Therap
The Department of Intellectual and Developmental Disabilities (DIDD) is excited to use Therap as a major component of its integration of all I/DD services in the State of Tennessee. Using Therap will bring the majority of DIDD business processes into alignment, eliminate duplication, and improve service delivery.
As Tennessee continues to move to a single, seamless person-centered system, Therap will streamline processes, expedite service authorizations and claims, and provide the benefit of access to data-driven outcomes that will, ultimately, benefit people supported and providers.
The project will launch in phases with implementation beginning in July 2022. Access to Therap will be provided at no cost to Tennessee Providers. If you have any questions about the implementation of Therap, please direct those to
DIDD.TherapQuestions@tn.gov
Therap PCSP Implementation Go-Live: DIDD Staff (Printable Document)
- Case Management (CM) and Plans Review staff should have access to Therap and have completed training.
- Gaining access: You will need three things to login to Therap. 1) Username, 2) Password, 3) Provider code- This information came from helpdesk.
- Where to login: https://secure.therapservices.net/auth/login
- If you need access to the Therap system, DIDD supervisors can fill out the form stack request
- Who is not included at this time? DIDD employees in other divisions will gain access at a later date as implementation progresses. Training will be provided for other divisions as implementation proceeds
- Users will have to set up Self Password Reset prior to use of its capabilities to reset your password. Click this link to access the instructions for first set up of Self Password Reset in order to gain access to reset your password. This does not occur automatically.
· DIDD ISC/CMs must use Therap to create Person Centered Support Plans (PCSP) for people with an annual plan due on or after July 1, 2023.
· The annual plans will be submitted within Therap directly to Plans Reviewers for approval.
· CMs must send an email to the regional Plans Review inboxes when a plan has been submitted via Therap
o East - dd_etro.plans@tn.gov
o Middle - mtro.plansreview@tn.gov
o West - plans.service@tn.gov
· Plans Reviewers will authorize plans with a start date on or after July 1, 2023, in Therap
· Providers will acknowledge the individuals’ plans in Therap after plans are authorized by Plans Reviewers.
o Providers will be required to go into Therap and acknowledge the plan.
o Plans will no longer be emailed but will be accessible within Therap.
o Can be printed or emailed to families and COS members
· All plans created in Therap (including those in the 2022 Pilot) will use Therap for any amendments
· The template looks different but contains the elements of the current PCSP:
o Demographics, About Me, Restrictions, Action Plan, ISP Signature Sheet, Service Supports (also known as Section C)
o Risk Assessment is to be completed within the Therap PCSP plan template, not as a separate document
o Annual Person-Centered Questionnaire will be required and a part of the Therap PCSP
· Plans with an annual date before July 1, 2023 will not be entered in Therap and all amendments for these plans will use the ISP amendment paper document.
· All billing will still occur through Provider Claims Processing (PCP)
· Plans Review will continue to send out signed Section C and Cost Plans via email for the next year.
· ISC/CMs will NOT use the Therap-generated signature sheet to record PCSP meeting attendees at this time. Please continue to use the current DIDD (non-Therap) signature sheet. - Upload signed signature sheet in Documents Checklist as OTHER
· All plans will continue to be entered in Titan until the billing is fully occuring within Therap
o Plans Reviewers will still enter plans into Titan to allow billing through PCP until the Therap billing is fully occuring within Therap
· Email help desk (DIDDHelpDesk@tn.gov) to request access, login and password assistance or use the reporting form for any issues with the Therap application: https://stateoftennessee.formstack.com/forms/helpdesk
· Have content questions about completing the PCSP?
o First, review the guidance document as it contains many answers to common issues. The links below should also be consulted.
o Your supervisor can also assist and determine whether any issue needs to be escalated.
o For all technical questions, contact Therap tnsupport@therapservices.net
Therap PCSP Module Go-Live: Independent Support Coordinators (ISCs) (Printable Document)
- All ISC Agencies + Providers have a super-admin user who can assist agency staff with setting up users and passwords in Therap
- All ISCs should have received training prior March 1 using the Therap-provided training course pack.
- Where to login: https://secure.therapservices.net/auth/login
- Users will have to set up Self Password Reset prior to use of its capabilities to reset your password. Click this link to access the instructions for first set up of Self Password Reset in order to gain access to reset your password. This does not occur automatically.
- All sites must be set up. All programs must be setup. All people must be assigned to programs.
