Celebration:
Governor signs bipartisan child welfare overhaul bill
Legislation eliminates red tape in reuniting children with families or finding new permanent placements. New measure sets up study for a statewide child welfare hot line.
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In attendance: County DSS, State DSS, Benchmarks, Administrative Office of the Courts, DHHS Attorneys and Senator Sydney Batch-Senator Batch was key in the drafting and passage of the bill. |
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From Rep. David Willis' Newsletter
House Bill 769
Foster Parents Bill of Rights
104-0 Vote
I was proud to lead the way to advocate and champion the Foster Parents Bill of Rights for those in foster care.
A strong child welfare system is dependent on a network of committed and skilled foster parents. To help support foster families, it is important they know their rights. It is also critical that the county Department of Social Services staff across all 100 counties are consistent in safeguarding the rights of foster families. House bill 769, Foster Parent’s Bill of Rights, works to ensure that both of these needs are met.
-This bill clearly defines foster parents as respected member of the county child welfare team.
-It recognizes the importance of receiving timely information about the children they serve so they can provide the best care possible.
-It notes that foster parents have the right to be notified in advance of court hearings and to provide input to the court for the children in their care.
-It recognizes that foster families will be recognized as prospective adoptive parents if the youth is available for adoption.
-Protects foster parents from reprisal based on feedback or requests made to the County Department of Social Services agency.
This is the first time that the “rights” of foster families have been compiled in one place. Until now, it was through various Department of Social Services rules that counties identified and interpreted what rights should be afforded to foster parents. Unfortunately, there was inconsistency between counties in recognizing and allowing these rights for foster families. House bill 769 alleviates any need for interpretation or identification through social services rules to determine the rights of foster families.
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Benchmarks' Upcoming Webinars
Benchmarks' Child Welfare Webinar
Lisa Cauley Joins Karen McLeod
Date: Thursday, September 9, 2021
Time: 8:00 am thru 9:00 am
Benchmarks' Friday Webinar
Dave Richard Joins Karen McLeod
Date: Friday, September 17, 2021
Time: 8:30 am thru 9:30 am
Benchmarks' Child Welfare Webinar
Lisa Cauley Joins Karen McLeod
Date: Thursday, October 7, 2021
Time: 8:00 am thru 9:00 am
Benchmarks' Friday Webinar
Dave Richard Joins Karen McLeod
Date: Friday, October 15, 2021
Time: 8:30 am thru 9:30 am
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NCDHHS RFA: Family and Youth Advocacy and Support Organization
North Carolina Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMH/DD/SAS) is looking to partner with a statewide family and youth advocacy and support organization.
This organization will enhance North Carolina’s System of Care (SOC) by:
a. Developing a skilled workforce of family and youth peer support individuals who can reach out to families and youths who would not ordinarily be identified by or engaged by the behavioral health system while supporting those whose needs are not being met by the current behavioral health system.
b. Creating an educational and supportive environment that supports families and youth in identifying their own strengths and resources for the purpose of creating and implementing plans that lead to positive outcomes and independence from the behavioral health, juvenile justice, and social service systems.
c. Establishing a network of family and youth representatives who engage with local SOC collaboratives and local child/youth service leadership to influence the local SOC development within the collaboratives’ communities.
d. Influencing the development of policies and procedures that will sustain peer support while serving to orient NC’s service delivery focus towards the goal of becoming Family and Youth Driven.
e. Developing a statewide curriculum, training, and certification program for family/youth peer support.
f. Providing technical assistance and consultation to DMH/DD/SAS on policy and procedural development.
FYI and please share widely. Time sensitive. This is an important opportunity to building family support and advocacy resources.
Here is the link.
Guidance on Conflict-Free Care Management for Tailored Plan Members
As part of the 2014 home and community-based services (HCBS) final rule, the Centers for Medicare and Medicaid Services (CMS) established requirements for conflict-free case management for Medicaid beneficiaries obtaining HCBS, generally requiring that case management activities, including the assessment and coordination of services, be independent from the delivery of HCBS services.
The intent of these requirements is ultimately to promote consumer choice and independence by limiting any conscious or unconscious bias by a case or care manager when assisting a consumer in identifying HCBS needs and developing plans to access services (i.e., preventing a care manager from steering consumers to the agency where they are employed).
