Thursday, January 21, 2010

SembraCare Sponsors Home Care Agency Meetings

SembraCare is sponsoring two Home Care Agency Meetings, January 26, 2010 in Lumberton, NC, and January 28, 2010 in Statesville, from 10 am to 12:30 pm. These are open to Licensed Home Care Agencies, there is no cost or obligation for attending these meetings, and you are invited to have two representatives attend. Just let us know you are coming! The Agenda is below.


Statesville LOCATION:

Holiday Inn, Statesville
(704) 878-9691


Lumberton LOCATION:

Holiday Inn, Lumberton
(910) 671-1166


RSVP: Richard 919-376-1133 or Liz 919-376-1111



Agenda

I. General Overview – Including the New DHSR Rules on Companion and Sitting Services, the New Provider Enrollment Packets, the New Clinical Coverage Policy and the New Formula for Hours

II. The PACT Reviews This Fall

III. The IAE Assessments Next Year

IV. The NEW Provider Participation Agreement – what’s new in it which you need to know!

V. What Can You Do?
  • a. Strategies for Protecting Your Business:
  • b. Prepare for the new Clinical Policy 3C
  • c. Prepare for Hours reductions
  • d. Preparing for IAE assessments
  • e. Focus on Best New Business Opportunities


Refreshments will be provided. Lunch on your own.

Tuesday, January 12, 2010

Alert: Provider Enrollment Packets

On behalf of DMA, CSC is currently carrying out a 12-month process to verify provider information and conduct credentialing activities for enrolled Medicaid providers. Because of ongoing discussions with provider associations related to the Medicaid Provider Participation Agreement, DMA has agreed to extend the time allotted for providers to return the required information to CSC. Providers have been asked to return the packet materials (except as discussed below DO NOT SIGN AND RETURN the Participation Agreement) within 60 days from the date of receipt of the verification packet or February 1, 2010, whichever is later. A provider who has not received a verification package or who has questions about completing the enrollment forms within the package should contact CSC (1-866-844-1113) directly.

DMA and the N.C. Attorney General's Office are currently reviewing and evaluating provider comments on the Medicaid Provider Participation Agreement that is part of the verification package. DO NOT RETURN that Agreement with the rest of your package until further notice from N.C. Medicaid. It may change substantially!

SembraCare urges you to review the packet of materials carefully before submitting anything. There are legal terms used in that agreement which could have broader or different meanings than you might expect and you should talk to your lawyer about them and what they mean. We will be working on an outline of considerations and things to do to help you in filling out the packet.

Monday, January 11, 2010

2010 Check Write Schedule

Month Electronic Cut-Off Date Checkwrite Date
January 1/7/10 1/12/10
1/14/10 1/20/10
1/21/10 1/28/10
1/28/10 2/2/10
February 2/4/10 2/9/10
2/11/10 2/17/10
2/18/10 2/25/10
March 2/25/10 3/2/10
3/4/10 3/9/10
3/11/10 3/16/10
3/18/10 3/25/10
April 4/1/10 4/6/10
4/8/10 4/13/10
4/15/10 4/22/10
May 4/29/10 5/4/10
5/6/10 5/11/10
5/13/10 5/18/10
5/20/10 5/27/10
June 6/3/10 6/8/10
6/10/10 6/15/10
6/17/10 6/24/10
July 7/1/10 7/7/10
7/8/10 7/13/10
7/15/10 7/22/10
August 7/29/10 8/3/10
8/5/10 8/10/10
8/12/10 8/17/10
8/19/10 8/26/10
September 9/2/10 9/8/10
9/9/10 9/14/10
9/16/10 9/23/10
October 9/30/10 10/5/10
10/7/10 10/13/10
10/14/10 10/19/10
10/21/10 10/28/10
November 10/28/10 11/2/10
11/4/10 11/9/10
11/10/10 11/18/10
December 11/24/10 12/1/10
12/2/10 12/7/10
12/9/10 12/14/10
12/16/10 12/22/10