The State has expanded the HCBS Final Rule to include providers of (b)(3) MH/SA Supported Employment and/or (b)(3) I/DD Supported Employment. While additions of both these services were unexpected and recent additions, the addition of (b)(3) MH/SA Supported Employment will include providers that were not part of the initial HCBS orientation. It is highly recommended that providers new to the HCBS process visit the website below and familiarize themselves with the information and training slides provided there. The self-assessments for these services are due to Alliance by October 15, 2015. Providers are required to complete one self-assessment for the corporate site (regardless of any service delivery at that location) and 10 or 10% (whichever is greater) of job sites where individuals are receiving the service. Providers may contact HCBS@alliancebhc.org with any questions.
COMPLETION OF THE PROVIDER SELF-ASSESSMENT IS A TIME-CONSUMING ENDEAVOR AND PROVIDERS SHOULD PLAN TO SPEND NO LESS THAN TWO HOURS PER SITE COMPLETING IT. GIVEN THE UPCOMING DEADLINE OF OCTOBER 15, 2015 FOR (b)(3) SUPPORTED EMPLOYMENT, ALLIANCE IS STRONGLY ENCOURAGING PROVIDERS NOT TO DELAY IN THEIR COMPLETION OF THEIR SITE-SPECIFIC SELF-ASSESSMENTS.
Additionally, CMS provided additional guidance for assessment of individual employment sites on a September 25 call with the State. Based on this guidance, individual site assessments will not be required after the initial statewide provider self-assessment process. After the initial self-assessment process ends only the corporate site will be required to submit an assessment.
In 2014 The Centers for Medicare and Medicaid Services (CMS) promulgated a new rule providing more clarity about the characteristics of Home and Community Based Services (HCBS) settings. This rule applies to all 1915(c) waiver programs including NC Innovations. Part of this requires that in North Carolina ALL applicable settings where certain NC Innovations services (specifically Day Supports, Residential Supports and Supported Employment Services) are provided meet these characteristics. NC DHHS provided a series of listening sessions about this rule in February 2015 and has sinse been developing and implementing a plan and subsequent timeline to ensure all applicable programs (including NC Innovations) are compliant with the new CMS rule.
The next step in implementation of the HCBS process in North Carolina is a provider self-assessment of applicable sites.
THE PROVIDER SELF-ASSESSMENT IS COMPLETED ELECTRONICALLY AND ALL APPLICABLE SITES PROVIDING NC INNOVATIONS SUPPORTED EMPLOYMENT, RESIDENTIAL SUPPORTS AND DAY SUPPORTS WERE TO SUBMIT THEIR SELF-ASSESSMENT NO LATER THAN SEPTEMBER 15, 2015 OR RUN THE RISK OF FORFEITING THEIR ABILITY TO PROVIDE NC INNOVATIONS SERVICES IN THE FUTURE.
Access and Information Center (800) 510-9132 We want to make it easy for you to get the services or information you need. You can call the Alliance Access and Information Center toll-free 24 hours a day.
Provider HelpDesk (919) 651-8500 Representatives are available 8:30am-5:15pm Monday-Friday to answer provider questions about authorization, billing, claims, enrollment and credentialing, the Alpha Provider Portal or other issues.
Confidential Fraud and Abuse Line
(855) 727-6721 You are encouraged to report matters involving Medicaid fraud and abuse. If you want to report fraud or abuse, you can remain anonymous.