To ensure compliance with the final rule and prepare Behavioral Health I/DD Tailored Plans and providers for the July 2022 launch of Tailored Care Management, NC DHHS is releasing guidance for ensuring conflict-free Tailored Care Management for Tailored Plan members. This guidance will apply to members enrolled in the 1915(c) Innovations and Traumatic Brain Injury (TBI) waivers or members who obtain HCBS authorized via the 1915(i) State Plan Option, as described in more detail in this document.
Claims Denied – Taxonomy Codes Missing, Incorrect, or Inactive
NC Medicaid reminded providers this afternoon that taxonomy codes must be included when submitting claims to prepaid health plans (PHPs), whether the claim comes from the individual provider or through a clearinghouse.
Nearly two months after NC Medicaid Managed Care launch, PHPs continue to see the billing issue of professional and institutional EDI claims (ASC X12 837-P and ASC X12 837-I) with missing or invalid (non-taxonomy values or non-enrolled taxonomy codes) billing provider, rendering provider, and/or attending provider taxonomy codes.
All PHP systems require taxonomy codes to be submitted on all claim types except pharmacy point of sale claims. Submission of claims with missing or incorrect taxonomy codes will cause the claims to deny and delay provider payments.
NC Medicaid: Temporary Provisions for COVID-19 Surge: Post-Acute PA Exceptions and Hospital at Home Program
NC Medicaid is committed to ensuring that beneficiaries receive the care they need, including lower levels of care in post-acute facilities following inpatient hospital admission, when medically appropriate.
To support providers during the COVID-19 surge, NC Medicaid is implementing the following:
Temporary Suspension of Prior Authorization for Post-Acute Placements
- Temporary Suspension of Prior Authorizations for New Nursing Home Admissions for those Who are Being Directly Discharged from a Hospital
- Home Health Skilled Nursing Visits Reminder: Prior Authorization is not required prior to discharge from the hospital
- Temporary Suspension of Prior Authorization for Inpatient Rehabilitation Hospital and Long-Term Care Hospital Admissions under Managed Care
- Reminder of Swing Bed Reimbursement Rates
Temporary Availability of the Hospital at Home
- Effective Sept. 1, 2021, the Acute Hospital Care at Home program will be available to North Carolina hospitals that have been granted a waiver from CMS and service NC Medicaid beneficiaries. NC Medicaid is planning to implement this program to be effective Sept. 1 through Dec. 31, 2021, unless this flexibility is terminated prior to Dec. 31, 2021.
Follow-up from Aug 25 EVV webinar
On Aug. 25, NC Medicaid partnered with CareBridge, HHAeXchange, and Sandata to provide basic information about EVV and techniques to promote successful integration and claim submittals through a webinar. Over 379 participants attended the webinar. Thank you to all who attended. The training documents used during the Zoom webinar are attached and posted to the NCEVV webpage under the Provider Meetings and Trainings tab.
Reminder: Comment Period for Person-Centered Planning-Open thru September 30
The comment period for Person Centered Planning is open until September 30th. Please see all information below regarding where to send comments:
Attached please find a document containing proposed guidelines for Person Centered Planning. The Division of Mental Health, Developmental Disabilities and Substance Use Services is seeking public comment on this document through September 30, 2021. Please direct all comments and feedback to Saarah Waleed at [email protected]
Decision-Making Supports Options in NC Document Now Available!
The Decision-Making Support Options in NC document is now available on the DMH/DD/SAS Intellectual and Developmental Disabilities page. This document is located in the Resources section and previews alternatives to guardianship and provides resources that individuals with I/DD and natural supports may explore to promote the least restrictive decision-making supports. A color and black and white version are both available. Please feel free to share and post this link so this resource can be accessed by all stakeholders. If any links in the document are not working, notification should be sent to [email protected].
Strategic Housing Plan Survey
The Technical Assistance Collaborative (TAC) is working with NC DHHS on developing a Strategic Housing Plan for North Carolina. This Housing Plan will provide a strategic guide to focus DHHS’s policies and resource decision making in creating and maximizing community-based housing opportunities for people with disabilities who are experiencing homelessness, living in an institution or at risk of institutionalization over a five-year horizon.
