Group Meeting on October 16, 2018

Florida users are welcome to a User Group Meeting being held at 1890 West State Road 436, Suite 295, Winter Park, FL 04210 on October 16, 2018. This is an opportunity for users in the state of Florida to meet and troubleshoot, network, discuss state and regional issues, clarify and learn about the latest Therap releases. We welcome you to join our user group meeting to discuss how Therap will work for individuals receiving services through the Florida Agency for Persons with Disabilities (APD), Agency for Healthcare Administration (AHCA), Florida Developmental Disabilities Council, to name a few. Learn how Florida Intellectual and developmental disabilities providers are using Therap to generate professional claims for Florida Medicaid while complying with Florida’s ADT Billing rules. Therap team members Maureen O’Connell and Tricia Woods will be at hand to answer technical questions and transmit the group’s consensus state needs and requirements to the Therap development team for review. Lunch will be provided for our registered attendees. We look forward to seeing you there!

Click here to register for the meeting!

U.S. Court of Appeals Unanimously Upholds DOL Home Care Rul

U.S. Court of Appeals Unanimously Upholds DOL Home Care Rule

 

Thank you for your engagement with the Department of Labor’s Wage and Hour Division regarding the Home Care Final Rule.On Friday, August 21, the U.S. Court of Appeals for the District of Columbia issued a unanimous decision upholding the Home Care Final Rule. DOL issued the statement below, which is available on our website at http://www.dol.gov/whd/homecare/litigation.htm

This site will be updated with any changes related to litigation, so please check back for updates.

Today’s decision from the U.S. Court of Appeals for the District of Columbia is vital to nearly two million home care workers, who will now qualify for minimum wage and overtime protections. The decision confirms this rule is legally sound. And just as important, the rule is the right thing to do — both for employees, whose demanding work merits these fundamental wage guarantees, and for recipients of services, who deserve a stable and professional workforce allowing them to remain in their homes and communities.

The DOL has led an unprecedented implementation program to help employers prepare for compliance, including offering an extensive and individualized technical assistance program, providing a 15-month period before the effective date to aid compliance, and adopting a time-limited non-enforcement policy. DOL has repeatedly encouraged states and other employers to take the necessary steps toward implementation. The Department continues to stand ready to provide technical assistance to states and other entities as they implement the Final Rule.

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.

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

ACL: Request for Applications – Targeted Technical Assistance to Build Business Capacity for LTC

Request for Applications – Targeted Technical Assistance to Build the Business Capacity of Community-Based Aging and Disability Organizations for Integrated Services Partnerships

The Administration for Community Living (ACL) is announcing an opportunity for up to ten (10) networks of community-based aging and disability organizations to participate in a learning collaborative and receive targeted technical assistance related to business acumen. Applicants must be seeking to build their business capacity and align their service capabilities in order to contract with integrated healthcare entities to provide community-based long-term services and supports and/or evidence-based preventive health programs and services.  ACL is particularly interested in working with networks that include a diverse mix of organizations that serve people with disabilities and older adults.  No direct funding will be provided through this initiative; rather, this collaborative will receive targeted technical assistance through a variety of different means, as noted within the announcement.

Applications must be submitted electronically via email toLauren.Solkowski@acl.hhs.gov by 11:59 p.m., Eastern Time, on Monday, December 8, 2014.

By |2014-11-07T15:36:50+00:00November 7th, 2014|Categories: General|Tags: , , , , , , , , , , , , , , , , , |Comments Off on ACL: Request for Applications – Targeted Technical Assistance to Build Business Capacity for LTC

Therap Services Announces U.S. Patent Issuance for Secure Electronic Reporting of Abuse or Neglect for I/DD Provider Agencies

WATERBURY, Conn., June 18, 2014 /PRNewswire/ — Therap Services, leader in electronic documentation software for Intellectual Disability and Developmental Disability Service Providers, has received U.S. Government Patent No. 8,739,253 B2 for Managing Secure Sharing of Private Information Pertaining to Abuse or Neglect Across Security Domains on May 27, 2014.

Justin Brockie, Therap Services COO, states: “The award of this patent again confirms Therap’s status as the software leader in the intellectual disability community.  States and providers using Therap have shown the benefits of our approach to secure transparency and real time sharing.  These approaches can have a direct impact on the systems that support people with disabilities and prevent abuse, neglect and exploitation.”

