Persons that require a reasonable accommodation based on language or disability should contact ADES’s Office of Equal Opportunity at [email protected]. The CCO Planning Guide and Manual provides comprehensive guidance to providers participating in the New York State Health Home program known as Care Coordination Organization/Health Homes (CCO/HHs) serving individuals with intellectual and developmental disabilities (I/DD). NJ Division of Developmental Disabilities Supports Program Policies & Procedures Manual (Version 6.0) March 2019 New Jersey Department of Human Services Division of Developmental Disabilities ... 11 Provided additional information about topics to cover in the provider’s Policies & Procedures Manual … Section 1.0 - Provider Standards: All Providers The1.1 Provider shall maintain andcomply with a written policy procedures manual for its staff. State of Hawai‘i Department of Health Developmental Disabilities Division Version B-3 Effective November 1, 2018 ODP Online Provider Handbook **The handbook is not currently available as it is under review** Processing Reimbursement Operations Management Information System (PROMISe) Provider Billing and Payment Information; Provider Billing Guides Provider Licensing; How to choose an Intellectual Disabilities provider Provider Qualifications The development of a service delivery system that is responsive to the needs of people with disabilities is a priority for the ADMH-DDD. Provider Manuals from previous fiscal years and quarters are archived on DBHDD’s website at: This manual is updated quarterly throughout each fiscal year (September – October), and is posted one month prior to the effective date. The Administrative Services Subcontractors (AdSS) Medical Manual provides information on the medical policies for acute services,maternal and child health, care coordination requirements, provider qualifications and responsibilities, quality management and performance improvement program, medication management, and services and settings of the AdSS. Pursuant to Title VI of the Civil Rights Act of 1964, the Americans with Disabilities Act (ADA) and other nondiscrimination laws and authorities, ADES does not discriminate on the basis of race, color, national origin, sex, age, or disability. C. Update. Preface - Intended Users of the Provider Policy Manual. This … Download the complete Division Eligibility Manual. Download the complete Division Provider Manual. The Division Medical Manual provides information regarding services that are covered within the Division’s program. The Division Operations Manual consolidates and provides ease of access to the Division’s Administrative, Claims, Financial, and Operational Policies. Persons that require a reasonable modification based on language or disability should submit a request as early as possible to ensure the State has an opportunity to address the modification. The provider manual was revised with input from individuals receiving services, stakeholders, providers, DIDD staff, and the Bureau of TennCare. Download the complete Division Operations Manual. The process for requesting a reasonable modification can be found at, Arizona Adult Protective Services Action Plan, Find Out If You Are Eligible for Services, Senior Community Service Employment Program, Workforce Innovation and Opportunity Act (WIOA), DES Accounts Receivable and Collections Bill, Policy on Enrollment Verification with Account, Provider Quick Guide for Incident Reporting, Interdisciplinary Technical Assistance Center on Autism and Developmental Disabilities, UnitedHealthcare Community Plan Practice Guidelines, Billing for Third Party Liability & Duplicates, Email DDD about Third Party Liability Benefits (Member Insurance Update Requests only), Email DDD about Third Party Liability Waiver Requests, Vendor Account Set-up and Payment Information (Arizona W9), Sole Proprietor Waiver (Department of Administration), Rate Book 05/06/2020, Effective 01/01/2020, DDD Provider Search Manual - Updated (6/2017), Vendor Call Process for Qualified Vendor Services, Focus Service Authorization Vendor Call Demo Video, AHCCCS, DDD and Sandata Qualified Vendor Meeting - January 28, 2021 (Video)(link is external), AHCCCS, DDD and Sandata Qualified Vendor Meeting - January 28, 2021 (PDF), Attendant Care/Housekeeping Service/Monitoring/Supervision, Equal Opportunity and Reasonable Modification. DDD has five policy manuals, which include the Operations, Medical, Eligibility, Behavior Supports, and Provider manuals. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. The Division Eligibility Manual provides information regarding eligibility with the Division and the application process. Download the complete Division Medical Manual. Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. Community Care Program Policies & Procedures Manual Apply to Become a Medicaid/DDD Approved Provider Step 1: Apply for an NPI for Every Service Location Go to the National Plan and Provider Enumeration System website and apply for an NPI for each location from which you plan to … This will take you to a Table of Contents for that particular manual. Pursuant to Title VI of the Civil Rights Act of 1964, the Americans with Disabilities Act (ADA) and other nondiscrimination laws and authorities, ADES does not discriminate on the basis of race, color, national origin, sex, age, or disability. The manual should be referenced in conjunction with State and Federal regulations, AHCCCS Contractor’s Operations Manual (ACOM), the Division Operations Manual, and applicable contracts. Pursuant to Title VI of the Civil Rights Act of 1964, the Americans with Disabilities Act (ADA) and other nondiscrimination laws and authorities, ADES does not discriminate on the basis of race, color, national origin, sex, age, or disability. The new providers’ manual will be called the Vocational Rehabilitation Standards for Providers’ Manual (VR-SFP). Persons that require a reasonable modification based on language or disability should submit a request as early as possible to ensure the State has an opportunity to address the modification. Changes in policy are communicated to contracted DDD providers via electronic policy notifications, which are also sent to all DDD employees, Providers, Administrative Services Subcontractors, and individuals who have opted to receive notifications. The Division Behavior Supports Manual provides information regarding Behavioral Health Supports and Services. The process for requesting a reasonable modification can be found at, Arizona Adult Protective Services Action Plan, Find Out If You Are Eligible for Services, Senior Community Service Employment Program, Workforce Innovation and Opportunity Act (WIOA), DES Accounts Receivable and Collections Bill, Download the complete Division Operations Manual, 109 - Institution for Mental Disease 15-Day Limit, 205 - Ground Ambulance Transportation Reimbursement Requirements for Non-Contracted Providers, 305 - Performance Bond and Equity Per Member Requirements, 406 - Member Handbook and Provider Directory, 414 - Requirements for Service Authorization Decision and Notices of Adverse Benefit Determination, 418 - Provider and Affiliate Advances, Equity Distributions, Loans & Investments, 424 - Verification of Receipt of Paid Services, 435 - Telephone Performance Standards and Reporting, 446 - Grievances and Investigations Concerning Persons with Serious Mental Illness, 1001D - Program Values and Guiding Principles, Download the complete Division Medical Manual, 310FF - Drug Utilization Review and Monitoring, 310P - Medical Supplies, Durable Medical Equipment, and Prosthetic Devices, 320-M - Medical Marijuana and CBD Oil Products, 320-P - Serious Mental IIlness Eligibility Determination, 320-U - Pre-Petition Screening, Court Ordered Evaluation and Court Ordered Treatment, 541 - Coordination of Care with Other Government Agencies, 680-C Pre-Admission Screening and Resident Review, 1240A - Attendant Care and Homemaker (Direct Care Services), AHCCCS 1240A - Policy Guidance regarding background check requirements, Download the complete Division Eligibility Manual, 200I - Adult Applicants with Limited Documentation, Eligibility for the Arizona Intervention Program, Responsibilities of the Member/Responsible Person, Download the complete Division Behavior Supports Manual, Individual Support Plan Team Responsibilities, Behavior Modifying Medication, Monitoring Behavior Modifying Medications and Treatment Plans, Emergency Measures and Physical Management Techniques, Download the complete Division Provider Manual, Introduction to the Division of Developmental Disabilities, Provider Responsibilities and Expectations, Early and Periodic Screening, Diagnosis and Treatment, ALTCS Grievances, Claim Disputes, and Appeals, Remittance Advice, Eligibility, and Cost Sharing, Advising or Advocating on Behalf of a Consumer, Separation of Children and Adults in Center Based Programs, Assessment Requirement for Members Placed in Residential Settings, Responsible Person/Caregiver Participation in Therapy Sessions, Emergency Communication When Transporting a Member, Termination of a Qualified Vendor Agreement Upon Request of the Qualified Vendor, Electronic Monitoring/Surveillance System in Program Sites, Respite Provided at Camp to ALTCS Members, Qualified Vendor Responsibilities For Planning Team Meetings, Managing Vendor Call Lists, Provider Directories, Scope of Services and Reporting, Vendor Call Requirements for Qualified Vendors, Oversight and Monitoring of Developmental Home