GAHSC SHINES Overview Colleen Mousinho Patrick Coogan - PowerPoint PPT Presentation

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GAHSC SHINES Overview Colleen Mousinho Patrick Coogan

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Georgia SHINES Facts. Key Benefits. Deployment Schedule. How SHINES Affects ... Georgia SHINES Facts. Web ... Georgia SHINES interfaces with SMILE for ... – PowerPoint PPT presentation

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Title: GAHSC SHINES Overview Colleen Mousinho Patrick Coogan


1
GAHSC SHINES OverviewColleen Mousinho Patrick
Coogan
  • September 10, 2008

2
Agenda
  • Georgia SHINES Facts
  • Key Benefits
  • Deployment Schedule
  • How SHINES Affects Payment Processing
  • Key Facts for Providers
  • Questions and Answers

3
Georgia SHINES Facts
  • Web based SACWIS system
  • Primary data management system for the entire
    case lifecycle.
  • Supports resource recruitment and maintenance
  • Replaces several separate legacy systems
  • IDS
  • Risk Assessment"
  • CPRS (for DFCS users)
  • ADAM (from December 2008)
  • Supplements information in other current systems
  • SMILE
  • KidStar

4
Deployment Schedule
  • Pilot 59 users
  • September 2007
  • Phase 3 1256 users
  • April 2008
  • Phase 1 164 users
  • December 2007
  • Phase 4 1278 users
  • June 2008
  • Phase 2 1036 users
  • February 2008

SHINES supports approximately 3,800 users
4
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Key Benefits
  • SHINES brings together in a single system all
    relevant information about a case
  • Intake and Investigation
  • Placement
  • Eligibility
  • Services authorized and provided
  • Case Plan
  • Available resources
  • Consistency is enforced child can only be paid
    for their correct current eligibility, in their
    correct current placement, and for services the
    case manager has approved. There is no longer
    conflicting information leading to incorrect
    payments.

5
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How SHINES Affects Payment Processing
  • Georgia SHINES interfaces with SMILE for payment
    processing.
  • Checks will continue to come from SMILE.
  • Pre-bills will continue to be generated in SMILE.
  • Accounting contacts are the same.
  • Accounting workers are actually working in SHINES
    to update invoices and then send them through the
    interface SMILE primarily only prints the
    checks.
  • SHINES maintains information on the contracted
    services, rates and RBWO programs for all
    providers.

7
SHINES Payment of Care Page
RBWO Program
7
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How SHINES Affects Payment Processing (Cont.)
  • Because SHINES brings together in a single
    location information for clients, resources,
    services, and placement, invoices are generated
    based off of the information in SHINES
  • Invoices for placement services are based
    directly on the placement and payment information
    entered in SHINES, not any other system.
  • Invoices for delivered services are based
    directly on the service authorizations entered in
    SHINES.
  • Up to date information must be in SHINES to be
    paid.
  • Providers may only be paid for services for which
    SHINES contracts have been entered.

8
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Key Facts for Providers
  • Communication is key since payments are based
    on SHINES data, it is critical that you keep case
    managers and DFCS provider relations up to date
    with relevant information
  • New CPA foster homes
  • Placement moves
  • Waivers and RBWO program changes must be in
    SHINES to be paid
  • If providing delivered services, confirm any
    service you provide against the service
    authorization. You must first contact the case
    manager for additional authorization if you wish
    to provide additional services.

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Questions and Answers
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