Therap’s patented application for secure sharing of private information pertaining to abuse or neglect includes granting a staff user from one agency (such as an Oversight Agency) the ability to access private information stored within a secondary Provider Agency account when access authorization is in place through assigned caseloads and permissions. This method ensures that staff members are able to securely access private information based on ‘need to know’.

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’s applications are utilized 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’ certified EHR and documentation software solution are utilized by over 220,000 users in 1300 Intellectual Disability and Developmental Disability Provider Agencies. Use of Therap Services is mandated by 5 state governments. Therap’s software solution is used in home and community-based services (HCBS), intermediate care facilities for the developmentally disabled (ICF-DD) and other settings to document waiver service provision, employment supports, case management, incident reporting, management of staff training records and for electronic billing claim submissions directly to Medicaid. Therap Services is HIPAA OMNIBUS ACT of 2013 compliant. Learn more at www.therapservices.net.

 

 

AHCA Alert-ABA for Children under 21

Florida Agency for Health Care Administration

Better Health Care for All Floridians

 

FLORIDA MEDICAID
A Division of the Agency for Health Care Administration

Florida Medicaid Health Care Alert
January 2014


Provider Type(s): 07, 16, 25, 26, 67, 68, 70, 71, 72, 77, 91

Revised Alert for Developmental Disabilities Home and Community Medicaid Waiver Providers:  Medicaid Coverage and Prior Authorization of Applied Behavior Analysis for Children Under 21 with Autism Spectrum Disorder

This alert includes information for Developmental Disabilities Home and Community Medicaid waiver providers. Information for other qualified provider types can be found in the applicable provider alert. This revised alert supersedes the information specific to Developmental Disabilities Home and Community Medicaid waiver providers in previous alerts posted on 4/2/12, 4/17/12, 5/17/12, 6/15/12, 7/6/12, and 9/6/12.

This alert describes provider qualifications, recipient eligibility criteria, the prior authorization request process, service codes and reimbursement rates, the billing process, place of service codes, and instructions for managed care plans. These services require prior authorization.

Provider Qualifications:

ABA services described in this alert must be rendered by Certified behavior analyst (CBA) and certified associate behavior assistant (CABA) providers who meet the qualifications outlined in 65G-4.003 of the Florida Administrative Code, are enrolled as Medicaid waiver providers through the Developmental Disabilities Home and Community Medicaid waiver programs and have received prior authorization from Medicaid for the service.

Recipient Eligibility Criteria:

Qualified treating practitioners may render medically necessary ABA to children under 21 years old having any of the following ICD-9 diagnosis codes:  299, 299.0, 299.00, 299.01, 299.1, 299.10, 299.11, 299.8, 299.80, 299.81, 299.9, 299.90, or 299.91.

Prior Authorization Request Process:

ABA services must be prior approved by Medicaid.  If a physician determines that a Medicaid eligible child diagnosed with an autism spectrum disorder needs Applied Behavior Analysis (ABA), the provider must submit a request to the Medicaid area office. The following information must be included:

  1. Recipient name, date of birth, Medicaid ID, and current mailing address.
  2. Requesting provider name, national provider identifier, address, and telephone and fax numbers.
  3. Diagnosis of recipient and diagnosis code.
  4. If already assessed, expected duration of ABA treatment.
  5. The primary focus of ABA treatment.
  6. Medical records that document the diagnosis of autism spectrum disorder.

An optional form for this purpose is available online at the Child Health Check-Up web page. This optional prior authorization form has been revised effective January 10, 2014.Prior authorization documentation as described above must be submitted to the recipient’s Medicaid area office. Contact information for the area offices can be found on the Public Provider Web Portal.

Service Codes and Reimbursement Rates:

Instructions for Developmental Disability Waiver Providers
to Bill Fee-For-Service for Non-Waiver Recipients

ABA services must be prior approved by Medicaid. Providers should consult the Medicaid Developmental Disabilities Waiver Services Coverage and Limitations Handbook for provider qualifications and documentation requirements (requirements for review of documentation by a Local Review Committee and submission of documentation to the waiver support coordinator do not apply). Billing for ABA services in a group setting is not allowable. A total of up to 160 quarter-hour units per week of combined service may be authorized. Eligible service codes and rates of reimbursement for Applied Behavior Analysis services are:

