LME Provider Manual

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FY 09-10
Provider Operations Manual
Now Available

• The Provider Operations Manual is available to download from these links. You must download all sections to have a complete manual.
  • WCHS LME Provider Operations Manual FY 09-10
  • WCHS LME Provider Operations Manual VIII Glossary
  • WCHS NonMedicaid Svc and Adjustment Forms 10.2009xls
  • WCHS Service Code Rate Table Update 10.09
• Direct Enrolled Behavioral Health Outpatient (BHO) Registration
  • Direct Enrolled BHO Registration Process
  • Direct Enrolled Individual Provider Registration and Expectations
  • Direct Enrolled Provider Agency Registration Cover Sheet
• Federal False Claims Act Information
  • WCHS Notice to Providers
  • Highlights of the Federal False Claims Act

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• Provider Relations Links Page This page includes information and links to manuals, laws, regulations, etc., mentioned in our contracts.

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• New Incident and Death Response System Manual, Critical Incident Report Form (Revised 3.08.2006 effective October 04), Restrictive Intervention Form (effective 11/23/04), and Changes to Incident and Death Reporting (effective 2/17/2006):
  Memo21706IncidentReportingchanges.pdf
  Incidentreportingchanges.pdf
  ProviderQuarterlyIncidentsReportFormQM11Rev12706.doc
  • This form is also available on the State's website at: http://www.dhhs.state.nc.us/mhddsas/statspublications/manualsforms/index.htm
• Incident Reporting of Deaths due to unknown causes
• Quarterly Report of Beds Filled – Form for Providers

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Provider Information Change Form – to be used by agencies to notify the Local Management Entity (LME) of significant changes to the agency. This form should be submitted by either fax (919-856-5321) or by mail to 2321 Crabtree Blvd., Suite 200, Raleigh, NC 27604.

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