- Users must first set up site(s), then must set up programs & assign individuals to those programs. Users will NOT be able to bill until these steps are completed.
Are You and Your Staff Registered for Billing Training?
- Registration / Schedule found beneath Service Authorization & Billing Information
Questions?
For technical issues, such as setting up sites & programs or setting up user permissions, reach out to tnsupport@therapservices.net
Do you/your staff have the correct billing permission settings set up?
Week | TN Billing Training | Training Topics | Links to Therap Support Guides |
---|---|---|---|
1 | Billing Introduction & Preparation | Provider Admin Basics | Course - Provider Admin Basics |
Create Users for Billing | Create New User | ||
Assign User Privileges & Super Roles for Billing Testers | Manage User Privilege and User Profile Billing Data Roles List Attendance Data Collection Roles List Billing Claim Roles List |
||
Create at Least One Site & Program | Create, Update, Deactivate, Activate and Delete Sites Create, Update, Delete, Deactivate, and Activate Programs |
||
Enroll Individuals in Programs | Enroll, Discharge, and Re-Enroll an Individual to Programs | ||
Updating Provider, Staff & Individual Setup for EVV Services | Provider, Staff, and Individual Setup for Scheduling | ||
Billing Overview | Billing Workflow and Overview | ||
2 | Deep Dive: EVV | EVV Setup, Data Collection & Reports | TN EVV Main Page |
- DIDD CM’s and ISCs must use Therap to create Person Centered Support Plans for people with an annual plan due on or after July 1, 2023.
- The annual plans will be submitted within Therap directly to Plans Reviewers for approval.
- ISCs must send an email to the regional Plans Review inboxes when a plan has been submitted via Therap
- East - dd_etro.plans@tn.gov
- Middle - mtro.plansreview@tn.gov
- West - plans.service@tn.gov
- Plans Reviewers will authorize plans with a start date on or after July 1, 2023 in Therap
- Providers will acknowledge the individuals’ plans in Therap after plans are authorized by Plans Reviewers.
- Providers will be required to go into Therap and acknowledge the plan.
- Plans will no longer be emailed but will be accessible within Therap.
- Can be printed or emailed to families and COS members
- All Plans created in Therap (including those in the 2022 Pilot) will use Therap for any amendments
- The template looks different but contains the elements of the current PCSP.
- Demographics, About Me, Restrictions, Action Plan, ISP Signature Sheet, Service Supports (also known as Section C)
- Risk Assessment is to be completed within the Therap PCSP plan template, not as a separate document
- Annual Person-Centered Questionnaire will be required and a part of the Therap PCSP
- Plans with an annual date before July 1, 2023 will not be entered in Therap and all amendments for these plans will use the ISP amendment paper document.
- All billing will still occur through Provider Claims Processing (PCP)
- Plans review will continue to send out signed Section C and Cost Plans via email for the next year.
- ISC/CMs will NOT use the Therap-generated signature sheet to record PCSP meeting attendees at this time. Please continue to use the current DIDD (non-Therap) signature sheet. - Upload signed signature sheet in Documents Checklist as OTHER
Therap Billing Prerequisite Checklist
Guidance for Phase 1 Service Authorization Validations
Service Authorization Validations Companion Guide
10.18.23 - Therap Service Authorization Validations Training Recording
Service Supports Authorization Training Powerpoint
10.10.23 - TN DIDD Service Authorization Validations Presentation Recording
Service Authorization Validations Powerpoint
Billing Implementation Presentation
Service Details, CC Groups, and Pre-Authorization Rules
Services Crosswalk
Service Detail 2024
Therap will be hosting weekly trainings beginning April 25, 2024 to prepare providers for the July 1, 2024 Billing Implementation. The training schedule is below, and provider are able to register at this link (Please note - this is a one time registration link; once registered, you will be registered for ALL trainings in this series)
