Transcript Provider Relations - Illinois Mental Health Collaborative

Illinois Department of Human Services /
Division of Mental Health
and
Illinois Mental Health Collaborative
Present
Registration Enhancements
June 2009
Implementation of Enhancement
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1
These enhancements will be implemented
Friday, 6/26/09. ProviderConnect will be
unavailable from Friday, 6/26/09 at 8:00
PM Central through Saturday, 6/27/09 at
1:00 PM Central
New Medicaid Fund Code
2

MCD – New fund for Medicaid eligible consumers

The MCD fund will be updated on the Collaborative system
from the daily HFS eligibility file

This represents no change in procedure or submission or
processing of claims. This is an enhancement to the
system to permit easier tracking of dollars used to pay for
services for Medicaid eligible individuals and non-Medicaid
eligible individuals.
MCD and ABC Funds

Registration is required for a provider to be eligible
for reimbursement under the MCD and ABC funds (this
does not represent a change in policy)

If a consumer’s current registration is valid after
7/1/09 and the consumer has the new MCD fund as of
7/1/09 the consumer does not need to be reregistered in order to have benefits under the MCD
fund.
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3
Current consumer registration is effective 4/1/09 and ends
10/1/09 then as of 7/1/09 the MCD fund will be allowed for the
consumer. The consumer does not need to be re-registered
until 10/1/09.
MCD and ABC fund – claims
re-imbursement

Claims re-imbursement Rules:
(this does not represent change in policy)
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–
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4
If the consumer has MCD fund for the date of
service and the service is a Medicaid service then
claim will be tagged with MCD fund
If the consumer has MCD fund for the date of
service and the service is a non Medicaid service
then claim will be tagged with ABC fund
If the consumer does not have MCD fund for the
date of service then claim will be tagged with ABC
fund
Batch Registration changes for MCD
fund
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5
No Changes to Batch registration
ProviderConnect – Income Documentation
Source added as of 6/29/09

Indicates how the income was verified
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6
Attested
Documented
Client Income cannot be greater than Household
Income
UNKNOWN buttons have been removed from
Household Income and Size and Client Income–
Can enter all 9’s to indicate unknown
Household Income field

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The total monthly income of all family
members in the consumer’s household at
the time of this registration. This should
be entered as dollars only. Round to
nearest dollar.
Example: 151.21 would be entered as 151
Valid Range: 000000 – 999999 (Unknown –
999999)
Client Income field

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8
The total monthly income of the
consumer at the time of this registration.
This should be entered as dollars only.
Round to nearest dollar.
Example: 151.21 would be entered as 151
Range: 000000 – 999999 (Unknown –
999999)
Consumer Registration Confirmation
page formatting change
9
Upcoming changes for
ProviderConnect


The Income Documentation Source will be
required
2 New field for 2 DMH Initiatives (The addition of
these fields will permit DMH to track mental health services provided to
individuals involved in these initiatives.)
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Permanent Supported Housing
Money Follows the Person
Upcoming changes for Batch
Registration

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New fields for the Income Documentation
Source, Permanent Supported Housing
and Money Follows the Person
New error codes for invalid data for
Income Documentation Source,
Permanent Supported Housing and
Money Follows the Person
Questions and Answers
12
Thank you!
Illinois Mental Health Collaborative for
Access and Choice