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picture1_Imc Ppt 28200 | Provider Spoken Language Reimbursement Guide


 193x       Filetype PPTX       File size 0.09 MB       Source: www.hca.wa.gov


File: Imc Ppt 28200 | Provider Spoken Language Reimbursement Guide
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 ...

icon picture PPTX Filetype Power Point PPTX | Posted on 04 Aug 2022 | 3 years ago
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     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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