Building vibrant and inclusive communities PROVIDER PARTNERS March 2018 877-622-6700 | inclusa.org ●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●● Best Practice Reviews to Begin in April Inclusa is committed to provider engagement and a proactive approach to quality services for our members. In support of that commitment, we will be engaging providers in our Best Practice Reviews beginning in April. Each year we randomly select members and providers to conduct a Best Practice Review. The providers selected are reviewed by Community Resources/Provider Relations (CR/PR) staff in areas such as staff training, background checks, and provider quality concerns. The review is an interactive and proactive approach to meeting with providers outside of the normal quality review processes already in place. An additional piece of the Best Practice Review is the feedback we receive from all parties involved in the review, which is a very interactive process. This feedback encompasses multiple parts:  Member input about their experience (if member is able; if not the guardian or other representative may be contacted)  Member Support team input about the provider and member experience  Provider input, including any information they would like to provide CR/PR staff will be reaching out to selected providers in the coming weeks to schedule reviews throughout 2018 and provide additional information about the process. Please do not hesitate to ask your reviewer if you have any questions during the review. New Provider Training: Inclusa Provider Development, Contracting, and Credentialing Policies We are excited to share a new training resource developed specifically for our valued providers. The training highlights two key processes: provider network development, and provider contracting and credentialing requirements. We believe it is important that providers have access to these resources for transparency and to assure we are in compliance with the Department of Health Services and Inclusa Provider Subcontract expectations. The training is available on our website at www.inclusa.org/providers /contracting.