Description of
Service

Procedure
Code

Modifier
1

Modifier
2

Rate

Limits

Assessment Services
Behavior Analysis Assessment for Autism

H2020

UD

$299.85 per assessment

One assessment per state fiscal year

Treatment Services
Behavior Analysis Level 1 for Autism

H2019

UD

HP

$19.05 per quarter hour

Maximum combined daily limit of up to 32 quarter-hour units
Maximum combined weekly limit up to 160 quarter-hour units of all treatment services

Behavior Analysis Level 2 for Autism

H2019

UD

HO

$16.64 per quarter hour

Behavior Analysis Level 3 for Autism

H2019

UD

HN

$10.35 per quarter hour

Behavior Assistant Services for Autism

H2019

UD

HM

$4.31 per quarter hour

 Instructions for Developmental Disability Waiver Providers
for Waiver Recipients

Scenario Coverage
Existing DD waiver recipient receives ABA waiver services APD continues to cover these ABA hours through the waiver.
Existing DD waiver recipient receives ABA waiver services but requests an increase in services APD reviews the request to determine if additional hours are medically necessary. If yes, then APD will cover the additional hours through the waiver. If no, then the recipient may request authorization to receive ABA through the state plan.
Existing DD waiver recipient, who does not receive ABA services, requests ABA APD reviews the request to determine if additional hours are medically necessary. If yes, then APD will cover the service through the waiver. If no, then the recipient may request authorization to receive ABA through the state plan.
Individual on the DD waiver waiting list who is Medicaid eligible applies for the waiver through the crisis process. ABA is one of the identified service needs. APD will refer the individual to the ABA state plan authorization process for coverage of ABA.
Individual on the DD waiver waiting list who is Medicaid eligible and requests ABA services. APD will refer the individual to the ABA state plan authorization process for coverage of ABA.

Billing Process:

To bill for the services, providers must submit claims in accordance with the Provider Reimbursement Handbook, CMS-1500 located on the Provider Handbook page of the Public Provider Web Portal. All claims for ABA services for children with autism spectrum disorders must be billed fee-for-service, even for those recipients enrolled in a Medicaid managed care plan. When billing for services for treatment of autism spectrum disorders, the claim must include one of the following primary diagnoses: 299, 299.0, 299.00, 299.01, 299.1, 299.10, 299.11, 299.8, 299.80, 299.81, 299.9, 299.90, or 299.91. Enter “1” for the diagnosis code reference number (pointer) to relate the procedures performed to the primary diagnosis.

Billing is allowed for dates of service beginning with the date of prior authorization.

DO NOT SEND any attachments or medical records to the Medicaid fiscal agent with the CMS-1500 claim form. Regardless of place or dates of service, attachments for Applied Behavior Analysis are not required. All CMS-1500 claims for Applied Behavior Analysis services for children with autism spectrum disorders will be processed per these instructions.

Place of Service Codes:

Services must be billed using the correct place of service code for the location of the service provided. These services may be provided in the provider’s office, the recipient’s place of residence or anywhere in the community. However, in all cases, behavior analysis services must also be provided in the setting(s) relevant to the behavior problems being addressed.

The following place of service codes should be used by DD Waiver Providers when submitting claims (see page 2-22 of the Developmental Disabilities Waiver Services Coverage and Limitations Handbook):

11 – Office
12 – Home
13 – Assisted Living Facility
14 – Group Home
49 – Independent Clinic
53 – Community Mental Health Center
99 – Other Place of Service

Place of service code “99 – Other Place of Service” is not acceptable except for unusual circumstances that are documented in the recipient’s treatment or service plan, or in the recipient’s treatment notes.Medicaid will monitor providers who frequently utilize place of service code 99.

Instructions for Managed Care Plans:

Managed care plans are not currently required to authorize or cover Applied Behavior Analysis Services for the treatment of autism spectrum disorders. If a child enrolled in a Medicaid managed care plan requires ABA services, the plan may refer the recipient to any of the identified qualifying providers to receive the service under Medicaid fee-for-service. Alternatively, the managed care plan may refer the recipient to the Medicaid area office for assistance with finding a qualified provider. Managed care plans must share information on how to access ABA services with their contracted community behavioral health and physician providers.

Other Key Information:

For questions, contact your local Medicaid area office. Contact information for the area offices can be found on the Public Provider Web Portal.

