Department of Public Health (DPH) Report
1. Setting up information in Rethink:
LocationType
Configure Office Locations codes (CENTER, CHILD & COMM) in Company Account> Location with name per Code column.
The codes are case-sensitive. Please configure in upper case only.
If Client Home is selected in the Location drop down of the Appointment then the value HOME will be sent to DPH. This is a default value that already exists in Rethink and does not need to be created as a Company Account location.
Locations | Code (Sent in XML) | |
---|---|---|
1 | Company Account > Location Name (selected in the appointment) | CENTER |
2 | Company Account > Location Name (selected in the appointment) | CHILD |
3 | Company Account > Location Name (selected in the appointment) | COMM |
4 | Client Home | HOME |
d. Appointments to be exported to DPH must contain one of these Locations selected in Appointment > Location.
2. disciplineCode
a. DPH has following acceptable codes AA, BCBA, etc. for Credentials.
b. Configure the codes AA, BCBA, RVT, etc. in Description field in the Company Account > Staff Member Settings > Staff Credentials.
c. Ensure the credential is added to the Funders > Billing Codes and Staff Member Profile that will be added to the Appointments.
Staff Credential | Code (Sent in XML) | |
---|---|---|
1 | Developmental Specialist | AA |
2 | SSP Autism BCBA, LABA | BCBA |
3 | Mental Health Professional | CS |
4 | Music Therapist | MT |
5 | Nurse | NS |
6 | Occupational Therapy Assistant | OA |
7 | Occupational Therapist | OT |
8 | Physical Therapy Assistant | PA |
9 | SSP Autism ABA Paraprofessional | PARA |
10 | Physical Therapist | PT |
11 | SSP Autism Registered Behavior Technician (RBT) | RBT |
12 | Registered Dietitian/Nutritionist | RD |
13 | Speech Language Pathology Assistant | SA |
14 | Speech Language Pathologist | SP |
15 | Specialty Service Provider | SSP |
16 | Specialty Service Provider - Deaf & Hard of Hearing | SSPDHH |
17 | Specialty Service Provider - Vision | SSPV |
18 | Social Worker | SW |
c. Staff Members rendering visits to be sent to DPH should have the credentials added to the Staff Profile.
3. insuranceBrandName
a. Configure the Company Account > Funders > Vendor ID with the code associated with the Funders in the list below.
b. Select option “Is this a DPH Funder” ?
c. Clients who only have DPH funders without at least one non-DPH funder that contains a DPH service line will be considered “uninsured” by DPH(see section 5, service lines, for information on setting up a DPH service line.).
Funders | DPH Code (Sent in XML) | |
---|---|---|
1 | Aetna | 28 |
2 | Aetna CVS Health | 100 |
3 | Allways / NHP | 3 |
4 | Allways ACO Legacy | 8 |
5 | Beacon Health Options/Strategies | 71 |
6 | BeHealthy Partnership Plan | 101 |
7 | Berkshire Fallon Health Collaborative | 102 |
8 | Blue Cross / Blue Shield - Out of State | 60 |
9 | Blue Cross / Blue Shield | 36 |
10 | BMC Health Net | 35 |
11 | Carelon Behavioral Health | 103 |
12 | Champus/TriCARE | 40 |
13 | Children's Medical Security | 38 |
14 | CIGNA | 25 |
15 | Cigna Care Link | 75 |
16 | CommonHealth | 43 |
17 | Community Care Cooperative (C3) | 104 |
18 | East Boston Neighborhood Health WellSense Alliance | 105 |
19 | Evernorth Behavioral Health | 106 |
20 | Fallon 365 Care | 107 |
21 | Fallon Community Health Plan (FCHP) | 22 |
22 | Fallon Health - Atrius Health Care Collaborative | 108 |
23 | FCHP ACO Legacy | 6 |
24 | Harvard Pilgrim Health Care (HPHC) | 20 |
25 | Health New England | 27 |
26 | Health New England ACO Legacy | 67 |
27 | Health Plans, Inc. | 63 |
28 | Mass General Brigham Health Plan with Mass General Brigham ACO | 110 |
29 | Massachusetts Behavioral Health Partnership (MBHP) | 111 |
30 | MassHealth | 2 |
31 | MassHealth: Family Assist | 44 |
32 | MassHealth: HSN (Health Safety Net) | 48 |
33 | Optum | 70 |
34 | Steward Health Choice | 112 |
