Therap
The Department of Disability & Aging (DDA) 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 DDA 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
tnsupport@therapservices.net
Please review the prerequisites chart below in order to ensure you are ready for billing.
Training Topics |
Links to Therap Support Guides |
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 |
Create at Least One Site & Program | |
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 |
EVV Setup, Data Collection & Reports | TN EVV Main Page |
Self Password Reset | Setting up Self Password Reset |
- All ISC Agencies + Providers have a super-admin user who can assist agency staff with setting up users and passwords in Therap.
- Users responsible for billing at their agency should attend the trainings listed in the Billing Training Series section of the DIDD Therap page.
- 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. This will be an ongoing process as new members are added.
Are You and Your Staff Registered for Billing Training?
- Registration / Schedule found beneath the Billing Training Series Schedule
- Links to previous trainings will be posted as soon as they are available
Questions?
For technical issues, such as setting up sites & programs or setting up user permissions, reach out to tnsupport@therapservices.net
- Billing for all 1915c, Katie Beckett Part B, and State-Funded services with dates of service on or after 7/1/2024 will occur in Therap.
- Currently, 1915c services are being paid by TennCare. Starting on July 1, 1915c waiver services being billed in Therap will be paid from the MCO’s and NOT TennCare (MCO’s: BCBS, UHC, Wellpoint)
- Providers will be required to acknowledge service authorizations in Therap with dates of service 7/1/24 forward. This will replace legacy cost plans. Any cost plans received prior to 7/1/24 are only good for services through 6/30/24.
- Legacy DIDD service codes will not be used in Therap. Services will follow the industry standard HCPCS codes and modifiers.
- The Cost Plans sent by Plans Reviewers will be discontinued.
- Monthly Cost Plan Reports will not include service dates on/after 7.1.24
- Billing for services with dates of service PRIOR to 7/1/2024, will occur as usual in the PCP system. This includes the submission of new claims, late billings, adjustments, and voids.
- Although claims for Katie Beckett Part B and State-Funded services will be submitted in Therap, payments will still be received from the state in the same way they are today.
- Guidance for Phase 1 Service Authorization Validations
- Service Authorization Validations Companion Guide
Service Details, CC Groups, and Pre-Authorization Rules
Services Crosswalk
Therap Trainings – Pre-Authorization Validations
- ISC Guidance Document
- Ancillary Providers Guidance Document
- Guidance to Cost Comparison of Titan Cost Plan Listing with Therap
- Guidance to Comparison of Titan Cost Plan Summary to Therap
- Billing Training Series Recordings
- Therap Billing Prerequisite Checklist
- Therap TN Program Types List
Therap Service Method of Data Collection (MODC)
- Therap Method of Data Collection (MODC) Information
- Therap Method of Data Collection (MODC) Services Listing
Hospital Attendant and Emergency Services Requests
CC GROUPS
Therap Billing Report Guidance
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
- “Calculating Units for SLIs” Guidance
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:
Additional Therap functionality is available to Providers. Those who opt in can work with Therap directly to get set up to use the module(s) and Therap will provide support and training. There is no time limit on when Providers can opt in to use this functionality.
Module | Module Recording | Therap Overview Page |
Behavior Plan & Data | Webinar | Overview Page |
Case Notes | Webinar | Overview Page |
Care Plan (Nursing) | No recording available | Overview Page |
Consent & Authorization | Webinar | Overview Page |
Electronic Comprehensive Health Assessment Tool (eChat) | Webinar | Overview Page |
Health Screening | No recording available | Overview Page |
Health Tracking | Webinar | Overview Page |
Individual Medical Information | Webinar | Overview Page |
Individual Plan of Protective Oversight (IPOP) | Webinar | Overview Page |
Medication Administration Record (MAR) | Webinar | Overview Page |
Orders | Webinar | Overview Page |
Pharmacy Interface | No recording available | Overview Page |
Secure Communications (SComm) | No recording available | Overview Page |
T-logs | No recording available | Overview Page |
Time Tracking | Webinar | Overview Page |
Training Management System (TMS) | Webinar | Overview Page |