Provider Digest | Volume 143
Date: 10/16/24
Trillium Medicaid Providers: Take the 2024 Social Needs Screening Inventory Survey By October 31
Trillium is launching this Social Needs Screening Inventory Survey to gather responses necessary to pass the new Social Needs Screening and Referral CCO incentive metric. The survey will be used to conduct an environmental scan to help us identify how members are being seen, the capacity of health-related social needs referrals, resources available, and the gaps that must be addressed.
Organizations who complete this survey by October 31 may be eligible to earn a bonus which is outlined within Trillium's 2024 CCO Quality Pool Bonus Funds Program. Thank you for your partnership in helping our members stay healthy.
- Take the online Social Needs Screening Inventory Survey today!
Note: If you would like to gather the information before taking the online survey, please view the Social Needs Screening Inventory Survey in PDF format.
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Effective November 1, 2024: Medicare TENS Billing/Coding Edit
Thank you for your continued partnership with Wellcare By Health Net and Wellcare By Trillium Advantage.
As you know, we are committed to continuously evaluating and improving overall Payment Integrity solutions as required by State and Federal governing entities. Effective November 11, 2024, Wellcare will be implementing an additional review:
- Edit Name: Electrodes for Transcutaneous Electrical Nerve Stimulation (TENS)
- Description: Enforcement of correct coding guidelines to ensure appropriate billing of Electrodes for TENS
- Lines of Business: Medicare
Thank you for your continued participation and cooperation in our ongoing efforts to render quality health care to our members. We look forward to helping you provide the highest quality of care for our members.
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Mark Your Calendars for Trillium Provider Collaborative: Point Click Care Portal
Please join us for Trillium's Fourth Quarter Provider Collaborative! We'll discuss the Point Click Care (PCC) portal, formally Collective Medical, and how it can be used to address the Initiation and Engagement of SUDs Treatment (IET) measure.
Guest speakers Matthew Ver Eecke and Sarah Watt from Point Click Care will give a demo of the PCC Portal and the IET Cohort offered by Trillium. Please come prepared with questions to ask the experts on this helpful tool!
- Wednesday, November 13, 2024, 2:00-3:00 p.m.
- Microsoft Teams Meeting Link and Call-In info below
- If you did not receive the calendar invite, please contact your Quality Representative
Microsoft Teams
Join the meeting now
Meeting ID: 247 203 835 179
Passcode: nVGM5S
Dial in by phone
+1 816-702-6560,,187764805# United States, Kansas City
Find a local number
Phone conference ID: 187 764 805#
We look forward to connecting with you!
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Public Health Alerts: Pertussis, mpox, and Marburg Virus
Pertussis in Oregon
According to the State of Oregon Health Alert Network, as of October 1, 2024, 614 cases of pertussis have been reported to the Oregon Health Authority (compared to 29 cases at this time in 2023). Already this represents the highest annual total since 2012, when 910 cases were reported. In the intervening years, annual pertussis case counts have been as low as 3 cases in 2021 and as high as 593 in 2015.
Among the 19 counties with reported pertussis to date in 2024, Lane County leads with 198 cases, followed by Multnomah (126), Clackamas (84), Deschutes (56), Washington (44), Marion (38), Jefferson (16), Linn (15), Columbia (6), Coos (5), Yamhill (5), Polk (4), Hood River (3), Jackson (3), Wasco (3), Benton (2), Malheur (2), and Crook (1).
Data from January through October 1 indicate that only 265 (43%) of this year’s cases have been up-to-date with vaccination.
For more recommendations and resources, view the State of Oregon's Health Alert Network: Pertussis (PDF) and download LCPH's Continued Pertussis Cases in Lane County flyer (PDF).
Updated CDC mPox vaccination guidance
The Centers for Disease Control and Prevention (CDC) issued a Health Alert Network (HAN) Advisory on September 23rd recommending mpox vaccination for certain travelers.
To learn more, view the State of Oregon's Health Alert Network: Updated CDC mpox vaccination for travelers (PDF).
First Marburg Virus Disease Outbreak in the Republic of Rwanda
The Centers for Disease Control and Prevention (CDC) is issuing this Health Alert Network (HAN) Health Advisory (PDF) to inform clinicians and health departments about the Republic of Rwanda’s first confirmed outbreak of Marburg virus disease (MVD) with 36 laboratory confirmed cases and 11 deaths reported as of October 2, 2024, including at least 19 cases in healthcare workers. This report summarizes the CDC’s recommendations for public health departments and clinicians in the United States on case identification and testing and clinical laboratory biosafety considerations. Currently, the risk of MVD in the United States is low; however, clinicians should be aware of the potential for imported cases.
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Oregon Health Authority CCO Weekly Update
The Oregon Health Authority shares regular updates with coordinated care organizations via their CCO Weekly Update newsletter. Article topics include Medicaid project updates, guidance and reports, upcoming meetings, and more. You can sign up to receive the newsletter by email or view past issues on the OHA website.
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Reminder: Lane County Trillium Medicaid Behavioral Health Provider Availability Survey
In the Lane County CCO region, Trillium Behavioral Health has transitioned from monthly phone calls to an online survey to assess provider availability and your program openings. This will streamline the process for you as well as ensure we are able to provide members with the most accurate provider information. You should expect to receive the survey link via email on the first Monday of every month.
As always, we deeply appreciate the valuable work that you are doing for our Trillium members and our community at large. At the top of each survey, you will find contact information for Emma St. Clair and Erinn Stevens. Please reach out to both of them directly if you have any questions or concerns. We look forward to partnering with you on this new process!
Complete the Lane County Trillium Behavioral Health Provider Availability Survey
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