Services, Benefit Coordination and Fiscal Responsibility for BH Svc and PH Svc, HCBS Certification and Provider Enrollment, QV Provider Instructions – Agency with Choice Option, DDD Agency with Choice User Guide – Focus Vendor, 310-D1 Dental Services for Members 21 Years of Age and Older, 310-D2 Arizona Long Term Care System Adult Dental Services, 310-G Eye Examinations/Optometry Services, 310-P Medical Equipment, Medical Devices and Medical Supplies, 310-V Prescription Medication/Pharmacy Services, 310-DD Covered Transplants and Related Immunosuppressant Medications, 310-FF Drug Utilization, Review and Monitoring, 310-GG Nutritional Assessments and Nutritional Therapy, 310-HH End of Life Care and Advance Care Planning, 320-M Medical Marijuana and CBD Oil Products, 320-O Behavioral Health Assessments and Treatment Planning, 320-P Serious Mental Illness Eligibility Determination, 320-R Special Assistance for Persons with Serious Mental Illness, 320-U Pre-petition Screening, Court Ordered Evaluation and Court Ordered Treatment, 320-V Behavioral Health Residential Facilities, 430 Early Periodic Screening, Diagnosis and Treatment Services, 450 Out-of-State Placements for Children or young Adults for Behavioral Health Treatment, 541 Coordination of Care with Other Government Agencies, 560 CRS Care Coordination and Service Plan Management, 580 Behavioral Health Referral and Intake Process, 670 Federally Qualified Healthcare Centers and Rural Health Clinics Reimbursement, 910 Quality Management/Performance Improvement Program Scope, 920 Quality Management/Performance Improvement (QM/PI) Administrative Scope, 940 Medical Records and Communication of Clinical Information, 950 Credentialing and Recredentialing Processes, 960 Tracking and Trending of Member and Provider Issues, 963 Peer and Recovery Support Service Provision Requirements, 964 Credentialed Parent/Family Support Requirements, 1010 Medical Management Administrative Requirements, 1020 Medical Management Scope and Components, 1040 Outreach, Engagement and Re-Engagement for Behavioral Health, 1250-E Therapies (Rehabilitative and Habilitative), 1250-F Customized Durable Medical Equipment, and Appliances. Remove ... (DXC), developed provider manuals for all RI Medicaid Providers The purpose of this guide is to assist Medicaid providers with Medicaid policy, coverage information and claim reimbursement for this program. The manual should be referenced in conjunction with State and Federal regulations, AHCCCS Policy Manuals, and applicable contracts. Archived Provider Manual. Download the complete Division Administrative Services for Subcontractors (AdSS) Medical Manual. DDD updates the manual when there are changes in policy and requirements. Describe, in their own words, the various Reportable Incidents and Notable Occurrences that are discussed in the course. Requests should be made as early as possible to ensure the State has an opportunity to address the accommodation. Click on the manual you wish to view or print. 1 [email protected] Policy on Enrollment Verification with Account; Provider Directory; Fraud and Abuse Reporting 1-877-882-5799 Report Fraud or Abuse Online; Incident Reporting - Provider Quick Guide for Incident Reporting; Provider Policy Manual The manual should be referenced in conjunction with State and Federal regulations, AHCCCS Contractor’s Operations Manual (ACOM), the Division Medical Manual and applicable contracts. OOD’s new Provider Management Program (PMP) is now available! 310H - Health Risk Assessment and Screening Tests, 310O - Maternal and Child Health Services, 310P - Medical Supplies, Durable Medical Equipment, and Prosthetic Devices (Acute Care Services), 310V - Prescription Medication/Pharmacy Services, 320A - Affiliated Practice Dental Hygienist, 320V - Behavioral Health Residential Facilities, 330 - Covered Conditions and Services for Children’s Rehabilitative Services, 430 - Early Periodic Screening, Diagnostic and Treatment Services, 431 - Oral Health Care (EPSDT-Age Members), 530 - Member Transfers Between Facilities, 910 - Quality Management/Performance Improvement Program Administrative Requirements, 920 - Quality Management/Performance Improvement (QM/PI) Program Scope, 950 - Credentialing and Recredentialing Processes, 960 - Tracking and Trending of Member and Provider Issues, 1010 - Medical Management Administrative Requirements, 1040 - Outreach, Engagement and Re-Engagement for Behavioral Health, 1210 - Institutional Services and Settings, 1240A1 - Exhibit 1240A-1 , Attendant Care Supervision Requirements Age 17 and Under, 1240A2 - Exhibit 1240A-2, Attendant Care Supervision Requirements Age 18 and Above, 1240A3 - Exhibit 1240A-3 , Attendant Care Supervision Documentation Requirements, 1250E - Therapies (Rehabilitative