Partnership in Print Volume VIII, Issue I April, 2013

CT Behavioral Health Partnership | 500 Enterprise Dr.- Suite 4D | Rocky Hill, CT 06067 1-877-552-8247 | www.ctbhp.com

Effective January 1, 2013, the American Medical Association (AMA) introduced a se-

ries of changes to the Current Procedural Terminology (CPT) codes. The new codes reflect more

current behavioral health practices which studies indicate should result in improved member out-

comes and a reduction in long-term healthcare costs. In addition, the AMA added Evaluation

and Management (E/M) and add-on codes to help document clinical details such as duration of

the therapy session and the complexity of interaction.

At the same time, many outdated codes such as 90801 and 90802, were removed and add

on codes for psychiatry and interactive complexity have been included. Together, these changes

will assist providers in better tracking member services delivered.

In order to support providers through this transition, the CT BHP has updated its cov-

ered services table and authorization schedules on www.CTBHP.com to reflect the new CPT

codes. You can find information pertaining to reimbursement rates for services on the CT

DSSMAP website, www.CTDSSMAP.com.

In this Issue:

Changes to CPT Codes

CT BHP Inpatient Review Process

The CT BHP Announces Sub-contract Winner

Provider Webinar and Workshops Published

2013 United Way Best Of Campaign

CCAR’s Online Recovery Support

Bulletin Rewind

2013 Behavioral Health CPT Codes Change

Inpatient Concurrent Reviews Transition to the Web

The CT BHP continuously evaluates its review process to reflect the business needs of its

providers. In December 2012, we shortened the inpatient pre-certification process, reducing the

amount of clinical information –and completion time- required.

By March 22, 2013, hospitals on the CT BHP bypass program had begun submitting

their inpatient concurrent reviews online via the ProviderConnect system. The CT BHP conduct-

ed five trainings to over 50 users at 17 locations across Connecticut to introduce the new process.

The CT BHP website, www.CTBHP.com, features additional training materials including a tem-

plate and user manual. A training video will also be posted shortly.

Response to the online concurrent review process has been positive. Many providers

have reduced completion time, increasing their availability to our members. If you have any

questions about the new review standards, please contact Provider Relations at 1 (877) 552-8247

or CTBHP@ValueOptions.com.

CT BHP Awards NAMI with Subcontract

P A G E 2

Achieve Solutions is

an award winning, online

library of information

about behavioral health

care. This site offers be-

havioral health infor-

mation in a convenient,

confidential manner with

interactive tools and other

resources to help individu-

als and family members

resolve personal concerns.

The site features materials

in both English and Span-

ish.

Achieve Solutions

includes more than 3,000

feature articles across

more than 200 topics and it

partners with experts to

develop articles, quizzes

and trainings. Our partners

include Harvard Universi-

ty, McLean Hospital, the

University of Kansas

School of Medicine, and

Boston College Center for

Work & Family. Content

is reviewed and refreshed

on a regular basis. A link

to Achieve Solutions can

be found on the CT BHP

website:www.ctbhp.com.

Providers have found

the Achieve Solutions

online library to be a valu-

able source of material to

share with their members

and families. Members

can also access the web

site themselves.

Achieve Solutions

CCAR and the CT BHP Embrace Social Media to Support Recovery

The Connecticut Community for Addiction Recovery

(CCAR) envisions a world where the power, hope and healing

of recovery from alcohol and other drug addiction is more

thoroughly understood and embraced. In July of 2012, CCAR

began working with the partnership on two social media

recovery campaigns called “CCAR Affirmations” and

“A Recovery Minute.”

In the past nine months, CCAR has tweeted over 500 affirmations to nearly 400 fol-

lowers in support of their ongoing recovery. CCAR has also produced over a dozen Recovery

Minute videos of individuals sharing their personal stories of addiction and recovery that ap-

pear on YouTube. Several more are in production. Hundreds of people have visited the Re-

covery Minute YouTube channel to date, with hits growing daily. Participation in these pro-

jects is simple and completely free. To begin receiving CCAR daily affirmations or to view a

Recovery Minute story, click the appropriate link above.

In October 2012, ValueOptions, CT issued a Request for Proposal (RFP) to partner

with a community-based peer program to provide recovery and wellness services to our mem-

bers. The CT BHP reviewed 11 proposals from a variety of organizations using a weighted

scoring system to consider a number of factors: program qualifications, cultural competency,

community and family engagement, data management, staffing, innovation, outcomes and

responsiveness to community needs.

The selection committee was pleased to award the contract to The National Alliance

for Mental Illness (NAMI). CT BHP was impressed with NAMI’s two-tier and innovative

approach to recovery and wellness. The first aspect of NAMI’s proposal involves a peer

support training program for young adults, thus building future capacity. NAMI’s second

component involves the development of an online resource that will provide expert content,

reference materials, education in peer mentoring, blogs and linked testimonials. In both

ventures, NAMI is seeking individuals and community partners who are invested in helping

to reduce the stigma of mental illness in new ways.

