Has anyone used Availity for billing Blue Cross/Blue Shield,
aka Blue Cross/Blue Shield Medicaid, for AMH or CMH targeted case
management since 01/01/19? If so, could you email Jane Meyer: jmeyer@co.ottertail.mn.us
Parental Fees
06-06-19
We would like to know who (Fiscal, CSO, Eligibility Worker,
Collections Officer,….) is determining and collecting Parental Fees at your
county. Specifically, for fees assessed by the County Agency:
- Who determines which parents owe a parental fee (MA, IV-E, TEFRA, considerations)
- Who determines the amount of the parental fee (collection of income data, fee determination, periodic reviews)
- Who collects (monthly billings, past-due accounts)
Or any other tasks that I may have missed. This is not
an area that I have working knowledge of and I have most likely omitted
something.
Thanks,
Duane K.
Debit Cards to clients
06-05-19
I am a fiscal manager in Hennepin
County and looking to see if any other counties are using Debit cards in place
of issuing checks to the clients.
We are looking into this option
using US Bank but looking to see what other counties are doing? Do they
issue them for all client services where county funds are used?
Please let me know if you have
additional questions.
Also, could you let me know when
it is posted so that I can look for responses.
Maureen Rioux | Accounts
Payable Manager | HSPHD – Financial Analysis & Accounting
300 South Six Street | MC 155|
Minneapolis, MN 55487-0155
Office – 612-348-7727 | Black Berry
- 612-306-6852 | Fax – 612-632-8709
State Audit Prep
06-05-19
What do each of you do in
preparation for your state audit? I have some very cryptic notes from the
previous Fiscal Supervisor, and none of it makes sense. I’m looking for a
list of year-end tasks or journal entries that you do to close out books, or
prepare schedules for the audit.
Lori Ericson | Fiscal Supervisor
Cook County Public Health &
Human Services
411 W. 2nd Street,
Grand Marais, MN 55604
Direct: (218)
387-3612 | FAX: (218) 387-2020SSIS question on flipping workgroups
06-05-19
Accounting Department
204 1st Street NW
Aitkin, MN 56431
Phone (218) 927-7200
We are doing a case file audit on
some of our cases and am wondering when other counties are flipping from
assessment workgroups to case management workgroups for adults in SSIS?
Does this affect any reimbursement formulas if a case stayed in assessment but
we are thinking should have been switched to case management awhile back?
Any information would be appreciated.
Thanks!
Carli Goble
Fiscal Supervisor/Collections
Officer
Aitkin County Health & Human
ServicesAccounting Department
204 1st Street NW
Aitkin, MN 56431
Phone (218) 927-7200
ACH/Direct Deposit for Vendors
05-28-19
Grant County Social Services
Grant County Highway Dept
Region IV Adult Mental Health Initiative
Email: jennifer.albjerg@co.grant.mn.us
Phone: 218-685-8218
Fax: 218-685-4978
We
are looking at direct deposit/ACH for our vendors. This idea is
originating from a volunteer driver requesting it. If your
county/department does this, who maintains the vendor file/deposit info?
DO you use this for child support? If so, how does it interface with the
state (what’s the process)?
Jen
Albjerg
Fiscal
ManagerGrant County Social Services
Grant County Highway Dept
Region IV Adult Mental Health Initiative
Email: jennifer.albjerg@co.grant.mn.us
Phone: 218-685-8218
Fax: 218-685-4978
AMH/CMH TCM Claiming
05-01-19
From AMH and CMH TCM month claiming, when they are on a
managed health care plan (such as South Country and Blue Plus). Is
everyone doing Do Not Claims on these clients and putting in the plan and then
entering information on the “Plan Prior Authorzation”
If you are, then how are you pulling your manual claims?
I know the rules for Do Not Claims and you are “supposed” to
do it this way, but then you don’t get all the information that you need to
manually claim without going into each client on the Do Not Claim Report and
viewing each monthly contact.
A total pain and time waster.
We were not putting them in the Do Not Claims and then
letting them deny on our SSIS claim batches so we at least got the information
needed to manually claim, but that sounds also like a waste of time and
efficiency.
Gwen Resech
SOCIAL SERVICES FISCAL SUPERVISOR
WABASHA COUNTY
Job Applicants screening tool
04-23-19
Julie,
Does anyone send out
questions to applicants to send back the answers before they interview them as
a screening tool? If so, could I get a copy of them?
Thanks.
