text:
16 June 2011
The United States has expressed deep concerned by the rapid and significant deterioration in the security and humanitarian situation in the Southern Kordofan state of Sudan.(..) Facilities used by the World Food Programme and World Health Organisation in Kadugli have been looted.
16 June 2011
Tension is mounting at Sudan's South Kordofan State amid the escalating armed clashes between the Sudanese Armed Forces (SAF) and the Sudan People's Liberation Army (SPLA) in the region. (..) the UN World Food Program (WFP) said in a report that around 60,000 people have fled from South Kordofan.
16 June 2011
Ban Ki-moon, the UN secretary general, has called on warring parties on the volatile border between north and south Sudan to stop fighting and allow access to aid agencies, as reports of deliberate attacks on humanitarian supply routes mount. (..) The World Food Programme, a UN agency, said on Thursday that conflict is stopping it from reaching the displaced, and has so far supplied food aid for 26,500 people in a state where it used to provide food assistance to 400,000.
16 June 2011
The World Food Program (WFP) has announced that it has been able to provide food to more than 26,500 people fleeing fighting in Sudan's Southern Kordofan state, UN spokesman Martin Nesirky said here Thursday.
16 June 2011
The United Nations World Food Programme (WFP) today said it is assisting thousands of people fleeing from fighting Sudan's Southern Kordofan state, but the conflict continues to hinder the agency's efforts to reach more people uprooted by the violence.
14 June 2011
The UN refugee agency pleaded Tuesday for access to Sudan's volatile oil-producing border state of South Kordofan, where some premises of UN aid agencies had been looted. (..) The World Food Programme also said its premises had been looted and the agency lost two vehicles and one motorcycle. But its warehouse in Kadugli was "reportedly being guarded by local authorities and is reportedly undamaged," said Emilia Casella, spokeswoman for the UN food agency.
14 June 2011
The U.N. refugee agency urged Sudanese authorities on Tuesday to allow road and air access for aid workers trying to help thousands of people fleeing fighting in the border state of Southern Kordofan. (..) Further underlining the deteriorating situation, the World Food Programme and the World Health Organisation said premises belonging to the two U.N. agencies in the area had been looted.
14 June 2011
An air bombing campaign in Sudan's Southern Kordofan border state is causing "huge suffering" to civilians and endangering aid work in the region, the United Nations said on Tuesday. (..) The World Food Programme said in a report that up to 60,000 people may have fled the fighting so far.
13 June 2011
Adok sits under a tree near a World Food Programme distribution site, surrounded by tens of thousands of her former neighbors. She says she lost two of her children in the panic as she fled from attacks by Sudanese armed forces.
9 June 2011
The situation in the Sudanese state of Southern Kordofan remained tense today after several days of fighting between the Sudanese army and the forces of the southern region (..). The UN World Food Programme (WFP), meanwhile, said that it has provided food aid to an estimated 86,300 people displaced by the recent military confrontation in the disputed area of Abyei.
- How equal rights boost food security Source: IRIN News
- 20,000 believed displaced after unrest in Sudan's Darfur Source: AFP/ GlobalPost
- Conflict in Darfur threatens humanitarian assistance in Sudan: WFP Source: Xinhua News Agency
- 'Real peace' elusive in Sudan's Darfur 10 years on Source: The Daily Star (Lebanon) / AFP
- Sudan Launches Major Dam to Boost Agricultural Production, Investment Source: The New York Times
- 17 September 2015 Australia Helps WFP Feed South Sudanese In Sudan


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text:
Etta James On Blues Breakers Tonight At 9
January 21, 2013 5:11 PM
Tom Marker
Host: Blues Breakers At 'XRT we still hear from people who tell ...Read More
Etta James (January 25, 1938 – January 20, 2012) will be our Artist of the Week tonight on Blues Breakers. That means we'll play at least a few of her songs, from the Chess Records days to her final days. We've also got a couple of new records we're looking forward to playing. Ben Harper has a new blues album with Charlie Musselwhite and Otis Clay has a new record. By the way Ben and Charlie will be doing a XRT Show on March 3 at the Riviera and Otis Clay plays this Saturday night at FitzGerald's. Don't miss Blues Breakers tonight from 9p-10p.


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Best Price Guaranteed
Take advantage of our discounts!More Info
Terraza Blue View by Bombay Sapphire
The glamour of Barcelona's nightlife from the terrace of Hotel Casa Fuster.