Throughout the process, DHHS will offer multiple ways for stakeholders to engage, provide feedback, and influence the plan’s goals and strategies, to include engagement and participation in focus groups, individual housing surveys, and in person planning sessions. You have been identified as a key stakeholder in this work and NCDHHS & TAC would like to invite you to participate in an online survey in order to gain your perspective and feedback on the affordable and supportive housing landscape and needs in the state. These survey answers are vital and will influence the development of the strategic supportive housing plan for North Carolina.
All answers will be kept anonymous.
Please click on the link below to provide your feedback by September 15th, 2021.
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Reminder: NCTracks Unable to Accept Secure or Encrypted Emails
Please note that the NCTracks Contact Center is unable to receive emails sent encrypted via secure email (such as Zixmail) to the email address [email protected]. Providers must send emails unencrypted when emailing NCTracks in order for the emails to be received and addressed. If the provider needs to share confidential information, they should provide their contact information for the representative to reach out to them. When responding, the representative may go over the confidential information with the provider if necessary.
New Medicaid Bulletins Available as of Aug. 30, 2021
The NC Division of Health Benefits (DHB) has recently published new Medicaid Bulletin articles:
- Tailored Care Management: Conflict-Free Care Management Guidance
- Claims Denied – Taxonomy Codes Missing, Incorrect, or Inactive
- In-Network Provisions Extended Through September
- Rebate Eligible Prescription Drug Coverage by Prepaid Health Plans
Providers are encouraged to review this information. All bulletin articles, including those related to COVID-19, are available on DHB's Medicaid Bulletin webpage.
SPECIAL BULLETIN COVID-19 #177: Casirivimab and Imdevimab Approved for Emergency Use
Casirivimab and Imdevimab have been given emergency use authorization for treatment of mild to moderate COVID-19 in some patients. More Information
Providers are encouraged to review this information. All bulletin articles, including those related to COVID-19, are available on DHB's Medicaid Bulletin webpage.
New Medicaid Bulletins Available as of Aug. 31, 2021
The NC Division of Health Benefits (DHB) has recently published new Medicaid Bulletin articles:
- Single State Audit SFY2021
- Medicaid Claims Documentation: 2020 Single State Audit
- Influenza Vaccine and Reimbursement Guidelines for 2021-2022 for NC Medicaid and NC Health Choice
- Electronic Visit Verification Soft Launch Update for PHPs and LME/MCOs
Providers are encouraged to review this information. All bulletin articles, including those related to COVID-19, are available on DHB's Medicaid Bulletin webpage.
NCTracks Call Center & Checkwrite Information for Labor Day Holiday
The NCTracks Call Center will be closed Monday, Sept. 6, in observance of the Labor Day holiday. (The Pharmacy Prior Approval Unit will be open holiday hours from 7:00 a.m. to 6:00 p.m.)
In keeping with the published approved 2021 checkwrite schedule, because of the federal holiday, the checkwrite date the week of the holiday will be on Wednesday, Sept. 8. The posting and availability of funds to provider bank accounts will depend on the provider's financial institution. Bank of America customers should see their payments in their accounts on the day that the EFT is processed, which will be Thursday (Sept. 9). Providers who bank at other financial institutions should see payments the business day following the date that the EFT is processed, which will be Friday (Sept. 10) afternoon. (Some may post sooner.)
September 2021 Provider Training Now Available
Providers can register for these courses in SkillPort, the NCTracks Learning Management System. Log onto the secure NCTracks Provider Portal and click Provider Training to access SkillPort. Open the folder labeled Provider Computer-Based Training (CBT) and Instructor Led Training (ILT). The courses can be found in the sub-folder labeled ILTs: Remote via WebEx (although this is the sub-folder name, please note that, as previously mentioned, courses will now be conducted via Zoom and not WebEx).
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NC HealthConnex August Update
NC HealthConnex Highlights from the 2021 SHIEC Conference
NC HIEA executive director, Christie Burris, participated in the 2021 SHIEC Conference last week. Burris served on a virtual panel with other health information professionals to discuss the state’s rapid innovation and vital partnerships in the midst of the COVID-19 pandemic. She explained the importance of providing health data and COVID-19 information to support the state’s response to the public health crisis.
