300 Minutes for 6 CEUs

Instructors: J. Michael Robinson and Tiffany Harbour

This offering surveys the definition concepts and regulatory issues related to Medicaid as it applies to social and mental health services within the State of Missouri. Attendees will examine the relationships of the various mental health professions to diagnosis, billing codes, and operational and documentary requirements. A sample Progress Note will be provided for the review of attendees. This offering is a survey and is not intended to fully prepare a practitioner for full participation in Missouri Medicaid. Understanding the Missouri Medicaid Behavioral Health Program is a prerequisite for Starting and Managing a Behavioral Health Practice (21 CEUs) taught by J. Michael

TOPICS: ELIGIBILITY REQUIREMENTS
Time: 9:30-10:45
Instructor: Tiffany Harbour

LEARNING OBJECTIVES:
1. The attendee will list four (4) requirements for becoming a qualified Missouri HealthNet provider.
2. The attendee will list five (5) professions that may participate as behavior health providers in the Missouri Medicaid program.
3. He attendee will list approved activities that may be conducted by each of the five (5) behavioral health provider in the Missouri HealthNet program.

CONTENT SOURCES:
Missouri Health Net Division Behavioral Health Training Booklet
Missouri Code of State Regulations

Break Time: 10:45 – 11:00

TOPICS: PROFESSIONAL STANDARDS
Time: 11:00- 12:15
Instructor: Tiffany Harbour

LEARNING OBJECTIVES:
1. Attendees will discuss the “standard of integrity” needed to participate in the Mo HealthNet program.
2. Attendees will define “Waste Fraud and Abuse’ as applied to service provision by participants in the Missouri HealthNet program.
3. The attendee will define a “client record”” progress note” and the requirements for document retention necessary for participation in the Missouri HealthNet program.

CONTENT SOURCES:
Missouri Health Net Division Behavioral Health Training Booklet
Missouri Code of State Regulations

Lunch Time: 12:15 – 1:15

TOPICS: SERVICE DELIVERY, DEFINITION, LOGISTICS, REGULATION
Time: 1:15 – 2:30
Instructor: Mike Robinson

LEARNING OBJECTIVES:
1. The participant will define CPT Code.
2. Will define the DSM and discuss its relationship to CPT Codes.
3. Will define a unit of service for family therapy, individual therapy, group therapy, psychological testing, psychosocial assessment, and psychiatric testing.
4. Will match professionals with the codes for services that they may provide under various payer requirements.
5. Attendees will define a billable hour as determined Missouri HealthNet program.
6. Attendees will define audits, audit standards, audit finding, audit resolution and restitution.

CONTENT SOURCES:
Missouri Health Net Division Behavioral Health Training Booklet
Missouri Code of State Regulations

Break: 2:30 – 2:45

TOPICS: SERVICE DELIVERY, DEFINITION, LOGISTICS, REGULATION
Time: 2:45 – 4:00
Instructor: Mike Robinson

LEARNING OBJECTIVES:
1. The participant will describe service location and its impact on reimbursement.
2. Will define prevailing rate and discuss its determination by the Center for Medicaid and Medicare.
3. Will define carve outs and spend downs as applied to reimbursement requests.
4. Will define HIPAA and list three (3) confidentiality requirements.
5. Attendees will review a Sample Progress Note and list at 5 required elements for submission.

CONTENT SOURCES:
Missouri Health Net Division Behavioral Health Training Booklet
Missouri Code of State Regulations

4:00 QUIZ COMPLETION AND ADJOURN

Class begins at 9:30 and ends at 4:00, with a 1 hour lunch. Your license number must be included in the “additional notes” section at check out to ensure proper CEU credits for the completed class.

Plaza Library
4801 Main Street
Kansas City, Missouri 64112

Copyright: Sand Dollar Systems Inc. 2019

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