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.
The team discussed ongoing payment delays from HHSC and Be Well, with Noelle proposing legislative solutions for automatic advances and Barbara highlighting critical impacts on cash flow and payroll. They addressed challenges with Medicaid placements, CMBHS audits, and insurance verification issues, while noting concerns about delayed authorizations and admissions. The conversation ended with updates on upcoming visits and legislative trips, along with discussion of a technical glitch requiring immediate attention.
The meeting focused on addressing billing and payment challenges faced by providers under the Be Well and HHSC contracts. Participants discussed delays in receiving payments, with Be Well causing a 30-35 day delay for MOUD services and no payments received for YRC, RSS, and TTOR. Carrie highlighted the extensive process required for submitting invoices and receipts, which she felt was overly burdensome. Noelle explained that Be Well took over the work previously done by HHSC and suggested that the extra requirements were likely meant to protect Be Well in case of audits. The group also touched on challenges with CCMS reporting and the upcoming changes to how program income reports would be handled. The conversation ended with a brief discussion about holiday plans and a sharing of innovative programming initiatives at residential treatment facilities.