The conference also featured sessions such as “HIEs and Information Blocking Rules”, “The Public Health Data Utility Model for HIEs”, “The Future of HIEs in the Rapidly Evolving Healthcare Market”, and “The Evolution of Clinical Data Access in HIEs.”
Additionally, the Network for Regional Healthcare Improvement (NRHI) and the Strategic Health Information Exchange Collaborative (SHIEC) announced at the conference a formal affiliation between the two organizations to form a new organization named Civitas Networks for Health. The new organization will serve as a platform for local nonprofit health collaboratives and health information exchanges to grow and thrive. It will offer engagement opportunities and support action at the local, state, and national levels to achieve policy goals for healthcare quality, cost, and equity through data-driven, collaborative, and transformative strategies. The affiliation comes after a one-year due diligence process that will culminate on October 1, 2021, with the organizational launch of Civitas Networks for Health.
To learn more about the Annual SHIEC Conference, click here.
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In Case You Missed It: CSRS Teletown Hall Covers the Mandatory Use in Effect for Prescribers Under the STOP Act
On August 11, the NC HIEA and NCDHHS hosted a Teletown Hall focusing on the Controlled Substance Reporting System (CSRS). Participants learned about what the CSRS is, the Mandated Use that began July 7, 2021, and how the CSRS Utilization Team is available to support the use of the system as a clinical tool.
Pertinent information from the NC Opioid Dashboard was reviewed and discussed, in addition to information about the PDMP/CSRS integration processes, advantages to integration and available resources, NarxCare scores, and insight to help in the interpretation of these tools.
To watch the CSRS Teletown Hall, click here. Please use the password nFyvfaZ5 to view the recording. If you have additional questions, contact Stephanie Johnson or Jessica Brehmer.
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Are You Leveraging NC HealthConnex to Improve Health Care Quality? Resources Available to Assist in Onboarding to NC HealthConnex
The NC HIEA Encourages Providers to Continue Onboarding Efforts
The NC HIEA previously announced that the HIE Act deadline was extended until January 2023 as a result of a collaborative effort to bring additional relief to health care providers who have been on the front lines of the COVID-19 pandemic. The NC HIEA advocated on behalf of providers so that organizations would be allowed additional time to complete the technical onboarding process without being out of compliance with the HIE Act.
Why You Should Connect Now
- With North Carolina’s move to managed care, all Medicaid providers will benefit from more complete health information aggregated within NC HealthConnex on Medicaid patients across the care continuum as providers are now focused on managing the health of a patient vs. the fee for service model. In addition to allowing providers direct access to their patient’s health information via NC HealthConnex, Medicaid has also begun to look at quality measures on their beneficiaries from HIE data in order to improve the program.
- There are more than 5,000 facilities currently involved in the onboarding process. There are no guarantees of additional extensions; in fact, the General Assembly is requiring compliance reports from the NC HIEA by March 1, 2022.
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There are additional resources available through September 30, 2021, to support Medicaid providers in the technical connection process. In addition, various electronic health record (EHR) vendors are able to offset integration fees through September 2021. Unfortunately, due to the sunsetting of federal funds, there will be no additional surge resources available for those that postpone connections.
*Note: It is incumbent upon the participant to reach out prior to the deadline to get connected. Currently, on-premises connections take 3-4 months and cloud roll-ons take 2-4 weeks.
Please note that the NC HIEA will report on efforts, progress, and mandated Medicaid and State Health Plan providers not yet connected to the legislature in March 2022 as required by state law. All connection statuses and levels of engagement will be evaluated and reported to the North Carolina General Assembly Health and Human Services Joint Legislative Oversight Committee.
For questions about resources or connecting to NC HealthConnex, contact the NC HIEA team at [email protected] or 919-754-6912.
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Cardinal Realignment report
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On August 24, 2021, NIMH conducted an Instagram event with Krystal Lewis, Ph.D., a licensed clinical psychologist at NIMH, who discussed causes or triggers of stress and coping techniques to help reduce anxiety and improve the transition back to school.
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Get Ready for National Preparedness Month
Resources from Ready.gov and ACL
Each September, Ready.gov leads the observance of National Preparedness Month, a time to highlight the importance of preparing for disasters and emergencies. The 2021 theme is “Prepare to Protect. Preparing for disasters is protecting everyone you love.” Throughout the month, the campaign will focus on several aspects of preparedness for individuals, families, and communities. Visit the National Preparedness Month webpage for materials and more information.
