DPA - Delaware Psychological Association

State Advocacy Report from February 2017

February 24, 2017 2:58 PM | Kelly Wetzel (Administrator)

The State Advocacy Committee is dedicated to keeping you abreast of updates regarding changes in healthcare reform, collaboration with insurance companies, and the home health model. If there are additional advocacy concerns that you have please reach out to us at admin@depsych.org.

Critical Incident Reporting re: Highmark Health Options Blue Cross Blue Shield (BCBS) of Delaware

State Advocacy Chairperson, Traci Bolander, PsyD issued a written statement in January 2017, to the Director of Clinical and Services Quality of Highmark Health Options, (hereafter referred to as “director”), requesting concise directives regarding the behavioral health practitioners’ responsibility in notifying Highmark Health Options about critical incidents as the email summary provided none of the details that were relayed by the director over the phone. Unfortunately, a formal response from the director has not been issued at this time. Inasmuch, the State Advocacy committee has proposed to submit a formal written letter from the DPA Executive Council requesting clarity from the director, as this matter is currently under internal review within Highmark Health Options BCBS of Delaware.

Blue Cross Audit Letters (Billing and Coding) and Change Healthcare

Traci remains involved in ongoing meetings with the Blue Cross Director of Provider Relationships specifically related to concerns that were raised related to notices received from Change Healthcare (a contracted company who reviews coding patterns and documentation for Blue Cross). Blue Cross and Change Healthcare have both indicated that the goal of these letters is to provide education related to billing and coding to providers.

If you received notice from Change Healthcare regarding your use of the 90837 code, and you have concerns that you would like the State Advocacy committee to further explore, please reach out to the committee by emailing us at: admin@depsych.org

Delaware Secretary of the Delaware Department of Health and Social Services (DHSS)

Newly elected Health Secretary, Kara Odom Walker, MD, MPH, MSHS, was confirmed in her new role on 02/06/2017 and she met with the Joint Finance Committee (JFC) at Legislative Hall on 02/07/17 for the Fiscal Year 2018. The notes from her presentation can be found at http://www.dhss.delaware.gov/dhss/secretaryremarks.pdf

Rita Landgraf, former Secretary of the DHSS has transitioned into her new role at the University of Delaware College of Health Sciences as professor of practice and distinguished health and social services administrator in residence. 

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