 


 

LINKS

Florida Medicaid Web Portal | Florida Medicaid Health Information Network | Florida Medicaid HIPAA Information | HIPAA Transactions & Code Sets Standard | National Provider Identifier Standard (NPI) | Florida Medicaid EHR Incentive Program | FloridaHealthFinder.gov


QUESTIONS ABOUT FLORIDA MEDICAID?

Please direct questions about Medicaid policies to your local Medicaid area office. The Medicaid area offices’ addresses and phone numbers are available on the Area Offices Web page.


ALERTS INFORMATION

The Florida Medicaid program has created an e-mail alert system to supplement the present method of receiving Provider Alerts information and to alert registered subscribers of “late-breaking” health care information. An e-mail will be delivered to your mailbox when Medicaid policy clarifications or other health care information is available that is appropriate for your selected area and provider type.

Visit the Florida Medicaid’s Health Care Alerts page to subscribe now. You may unsubscribe or update your subscription at any time by clicking on the “Manage your subscription” icon in the footer of each e-mail. Other questions regarding the e-mail alert system can be sent to the Florida Medicaid Alerts Administrator.

 

© 2014 Agency for Health Care Administration

 

 

This message was sent from Florida Agency for Health Care Administration tocswilley@floridaarf.org. It was sent from: Florida Agency for Health Care Administration, 2727 Mahan Drive Tallahassee, FL 32308. You can modify/update your subscription via the link below.

Therap Services Receives CCHIT Federal Certification

 

Logo of CCHIT

Certification Facts™

Therap Services, LLC.
Therap Services EHR 2013.2.8

Long Term and Post Acute Care EHR

This product has been inspected against integrated functionality, interoperability and security criteria independently developed by CCHIT’s broadly representative, expert work groups. Using CCHIT’s testing methods, this product has been found in full compliance with the criteria in effect on the date of inspection.

 

©2012 Inspected and certified by the Certification Commission for Health Information Technology (CCHIT®).

 

About Therap Services EHR
Therap Services was designed to help care providers record and maintain documentation for people with developmental disabilities. It is the needs of the Individuals and caregivers that together drive Therap’s product development. This has led to a comprehensive range of applications to document almost every aspect of Individual care. Over the years, Therap has become the recognized national leader in providing a web based, HIPAA compliant, Commercial-off-the-Shelf (COTS) Software as a Service (SaaS) application suite designed specifically for the intellectual and developmental disability community that address: – Electronic Health Records – Incident Reporting – Individual Profiles – Medicaid Billing – Medication Administration – Documentation and Reporting – Quality Assurance Everyday people are logging in from thousands of facilities, programs and community based locations to enter information on approximately 150,000 Individuals. Therap is programmed to be usable “out of the box” but also configurable to meet state regulations, requirements, and workflows. Using Therap’s Individual specific modules, agencies can create care plans and medication profiles for each Individual. Therap stores external documents including Referral Documents, Admission Orders, Authorization, Consultation Reports, Discharge Orders, Incident Reports, Progress Notes and Lab Results. Therap also works with Medicaid Waiver Provider Agencies operating community based programs and providers who operate ICF/DD programs and wish to track Service Authorizations and Electronic 837P/837I claims.Product URL: https://www.therapservices.net/products/
About Therap Services, LLC.Therap Services, LLC. is a web-based service organization that provides an integrated solution for documentation, reporting and communication needs of agencies providing support to people with developmental disabilities. Therap applications, forms and modules are HIPAA compliant. Therap offers services to care providers in the ID/DD field which is an alternative solution to completing immense amounts of paperwork manually. Therap has expanded to over 47 states in the United States and provinces in Canada. In North Dakota, Nebraska, New Mexico, Delaware and Montana, all provider agencies are mandated to use Therap applications. Therap provides state specific functionality, support and training materials for users in different states. Therap’s patented technology (US Patent# 8,281,370) for managing secure sharing of private information across security domain guarantees that users can communicate effectively in a HIPAA compliant manner. The use of Therap Applications enables providers to efficiently share and communicate Protected Health Information (PHI) in real time. Therap maintains high-end, industrial-strength equipment and infrastructure software with redundancy of devices and system components and managed parallel communications access. Therap also conducts scheduled backups with offsite storage. Therap thrives to meet and exceed the need of the ID/DD community with their commitment to service availability and data security through a highly redundant set of hardware and software.
Vendor Phone: 203-568-1360