The modernist grandeur and beauty of the panoramic terrace of Hotel Casa Fuster 5* Luxury Grand Monument offers the most exclusive atmosphere in the Catalan capital. It is a space designed to escape the heat and enjoy the summer nights with the sea breeze, the exquisite luxury of its outdoorLounge, the most sophisticated cocktails and liveChill Out music with the best views of Barcelona at your feet.
This terrace has earned its reputation as one of Barcelona's hottest nightlife spots thanks to its spectacular nature, since it allows you to enjoy unique views of Passeig de Gràcia and the sea from the roof of one of the city's most emblematic buildings. The "Blue View by Bombay Sapphire" is a space where you can enjoy a wide range of cocktails made with premium products, such as Bombay Sapphire Gin or mixed drinks made with Grey Goose Vodka, among other classics (check season).
Terrace opening hours (in the event of bad weather, the terrace service will take place at Café Vienés, with the same terrace opening hours):
- 12:00h – 02:00h from Sunday to Wednesday.
- 12:00h – 03:00h from Thursday to Saturday.
The Bar Terrace service can be booked for private events upon previous request.For more information call +34 93 255 30 00.


text:
In This Issue . . .
All Providers:
Behavioral Health Providers in Durham, Duplin, Lenoir, Sampson, and Wayne Counties:
CAP/C Case Managers:
CAP/C Service Providers:
Children's Developmental Service Agencies:
Community Care of NC/Carolina ACCESS Providers:
Critical Access Behavioral Health Agencies:
Enhanced Behavioral Health (Community Intervention) Services Providers:
Health Departments:
HIV Case Management Providers:
Home Health Providers:
Hospice Services:
Hospital Outpatient Clinics:
Independent Practitioners:
Local Education Agencies:
Local Management Entities:
Nurse Practitioners:
Orthotics and Prosthetics Providers:
Personal Care Services Providers:
Private Duty Nursing Providers:
Targeted Case Management Providers for Individuals with Intellectual and Developmental Disabilities:
As of September 1, 2009, per Session Law 2009-451, a $100 enrollment fee is collected from providers upon initial enrollment with the N.C. Medicaid Program and at 3-year intervals when providers are re-credentialed. Upon receipt of your enrollment application, an invoice will be mailed to you if the fee is owed. An invoice will only be issued if the tax identification number in the enrollment application does not identify the applicant as a currently enrolled Medicaid provider. APPLICANTS SHOULD NOT SUBMIT PAYMENT WITH THEIR APPLICATION.
Payment is due immediately upon receipt of an invoice for the enrollment fee. Payment should be remitted to the address on the invoice and not directly to CSC. Payment is accepted by check or money order made payable to DMA. Please make every effort to remit payment promptly. Applications will not be processed if payment is not received. If payment is not received after 30 days, your application will be voided.
The Deficit Reduction Act of 2005 created the Medicaid Integrity Program (MIP) and dramatically increased the federal government's role and responsibility in combating Medicaid fraud, waste, and abuse. Section 1936 of the Social Security Act (the Act) requires CMS to contract with eligible entities to review and audit Medicaid claims, to identify overpayments, and to provide education on program integrity issues. Additionally, the Act requires CMS to provide effective support and assistance to states to combat Medicaid provider fraud and abuse.
CMS created the Medicaid Integrity Group (MIG) in July 2006 to implement the MIP. As a result of this action, the Medicaid Integrity Contractors (MIC) audit was developed. Section 1936 of the Act requires CMS to enter into contracts to perform four key program integrity activities:
CMS has awarded contracts to several contractors to perform the functions outlined above. The contractors are known as the MICs. There are three types of MICs:
The objectives of the MIC audit are to ensure that claims are paid
MIC Audit Process
The Audit MIC schedules an entrance conference to communicate all relevant information to the provider. The entrance conference includes a description of the audit scope and objectives.
Ten providers have completed MIC audits in North Carolina. To date, no errors have been reported.
Program Integrity
In compliance with the Improper Payments Information Act of 2002, CMS implemented a national Payment Error Rate Measurement (PERM) program to measure improper payments in the Medicaid Program and the State Children's Health Insurance Program (SCHIP). North Carolina has been selected as 1 of 17 states required to participate in PERM reviews of Medicaid fee-for-service and Medicaid Managed Care claims paid in federal fiscal year 2010 (October 1, 2009, through September 30, 2010). The PERM SCHIP program will not be participating in the 2010 PERM measurement.
CMS is using two national contractors to measure improper payments. The statistical contractor, Livanta, will coordinate efforts with the State regarding the eligibility sample, maintaining the PERM eligibility website, and delivering samples and details to the review contractor. The review contractor, A+ Government Solutions, will be communicating directly with providers and requesting medical record documentation associated with the sampled claims. Providers will be required to furnish the records requested by the review contractor within a timeframe specified in the medical record request letter.
