The team discussed logistics for an upcoming meeting and addressed recent communications, including email updates and link issues. They reviewed changes to various programs and grants, expressing concern for affected employees and staff. The conversation ended with discussions on payment delays, grant challenges, and the need for alternative funding sources, with participants encouraged to complete a survey assessing the impact of these grants.
In a meeting with limited attendance, the group discussed significant funding cuts affecting service providers, particularly Santa Maria's reduced capacity for pregnant and parenting women clients. They explored challenges with contract models shifting to cost reimbursement, requiring detailed expense reporting, and concerns about timely contract execution for fiscal 2026. The discussion also covered difficulties with private insurance enrollment and billing, with Noelle offering to raise these concerns in an upcoming meeting with HHSC, particularly regarding where to refer clients given Santa Maria's reduced bed capacity.
Noelle to ask HHSC in Monday's meeting about where providers should refer clients who can no longer be served due to funding cuts, particularly pregnant and parenting women.
Noelle to inquire with HHSC about the status of TRF and TRA contracts for fiscal year 2026 and address concerns about the inability to backdate claims if contracts are not executed by September…
The meeting addressed ongoing issues with Be Well contracts and private insurance matters, including challenges with contract execution, billing processes, and provider credentialing. The team discussed specific billing problems with CMBHS contracts, including technical issues with claim uploads and incorrect clinic numbers, while also exploring solutions for handling private pay and deductibles with HHSC. Noelle provided updates on discussions with HHSC to align processes and requested action items to improve insurance acceptance, with team members encouraged to reach out for further support.
The meeting began with personal updates from Carrie about her daughter's surgery and recovery, followed by discussions about meeting logistics and scheduling issues. The team addressed billing challenges related to RSS and PRS contracts, including delays in submitting invoices and processing payments through various systems. The conversation concluded with discussions about credentialing processes and authorization requirements for OTP services, highlighting ongoing challenges with payment processing and Medicaid revalidation.
Carrie to check the REDCap link in the email for submitting September billing for the PRS contract.
Noelle to reset and streamline meeting invites after the November member meeting.
