1 Giving Value Back to the Provider 2008 Provider Webinar

2 Agenda Welcome and Introductions Overview of ValueOptions ® ValueSelect Program CE City On Track Outcomes Program Electronic Fund Transfer ProviderConnect Demonstration Questions and Answers

3 ValueOptions Founded in 1986 Privately held and physician-owned Committed to principles of recovery Diverse client base – over 24 million lives –Employer Solutions Division covering 12% of Fortune 100’s –Health Plan Division with 23 health plan clients covering 4.7million lives –Federal Division (TRICARE) with 3 Million lives –Public Sector Division with over 50 Government clients covering over 4 million lives in 11 states ValueOptions

4 ValueOptions’ National Footprint Long Beach Phoenix Colorado Springs Topeka Irving Trafford Boston Trafford Phoenix Colorado Springs Topeka Irving Trafford New York City Trafford Colorado Springs Dallas Tampa Jacksonville Detroit Hamilton Headquarters Service Centers Corporate Support Offices Norfolk Trafford > 1 million lives > 300,000 > 100,000 < 100, million covered lives Latham Topeka Reston Durham Troy Virginia Beach Santa Fe Hartford Total Locations - 19 ValueOptions’ National Footprint

5 ValueOptions of California manages eligibility and authorizes behavioral health services for children and adolescents in more than 30 counties across the state. Blending 17 funding streams to serve the state’s Medicaid and uninsured populations, ValueOptions New Mexico provides an integrated system of mental health and substance abuse services. Value Behavioral Health of Pennsylvania serves Medicaid consumers in 14 counties, customizing operations to meet the unique needs of each county. Serving the Dallas metropolitan area and seven surrounding counties, ValueOptions NorthSTAR blends funding streams to improve service delivery integration and manages an innovative pharmacy program. In North Carolina, ValueOptions conducts statewide behavioral health utilization management and review of ten distinct levels of care. Reflecting a growing national trend of braiding state child welfare funding with Medicaid dollars, the Connecticut Behavioral Health Partnership manages services statewide for children and families. Medicare/Medicaid Health Plans ValueOptions New Jersey manages an innovative statewide system of behavioral care for at- risk children and their families. Delivering Medicaid behavioral health services for children and adults across Florida, Florida Health Partners received a national award of excellence for being an effective, efficient provider organization. The Massachusetts Behavioral Health Partnership is a statewide entity that focuses on consumer-led initiatives, performance-based contracting, and behavioral health integration with primary care services. Medicare/Medicaid Health Plans ValueOptions of Kansas recently implemented a statewide program designed to enhance substance abuse services provided through federal block grant and Medicaid dollars. Managing Medicaid behavioral health services in 40 Colorado counties, Colorado Health Networks won national recognition for its transition to a recovery- based model of care. In Illinois, ValueOptions is implementing a program for the Division of Mental Health to aid the transition from a grant-based to a fee- for-service financing system and review, improve the quality, and assure the appropriateness of community and hospital-based mental health. Medicare/Medicaid Regions ValueOptions’ National Footprint

6 ValueSelect Program

7 What is the ValueSelect Program?  Program is made up of three innovative components: ValueSelect provider designation. ValueOptions® established a designation for providers who are committed to applying evidence based treatment approaches in gathering treatment in their work with patients. Expectation of ValueSelect providers include: –Providing outcomes data: by 3 rd session and after discharge –Employ VO guidelines –Maintain VO access standards –Show evidence of training in EBP –Use electronic transactions –Use Report Card Data to improve practice patterns ValueOptions® encourages feedback from our members based on their experience with their providers. With this feedback, ValueOptions® helps to ensure high quality behavioral health services. Members complete the survey by calling the toll –free number, (866) and answering the brief survey telephonically or by accessing the survey at the ValueOptions website. Network open by application to any ValueOptions contracted provider. What is the ValueSelect Program?