and Habilitative), 1250F - Medical Supplies, Equipment, Appliances, and Customized Durable Medical Equipment, 1250G - Nutritional Assessments and Nutritional Therapy, 1610 - Components of Support Coordination, 1640 - Targeted Support Coordination Standards. Below are some commonly used contract documents as well as some links to contracting resources to assist you in preparing your DDD contract application. Intellectual Disabilities, Core Community Services Removed sections that are now in General Guidelines Manual. I encourage you to view the short webinar we have developed for prospective providers, DODD provides training, guidance, and oversight for more than 10,000 service providers. Georgia Department of Behavioral Health & Developmental Disabilities PROVIDER MANUAL FOR COMMUNITY DEVELOPMENTAL DISABILITY PROVIDERS FOR THE DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES FISCAL YEAR 2020 Effective Date: October 1, 2019 (Posted: September 1, 2019) “DBHDD publishes its expectations, requirements, and standards for Community Developmental Disability Providers Table of Contents Horizon NJ Health Provider Administrative Manual • January 2020 i-5 9.6 Coordination of Benefits ..... 9-14 DBHDD publishes its expectations, requirements, and standards for community providers via policies and the respective Behavioral Health or Developmental Disabilities Provider Manuals. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. The DDA Online Policy was established to support the Agency’s mission and to provide employees, stakeholders, and interested parties access to the mainstay of the Agency’s practice standards regarding accountability for compliance with all applicable legal requirements. Persons that require a reasonable modification based on language or disability should submit a request as early as possible to ensure the State has an opportunity to address the modification. North Dakota DD Provider Manual Page 8 refers the client to the preferred providers to begin receiving services. The manual should be referenced in conjunction with State and Federal regulations, AHCCCS Contractor’s Operations Manual (ACOM), and applicable contracts. Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. 104 Continuity of Operations/Emergency Preparedness Plan, 106 Certification of Medicare Advantage Plans Serving Dual Eligible Medicare–AHCCCS Members, 109 Institution for Mental Disease 15 Day Limit, 201 Medicare Cost Sharing for Members Covered by Medicare and Medicaid, 205 Ground Ambulance Transportation Non-Contracted, 305 Performance Bond and Equity per Member Requirements, 307 Alternative Payment Model Initiative - Strategies and Performance-Based Payments Incentive, 311 CYE20 and Forward - Tiered Capitation Reconciliation, 312 Children's Rehabilitative Services Program Reconciliation, 325 Access to Professional Services Initiative and Reconciliation, 401 Change of DDD Health Plan and Administrative Services Subcontractors, 402 Member Transition for Annual Enrollment Choice and Eligibility Changes, 404 Contractor Website and Member Information, 405 Cultural Competency, Language Access Plan and Family Member Centered Care, 406 Member Handbook and Provider Directory, 414 Notices of Adverse Benefit Determination and Notices of Extension for Service Authorizations, 415 Provider Network Development and Management Plan: Periodic Network Reporting Requirements, 417 Appointment Availability, Monitoring and Reporting, 418 Provider and Affiliate Advance and Loan Request, 421 Contract Termination: Nursing Facilities and Alternate Home and Community Based Settings, 423 Financial Responsibility for Court Ordered Treatment for DUI/Domestic Violence or Other Criminal Offenses, 424 Verification of Receipt of Paid Services, 426 Children's Rehabilitation Services Application, Designation and Coverage, 434 Coordination of Benefits and Third Party Liability, 435 Telephone Performance Standards and Reporting, 437 Financial Responsibility for Services After the Completion of Court-Ordered, 438 Administrative Services Subcontracts Evaluation, 439 Material Changes: Provider Network and Business Operations, 440 Managed Care Expiration or Termination of Contract, 444 Notice and Appeal Requirements (Serious Mental Illness Appeals), 445 Submission of Requests for Hearing Documents, 446 Grievances and Investigations Concerning Persons with Serious Mental Illness, 449 Behavioral Health Services for Children in Department of Child Safety Custody and Adopted Children, 470 Management and Maintenance of Records Related to Medicaid Line of Business, Members Determined SMI - Special Assistance Report, Equal Opportunity and Reasonable Modification, Chapter 300 Medical Policy for Acute Services, Chapter 400 Medical Policy for Maternal and Child Health, Chapter 