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Elizabeth M. Whitehorn, Director

Provider Notice Issued 05/24/2021

 

Date:   May 24, 2021                                                                          

 

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

 

Re:      Departmentof Human Services – Limiting Submission of Supporting Documentation to a SingleCase or Individual

______________________________________________________________________________________

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

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

Please includethe following information on documentation submissions: 

  • LTC provider name, phone and contact person;​
  • Individual’sfirst and last name;
  • Individual’sIES case number (or ABE application tracking number);
  • MEDITransaction Audit Number (TAN), if applicable; and

  •  

    RecipientIdentification Number (RIN), if known. 

     

This policy isapplicable regardless of the method of submission utilizing the ABE PartnerPortal for document uploads or the Central Scanning Unit for faxes. 

LTC providersare encouraged to use the ABE Partner Portal as the preferred method ofsubmission of supporting documentation. Information should no longer be sentdirectly 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 HumanServices Utilization of the Central Scanning Unit for Long Term Care ProvidersEffective April 26, 2021

 

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

  

KellyCunningham, Administrator

Divisionof Medical Programs