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Strengthening Awareness and Positive Regard for Peer Support Staff: Spotlight on Advocates
This provider spotlight features Advocates, a nonprofit organization located in Framingham, Massachusetts that provides comprehensive behavioral health and social services. The spotlight describes Advocates’ approach and strategies used to strengthen awareness and positive regard for peer support staff. Peer support
[...]Published Date: April 22, 2019 -
Issues HCBS Providers may Negotiate with Health Plans: Key Considerations for Providers
As more states shift to managed long-term services and supports (LTSS) for their Medicaid programs, your organization may need to contract with health plans. Health plans may be accustomed to contracting for institutional-based acute care services but may not have
[...]Published Date: April 15, 2019 -
Billing for Services: Key Considerations for Providers
Your organization may be required to change billing practices upon contracting, or entering into an agreement, with a health plan. Submitting a formal medical billing claim form may be a new experience for your organization. Your organization may be used
[...]Published Date: April 15, 2019 -
Contracting with Behavioral Health DSWs: Key Considerations for Health Plans
Behavioral health long-term services and supports (LTSS), such as health navigation, peer support, and developmental therapy, assist members in maintaining independence by coordinating resources and care, serving as mentors and personal models of recovery, and integrating appropriate developmental supports. As
[...]Published Date: April 15, 2019 -
Assessing the Capacity of HCBS Providers: Key Considerations for Health Plans
Home and community-based services (HCBS) encompass a broad range of services and supports designed to help older adults and people with disabilities live in their homes and communities rather than in institutional settings. If your health plan operates in states
[...]Published Date: April 15, 2019 -
Identifying & Engaging Behavioral Health-Focused LTSS Providers: Considerations for Health Plans
As your health plan becomes engaged with persons eligible for both Medicare and Medicaid – particularly those with behavioral health needs, developmental disabilities, or substance abuse challenges – you may find it necessary to provide behavioral health long-term services and
[...]Published Date: April 15, 2019 -
Contracting with Health Plans: Key Considerations for Behavioral Health-Focused LTSS Providers
Many states are implementing managed long-term services and supports (LTSS) for their Medicaid populations, including those experiencing mental illness, addiction, or intellectual and developmental disabilities. For this reason, health plans in your area may be seeking providers who can deliver
[...]Published Date: April 15, 2019 -
Key Contract Components: Considerations For Providers
More states are contracting with health plans to manage Medicaid long-term services and supports (LTSS). As a result, you may find yourself working with health plans instead of the state to provide care for your Medicaid clients. Contracting with a
[...]Published Date: April 10, 2019 -
Communicating With HCBS Providers: Key Considerations For Health Plans
As more states contract for managed long-term services and supports (LTSS), health plans increasingly will be required to arrange for home- and community-based services (HCBS). Establishing a written protocol for clear and effective communication methods with your HCBS providers should
[...]Published Date: April 1, 2019 -
Action Plan Selection Guide – A Tool for Self-Management Support
The Self-Management Support (SMS) Action Plan Selection Guide helps behavioral health providers choose action plans that best meet the needs of their clients and their organization. Action planning is particularly useful for clients with mental illness, substance use conditions, and/or
[...]Published Date: March 18, 2019