P A R T N E R S H I P I N P R I N T

CT BHP’s On-line Pro-

vider Directory offers help

in finding participating

behavioral health provid-

ers in the CT BHP net-

work. The directory can

narrow your search to se-

lect providers with a spe-

cific expertise, service, or

program. The directory is

updated regularly to pro-

vide the most up to date

information on the CT

BHP provider network.

The online directory can

be accessed on the CT

BHP website:

www.ctbhp.com by click-

ing on ‘Find A Provider’

on the Provider or Member

homepages. If providers

or members are unable to

find a provider that match-

es their needs or are look-

ing for resources that cov-

er specialized needs, they

can contact the CT BHP

directly by calling 1-877-

552-8247 and speak with a

Customer Service Repre-

sentative.

NOTE: Providers can up-

date their profile by con-

tacting the Provider Rela-

tions Department at the

number above or via the

Provider Relations email:

ctbhp@valueoptions.com.

Find a Provider, On-line!

P A G E 3

ValueOptions, Connecticut was honored at the 2013 United Way Best Of

Awards Banquet on Friday, February 1, 2013, with the “Best New Cam-

paign.” Emcee Logan Byrnes cited VO, CT’s employee participation of

77% in a first‐year campaign as extraordinary, eliciting applause from the

crowd.

Accepting the award for Val-

ueOptions, CT were (from left

to right): Steven Moore, PhD,

COO; Allyson Nadeau and

Lindsay Betzendahl, RNMs;

Ruth Alvarez, HR Assistant; David Lally, Commu-

nication and Policy Director; Eileen Casey, Direc-

tor Human Resources; Stella Ntate, RNM; Gerry

Baird, CCM; and Samantha Forbes, RNM.

2013 United Way Best Of Awards Winner

A core objective of the Provider Relations and Network Operations Departments is to

educate and support the provider community as they navigate the behavioral healthcare sys-

tem. We also strive to familiarize providers with evolving CT BHP policies and procedures.

In 2013, there are two major components to our provider training. We offer biweekly

ProviderConnect training webinars. Each of these online trainings is approximately 90

minutes long and covers every major aspect of the ProviderConnect system. Participants learn

how to obtain their own IDs and passwords, complete authorization requests, open saved

drafts, view and print authorization letters and complete discharge information. To view our

training calendar and register for these webinars online, view our Webinar Training Invitation.

Our provider training program also offers live monthly workshops held at our Rocky

Hill, CT office. Workshops are conducted the first Wednesday of each month and will cover

topics requested by the provider community. To date, we have trainings scheduled through the

summer covering issues such as the DSS Spend-Down process, the Affordable Care Act, and

Digital Engagement with Social Media. Complete workshop descriptions and registration can

be accessed through our website at www.CTBHP.com.

CT BHP Announces 2013 Provider Workshops and Webinars

V O L U M E V I I I , I S S U E 1

P A R T N E R S H I P I N P R I N T

500 Enterprise Dr. \ Suite 4D

Rocky Hill, CT 06067

TO: _______________________________________

___________________________________________

___________________________________________

___________________________________________

CT BEHAVIORAL PARTNERSHIP - PROVIDER NEWSLETTER

Place Proper

Postage

Here

YOU’VE GOT MAIL!

The Provider Relations Department of The CT Behavioral Health Partnership maintains a CT BHP Provider

email distribution list for rapid notification of policy changes, procedures, Provider Alerts, HP Provider

Bulletins, news, upcoming trainings and events. If you or a member of your staff is currently not a part of

this distribution list, please email us at ctbhp@valueoptions.com.

Partnership in Print Website: www.ctbhp.com

Phone: 1-877-552-8247 or 1-877-55 CTBHP

Bulletin Rewind Provider Alert 2012-10 (December)

To: CT BHP Inpatient Psychiatric Providers

Subj: Changes to the Inpatient Psychiatric

Pre-Certification Process

Provider Bulletin 2012-56 (October)

To: General Hospitals and Free Standing

Mental Health Clinics

Subj: Enhanced Care Clinic Access

Requirements Clarification

Provider Bulletin 2012-42 (September)

To: CT BHP Providers

Subj: New Medicaid (HUSKY) Spend-down

Procedures

The CT BHP wants to take this oppor-

tunity to keep providers informed of

recent communications, which include:

alerts, bulletins and policy changes. With

such a varied and robust network of pro-

viders, it is always a challenge to ensure

that each provider is made aware of any

and all updates.

Bulletin Rewind is a continuing feature

of Partnership in Print and highlights

recent provider alerts and notices. You

may view each document by clicking on

the appropriate header. All other Alerts

and Notices can also be found on the CT

BHP website at www.ctbhp.com.

Provider Alert 2012-08 (August)

To: Residential and GH Providers

Subj: CT BHP Residential Care Team

Transition Information

Provider Alert 2012-07 (July)

To: CT BHP Residential and GH Providers

Subj: Procedural Changes to Review

Process

A full listing of all CT BHP Bulletins and

Provider Alerts can be

located on the

CT BHP website:

www.ctbhp.com