Skip to Main Content

Provider Digest | Volume 106

Date: 12/20/23

New Circumcision Benefit for Trillium Medicaid Members

Trillium Community Health Plan is committed to collaborating with you to ensure access to high-quality healthcare for the Oregon Health Plan members we serve. As of January 1, 2024, Trillium is covering circumcision CPT codes 54150 and 54160. 

As always, Trillium members who are pregnant have access to Trillium's Start Smart for Your Baby® care management program. It is designed to customize the support and care members need for a healthy pregnancy and baby. This program is available at no cost to members. In addition, members can earn rewards by attending all of their prenatal and postpartum appointments and engaging with their Start Smart for Your Baby® Care Management team. You can find more information at our Start Smart for Your Baby® website.

Thank you for your partnership in helping our members stay healthy. If you have any questions, please contact your assigned Health Plan Provider Relations Representative.

____________________________________________________________________________________________________

ADA and Healthcare Webinar Series

The Northwest ADA Center and the Oregon Health Authority are presenting a free 4-part webinar series on the Americans with Disabilities Act (ADA) and healthcare. 

This webinar series will help healthcare providers understand their rights and responsibilities under the ADA. These sessions will cover critical topics such as creating accessible environments, effective communication, reasonable modifications, and much more.

To learn more, visit the ADA and Healthcare Webinar webpage.

____________________________________________________________________________________________________

Lane County Shelter Finder Website

The Lane County Human Services Division has soft launched a new Shelter Finder website. This website is designed to provide information about shelter availability and criteria to those seeking shelter for themselves or someone else. Website users can click on the bed icons located on the embedded map to view information about the shelters including pictures, intake information, what to expect when accessing the shelters and more.

Participating shelters have been asked to update their available bed information a minimum of once a day and more frequently if possible. Although not all of the shelters are currently participating, Lane County hopes to have the rest included soon.

Lane County is planning to advertise the website more widely in January 2024.

You can access the Shelter Finder at the Lane County Shelter webpage or the Lane County Housing Help webpage.

____________________________________________________________________________________________________

2024 Medicaid Behavioral Health Provider Directed Payment Attestation/Increase

Effective January 1, 2024, the Oregon Health Authority (OHA) is implementing the annual attestation process required for all BH providers for the four behavioral health directed payments (BHDPs) within the CCO contracts that further the goals and priorities of the Medicaid program. All Trillium Medicaid Behavioral Health/Substance Abuse providers who submitted OHA attestations in 2023 are required by OHA to resubmit 2024 attestations to CCOs in order to continue qualifying for certain BH Directed Payment rate tier increases.

For 2024, providers will want to review the criteria for each category again to confirm if they qualify for possible additional increases based on the four health directed payments:

  1. Tiered Uniform Rate Increase Directed Payment
  2. Co-Occurring Disorder Directed Payment
  3. CLSS Directed Payment
  4. Minimum Fee Schedule Directed Payment

To be eligible for a 2024 tier rate increase, OHA asks that Medicaid providers complete the "Primarily Medicaid Provider Attestation" found on their Behavioral Health Rate Increase webpage.

If you have any questions, please contact your assigned Health Plan Provider Relations Representative.

____________________________________________________________________________________________________

Clinical Documentation Improvement (CDI) Webinars

Trillium, Health Net and Wellcare invite providers to attend upcoming CDI webinars on "2024 CMS Model and ICD-10 Updates." Each webinar includes an overview of Risk Adjustment (RA) and Hierarchical Condition Categories (HCCs). To register, please click on the Zoom link next to the webinar you would like to attend.

2024 CMS Model and ICD-10 Updates

Thank you for your partnership!

____________________________________________________________________________________________________