Telehealth continues to evolve

From the Center for Connected Health Policy, CMS just released new guidelines for telehealth, including some changes for what I prefer to call telehavioral services. 

The guidelines include,

"Beginning July 1, 2019, the SUPPORT Act will add the enrollee’s home as an eligible originating site and remove the originating site geographic limitation on existing eligible telehealth originating sites (including the home) when treating for a substance use disorder or co-occurring mental health disorder through telehealth." 

So, at least for SUD/co-occurring treatment, things are continuing to evolve. 


UHC/Optum Claims

TessaLasky 2 years ago in Industry News/Discussion updated by sarah 2 years ago 2


Since the new year all of our claims have come back denied for contractual obligation (code 45). Even on clients that we did not have trouble with previously, we are now having issues with claims coming back this way. Mostly seeing this for code H2014 which is not covered, but we are not getting a denial that we can send to secondary.

I am wondering if there was an update or something that we missed and we are sending our claims to the wrong place? Has anyone heard anything?

If it matters, we preform outpatient mental health services in Minnesota.

We have had a nightmare of a time dealing with United Healthcare and the Optum side. Being one is behavioral health and the other is the actual insurance plan, you would think they communicate with each other.

Thanks in advance!


Medical Assistance Mental Health Copay Write off?

Good Afternoon everyone! I've been getting the run around, so I'm hoping someone has some advice.

I bill for a mental health facility in Minnesota. While looking online at our MN DHS website, I found a few different documents staying there are no copays for mental health visits. 

I contacted the state, and the rep I talked with said that we are supposed to write off copays and deductibles for patients with MA or a PMAP. Spend downs not included. 

This has put a lot of discussion into our office lately. 

Has anyone heard of this? These patients' claims are being sent and coming back with a Patient Responsiblility, so I would assume that if they had no copay, they wouldn't use a PR reasoning code.

Any info is appreciated! 

Thank you!



Sheryl Martin 2 years ago in Industry News/Discussion updated by anonymous 2 years ago 9

Can anyone share what system/program you are using for telehealth appointments?  Pros, cons?  Thank you in advance!



MN CTSS agencies - unannounced site visit questions

Jana Judisch 3 years ago in Industry News/Discussion updated by Suzette Mallum 3 years ago 4

For any of you who are MN CTSS providers -

1. Has anyone had an unannounced site visit?

2. If you have more than one CTSS location, is each site individually certified for CTSS svcs?

3. For your Disclosure of Ownership form, who do you have listed as having "ownership" in your organization?  (Board of Directors, President/CEO, supervisors, etc.)

4. Is everyone aware there is a state-approved interpreter list and only those interpreters are reimbursable by state funds?

Thanks in advance for your input!


Cyber Notice: Emergency Directive to Mitigate Windows Vulnerabilities

Health Care is always a highest target, please highly consider this message from the Federal HHS Office of Civil Rights. Patches will be required as it is currently a big vulnerability and we want you all to be protected.  Here is the information we are passing on to you:

January 15, 2020

Cyber Notice: Emergency Directive to Mitigate Windows Vulnerabilities

OCR is sharing the following update from the HHS Critical Infrastructure Protection Public-Private Partnership

Healthcare and Public Health Sector

Emergency Directive to Mitigate Windows Vulnerabilities

Update #1

January 14, 2020

This email has been prepared by the HHS ASPR Division of Critical Infrastructure Protection (CIP).

If you observe or experience any impacts to critical infrastructure due to the incident, or have a request for information, please email us at CIP@hhs.gov

The purpose of this bulletin is to notify you of a number vulnerabilities identified in Microsoft Windows operating systems which if not addressed, pose significant threat to the environment. On January 14, 2020, Microsoft released a software patch to mitigate these vulnerabilities in supported Windows operating systems. Subsequently, The Cybersecurity and Infrastructure Security Agency (CISA) released an Emergency Directive and Activity Alert addressing critical vulnerabilities affecting Windows CryptoAPI and Windows Remote Desktop Protocol (RDP) server and client. Some of the vulnerabilities could enable a remote attacker to decrypt, modify, or inject data on user connections DHS has determined that these vulnerabilities pose an unacceptable risk to the Federal enterprise and as a result has issued an emergency directives to all Federal agencies to patch their environment immediately. Due to the seriousness of these vulnerabilities, ASPR CIP strongly recommends that all HPH entities also consider patching their environment as soon as possible. This recommendation is based on the likelihood of the vulnerabilities being weaponized, combined with the widespread use of the affected software across the sector and high potential for a compromise of integrity and confidentiality of information.

Upcoming CISA Call and Additional Resources

The Cybersecurity and Infrastructure Security Agency (CISA) has scheduled a call for Wednesday 1/15 at 2:15 PM ET. This call is targeted at Chief Information Officers/Chief Information Security Officers. Sector Coordinating Councils/Information Sharing Analysis Centers etc.

Additionally, the following resources can be used for more information:


Dragon Software

scarroll 1 month ago in Industry News/Discussion updated by Richard Sethre, Psy.D., L.P. 1 month ago 1

Looking for some recommendations on Dragon Software.  Wondering what version you are using for clinical staff?  Wondering if Professional is sufficient. Where did you purchase through?  We hope to implement the Medical version for our Physicians...but do not think all staff need that version...?


Credentialing, as newly licensed, with Insurance Companies for two different Mental Health Centers

Paula 2 months ago in Industry News/Discussion updated by Heather L. Heim 1 month ago 3


I have not run into this before.  One of our therapists will soon be fully licensed.  He works for our company and also for another mental health company.  Is there any reason why he cannot credential to all insurance companies with two separate applications?  One application listing our company and our billing NPI # and sending in another application listing the other company and their billing NPI#?




patient check-in/digital receptionist app or software for iPad?

Kyle 4 months ago in Industry News/Discussion 0

We are looking for a really simple digital receptionist app or software, and wondering what folks are using?

We have an ipad kiosk and looking for something really simple, so that clients can walk-up, check-in and feel confident that they're provider has been notified.


SDQ and CASII Documentation

Paula 6 months ago in Industry News/Discussion updated by sfoster 4 months ago 10


Question:Are SDQ and CASII's still required?  I never see any communication with DHS, once we submit. Are you completing for only MA clients or all PMAP clients?