BabyNet Announcements

• Claim Correction (Void and Replace) Functionality in BRIDGES

• Elimination of the KEPRO Prior Authorization Requirement for BabyNet Services

• Enrollment Processes for BabyNet Providers

• Any beneficiary enrolled in Medicaid hospice at the time of their IDEA Part C eligibility determination will not be eligible for IDEA Part C services.
• If an IDEA Part C eligible beneficiary enrolls in Medicaid hospice, they will be disenrolled from IDEA Part C no later than their next scheduled Individualized Family Service Plan (IFSP) update.
• ?10/22/2021:  See updated Policies and Procedures cited in the Alert  and use BabyNet@scdhhs.gov as the contact method.

BRIDGES Provider Update Aug. 31, 2020 – 079 Edit (Kepro Prior Authorization) and Therapy Assistant, Fellow, and Intern Designations

Designating service providers as Assistant-CFY-Intern

• Kepro Prior Authorization Guidance and 079 Edit
• How to designate an assistant, fellow and intern in BRIDGES
• ?10/22/2021:  Contact information update-Use BabyNet@scdhhs.gov instead of what is mentioned in the alert.

• Telehealth and COVID-19 Clarification for IDEA, Part C Program

• Claims with edit codes
• Provider enrollment
• Some staff, including therapy assistants, must enroll under their supervisor’s NPI with BabyNet. 
• It is imperative that provider information, such as National Provider Identifier numbers (NPI), taxonomies, names, addresses, etc. are consistent in both BRIDGES and MMIS.
• Providers can create a service ticket with the PSC through a web form or by phone at (888) 289-0709.
• Updated Forms Available on BabyNet Website

• Depicts specific changes to the Financial Support Screen  in BRIDGES

• New and Updated Resources Available on the BabyNet Website
• A revised billing companion guide
• A billing companion guide PowerPoint 
• Updated policies and procedures
• New entries on the frequently asked questions (FAQ) page
• General Program Information

Health Insurance Information Resources form (HIIRF) and associated training material

Consent to Use Insurance Resources Form (Spanish)

• Presentation to review purpose and use of the Health Insurance Information Referral form and the Consent to Use Insurance Resources form.  
• Fillable pdf for intake and ongoing service coordinators to use for updating private insurance in BRIDGES.

TPL PowerPoint

TPL Presentation

• Claims-level Adjudication and Updated Web Resources
• An updated example of the claims submission, processing and payment cycle that reflects the changes that went into effect on Nov. 1;
• A comprehensive list of codes that appear on the claims-level remittance advices and their corresponding explanations; and,
• Revised BabyNet forms with instructions and examples on how to accurately complete the documents.
• Third-party Liability and Provider Payments
• Conference Call Information for Question and Answer Session with BabyNet Providers and MCOs

• Conference Call Information for Question and Answer Session with BabyNet Providers and MCOs
• Bulk Approval Feature Now Available in BRIDGES, Resources Available

Bulk Approval Feature Presentation (10 min)

Bulk Approval Feature Job Aid

• The presentation describes and demonstrates the new Bulk Approval feature.  This presentation is required for all Service Coordination/Special Instruction Supervisors/Billing staff.
• Job Aid provides a step-by-step guide for Service Coordination Agency Administrators to approve/disapprove service logs for T1016, T1018, and T1027.

• Claims-level adjudication
• Additional Resources 

• Overview of the release of New Claims-level Remittance Advice Features Coming in November

• New Claims-level Remittance Advice Features Coming in November
• SCDHHS will host a webinar to review the new remittance advice features on Tuesday, Oct. 22, from 3-4 p.m.
• New Question and Answer Session for BabyNet Providers and MCOs Announced
• IFSPs will be Regenerated in BRIDGES Oct. 17 - 23

IFSP Regeneration Training Video   (note: service start date is 10/17, not 10/1 as explained in this video-see job aid below for updated information)

IFSP Regeneration Job Aid-Updated

Services List Crosswalk

• Updated IFSP Regeneration video (20 min)
• Updated Job aid for regeneration
• These resources replace information disseminated on 8/22/19
• The crosswalk provides a comparison of new and old service names/codes in BRIDGES.

