May 12, 2022 10:00 AM from bludeman-hopkins to everyone: Beth Ludeman-Hopkins, VACSB May 12, 2022 10:00 AM from Rhonda Thissen to everyone: Rhonda Thissen, DMAS Integrated Care Division May 12, 2022 10:00 AM from Tammy Eames to everyone: Tammy Eames- Piedmont CSB May 12, 2022 10:00 AM from Jennifer Fidura to everyone: Jennifer Fidrua, VNPP May 12, 2022 10:00 AM from mindy carlin to everyone: Mindy Carlin, VACBP May 12, 2022 10:01 AM from Izaak Funke to everyone: Izaak Funke, DMAS May 12, 2022 10:01 AM from Lauren Howren to everyone: Lauren Howren, DMAS Integrated Care May 12, 2022 10:03 AM from Alyssa Ward to everyone: Thank you Tammy for that information. May 12, 2022 10:07 AM from Alyssa Ward to everyone: I also want to clarify--if this is true for BRAVO services, this is true for all services in the contract? May 12, 2022 10:12 AM from mindy carlin to everyone: Anything to reduce administrative burden only helps May 12, 2022 10:13 AM from Rhonda Thissen to everyone: Laura, I just sent that claims processing memo to you May 12, 2022 10:13 AM from Christy Evanko to everyone: Sorry to arrive late. Christy from Virginia Association for Behavior Analysis is here. May 12, 2022 10:14 AM from mindy carlin to everyone: Thx for raising this issue Tami and Beth! May 12, 2022 10:15 AM from mindy carlin to everyone: If I have another MCO issue should I raise now? May 12, 2022 10:21 AM from bludeman-hopkins (privately): Hi Laura - all these are hrlpful... I am not sure i am getting your updates. Are they coming thru emails? Do you have a provider listserv that i can be a part of? May 12, 2022 10:22 AM from Laura Reed to everyone: Beth, I have been sending emails out to all provider associations, you are on the list serv. May 12, 2022 10:22 AM from Laura Reed to everyone: If you haven't received them, I can forward them to you May 12, 2022 10:23 AM from bludeman-hopkins (privately): Thanks! Just wanted to be sure. Sometimes Jennifer gets them as the VACSB and i do not. Only when you get time, - they would be helpful May 12, 2022 10:25 AM from Stefanie Pollay to everyone: https://www.aetnabetterhealth.com/virginia/find-provider May 12, 2022 10:25 AM from Stefanie Pollay to everyone: https://www.optimahealth.com/providers/find-doctors-drugs-and-facilities May 12, 2022 10:27 AM from mindy carlin to everyone: Can this slide be shared? May 12, 2022 10:28 AM from Laura Reed to everyone: Yes, we will send it with the meeting minutes May 12, 2022 10:31 AM from bludeman-hopkins (privately): Thx so much Laura! May 12, 2022 10:36 AM from Jennifer Faison, VACSB to everyone: That's exactly right, Jennifer. It's ongoing for the CSBs. May 12, 2022 10:36 AM from bludeman-hopkins to everyone: Yes - I agree - this is an ongoing issue for the Bds. May 12, 2022 10:40 AM from Jennifer Faison, VACSB to everyone: I think there is a timeline required either in budget language or code that Senator Dunnavant sponsored. May 12, 2022 10:43 AM from Christy Evanko to everyone: Isn't this the bill? May 12, 2022 10:43 AM from Christy Evanko to everyone: 2020 HB822 (Head) May 12, 2022 10:44 AM from Christy Evanko to everyone: https://lis.virginia.gov/cgi-bin/legp604.exe?ses=201&typ=bil&val=HB822 May 12, 2022 10:45 AM from Christy Evanko to everyone: There seem to be too many loopholes, because the law says that the application must be complete, but it's easy to find ways to say the application isn't complete. May 12, 2022 10:46 AM from Laura Reed to everyone: Individuals LMHPs can bill during their credentialing period, per a memo that I can send out, its agencies that cannot bill during credentialing period. May 12, 2022 10:48 AM from mindy carlin to everyone: There’s an association for every type of healthcare provider — seems a strong coalition could be formed. May 12, 2022 10:49 AM from mindy carlin to everyone: We can gather data on the impact via a survey and share with other groups May 12, 2022 10:49 AM from mindy carlin to everyone: Is this a CSB issue too? May 12, 2022 10:50 AM from Christy Evanko to everyone: Please include VABA Mindy, as this is an issue for us as well May 12, 2022 10:50 AM from bludeman-hopkins to everyone: Yes - it is absolutely a CSB issue. Thx for bringing this up. May 12, 2022 10:56 AM from Laura Reed to everyone: Policies and Procedures May 12, 2022 10:57 AM from Laura Reed to everyone: Medallion IV COntract: 4.6.A Credentialing Policies and Procedures May 12, 2022 10:57 AM from Laura Reed to everyone: 42 CFR § 438.214 May 12, 2022 10:57 AM from bludeman-hopkins to everyone: Contacts would be most helpful for this issue. May 12, 2022 10:58 AM from mindy carlin to everyone: Good points! May 12, 2022 10:58 AM from Stefanie Pollay to everyone: there are standards for that, I remember when CCC Plus began there were dashboards they had to send to show their wait times, etc May 12, 2022 10:59 AM from mindy carlin to everyone: Thx all!! May 12, 2022 10:59 AM from mindy carlin to everyone: Happy to collaborate with others on this May 12, 2022 11:01 AM from Alyssa Ward to everyone: https://www.anthem.com/provider/credentialing/?cnslocale=en_US_va May 12, 2022 11:01 AM from Alyssa Ward to everyone: Click here to see ANthem's practitioner rights around credentialing May 12, 2022 11:01 AM from Alyssa Ward to everyone: this includes timelines, etc May 12, 2022 11:01 AM from Alyssa Ward to everyone: I would encourage everyone to review each MCO website for now to determine the scope of such "bill of rights" for each MCO process May 12, 2022 11:02 AM from Alyssa Ward to everyone: Practitioners and HDOs have the right to review information submitted to support their credentialing applications. This right includes access to information obtained from any outside sources with the exception of references, recommendations or other peer review protected information. In the event that credentialing information cannot be verified, or if there is a discrepancy in the credentialing information obtained, the Credentialing staff will contact the practitioner or HDO within thirty (30) calendar days of the identification of the issue. This communication will specifically notify the practitioner or HDO of the right to correct erroneous information or provide additional details regarding the issue in question. This notification will also include the specific process for submission of this additional information, including where it should be sent. Depending on the nature of the issue in question, this communication may occur verbally or in writing. If the communication May 12, 2022 11:04 AM from Alyssa Ward to everyone: https://www.virginiapremier.com/providers/join-our-network/ May 12, 2022 11:05 AM from Alyssa Ward to everyone: https://www.virginiapremier.com/providers/ May 12, 2022 11:06 AM from Jennifer Fidura to everyone: Are we going to get a copy of the chat? May 12, 2022 11:06 AM from Izaak Funke to everyone: Yes May 12, 2022 11:06 AM from Alyssa Ward to everyone: Izaak is on it :) May 12, 2022 11:07 AM from Jennifer Fidura to everyone: i need to ho[ off; MES issues are calling me May 12, 2022 11:11 AM from bludeman-hopkins to everyone: Thx everyone! May 12, 2022 11:11 AM from Tammy Eames to everyone: Thank you everyone May 12, 2022 11:11 AM from mindy carlin to everyone: Thanks!!!