Provider Notice Issued 05/24/2021

 

Date:   May 24, 2021                                                                          

 

To:      Long Term Care Facilities - Nursing Facilities (NF), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID), Supportive Living Program (SLP), Medically Complex for the Developmentally Disabled Facilities (MC/DD) and Specialized Mental Health Rehabilitation Facilities (SMHRF)

 

Re:      Department of Human Services – Limiting Submission of Supporting Documentation to a Single Case or Individual

______________________________________________________________________________________

The Department of Human Services (DHS) would like to notify long term care (LTC) providers that supporting documentation submitted to DHS should be specific to a single case or individual. Information for multiple individuals is not to be submitted in a single submission. Information submitted for multiple individuals in the same submission is considered a HIPAA violation. 

Effective immediately, documentation that is received which contains information for more than one individual will be returned to the provider. DHS will include a notification to the LTC provider that the information has been rejected. The LTC provider will be required to resubmit the information specific to only one individual. 

Please include the following information on documentation submissions: 

  • LTC provider name, phone and contact person;​
  • Individual’s first and last name;
  • Individual’s IES case number (or ABE application tracking number);
  • MEDI Transaction Audit Number (TAN), if applicable; and
  • Recipient Identification Number (RIN), if known. 

This policy is applicable regardless of the method of submission utilizing the ABE Partner Portal for document uploads or the Central Scanning Unit for faxes. 

LTC providers are encouraged to use the ABE Partner Portal as the preferred method of submission of supporting documentation. Information should no longer be sent directly to the DHS Medical Field Offices (MFO).

 

Resources:

  • ​Provider Notice dated 02/24/20, ABE Partner Portal – Instructions for Creating Accounts and Uploading Documents 
  • Provider Notice dated 04/29/21, Department of Human Services Utilization of the Central Scanning Unit for Long Term Care Providers Effective April 26, 2021

 Please contact the Bureau of Long Term Care toll free at (844) 528-8444 with questions regarding this notice.                                      

  

Kelly Cunningham, Administrator

Division of Medical Programs


Notices

 

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