Marlene
Remmel
Fiscal
Supervisor
114
N Holcombe Ave Ste 180
Litchfield
MN 55355-2273
320-693-5300
ext 310
320-693-5344
Fax
MMIS Service Agreement Issue
04-23-19
MMIS Service Agreement Issue
Could you please forward this
email string along to the MCHSSA group for insight to what other counties are
doing with this?
It’s a concern to our Social
Services Supervisor and myself that we are being directed to authorize large
amounts in Service Agreements that the provider COULD use anytime within the
date span of the SA (this is for CCDTF, Care Coordination and Peer Support
Services)
i.e. We have a service agreement
with a provider to provide services 10 days/month for 4 months. MMIS is
not allowing us to only authorize 10 days (8 units per day=80 units/month) for
the service agreement span. We are being directed by DHS to authorize
every day in the 4 month span at 8 units per day. This allows the
provider to bill up to that amount, which far exceeds the amount actually
authorized.
Is anyone else noticing this as a
problem in their county? How are you tracking so the provider doesn’t
take advantage of this?
Thanks!
Carli
Goble carli.goble@co.aitkin.mn.us
Fiscal Supervisor/Collections
Officer
Aitkin County Health & Human
Services
Phone (218) 927-7200
Initial response to Aitkin
County from DHS:
Counties should authorize the date
span in which the services COULD be used. They may only use
requested units of the total that was authorized but use those units at varying
times within the date span.
Aitkin County internal e-mails:
1. What she came back with, does not address the
problem of authorizing big money!
2. So if
I am understanding this correctly, she is now directing us to just authorize
all of it?
3. Yes, that is what I am understanding too. I
wonder if whomever she has talked to understands the concern. Is there
anyone else we can appeal to?
Aitkin
County e-mail sent to state regarding the prior response:
Thank you
for your prompt response. Just so I am understanding DHS’s direction then, you
are indicating that counties authorize the 8 units per day per service, if it
is being requested, for the entire date span of the service agreement,
encumbering large amounts of dollars, to provide the provider access to bill
when they provide the service?
This does
not address the large amount of dollars being encumbered but we will do this if
this is what DHS is directing counties to do.
DHS final response:
Correct! If you like, you can also
inform the provider of units per day for tx coord and peer support so they can
request units appropriately as well.
TCM for ICPC Children
04-23-19
How do you handle charges and target case management for
ICPC children? When they do not have MA for Minnesota and do not qualify
for IV-E? But are on for instance BagerCare in Wisconsin or another form
of assistance in another state?
Gwen Resech
SOCIAL SERVICES FISCAL SUPERVISOR
WABASHA COUNTY
Cost Allocation Plan input for conference
04-08-19
I’m working with Angela Pond from Government Management
Group on a Cost Allocation Plan presentation for conference. What questions do
you have regarding Cost Allocation plans? This is the time to get your
questions answered. The more input we can give on the information needed, the
more you will get out of the presentation!
Thank you!
|
|
Emily
Ehnes
Fiscal
Supervisor
Sherburne
County Health & Human Services
phone
763-765-4025 fax 763-765-4096
|
Parking Ramp receipts
04-14-19
MA Access—Has anyone ran into clients being at Mayo in Rochester
and documentation for payment when exiting the ramps after hours. Did you
reimburse for their after-hours ramp exits? What was provided for
documentation? There is no way to prove what was paid because they use the
honor system in those ramps. I spoke with the parking ramp person and
after 6pm and on the weekends they do not issue receipts. Thoughts??
Jen Albjerg
Fiscal
Manager
Grant
County Social Services
Grant
County Highway Dept
Region
IV Adult Mental Health Initiative
Phone:
218-685-8218
Fax:
218-685-4978
? on McCrossan Boys Ranch
04-04-19
Have any of you ever had a child go to the MCCrossan Boys
Ranch in Sioux Falls SD? If so, what did you code the MMIS Living
Arrangement as and does this qualify for any kind of funding or is it straight
county dollars?
Gwen Resech
SOCIAL SERVICES FISCAL SUPERVISOR
WABASHA COUNTY
Excess support case for Child Support
04-04-19
In your county who does the Excess support case for child
support? Is it a child support officer, collections officer, or does it
fall to someone in fiscal?
