HomeMy WebLinkAboutEI Provider Meeting Minutes 10-23-15Early Intervention Provider Meeting
Friday, October 23, 2015
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Staff Present: Trish Elliott, Ashley McCartney, Steve Nevada, Erin Nye
Providers: Matt Yingling and Holly Whiteside (Service Access & Management, Inc. - SAM),
Krista and Phillip Miracle (Pediatric Therapy Specialists - PTS), Beth Fairchild (Early
Intervention Technical Assistance - EITA), Jenn Hawbecker (UCP of South Central PA),
Adam Rowland (Advanta Therapy)
Providers Absent: Lincoln Intermediate Unit #12, BOPIC, Inc., Keystone Autism Services,
Tuscarora Intermediate Unit #11
Conference Call: Megan Lesko (Building Blocks Therapy), Stephanie White (Fulton County
Medical Center), Theresa Miller (Invo HealthCare)
MEETING MINUTES
1. Welcome & Introductions
Everyone introduced themselves and their agency affiliation.
2. TCM Billing through PROMISe
TCM billing through PROMISe is going to be in effect starting next week. There are
concerns on what it is going to look like billing for targeted case management.
Billing will go through PROMISe with remittance advices. Service Coordinators will
have to enter how many services they will be providing for a child. They need to
assure that units are available to bill for. It is a process that all involved will have to
get used to.
Previously, units never came off the IFSP and the funding was not used. Trish did
not have to authorize the units in advance. The system would sweep the session
notes. The part involving the sweeps will not change but now staff must watch to
assure they put in the proper units. The new billing requirements do not affect the
SCs job. As a FYI, if you see a large number of units in an IFSP, it does not mean all
units will be utilized. It is just assuring that enough units are there throughout the
new billing process.
Holly will be meeting with her staff next week. She has asked the SCs to go through
their case load and document how involved a child is with services. Then go back
and adjust the units so that there is something in the system for billing. This will be
a lengthy tedious process. The IFSP may look a little different.
If anyone has any problems with the new billing system, please let Steve know.
3. PROMISe Provider Revalidation Enrollments
Early Intervention Provider Meeting
Friday, October 23, 2015
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Discussion was held among attendees on the process of revalidation. Please be sure
to make copies of what you send in. Providers can bill after the March deadline as
long as they have sent in the documentation and it was received.
If anyone is running into issues, please let Trish and/or Steve know as we do not
want someone to not be paid due to a processing issue. There appears to be a long
wait time as revalidations from April are still not in the system. Staff is being added
to the Department of Human Services due to the high volume of revalidations that
are being submitted.
4. New Provider Monitoring Tool
Trish reviewed the Provider Monitoring Tool PowerPoint. For more detailed
information, please review that document.
Provider monitoring is going to be much more in depth and involved then it has in
the past. It is to be ongoing throughout the fiscal year but completed by June 30th.
Trish needs to take a special look at new hires session notes to make sure they are
up-to-date and the training they received are being reflected in the notes. If a
provider has noncompliance issues, an improvement plan will be worked out.
The biggest change with the new provider monitoring tool is fiscal/medical
assistance. Records have always been reviewed but in the past, Trish did not have to
go back to PROMISe and review the session notes to see what was billed.. Trish will
be looking to make sure RAs are received and that if a child’s IFSP says they are to
be seen four (4) times a month, they are billed four (4) times a month. We need to
make sure we are doing what is reflected in the IFSP. It is important to fill out
cancellation documents and keep them in the child’s record as well.
5. ECO and Upcoming Trainings
Appraxia Training took place on October 22nd. Appraxia is not a common diagnosis.
Due to not knowing the frequency of services that should be provided to an
individual with this diagnosis or the best service options, training was scheduled.
Attendance consisted of Sue Althose, (Early Intervention Technical Consultant),
service coordinators, providers, parents, etc.
The mandatory Early Childhood Outcomes (ECO) training will take place November
20th from 9:00 a.m. to 11:30 a.m. at the Ag Building, Rooms 7 and 8. Policy and
procedures will be set up on how, moving forward, the ECOs should be completed.
The training will be tailored for Franklin/Fulton. A compliment was received on
Franklin/Fulton having ECO entrance and exit numbers in the system. Further
discussion was held about ECOs:
The tool is very subjective. If one person does the entrance and another does
the exit, there is the possibility of a difference.
The last training on ECOs took place 7-8 years ago.
Early Intervention Provider Meeting
Friday, October 23, 2015
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The absolute focus is not to make up that the kids are progressing if they are
not. The ECOs are to show where a child is as far as a 4 or 2 or if they are still
at a 1 and have made no progress in 3 years. The numbers should be based
on the team if there is more than one therapist involved.
There has been discussion on having a Professional Development Training. A
request has also been made for training on behavior. If there are topics providers
are interested in having trainings on, please let Trish know.
6. Budget Impasse
There is no set date of when the budget may be passed. At this point, it looks like
January. Cumberland and Alleghany counties have stopped payments. School
districts have discussed closing doors. Administrators are getting together to do an
immediate campaign. Information was put together on what providers could forgo
payment and the impact the budget has on providers. That document was given to
County Commissioners Association (CCAP) of Pennsylvania. It was then passed onto
legislatures. Many different budget attempts were tried in order to get a budget
passed, such as line item vetoing, overrides, changing from a 10% increase to a 7%
decrease in certain services, etc. The disagreement is over pensions, liquor store
privatization and Marcellus Shale Drilling.
For us specifically, Franklin County has been able to continue to pay for services.
However, the reserves are now starting to run low. Fulton County wants to continue
to pay for services but is looking to utilize all their funds close to November. Things
will continue as is until direction is otherwise given. Steve will keep everyone
apprised.
Next Meeting: Friday, January 15, 2016 starting at 10:00 a.m.
Located at the Human Services Building (HSB)
2016 Meeting Schedule:
January 15th April 15th July 15th October 14th
Minutes by Erin Nye