8 Select Provider Network  ValueSelect Provider network  Network open by application to any VO contracted provider, but active recruitment efforts target high volume providers (25+ members/year  4590 VSP providers as of 9/30/08  Treating 29,356 members ValueSelect Network Status

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10 Select Provider Network  Incentives Treatment episode authorizations – provider driven ValueSelect Provider designation and other information used to help steer member selection Comparative data on Report Card for practice improvement Discounts on continuing education training Claims, Customer Service and TechHelpLine liaison assistance Access to AchieveSolutions ValueSelect Designated Providers

11 Report Card Data Elements  ValueSelect provider compared to other ValueSelect providers of same discipline in Metropolitan Statistical Area (MSA)  CPT (procedure) codes and number of sessions  Diagnostic categories of members  Caseload by age range  Average number of visits by case  Outcomes data (risk and impairment)  Satisfaction survey results  Quality issues  Members migrating to higher level of care  Pattern of use of web-based applications Report Card Data Elements

12 CE City … staying connected to ValueOptions

13 Tools to Manage Your Maintenance of Licensure for Multiple States of Licensure Largest Online Library of Indexed and Accredited High Quality CME Activities Ability to Develop a Curriculum of Online CME Activities-Come Back as Often as You Need To…. Self Paced Learning-24 X 7 Availability Fully Automated –Certificates Available in Real Time ValueOptions Velocity eCME Learning Management System Customized Home Page to Highlight Special/Newly Launched Programs ValueOptions Velocity eCME Learning Management System

14 ValueOptions Velocity eCME Learning Management System Registration Process Seamless Login From the Provider Tab with Your Current Login User accesses link from Provider Home Page on ValueOptions Website Begin on the ValueOptions Home Page ValueOptions Velocity eCME Learning Management System Registration Process

15 CME/CE Reports VIEW ACTIVITY Evaluation +/- Post test CME CERTIFICATE MY TRANSCRIPT View Front Matter ValueOptions Velocity eCME Learning Management System ValueOptions Velocity eCME Learning Management System

16 Additional Site Features My Preferences Rate It Site Tutorial Additional Site Features

17 On Track Outcomes Program

18  A client-centered outcomes management program  Designed to support providers as they help EAP participants achieve their goals  Utilizes a standardized, participant-completed questionnaire and rapid feedback to provider Disclaimer: The ValueOptions On Track Outcomes for EAP program does not make recommendations or decisions about appropriate clinical care or service. Any questionnaires, reports, guidelines and other material related to this program are intended as an informational aid to providers. They do not substitute for or limit in any way the use of other resources and the provider's own professional judgment in the delivery of EAP counseling services. What is On Track Outcomes?

19 On Track Benefits for Providers  Compare client progress to benchmarks - “Is this treatment working for this patient?”  Assist identification of potential self-harm and substance abuse risk  Detect possible barriers to effective treatment  Encourage client engagement  Aggregate outcomes: evidence of value and effectiveness of EAP services  Recognition through ValueSelect sm designation On Track Benefits for Providers

20  Using an outcome measure that is sensitive to patient change  Repeated patient assessment  Ability to track patient change and compare to “typical” profile Case is not “on track” – high risk for poor outcome Global Distress Score Outcomes-Informed Care: Key Elements

21 1. Register at - An address and an NPI are required to registerwww.psychoutcomes.org/ValueOptions 2. Review the Confirmation with the On Track Clinician ID 3. Download and Print the Client Feedback Form (CFF) - And “Information for EAP Participants” 4. Administer the CFF to all New ValueOptions ® EAP Clients - 1 st, 3 rd and closing session - Enter a unique “Case Number” on the CFF 5. Fax the CFF to Login to for CFF results - CFF results are typically available within 1 business day - Client Outcomes Toolkit requires the use of Microsoft Excelwww.psychoutcomes.org/ValueOptions Getting Started with On Track

22 New users register here Links to other ACORN information – not specific to On Track

23  Client-completed 20-item questionnaire designed for adults and older adolescents  Customized for VO, using items from an item bank Item Groups  Global Distress: 1-10  Risk of self-harm: 5  Substance use:  Work productivity:  Therapeutic alliance:  Background items: Client Feedback Form (CFF)

24 Your user name and clinician ID for suggestions, comments, general questions (non-urgent) for web site, data, and toolkit issues Clinician’s Outcomes Home Page

25 4 different tabs Clinician’s Outcomes Toolkit

26 Clinician’s Outcomes Toolkit: Summary Results from most recent CFF – High outliers in red Clinician’s Outcomes Toolkit: Summary

27 Resources for Questions Frequently Asked Questions On the web site, near bottom of the ValueOptions page Technical/Data/Web: to General comments or questions: to or Call On Track Customer Service Questions and Discussion

28 Electronic Fund Transfer … helping you with your business needs

WELCOME! Welcome to PaySpan Health, an enhanced payment and reconciliation solution. This new solution will enable you to receive faster payments through electronic deposits with complete remittance details. You will have numerous online capabilities to search claims and remittance details and produce custom reports.

