Thursday, September 25, 2008

NC DHHS : Mental Health Providers must master PAPERWORK PROWESS: the clients be damned: Losing providers who provide mental health care

CRUSHING THE PROVIDERS WITH THE PAPERWORK: NC DHHS/ Value Options/ LME's can get pristine paperwork or they can have the services delivered to the clients.

They won't get both. There's not enough hours in the day.

See previous Madame Defarge's associated w/ Value Options, the authorizing agent for NC Medicaid for further documentation of paperwork prowess.

Bear in mind that ALL the Community Support Services training mandated by NC DHHS has NOTHING to do w/ anything but PAPERWORK. There is no attention paid to clinical matters.

Below is further indication of just what is important to NC DHHS.

If they are being hammered on by the fed DHHS, then one would surmise that someone
in their administration make a case for the lack of mental health care being provided whileas the paperwork is assumed to reflect all that was done.

One provider company's representative identified below:

"Those infractions had to do with the way we were documenting our services not related to the way we were providing the services themselves,"

by Jordan Green at Yes! Weekly

"There were lots of paybacks from the provider community," said Susan Campbell, manager of access and care management at the Guilford Center.

At least two agencies used by clients of the housing support program in Guilford County were flagged during

the Guilford Centers' post-payment reviews in the summer of 2007. One was Asheville based RHA Health Services, an agency used by James and Graham that serves clients across North Carolina and Tennessee.

Another was Star Care, the agency chosen by Kallam after he dropped RHA Health Services. "Those infractions had to do with the way we were documenting our services not related to the way we were providing the services themselves," said Rhoades of RHA Behavioral Health.

A team from the Guilford Center visited the company's High Point office and determined that it had satisfactorily corrected its deficiencies, Root said. Of the 34 agencies flagged by the local management entity, Star Care is the only one still serving clients in Guilford County that has not completed its corrective action plan. Root said the Guilford Center has an agency site visit scheduled for this week. Administrator Martina Ukattah said Star Care is prepared for the local management entity's visit.

"The service definitions were not defined for the providers," she said. "For us to be in line with the service definitions, we have to know what they are. [Root] said they had a plan coming out. They keep changing on the service providers."

While some agencies have struggled to get out of corrective action, others have found their endorsements in jeopardy because of difficulty meeting new state requirements mandating that at least 25 percent of billable hours be provided by someone considered to be a "qualified professional."

Phoenix-based Recovery Innovations of North Carolina, an agency that operates its local office out of the same county-owned building that houses the Guilford Center, was notified on Aug. 13 that its endorsement for adult community support services was being withdrawn. Jamestown-based Family Service of the Piedmont received notice the same day. Both agencies successfully appealed, and had their endorsements were restored on Sept. 8. Recovery Innovations was the first of a succession of service providers used by James. ....."


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