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Related ACL Materials
Communication Assistance Card: Helps first responders to assist someone whose disability may make it difficult for them to communicate their needs.
Emergency Preparedness Page: General preparedness resources, including material on COVID-19 and information for people with disabilities and older adults.
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Report: CIE
They interviewed state officials and disability employment experts to identify 32 factors influencing whether and how people can transition to competitive integrated employment. For example, a major factor they cited was the sufficiency of state resources for services to help people transition to this kind of employment.
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Deadline for Abstract Submissions Extended
We are extending the deadline for abstract submissions!
The Child and Family Evidence-Based Practice Consortium invites
submission of abstracts proposing manuscripts for a special issue of Global Implementation Research and Applications (GIRA), the journal of the Global Implementation Society. This special issue examines the following question:
Amidst complex social change, how is implementation science shaping innovations and adaptations in child and family serving systems and services?
Submit manuscript proposals (no more than 500 words) by October 15, 2021 words) .
Anticipated publication of selected manuscripts is September or December 2022.
Focus
Entering the third decade of the 21st century, climate, economic and health crises shape the clash of populist-fueled autocratic movements and movements for democracy, equity, and social justice.
As the pace of change intensifies, previously developed systems and services addressing social concerns must adapt policy and practice.
Evidence-based practice and implementation science should provide informed guidance and support, but adapting to the amount and pace of change may compromise our best intentions.
Across disciplines, sectors, settings, and global regions, this special issue offers an opportunity to explore whether and how implementation science is informing policy and practice innovation and adaptation in child and family serving systems.
We invite proposals for manuscripts that present conceptual or research-informed perspectives, papers and commentaries.
Potential topics could include but are not limited to:
Equity Efforts Amidst Social Change or Conflict
- Adaptations that did or did not systematically consider implementation team composition and collaboration.
- As grass-roots equity efforts emerge and adapt, how could these efforts benefit from systematic plan-do-study-act (PDSA) feedback loops?
- Comparisons of efforts to implement policy change to address equity.
- Implementation of evidence-based police reforms or juvenile justice reforms
Health Efforts Amidst Social Change or Conflict
- Evidence-informed communication addressing virus variants and vaccinations
- Implementation comparisons of national responses to public health concerns, especially with respect to the “vaccine-cautious”
- Global efforts to equitably implement COVID vaccination distribution
- Private sector pandemic response: Scale, scope, logistics and coordination
System Change Amidst Rapid Adjustments
- Behavioral health system adaptations to pandemic safety guidelines
- Child welfare system adaptations to pandemic safety guidelines
- Education system adaptations to pandemic safety guidelines
- Juvenile justice system adaptations to pandemic safety guidelines
- Comparison of province, national or state responses in these adaptations
- Adaptations in professional degree academic and field instruction
Impact on Implementation of Evidence-Based Programs and Services
- Adaptations to service delivery (e.g., telehealth)
- Electronic adaptations to consultation, training, and coaching
- Stakeholder adaptations to data sharing in plan-do-study-act (PDSA) feedback loops
Implementation of Family First Prevention Services Act (USA)
- How do online registries support program implementation?
- Comparisons of the selection and installation of funded programs
- Policy implementation comparisons of different states
- How has implementation science informed national policy and guidance?
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Neuroscience Offers Clues for Better Treatment of AUD and Anxiety, Depression
In recognition of National Suicide Prevention Month, ARCR encourages readers to learn more about the connection between alcohol use and suicidal behavior.
Alcohol use disorder (AUD) is a potent risk factor for suicidal behavior and greatly complicates treatment for anxiety and depressive disorders. Despite sustained research on the relationship between these disorders, treatments for co-occurring disorders have a poor record of addressing alcohol misuse and only modestly improve symptoms of depression and anxiety. Fruitful areas of research, however, are emerging, as scientists discover neurobiological alterations that may predispose individuals to co-occurring disorders and provide opportunities for targeted treatment.
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On August 13, 2021, OSHA released updated guidance on mitigating and preventing the spread of COVID-19 in the workplace. The revised guidance incorporates the CDC’s recommendation that vaccinated employees wear masks indoors in areas with substantial or high community transmission of the virus. Importantly, like the CDC’s recommendations, OSHA’s guidance for non-healthcare workplaces is not mandatory but only advisory in nature.