500 Care Coordination Requirements, Chapter 500 Medical Policy for Acute Services, Chapter 600 Provider Qualifications and Provider Requirements, Chapter 700 School Based Claiming Program - Direct Services Claiming, Chapter 800 Fee-For-Service Quality and Utilization Management, Chapter 900 - Quality Management / Performance Improvement Program, Medical Policy for Maternal and Child Health, Provider Qualifications and Provider Requirements, Quality Management and Performance Improvement Program. Department of Intellectual and Developmental Disabilities. Upon receiving a referral, the DD provider communicates with the DDPM on the agency’s decision to provide their services. The VR Provider Manual offers VR Counselors, VR Contractors, VR Support Staff, and Providers guidance from Opportunities for Ohioans with Disabilities (OOD) about service delivery rates and requirements as defined in OAC 3304-2-52, as well as technical assistance and other non-service and/or rate DIDD appreciates the feedback we received to make changes and improvements to the manual. AHCCCS 801 E Jefferson St Phoenix, Az 85034 Find Us On Google Maps. DDD Provider Relations 1-844-770-9500 ext. The manuals are updated quarterly throughout each fiscal year (July – June) and are posted one month prior to the effective date. The Home and Community Based Services (HCBS) Section oversees home and community based waiver services programs for people with developmental disabilities, acquired brain injuries, and individuals who are ages 19-64 with a physical disability or ages 65+ who need Nursing Facility level of care. Disabilities (ADMH-DDD), serving individuals with intellectual and developmental disabilities. Therefore, this first version of the ADMH-DDD provider manual represents the Division’s commitment to Link to list of updates and revisions to Provider Manuals. The manual should be referenced in conjunction with State and Federal regulations, Article 9, and applicable contracts. The purpose of this Provider Manual is to provide uniform direction for providing waiver services for Use the expandable sections below to view Policies or download the DDD Complete Set of All Policy Manuals. 104 - Continuity of Operations/Emergency Preparedness Plan, 302 - Prior Period Coverage Reconciliation: Administrative Services Subcontractors, 325 - Access to Professional Services Initiative and Reconciliation, 404 - Contractor Website and Member Information Material, 415 - Provider Network Development and Management Plan Periodic; Network Reporting Requirements, 417 - Appointment Availability, Monitoring and Reporting, 426 - CRS Referrals, Enrollment, and Coverage, 438 - Administrative Services Subcontracts, 439 - Material Changes: Provider Network and Business Operations, 449 - BH Services for Children in Dept of Child Safety Custody and Adopted Children, 1001A - Basic Human and Disability Related Rights, 1001B - Responsibilities of Individuals Applying for and/or Receiving Supports and Services, 1001C - Rights of Persons with Developmental Disabilities Living in Residential Settings, 1003 - District Independent Oversight Committees, 1004B - Consent to Medical Treatment of Minors, Incapacitated Minors, and Incapacited Adults, 1005A - Guardianship and Conservatorship or Surrogate Parent, 1005C - Authorized Representative for Arizona Long Term Care System Benefits, 1006 - Healthcare Directives/Advance Directives (AHCD), 2005 - Referral and Placement in Services, 3002 - Home and Community Based Service Delivery, 3006 - Short Term Emergency Situations (Residential and Day Programs), 3007 - Service Provider Information, Authority, and Notification, 4003 - Administrative Review/Appeal and Hearing Rights, 4004H - Member Funds, Provider Responsibilities, 4004O - Termination of a Member’s Account or Change in Representative Payee, 6001C - Access to Personally Identifiable Information, 6001D - Lawful Disclosure of Confidential Information, 6001I - Management and Maintenance of Records Related to the Medicaid Line of Business, 6002A - Definitions of Incidents and Serious Incidents, 6002B - Incident Management System Definitions, 6002H - Referral to Other Investigative Agencies, 6002I - Incident Closure and Corrective Actions, 6003B - Informal Resolution/Grievance Process Non-Arizona Long Term Care System, 6003C - Appeal Process for Members Who Receive State Funded Services, 6003D - Notice of Intended Action (State Only), 6003E - Administration Review Process (State Only), 6003G - Arizona Long Term Care System Grievance Process, 6003H - Arizona Long Term Care System Notice of Adverse Benefit Determination, 6003I - Arizona Long Term Care System Appeal Process, 6003J - Arizona Long Term Care System Fair Hearing Process.
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