Date | Time | Topic | Target Audience | Target Users | Recording Here | |
April 25, 2024 | 1:00 PM CST | Billing Introduction and Preparation: Provider Expectations, Billing training outline and timeline, EVV changes, Billing Workflow, Process (3P's) User Roles and Privileges, Program Enrollment, Service Authorization Acknowledgment, Billing Timeline, EVV Staff Configuration | All | Billing Admins, Super Users, CFO's | Webinar Link | |
May 2, 2024 | 1:00 PM CST | Deep Dive: EVV Collect EVV Data, Check EVV Data, EVV Reports, Generate EVV Billing Data, Reports | Katie Beckett, State-Funded, 1915c | Billing Admins, Program Managers/Supervisors, CFO's | ||
May 9, 2024 | 1:00 PM CST | Deep Dive: Attendance (Time & Census & Unit) Collect Attendance Data, Check Attendance Data, Attendance Reports, Generate Billing Data, Reports | ICF, Katie Beckett, State Funded, ISC/CM, 1915c | Billing Admins, Program Managers/Supervisors, CFO's | ||
May 16, 2024 | 1:00 PM CST | Deep Dive: Billing Data Input & Follow up on Attendance and EVV Enter Billing Data, Import Billing Data, Check Billing Data | Katie Beckett, State Funded, ISC/CM, Health Reimbursement/Payflex, Fiscal Intermediary/CDTN, 1915c | Billing Admins, Program Managers/Supervisors, CFO's | ||
May 23, 2024 | 1:00 PM CST | Deep Dive: Attendance (Time & Census & Unit) Collect Attendance Data, Check Attendance Data, Attendance Reports, Generate Billing Data, Reports | ICF, Katie Beckett, State Funded, ISC/CM, 1915c | Billing Admins, Program Managers/Supervisors, CFO's | ||
May 30, 2024 | 1:00 PM CST | Deep Dive: Claims Claims Generation for all MODC, CC Groups, Reports, Reconciliation, Resubmission | All | Billing Admins, Program Managers/Supervisors, CFO's | ||
June 6, 2024 | 1:00 PM CST | Claims Management in Therap: Claims Generation for all MODC, CC Groups, Reports, Reconciliation, Resubmission | All | Billing Admins, Super Users, CFO's | ||
June 13, 2024 | 1:00 PM CST | Billing Preparation: User Roles and Privileges, Program Enrollment, Service Authorization Acknowledgment, Billing Timeline, EVV Staff Configuration | All | Billing Admins, Super Users, CFO's | ||
June 20, 2204 | 1:00 PM CST | Review: Methods of Data Collection EVV Data Collection and Generation, Attendance Data Collection and Generation, Billing Data Input | All | Billing Admins, Super Users, CFO's | ||
June 27, 2024 | 1:00 PM CST | Get Ready for Go-Live: Acknowledge Service Authorizations, Enrollments, Billing Process and Workflow, Identify Resources, Q&A | All | Billing Admins, Super Users, CFO's | ||
July 11, 2024 | 1:00 PM CST | Pre-Billing: Generate Billing Data, Reports, Generate Claims, Q&A | All | Billing Admins, Program Managers/Supervisors, CFO's | ||
July 18, 2024 | 1:00 PM CST | Claims Management: Reports, Reconciliation, Payments, Resubmission, Q&A | All | Billing Admins, Program Managers/Supervisors, CFO's | ||
July 25, 2024 | 1:00 PM CST | Claims Management: Reports, Reconciliation, Payments, Resubmission, Q&A | All | Billing Admins, Program Managers/Supervisors, CFO's |
Thank you for your ongoing patience as we release new functionality in Therap. On 10/30/23, the validation rules went live in Therap which will affect the method by which you calculate and enter the units for day services. Effective immediately, please use the following method for entering day services to mitigate some of the potential error messages that will appear when the validation rules go live. This guidance applies to the CAC, SW and SD Waivers.
Use the spreadsheet method to split the max units.
- 5.1.23 - 6.30.23 will be the max number of units per day * number of days
- 7.1.23 - 12.31.23 will be the max number of units per day * number of days
- 1.1.24 - 4.30.24 will be the max number of units per day * number of days
Note: Statewide Waiver (SW) - Until billing goes live in Therap, it may appear that the person is over the SW waiver cap, however DIDD is continuing to monitor waiver caps and will provide your monthly Statewide Waiver MBA Calculation Report by ISC. This will ensure you have access to current waiver cap information for persons on your caseload.
