193x Filetype PPTX File size 0.09 MB Source: www.hca.wa.gov
HCA Reimbursement Policy for Spoken Language Access Providers (LAP) The Health Care Authority (HCA) will provide reimbursement for spoken LAP requests for integrated manage care (IMC), behavioral health (BH), and substance use disorder (SUD) services if Universal Language Service (ULS) is unable to fill a job. Reimbursement will be paid at the current Collective Bargaining Agreement (CBA) rate. 2 Reimbursement Training Objectives Objectives: Identify what requests are eligible for reimbursement? Identify what requests are not eligible for reimbursement? Determine reimbursement rate to requester for services How to cancel a request How to request reimbursement 3 Provider Responsibility According to Title VI of the Civil Rights Acts of 1964 and the Americans with Disabilities Act (ADA), providers are required to assure language access. HCA supports you in this effort by offering interpreter services through our contractor Universal Language. If HCA’s interpreter services contractor is unable to provide an interpreter, providers are responsible to provide an interpreter at their expense. 4 Language Access Providers (LAPs) and the Union The Governor granted spoken Language Access Providers (LAP)s bargaining rights in 2011. HCA and DSHS are required to follow the collective bargaining agreement (CBA). This means: Interpreters must be LAPs DSHS certified/authorized or recognized Payment rates are set by the CBA Agreement (CBA) between the state and the Union can be found at the Office of Financial Management: Language Access Providers WFSE. 5 Which Requests are Eligible for Reimbursement HCA will only reimburse providers for pre-scheduled requests submitted through the Contractor that they were unable to fill . The service appointment must be cancelled and claims for reimbursement must be submitted to Contractor within 90 days from the date of service. The claim will include a Reimbursement Voucher, paid invoice, and W-9 (provided only once) by email to billing@ulsonline.net, and meet the below criteria: Request was unable to be filled by Contractor Eligible Apple Health(Medicaid) covered health care service Apple Health (Medicaid) eligible clients Services provided by an Apple Health (Medicaid)enrolled providers Must be a completed appointment 6
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