It is anticipated that A+ Government Solutions will begin requesting medical records for North Carolina's sampled claims in August 2010. Providers are urged to respond to these requests promptly with timely submission of the requested documentation.
Providers are reminded of the requirement listed in Section 1902(a)(27) of the Social Security Act and 42 CFR 431.107 to retain any records necessary to disclose the extent of services provided to individuals and, upon request, to furnish information regarding any payments claimed by the provider rendering services.
Program Integrity
DMA has been instructed by the NC DHHS Secretary to reverse the proposed rate reductions that were effective September 1, 2010. Notwithstanding any further directives, the rates in effect as of August 31, 2010 shall remain in effect on September 1, 2010, and thereafter. DMA is in the process of replacing the published September 1, 2010, fees schedules with the previously published fee schedules. The Fiscal Agent has been instructed to continue with the current rates on and after September 1, 2010. If you have any questions, please call the DMA Finance Management Section at 919-855-4180.
Rate Setting
The following article, originally published in the August 2010 Medicaid Bulletin, is being republished to correct the procedure code. The CPT procedure code that is being end-dated is 15830.
Due to legislated budget reductions, effective with date of service October 1, 2010, the N.C. Medicaid Program no longer covers panniculectomy procedure. Clinical Coverage Policy 1A-10, Panniculectomy, will be end-dated effective October 1, 2010.
|Procedure Code
|Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy
HP Enterprise Services
1-800-688-6696 or 919-855-8888
Medicaid and N.C. Health Choice recipients are notified of benefit and coverage changes through monthly mailings. Copies of the notifications are available on DMA's Consumer Library web page.
The notification that was mailed to recipients in August 2010 outlined a number of changes to the N.C. Medicaid Program and to the N.C. Health Choice Program.
Medical Services
Medicaid recipients were notified of the following changes to the N.C. Medicaid Program for medical services:
For more information about these changes, providers may refer to the August 2010 Medicaid Bulletin.
Medicaid recipients were also notified that effective November 1, 2010, a copayment of up to $3.00 will be charged for clinic and outpatient services. For non-emergency visits to a hospital emergency room, the copayment amount will be increased to $6.00. Local health department visits and outpatient behavioral health services will also be subject to copayments.
Behavioral Health
Beginning January 1, 2011, only providers certified as a Critical Access Behavioral Health Agency (CABHA) may be reimbursed for the provision of Community Support Team, Intensive In-Home, and Day Treatment services provided to Medicaid and N.C. Health Choice recipients. Recipients were instructed that
Recipients were also told that
For more information about CABHAs, providers may refer to the CABHA Services web page.
Personal Care Services
Medicaid recipients were notified that in-home personal care services (PCS) and PCS-Plus are scheduled to be replaced in 2011 with two new in-home care services. The two new programs are
Dental Services
The August 2010 recipient notice also indicated that effective November 1, 2010, Medicaid will no longer cover the following services for Medicaid recipients under the age of 21 years, unless these services are needed to "correct or ameliorate a defect or physical or mental illness or condition" under EPSDT:
Clinical Policy and Programs
Heritage Home Care co-owners, Kristie Brake and Kimberly Miles, were found guilty in Federal Court ending an investigation initiated by DMA's Program Integrity Section, and referred to the Medicaid Investigations Unit (MIU), involving submission of over 15, 000 fraudulent Medicaid claims. Brake and Miles submitted fraudulent Personal Care Services (PCS) claims totaling $622,405.89.
The N.C. Attorney General's Office found that Heritage Home Care
The co-owners of Heritage Home Care were sentenced by the U.S. District Court for Western North Carolina to 46 months imprisonment each, repayment of the $622,405.89, and termination from the N.C. Medicaid Program.
Brenda Jordan-Choate, Program Integrity
On February 17, 2009, President Obama signed the American Recovery and Reinvestment Act of 2009 (Recovery Act), a critical measure to stimulate the economy. Among other provisions, the new law provides major opportunities for the Department of Health and Human Services (DHHS), its partner agencies, and the states to improve the nation's health care through health information technology (HIT) by promoting the meaningful use of electronic health records (EHR) via incentives. On July 13, 2010, the Final Rule implementing the Medicare and Medicaid incentive payments provisions of the Recovery Act was published by CMS. It was also published in the July 28, 2010, Federal Register. A copy of that rule can be found on DMA's EHR web page.