The following is a brief summary of OSHA’s recommendations.
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Tuesday, September 7, 2021
Fostering School Success: How Caregivers and Social Workers Can Support the Educational Needs of Children
Time: 1:00 pm thru 2:00 pm
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Tuesday, September 7, 2021
For Night-owls: How communication can shape early childhood outcomes
Time: 11:00 pm thru Midnight
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New: Wednesday, September 8, 2021
Peer Recovery as an Evidence-Based Practice: From Science to Impact
Time: 11:00 am thru 1:00 pm
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Thursday, September 9, 2021
Benchmarks' Child Welfare Webinar
Lisa Cauley Joins Karen McLeod
Time: 8:00 am thru 9:00 am
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New: Thursday, September 9, 2021
NC Medicaid Managed Care Standard Plan & Tailored Plan Updates
Time: 3:00 pm thru 4:00 pm
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New: Thursday, September 9, 2021
Quality and Population Health
Time: 5:30 pm thru 6:30 pm
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Monday, September 13, 2021
FFTA Family Search & Engagement Training 4-Parts
Time: 1:00 pm thru 2:30 pm
Free for FFTA members
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New: Thursday September 16, 2021
Share your ideas with NC's leading disability organizations!
Time: 7:00 pm thru 8:30 pm
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Friday, September 17, 2021
Benchmarks' Friday Membership Webinar
Dave Richard Joins Karen McLeod
Time: 8:30 am thru 9:30 am
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New: Friday, September 17, 2021
SESSION 1: Medicaid & Audio Only
Time: 2:00 pm thru 3:30 pm
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Monday, September 20, 2021
FFTA Family Search & Engagement Training 4-Parts
Session 2: Identifying Critical Family Relationships
Time: 1:00 pm thru 2:30 pm
Free for FFTA members
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New: Tuesday, September 21, 2021
Tailoring, Targeting, And Addressing What Matters: Supporting People with Intellectual and Developmental Disabilities Who are Living With Dementia
Time: 2:00 pm thru 3:00 pm
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New: Friday, September 24, 2021
SESSION 2: Medicaid & Telehealth Data Collection: Surveys, Studies & Advisory Groups
Time: 2:00 pm thru 3:30 pm
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Monday, September 27, 2021
FFTA Family Search & Engagement Training 4-Parts
Session 3: Outreach is Key!
Time: 1:00 pm thru 2:30 pm
Free for FFTA members
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New: Friday, October 1, 2021
SESSION 3: Medicaid & Other State Agencies Telehealth Policies for Patients with Disabilities
Time: 2:00 pm thru 3:30 pm
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Monday, October 4, 2021
FFTA Family Search & Engagement Training 4-Parts
Session 4: Focusing on Engagement in FSE
Time: 1:00 pm thru 2:30 pm
Free for FFTA members
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Tuesday, October 5, 2021
NC Children with Complex Needs Training Series
Evidence-Based and Promising Practices to Support the Workforce and Partners Serving Individuals with Mental Illness and Intellectual and Developmental Disabilities
Session 2: Adaptation of Dialectical Behavior Therapy for Work with Autistic Youth: 1.5 Contact Hours
Time: 10:00 thru 11:30 am
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New: Thursday, October 7, 2021
Benchmarks' Child Welfare Webinar
Lisa Cauley Joins Karen McLeod
Time: 8:00 am thru 9:00 am
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New: Friday, October 8, 2021
SESSION 4: Medicaid & Permanent COVID-19 Telehealth Policies
Time: 2:00 pm thru 3:30 pm
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New: Friday, October 15, 2021
Benchmarks' Friday Membership Webinar
Dave Richard Joins Karen McLeod
Time: 8:30 am thru 9:30 am
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Tuesday, November 2, 2021
NC Children with Complex Needs Training Series
Evidence-Based and Promising Practices to Support the Workforce and Partners Serving Individuals with Mental Illness and Intellectual and Developmental Disabilities
Session 3: Psychopharmacology for Children with Complex Needs: 1.5 Contact Hours
Time: 10:00 thru 11:30 am
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