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 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.  
  • 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 PCSP Module Go-Live: Providers  (Printable Document)

  • In order to access Therap, a provider must have:
    • A signed End User Legal Agreement (EULA)
    • Completed Therap account set up. During account set up, providers will create sites and programs and enroll people into those programs. Once the person is enrolled, this will link the provider to the person’s PCSP. Providers who have not completed account setup should click here to get the process started for setting up a Therap Account
    • Completed training on how to navigate the provider accessible sections in their Therap Account
    • Course - Person Centered Support Plans for TN Providers
  • Login access: https://secure.therapservices.net/auth/login
  • Provider agencies must collaborate with ISC/CMs during the planning process beginning on March 1, 2023.
  • 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.
  • During the pre-planning process, all communication between ISC/CMs and providers regarding updating the PCSP information and submitting service request documentation will be done using the SComms module.
  • 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
  • Plans Reviewers will authorize plans with a start date on or after July 1, 2023 in Therap.
  • Providers will be required acknowledge the individuals’ plans in Therap after plans are authorized by Plans Reviewers.
  • Providers will receive a notification on their Therap dashboard when a plan is ready for review and acknowledgment.
  • All annual plans with a date on or after July 1, 2023, will be only accessible via Therap
  • All  Plans created in Therap will use Therap for any amendments.
  • Plans review will not send the plan via email but will continue to email Cost Plans and Service Supports (also known as Section C)
  • Providers will NOT enter plans to Therap, this is solely an ISC/CM function
  • 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)
  • Please note for services requiring EVV, providers will no longer bill manually in the DIDD billing portal (PCP) for these services. The provider will automatically be paid for claims with a corresponding
  • EVV visit in the Therap system. See the DIDD Therap webpage for more information about the EVV Claim Matching process.
  • Therap usage is required for all 1915c and Katie Beckett Part B DIDD providers. 
    • Private ICFs: not expected to use Therap at this time: more info coming 
    • Providers only supporting ECF Choices individuals: EFC Choices individuals are not supported in Therap 
  • Providers who have not completed account setup should click here to get the process started for setting up a Therap Account
  • Providers will have ongoing access to view and download approved plans in Therap
  • If you require additional usage, Providers must reach out to Therap to enable additional functionality
  • Providers will be able to use T-Logs to collect and communicate day-to-day information and progress notes with other staff members who can add follow-ups and share
  • Providers will be able to use Secure Communications (SCOMM) to communicate with the ISC/CM and others in Therap
  • Providers will be able to use the health tracking module to track different types of health data (seizures, immunizations, blood glucose, height and weight, medication history, etc.)

Therap PCSP Module Go-Live: Pilot Users  (Printable Document)

  • 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.
  • Pilot participants should continue to enter amendments in Therap
  • Pilot participants should make sure to send an email to the Plans Reviewers regional mailbox when any amendments to existing plans in Therap is submitted.
  • Pilot ISC/CMs may reach out to their supervisors to determine if the issue needs escalation

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

CC Groups and Pre-Authorization Rules

A timeline roadmap of milestones that have been a part of the Therap system implementation, and where we're headed for future milestones. Contains dates and titles for each milestone.

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.  

Link to updated “Calculating Units for SLIs” Guidance. 

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 

Electronic Visit Verification (EVV)

EVV Go-Live Checklist

Therap EVV Presentation for Providers - September 21, 2021

Therap EVV Presentation PowerPoint - September 2021

Therap TN EVV Support Page

FAQ's

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. 
Optional Module Webinar Schedule
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