The HIT provisions of the Recovery Act are found primarily in Title XIII, Division A, Health Information Technology, and in Title IV, Division B, Medicare and Medicaid Health Information Technology. These titles together are cited as the Health Information Technology for Economic and Clinical Health Act or the HITECH Act. This article focuses on the Medicaid provisions of Title IV only.
Under Title IV, funding is available to certain eligible professionals (EPs) and hospitals, as described below. Funds will be distributed through Medicaid incentive payments to EPs, physicians, and hospitals who Adopt, Implement or Upgrade a certified EHR system in application year one and who meet "meaningful EHR use" in subsequent years. In addition, federal matching funds are available to states to support their administrative costs associated with these provisions.
Criteria for Qualifying for an Incentive
The qualification criteria for incentives (i.e., meeting specified HIT standards, policies, implementation specifications, timeframes, and certification requirements) were published on July 13, 2010, in the Final Rule. Funds may be distributed through N.C. Medicaid to eligible providers and hospitals as early as January 2011.
Additional Information
Frequently asked question (FAQs) on the Final Rule are available on DMA's EHR web page. These questions and answers provide an excellent overview of the main provisions of the Medicaid Providers EHR Incentive Program. Additional FAQs are available on the CMS website.
James Hazelrigs, MITA Manager
The August 2010 Medicaid Bulletin article titled Elimination of Coverage for Bariatric Surgery outlined the conditions that must be met in order to allow a recipient who had met with a surgeon and began participating in the surgeon's surgical preparatory regimen prior to July 1, 2010, to complete the program and obtain the surgery. This instruction has been clarified to indicate that a recipient who began participating in a surgical preparatory regimen but had not yet met with their surgeon prior to July 1, 2010, will be allowed to meet with their surgeon and to complete the program under the conditions outlined in the August bulletin article.
HP Enterprise Services
1-800-688-6696 or 919-855-8888
Basic Medicaid seminars are scheduled for the month of October 2010 at the sites listed below. These seminars are intended to educate all providers on the basics of billing for N.C. Medicaid and will include the latest budget initiative requirements. The October 2010 Basic Medicaid Billing Guide is the primary document that will be referenced during the seminar. In addition, the seminar presentation will be posted on the DMA's website prior to the first seminar date.
You are welcome to print the Billing Guide and/or the slide presentation and follow along as we cover the material. Please note that the seminar presentation addresses the topics to be discussed and does not represent all of the information being presented. If preferred, you may download the Billing Guide and/or the slide presentation to a laptop and bring the laptop to the seminar. Or, you may access the Billing Guide and presentation online using your laptop during the seminar. However, please note that HP Enterprise Services cannot guarantee a power source or Internet access for your laptop.
Pre-registration is required. Due to limited seating, registration is limited to two staff members per office. Unregistered providers are welcome to attend if space is available. Please bring your seminar confirmation with you to the seminar.
Providers may register for the seminars by completing and submitting the online registration form. Please include a valid e-mail address for your return confirmation. Providers may also register by fax (fax it to the number listed on the form). Please include a fax number or a valid e-mail address for your return confirmation. Confirmations will be sent within two business days of receiving the registration form. Please indicate on the registration form the session you plan to attend.
Sessions will begin at 9:00 a.m. and end at 4:00 p.m. Providers are encouraged to arrive by 8:45 a.m. to complete registration. Lunch will not be provided at the seminars. However, there will be a scheduled lunch break. Because meeting room temperatures vary, dressing in layers is strongly advised.
Seminar Dates and Locations
|October 12, 2010
J.E. Broyhill Civic Center
Caldwell Community College and Technical Institute
1913 Hickory Boulevard SE
Lenoir NC 28645
get directions
|October 13, 2010
Clarion Hotel Greensboro Airport
415 Swing Road
Greensboro NC 27409
get directions
|October 19, 2010
Hilton Greenville
207 SW Greenville Boulevard
Greenville NC 27834
get directions
|October 20, 2010
Wake Tech Community College
Student Service Building Conference Center
Second Floor, Rooms 212-215
9191 Fayetteville Road
Raleigh NC 27603
get directions
|October 27, 2010
Crowne Plaza
201 South McDowell Street
Charlotte NC 28204
Note: Parking fee of $6.00 per vehicle for parking at this location.
get directions
HP Enterprise Services
1-800-688-6696 or 919-851-8888
All providers participating in the Medicaid Program are required to submit a quarterly Credit Balance Report to the DMA Third-Party Recovery Section identifying balances due to Medicaid. Providers must report any outstanding credits owed to Medicaid that have not been reported previously on a Medicaid Credit Balance Report. However, hospital and nursing facility providers are required to submit a report every calendar quarter even if there are no credit balances. The report must be submitted no later than 30 days following the end of the calendar quarter (March 31, June 30, September 30, and December 31).
