Inclusa Provider Partners – March 2018 3 877-622-6700 | inclusa.org ●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●● Inclusa continues to work on our Unified Business System Transition project, which is scheduled for completion July 1, 2018. We are making great progress! This update from Community Resources/ Provider Relations (CR/PR) describes some of the items that may affect providers, along with timelines for when these changes will occur. Service Code Alignment Code alignment is completed. If any code changes impact your organization, we will send you an updated contract addendum along with a memo that outlines the changes to the service code(s). These updates will be occurring from now until we are fully aligned July 1. Rate Alignment Rate alignment for negotiated-rate (non-Medicaid) services will occur throughout 2018. Conversations will take place with providers prior to any rate changes or alignment, and addendums to update the services will be sent out as well. Scope of Service Alignment We are working to combine Scopes of Service from the three legacy MCOs into one Inclusa scope per service type. The scope alignment will be completed over the next few months. Once the business system transition is completed, we will send providers an updated contract Appendix N for each applicable service they provide. The Appendix N contains the Scope of Service, and providers will need to sign and return this document to indicate their agreement to follow the scope and the standards it contains. Training In-person training will be offered to support providers as we transition into one business system and one provider portal. The portal training will be specific to those providers currently utilizing our Central Region business system, and will likely occur in the months of May and June. Look for upcoming communications with more details on when training will be available. Inclusa values our providers and the relationship we have. We look forward to partnering with you throughout this process to ensure smooth transitions into the aligned business system. Updates will be available through this newsletter and on the Business System Transition page in the Providers section of our website at www.inclusa.org. Unified Business System Transition: CR/PR Update Provider Advisory Forums Coming This Spring We are excited to announce the return of regular provider meetings. As part of our merger activities, we reviewed each legacy organization’s venue for conducting provider meetings in order to establish the best venue for Inclusa to connect with providers. We will be contacting providers via email in the coming months about opportunities to engage with Inclusa and other providers through quarterly Provider Advisory Forums. We look forward to ongoing opportunities to work more closely with you, hear your feedback, and learn from each other.