Jill Frisell
Assistant Auditor/Treasurer/Finance Director
Douglas County Finance
Email: jillf@co.douglas.mn.us
Phone: 320-762-3880
Fax: 320-762-3833
SS Paying for Attorney fees
03-06-19
We had a termination of parental rights, one parent appealed all
the way to the MN Supreme Court. The appeal was denied. The courts
have now directed our county to pay for this individual’s attorney fees and he
was granted forma pauperis. We already pay for both of the conflict
attorneys during the termination and adoption process. Has anyone ran
into this? Who is responsible to pay these fees? If the social
services area is responsible, did you pay under brass 119? Thank you in
advance for any help!
Thanks-
Jen Albjerg
Fiscal
Manager
Grant
County Social Services
Grant
County Highway Dept
Region
IV Adult Mental Health Initiative
Phone:
218-685-8218
Fax:
218-685-4978
Procurement Policy
3-5-19
Have other counties updated their
Procurement Policy due to the OMB Memo dated June 20, 2018 M-18-18
to reflect the new standards? CliftonLarsonAllen Compliance: Procurement
Policies
Thanks!
Carli
Goble
Fiscal Supervisor/Collections Officer
Aitkin County Health & Human Services
Accounting Department
204 1st Street NW
Aitkin, MN 56431
Phone (218) 927-7200
Note: there was a procurement question on 2/6/19 that you can also reference on the blog.
Here are 3 links shared from Crow Wing County that contains their Procurement Policy, Procurement Procedures and Procurement Quick Reference.
Procurement Policy
Procurement Procedures
Quick Reference
Clearing Houses
02-28-19
What are counties using for clearing houses? Pros/Cons – Who
does a spreadsheet to upload TCM claims, will you share your setup and process
to get us started. We currently submit claims, manually but are having trouble
with Health EC. Have heard that Availability isn’t any better.
If you use Health EC, did you recently get an agreement you
need to sign with HealthEC, and is UCARE still supposed to take care of any
clearing house fees if there are any?
Thanks
Steph
Stephani Diekmann
Fiscal Supervisor
Nobles County Community Services Agency
507-295-5222
Consumer Support Grant
02-27-19
Benton County is contracting with a vendor to provide
Consumer Support Grant services . The 5% administrative
fee will be paid to the vendor. What codes do you use to pay the vendor?
My understanding is only counties can bill DHS for the fee so we will be
claiming for DHS reimbursement.
Peggy
Koscielniak | Fiscal
Services Superviosr
Benton
County Human Services | PO Box 740 |Foley, MN 56329
320.968-5140
Email Retention Policy
2-19-19
Looking for counties that have an email retention policy. Do you have an issues with it? Are some too restrictive? Do you have items that are automatically deleted from your email by the policy and has it created issues?
Looking for counties that have an email retention policy. Do you have an issues with it? Are some too restrictive? Do you have items that are automatically deleted from your email by the policy and has it created issues?
Shelley Koen
Accounting Supervisor
Minnesota Prairie County
Alliance
(p) 507-923-2913
(f) 507-635-6186
22 East 6th
Street, Dept 401
Mantorville, MN 55955
Summons billing
2-19-19
How many counties
pay for summons served by the sheriff's office out of social service funds? If
you pay for them do you pay for them through admin or through SSIS & attach
them to a workgroup?
Thank you for your
input.
Marlene
Remmel
Fiscal
Supervisor
114
N Holcombe Ave Ste 180
Litchfield
MN 55355-2273
320-693-5300
ext 310
320-693-5344
Fax
CW-TCM Procedures/policies
2-19-19
--
I am gathering information, policies, procedures and
resources for CW-TCM.......does anyone have any written information in their
county they would like to share? I will compile all the information
and it can be shared with all counties in the future.
--
Melissah Puttbrese-Lundeen
Kittson County Social Services
Fiscal Officer
218-843-2689
PreferredOne Insurance question
2-19-19
This past year we billed flu shots
to PreferredOne and they are coming back to us patient responsibility due to
our clinic being ‘out of network’. To become associated with them, they
want us to fill out a preapp (attached) and under their criteria for contract
it says that the nurse providers are required to maintain professional
liability (malpractice) insurance.
Is this insurance something other counties carry on their public health
nurses? Are other counties contracted with PreferredOne?
Any insight to what others are doing would be appreciated. Thanks!