Daily Max | |
1 | Behavior Respite, Daily Transportation, Respite 1, 2, & 3 and Residential |
16 | Intermittent Emp and CP Wraparound |
24 | Res and Non-Res Homebound and Community Participation Dual Providers |
31 | Respite4 Qtr Hour - Less than 8 hours |
96 | Job Coaching, Facility Based Day and Community Participation |
Therap Provider Aggregator Technical Documentation
Resources
Websites
Therap Access
- DIDD Employee Therap Access (*note: current DIDD Therap users may contact the DIDD HelpDesk for updates to roles and permissions)
- Manage Super Roles
- New Agency Therap Account Request
Training
- Training courses recommended for new users to Therap
- PSCP Training Resources
- All available Therap training courses
Guidance
- DIDD Therap Sites and Programs Guidance
- DIDD Change Form Guidance Document
- Therap ISC Training Refresher Presentation 08.02.23
- Therap Person Centered Support Process and Plan for ISCs and Case Managers
- Therap TN PSCP Written User Guides
- TN ISC PCSP Process Document
- TN Katie Beckett Plan Process
- Therap Guidance Document
- Adjudication Reason Changes Guidance Document
- Service Supports Changes
- DIDD PSCP Signature Sheet - Upload signed signature sheet in Documents Checklist as OTHER
- Troubleshooting Provider access to an Individual’s PCSP
- Updating Individuals’ Address in Therap
- Therap PSCP Flow Chart
Webex Recordings and Presentation Slides
- Therap Informational Presentation for Providers Webex - October 2022
- Therap Informational Presentation Slides - October 2022
- Therap Informational Presentation for Providers Webex - October 2021
- Therap Informational Presentation Slides - October 2021
- Therap Provider Presentation WebEx Recording
- Therap Provider Presentation
Electronic Visit Verification (EVV)
Therap EVV Presentation for Providers - September 21, 2021
Therap EVV Presentation PowerPoint - September 2021
EVV Clinical providers Orientation Training PPT - July 2022
Therap EVV Presentation PPT - August 2022
Therap EVV Presentation - August 2022
EVV Claim Matching
On January 1, 2023, the process of claim matching began for all services requiring Electronic Visit Verifications (EVV). Through this process, Therap is sending EVV data over to DIDD for applicable services. DIDD will validate the data and determines whether the service meets all the billing requirements for payment. If valid, the provider will automatically be paid for claims with a corresponding EVV visit in the Therap system. To be a valid visit, there must be a check-in and check-out by the worker providing the service. While this claim matching process will not change the provider’s current day-to-day usage of EVV in Therap, providers will no longer bill manually in the DIDD billing portal (PCP) for these services.
Any visits that do not reflect a check-in and check-out by the worker as noted above, reflect units provided over the daily max of approved units, or reflect unit overage of the approved amount must be manually edited by the provider’s EVV administrative staff in the Therap system in order for successful claim matching to occur and payment to be issued. Until this action occurs, the visit will remain unapproved, and providers will not be paid for that service visit.
This will apply to Personal Care Services (Personal Assistance and Respite 1-4) and Clinical Services (Nursing, Therapies, and Behavioral Services) visits with approved service authorizations. Please note, the PA ‘Qtrhr Out of State’ service(s) do not need to be recorded for EVV in Therap. The ‘Out of State’ service(s) will continue to be keyed in the DIDD PCP System for payment. All services not requiring EVV usage will still require manual billing in the DIDD PCP System. The DIDD billing schedules will remain the same. This claim matching process will remain in effect until the billing module is fully occuring within Therap.
The following User Guides have been created to assist with manually editing visits as needed for payment:
- As each module webinar is conducted, the webinar recording will be linked to the respective module in the table below.
Week | Module Covered (recording linked to module below) | Date | Time |
Week #1 | Behavior Plan & Data | 10/16/2023 | 3 pm CT / 4 pm ET |
Week #2 | Health Tracking / Time Tracking | 10/23/2023 | 3 pm CT / 4 pm ET |
Week #3 | Individual Medical Information / Consent & Authorization/ Orders | 10/30/2023 | 3 pm CT / 4 pm ET |
Week #4 | Care Plan (Nursing) / Health Screening | 11/6/2023 | 3 pm CT / 4 pm ET |
Week #5 | Electronic Comprehensive Health Assessment (eChat) / Health Passport | 11/13/2023 | 3 pm CT / 4 pm ET |
Week #6 | Case Notes | 11/20/2023 | 3 pm CT / 4 pm ET |
Week #7 | Medication Administration Record (MAR) & Pharmacy Interface* | 11/27/2023 | 3 pm CT / 4 pm ET |
Week #8 | Individualized Plans of Protective Oversight (IPOP) | 12/4/2023 | 3 pm CT / 4 pm ET |
Week #9 | Training Management System (TMS) | 12/11/2023 | 3 pm CT / 4 pm ET |