30 General Features PaySpan provider site has an online security subsystem that allows you to control each user’s access to specific customer applications, individual reports and web site features. PaySpan provider site’s security control includes controlling access to the following functions: Managing accountsReconciling payments Viewing payments onlineViewing account configuration Administering user rightsAccessing individual rights PaySpan provider site logs all user activity on the PaySpan provider site. PaySpan provider site provides Online Help on every screen. PaySpan provider site supports Internet Explorer 5.0 and above. Providers received a Registration Enrollment Letter explaining the registration process in the summer. The letter provided the required Registration Code. Providers will need their Provider Identification Number (PIN) – this is your ValueOptions Pay to Vendor Number, Tax Identification Number (TIN), bank routing and account information found on a check to start the Provider Registration and access into the PaySpan system. NOTE: Do not pull this information from a deposit slip as your bank routing information is different than what is reported on the check. If you have issue attaining a registration code, please in the please provide the pay to vendor number and your tax identification. You will find your vendor number on any ValueOptions provider voucher that is sent to you. For responses please allow 24 – 48 Pay Span Functionality

31 DEMO HEALTHCARE PARTNERS 4439 EASY ST ANYTOWN, MA To Our Providers: ValueOptions now offers Providers PaySpan Health - a solution that delivers Electronic Payments (EFTs), Remittance Advices (ERAs), and much more. FREE to (insert Payer Name here) Providers, the solution enables online presentment of remittances, and straightforward reconciliation of payments to empower our Providers to reduce costs, speed secondary billings, and improve cash flow. Convenient Payments PaySpan Health gives you the option to receive payments according to preference: electronically direct to a bank account, or by traditional paper check. You are also able to choose the method in which you receive remittance information:  Electronic remittance advices presented online and printed on location.  HIPAA 835 electronic remittance files for download directly to a HIPAA-compliant Practice Management or Patient Accounting System. Provider Benefits As a Provider, you can gain immediate benefits by signing up for PaySpan Health:  Reduce accounting expenses – Electronic remittance advices can be imported directly into Practice Management or Patient Accounting Systems, eliminating the need for manual re-keying.  Match payments to advices quickly – You can associate electronic payments with electronic remittance advices quickly and easily.  Improve cash flow – Electronic payments can mean faster payments, leading to improvements in cash flow.  Maintain control over remittance formats – You can choose from a large library of formats for remittance advices you will receive.  Maintain control over bank accounts – You keep TOTAL control over the destination of claim payment funds. Multiple practices and accounts are supported.  Manage multiple Payers – Reuse enrollment information to connect with multiple Payers. Assign different Payers to different bank accounts, as desired. your unique registration code: xxxxxxxx pay to vendor number for eft registration only: A your unique registration code: xxxxxxxx pay to vendor number for eft registration only: A123456

32 Log onto: alth.com Select Secure Registration button. Registration Code Screen will appear. PaySpan Health Customer Service Support Phone Number Hours 7AM – 9 PM (EST) Monday - Friday. Download User Guide – Help Menu

33 Register for PaySpan Attention Providers: If you register for PaySpan between the dates of November 5 th and November 21 st, ValueOptions will be doing a random drawing of 50 providers. If your name is picked you will receive an American Express $25.00 gift card.

34 Provider Relations Creating new choices for our providers today and tomorrow.

35 Integrated Systems Technology + Innovation + Service + Access N ETWORK C ONNECT Robust network management and provider relations C ARE C ONNECT Superior clinical case management and data collection S ERVICE C ONNECT Industry-best customer service and issue resolution M EMBER C ONNECT Online self-service and award- winning content for members T ELE C ONNECT Easy-to-access telephonic self- service for providers and members P ROVIDER C ONNECT Secure, online administrative self-service for providers

36 ProviderConnect ( Benefits of using ProviderConnect: Eligibility and benefit verification Authorization status and view authorization letters Claim status Single and batch claims submission Send Inquiries Request Authorizations Provider Data Sheet – Coming Soon

37 How to Access ProviderConnect?  All In Network providers will be able to obtain online registration per provider ID number via the website  To obtain additional logons for ProviderConnect – contact the ValueOptions® EDI Helpdesk at (888) and press option 3, Monday thru Friday, 8a.m. – 6 p.m. EST –The TAT for additional logons is 48 hours How to Access ProviderConnect?

38 How to Access ProviderConnect?  Access thru within the provider section of ValueOptions®. How to Access ProviderConnect?

39 Demonstration of ProviderConnect

40 ProviderConnect Login Screen

41 Questions and Answers

42 Thank you! Please remember to complete your evaluation forms