Provider Help Desk
Questions and Answers for September 2015
Utilization
Management
SAR
Utilization
Management
Other
Utilization
Management
SAR
ME&E
Discharge
ME&E
Discharge
ME&E
Discharge
Customer
Service
Other
Do I have to submit a PCP for
every re-authorization for
SAIOP?
What’s the age limit for
Multisystemic Therapy
(MST)?
What services cannot be
provided during the same
authorization as Intensive Inhome (IIH)?
Will the state insurance
(IPRS) be end-dated if a full
discharge is completed for a
member?
If a consumer passes away,
do I need to complete a
discharge?
How can I get the service
code to populate on the
discharge form?
Who do I need to contact if a
provider will not pay the
clinicians for services
provided?
Page 1 of 2
Yes. An updated PCP is required with
every re-authorization for SAIOP
services.
Multisystemic Therapy (MST) is a program
designed for youth generally between the
ages 7 through 17 who:
a. have antisocial, aggressive or violent
behaviors;
b. are at risk of out-of-home placement due
to delinquency;
c. adjudicated youth returning from out-ofhome placement;
d. chronic or violent juvenile offenders; or
e. youth with serious emotional disturbances
or a substance use disorder and their
families.
IIH services cannot be provided during the
same authorization period as the following
services:
a. Multisystemic Therapy;
b. Day Treatment;
c. individual, group and family therapy;
d. Substance Abuse Intensive Outpatient
Program;
e. child residential treatment services Level
II Program Type through Level IV;
f. Psychiatric Residential Treatment Facility
(PRTF); or
g. substance abuse residential services.
Yes. When a member is fully
discharged their state insurance will
also be end-dated.
Yes. A discharge form must be
completed for the deceased.
You must use the numeric service code
(ex. 90832, 90834, 90837) and the
service description will populate.
The employee should contact the
Department of Labor at 1-800-6252267 or
http://www.nclabor.com/edb/edb.htm
Provider Help Desk
Questions and Answers for September 2015
Network
IT
Credentialing How can a provider add a
service to an existing
contract?
How can I get access to the
Alpha
AlphaMCS Portal?
The Network is currently closed. SHC
is not adding sites or services to
existing contracts.
Providers must complete the Alpha
Provider Request Form. Contact the
Provider Help Desk at 855-777-4652
or
providerhelpdesk@sandhillscenter.org
to receive the form.
Quality
Management
Other
How often is the Post
Payment review completed?
A Post Payment review is completed
once every two years for all providers.
Finance
Billing
Where can I access the
checkwrite schedule?
To access checkwrite schedule, go to
www.sandhillscenter.org, click on For
Providers, then choose Provider
Forms. The checkwrite schedule will
be located under the Finance, Billing
and Claims category.
Yes. Providers will receive a certified
letter from the Network Director
indicating the due date for submitting
the re-credentialing applications. The
assigned credentialing specialist will
follow-up immediately after the letter
is mailed.
Network
Credentialing Will providers receive a
notice when it is time for recredentialing?
Utilization
Management
SAR
Can a SAR include more than
one service code?
ME&E
Discharge
Can providers print the
discharge form in Alpha?
ME&E
Enrollment
How can a provider complete
an enrollment request for a
member receiving Health
Choice insurance?
Page 2 of 2
Yes. After completing the initial service
request, select the “Add Service” tab to
add additional services to the SAR.
No. The discharge form is unable to
print in AlphaMCS. However, providers
have the ability to view all the
discharge forms completed by
selecting “All Discharge” in the
Discharge tab.
Sandhills Center does not manage
Health Choice. The provider can
contact Value Options at 800-7533224 for assistance.