Link to document:
https://drive.google.com/file/d/1NYu5F1sZAKriZt_gYww_GWPiJKE3wElD/view?usp=sharing
Carli
Goble
Fiscal Supervisor/Collections Officer
Aitkin County Health & Human Services
Accounting Department
204 1st Street NW
Aitkin, MN 56431
Phone (218) 927-7200
MA Client Spenddowns
02-13-19
What is your county’s procedure for collecting MA client
spenddowns? How many times do you bill the client, what is your process
if they don’t pay? Up until the last 6 months or so we haven’t had many
because of the delay in billing…but lately there seems to be an
increase. What are other counties doing?
Diane
Aschnewitz
Fiscal Supervisor
Otter Tail County Human Services
530 W Fir Av
Fergus Falls MN 56537
218-998-8157
Procurement Audit
02-06-19
Has your county had a
procurement audit? If so, were there any audit findings? What were the findings
and recommendations? What firm completed your audit?
Please reply on the blog or
directly to me.
Thanks,
Emily
PASAR claiming
02-06-19
New Question for the MCHHSA Blog. “Has anyone done
claiming for PASAR in 2018? I’d like to speak with you regarding the
process you used. I’m looking for more than just the information sheet
that was distributed a while back.” If you would email Julie Hultman and
I direct as well.
Mark A. Jensen
Fiscal Supervisor
Isanti County Family Services
Oakview Office Complex
1700 E Rum River Drive S, Ste A
Cambridge, MN 55008-2547
763-689-8106
Comp absences
02-06-19
How to you account for Comp absences in your yearly
budget? And how to you set aside money for it? How often to you
accrue comp absences? Monthly? Quarterly? Yearly?
Scott Nagel
Fiscal Manager
Des Moines Valley Health and Human Services
Jackson, Minnesota 56143
507-849-7281
MAXIS IMD code issues
01-18-19
Our Financial Unit is having trouble changing the Major
Program Code in MAXIS to IM for those children now changed from Rule 5 to IMD
facilities. Anyone know of the correct steps for this process?
Thanks,
Susan
Roll
Fiscal Supervisor
218-299-7298 l ph
218-299-5195 l fax
Social Services
715 N 11 ST Suite 102
Moorhead MN 56560
PHDocs for SS
01-16-19
How many counties use PHDocs for the social services
side? What do you use it for? How does it tie into SSIS, the Seagr
Report, Time Activity Summaries? What works and what doesn’t work.
And do if you do use it do you mind if I call you to ask you more questions.
Thanks
Gwen Resech
SOCIAL SERVICES FISCAL SUPERVISOR
WABASHA COUNTYElectronic payments to vendors
01-15-19
Do you make payments to vendors electronically? If so,
which ones? What are the benefits and challenges to do so? What
legal documents do you need? And how do you interface SSIS and IFs
payments accordingly?
--
Scott Nagel
Fiscal Manager
Des Moines Valley Health and Human Services
Jackson, Minnesota 56143
507-849-7281
Employee Reimbursements (paperless)
01-15-19
We are exploring different systems to use for employee reimbursements (i.e. mileage) that would eliminate the need for paper forms. One we looked into was called eReimburse but we don't have enough information on it.
If your County is using a paperless system could you please share or contact me directly to discuss?
Thank you,
We are exploring different systems to use for employee reimbursements (i.e. mileage) that would eliminate the need for paper forms. One we looked into was called eReimburse but we don't have enough information on it.
If your County is using a paperless system could you please share or contact me directly to discuss?
Thank you,
Shelley Koen
Accounting Supervisor
Minnesota Prairie County
Alliance
(p) 507-923-2913
(f) 507-635-6186
22 East 6th
Street, Dept 401
Mantorville, MN 55955
Home & Community-Based services
01-15-19
Question for the AMSSA group…
I know there are just a few
counties that provide Home & Community-Based Services for waivers, such as
homemaker or chore services, with individual contracted providers. If
your county has contracted providers that you pay for these services, could you
please contact me directly? I have some questions regarding billing and
rates. Lori.Ericson@co.cook.mn.us
Thanks!
Lori Ericson | Fiscal Supervisor
Cook County Public Health &
Human Services
411 W. 2nd Street,
Grand Marais, MN 55604
Direct: (218) 387-3612
| FAX: (218) 387-2020
RFC license question
1-4-19
I’m wondering what information has to be in the licenses for
a business organization when a child is placed with a relative who is out of
state but is licensed – I have a copy of their license from North Dakota. Thank
you. Responses can go to jmeyer@co.ottertail.mn.us
Thank you!
Diane
Aschnewitz
Fiscal Supervisor
Otter Tail County Human Services
530 W Fir Av
Fergus Falls MN 56537
218-998-8157
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