• Individualized Family Service Plans will be Regenerated Oct. 17-23
• Beginning with Continuity of Care Period, Balance Billing no Longer Accepted
• BabyNet and Healthy Connections Medicaid FAQs Updated

• Continuity of Care Period in Effect Oct. 1
• Contact Information and Quick Reference Guide for MCOs Updated
• Enrollment in BabyNet Available to Qualified Existing MCO Special Needs Providers

• Service Unit Roll-Up

• Resources for Continuity of Care Period, which Begins Oct. 1
• SCDHHS Provider Resources
• Updated MCO Contact Information

• Reminders for Continuity of Care Period, which Begins Oct. 1
• Contact Information for MCOs for Prior Authorizations and IFSPs
• Reminder: Updates to Applied Behavioral Analysis Provider Credentialing 

• Reminder: Healthy Connections Medicaid Providers MUST Have a BabyNet Enrollment Agreement to Serve BabyNet Children Beginning Friday
• Frequently Asked Questions Update: BabyNet and Medicaid Integration

• Continuity of Care Period Begins Oct. 1
• Reminder: Healthy Connections Medicaid Providers Must Have a BabyNet Enrollment Agreement to Serve BabyNet Children
• BabyNet and Medicaid Integration Frequently Asked Questions Updated

• BRIDGES SERVICE CODE TRAINING WEBINAR RECORDING AVAILABLE
• REMINDER: BABYNET REFERRALS TRANSITIONING TO WEB REFERRAL PORTAL
• BABYNET AND MEDICAID INTEGRATION FREQUENTLY ASKED QUESTIONS UPDATED

Removed and replaced with new information on 10/14/2019

BRIDGES Planned Service and Financial Supports Changes-Webinar 

Removed and replaced with new information on 10/14/2019

• BRIDGES Planned Service and Financial Supports Changes-Slides 
• Updating Planned Service- Job Aid 

• BabyNet Referrals Transitioning to Web Referral Portal
• Reminder: Updates to Applied Behavioral Analysis Provider Credentialing
• Reminder: BRIDGES Code Service Changes Training Webinar This Thursday
• BabyNet Policy and Procedure Webinar Recordings Posted
• Reminder: BabyNet Providers Should Enroll and Credential with MCO Plans

• Changes to Applied Behavioral Analysis Provider Credentialing Requirements
• PROVIDER QUALIFICATION TABLE
• CURRENT PROCEDURAL TERMINOLOGY (CPT) TO 2019 CODE COMPARISON TABLE

• Policies and Procedures for BabyNet - Webinar, Part 2

• Planned BRIDGES Service Code Changes
• Key BabyNet and Healthy Connections Medicaid Contacts

• Policies and Procedures for BabyNet - Webinar, Part 1

• Reminder: Providers Must Enroll with Managed Care Organizations by Oct. 1
• Prior Authorization Forms and Direction for Providers
• Provider Payments Update
• Integration FAQ Page Updated with Responses to Webinar Questions
• New BabyNet Brochure Available
• Reminder: New BabyNet Policy and Procedures and Forms Available; Training Webinar Announced

• Provider Payments Update
• Web Tool Remittance
• New BabyNet Policy and Procedures and Forms Available; Training Webinar Announced
• July 10 Bulletin FAQ Posted
• Forecast for August Alerts

• SCDHHS Launches BabyNet Referral Portal
• Service Log FAQ Posted
• July 17 Webinar Focused on Changes Announced in July 10 Bulletin Posted
• Reminder: Providers Must Bill Through BRIDGES
• Financial Support Screen Changes

• BabyNet Services and MCOs Webinar

• Entering High Quality Service Logs Webinar
• Updates in BRIDGES

• High Quality Service Log Entry Webinar

• Changes to Individuals with Disabilities Education Act Part C Program (BabyNet) Services
• Features of the initiative
• Entering High Quality Service Logs

• BabyNet Child Lifecycle: Current Process, Future Process and Who is Impacted

• 2019 BabyNet Agreement Notice

• Identifying Information
• Payment Processing
• Pending Payments
• Claims Processing Periods
• Submitting Claims

• Changes to BabyNet Services Claims Payment Process
• Payment Procedures