35 | Tufts Health Plan (THP) Commercial | 21 |
36 | Tufts Health Plan (THP) Public MCO | 34 |
37 | Tufts Health Together MCO | 123 |
38 | Tufts Health Together with Cambridge Health Alliance (CHA) | 113 |
39 | Tufts Health Together with UMass Memorial Health | 114 |
40 | Unicare | 66 |
41 | United Health | 26 |
42 | WellSense Beth Israel Lahey Health (BILH) Performance Network ACO | 115 |
43 | WellSense Boston Children's ACO | 116 |
44 | WellSense Care Alliance | 117 |
45 | WellSense Community Alliance | 118 |
46 | WellSense Essential MCO | 119 |
47 | WellSense Mercy Alliance | 120 |
48 | WellSense Signature Alliance | 121 |
49 | WellSense Southcoast Alliance | 122 |
50 | Other | OTHER |
51 | ComPsych | 74 |
*ComPsych is brought in from a previous funder data list
4. ServiceTypeCode
a. Please ensure the billing codes/ services being transmitted to DPH have one of the following values configured in Company Account> Funders > Service Lines > Billing Code > Service Code Description
DPH serviceTypeCode (Sent in XML) |
---|
ASSESSMENT |
ASSESSMENTHOMEVISIT |
BCBAASSESS |
BCBADIRECT |
BCBASUPER |
BCBATRAIN |
BCBATREAT |
CENTERCOTREATMENT |
CENTERINDIVIDUAL |
CHILDGROUPCOMMUNITY |
CHILDGROUPEIONLY |
DIRECT |
HOMEVISIT |
HOMEVISITCOTREATMENT |
IFSPCENTER |
IFSPHOME |
INTAKE |
PARENTGROUP |
TRANSPORTATION |
5. Service Line
Ensure the Service Lines attached to appointments that need to be sent in the XML are checked with DPH setting in your Company Account > Service Lines.
6. Client Enrollment and Consent to Access Information (UPDATED 2/26/22)
Enter the DPH assigned Enrollment Number into the Enrollment Number Field
Select Consent to Access approval options Yes or No (updated 2/26/22)
Enter the Consent to Access Start Date to document when you approved or denied access DPH to the client record.
7. Client Policy
For any client assigned to a DPH designated funder, keep the option “Is this a DPH funder Policy”
option selected.
(Optional) If the service line added to the client policy (see #5 above) is designated as a DPH Funder, then in the client policy
you will see field Autism Covered Benefit. You may select Yes, No or leave empty.
8. Scheduling/ Verifying Instructions:
Please ensure appointments to be sent to DPH has Client Home or one of Office Locations (CENTER, CHILD & COMM) selected in the Appointment > Location. See examples below:
2. Please ensure you select only one of the following Place of Service values in Rethink.
Rethink’s Place Of Service | Code (Sent in XML) | |
---|---|---|
1 | 02 - Telehealth | 11 |
2 | 12 - Home | 12 |
3 | 99 - Other Place of Service | 13 |
4 | 11 - Office | 14 |
5 | 3 - School | 13 |
2. Please ensure the Actual start/ end times are entered in 15-minute increments only.
9. Downloading the Export
Navigate to Reporting Dashboard > DPH Integration
Filter for specific Service Lines, Funders, Clients, and Staff. By default, these fields will have all options selected
Add the desired appointment date range(no more than one week)
Use the checkboxes under appointment requirements to filter by specific appointment criteria
Click on export button
Please note that only appointments in completed status will be pulled into the export
10. Importing a DPH File
in reporting dashboard>DPH Integration, click “import” to switch to the DPH import menu
2. In the import menu, click “Import”
3. Drag and drop or select the DPH results file to be imported, and click save to import file
4. To download the imported file, click the download icon
11. Uploading the Export to DPH System
Click on the Upload EMR File
On the Import EMR File Page, Click on Choose File
Upload the XML file downloaded from Rethink > DPH Integration area.
Wait (~15 miutes) for an EMR Import Results task to be created in My Tasks area. Click on the arrow icon to view the Results file
Click on the file to download the results.