The Medicaid Credit Balance Report is used to monitor and recover "credit balances" owed to the Medicaid Program. A credit balance results from an improper or excess payment made to a provider. For example, refunds must be made to Medicaid if a provider is paid twice for the same service (e.g., by Medicaid and a medical insurance policy, by Medicare and Medicaid, by Medicaid and a liability insurance policy) or if the patient liability was not reported in the billing process or if computer or billing errors occur.
For the purpose of completing the report, a Medicaid Credit Balance is the amount determined to be refundable to the Medicaid Program. When a provider receives an improper or excess payment for a claim, it is reflected in the provider's accounting records (patient accounts receivable) as a "credit." However, credit balances include money due to Medicaid regardless of its classification in a provider's accounting records. If a provider maintains a credit balance account for a stipulated period (e.g., 90 days) and then transfers the account or writes it off to a holding account, this does not relieve the provider of liability to the Medicaid Program. The provider is responsible for identifying and repaying all monies owed the Medicaid Program.
The Medicaid Credit Balance Report requires specific information for each credit balance on a claim-by-claim basis. The reporting form provides space for 15 claims but may be reproduced as many times as necessary to accommodate all the credit balances being reported. Specific instructions for completing the report are on the reverse side of the reporting form.
Submitting the Medicaid Credit Balance Report does not result in the credit balances automatically being reimbursed to the Medicaid Program. Electronic adjustments are the preferred method of satisfying the credit balances and can be performed through the North Carolina Electronic Claims Submission/Recipient Eligibility Verification Web Tool. Refer to the February 2010 Medicaid Bulletin article, titled Adjusting North Carolina Medicaid Claims Electronically, for specific filing instructions.
In the event, a billing error caused an individual provider to be paid for a service in which a provider group should have been paid, a refund check will need to be sent to HP Enterprise Services to correct the error as it is unlikely the individual provider will have future claims to adjust. In these circumstances only, a check must be made payable to HP Enterprise Services and sent to HP Enterprise Services using the Medicaid Provider Refund Form. The information on the form must be complete and accurate in order to process the provider refund check.
|Submit the Medicaid Credit Balance Report Form to:
|Electronic Adjustments using the North Carolina Electronic Claims Submission/Recipient Eligibility Verification Web Tool
|Submit Refund Checks to:
|Third Party Recovery Section
Division of Medical Assistance
2508 Mail Service Center
Raleigh NC 27699-2508
|Refer to the February 2010 Medicaid Bulletin article titled, Adjusting North Carolina Medicaid Claims Electronically
|HP Enterprise Services Refunds
P.O. Box 300011
Raleigh NC 27622-3011 (Do not send these refund checks to DMA or to the Controller's Office.)
Submit only the completed Medicaid Credit Balance Report to DMA. Failure to submit a Medicaid Credit Balance Report to DMA will result in the withholding of Medicaid payment until the report is received.
Send to DMA:
Send to HP Enterprise Services Refunds Department:
The Medicaid Provider Refund Form and the Medicaid Credit Balance Report form are also available on DMA's Provider Forms web page.
Debbie Odette, Third Party Recovery Section
In response to CMS Change Request 6852, effective with date of service April 1, 2010, DMA end-dated CPT code 80101 and replaced it with HCPCS code G0431 (Drug screen, qualitative; single drug class method [e.g., immunoassay, enzyme assay], each drug class) for initial urine drug screenings. HCPCS code G0431 should be billed without a modifier by those clinical laboratories that do not require a CLIA certificate of waiver. Those clinical laboratories that do require a CLIA certificate of waiver should append modifier QW to the code.
HCPCS code G0430 has also been added. HCPCS code G0430 was created to limit billing to one time per procedure and to remove the limitation on the chromatographic method when it is not being used in the performance of the test. HCPCS code G0430 should be billed without a modifier by those clinical laboratories that do not require a CLIA certificate of waiver for a qualitative drug screening test for multiple drug classes that do not use chromatographic methods. Those clinical laboratories that do require a CLIA certificate of waiver should append modifier QW to the code when billing a qualitative drug screening test for multiple drug classes that do not use chromatographic methods.
Providers should use CPT code 80100 when performing a qualitative drug screening test for multiple drug classes that use chromatographic methods. Providers who received claim denials for CPT code 80101 with EOB 9 (service not covered by the Medicaid Program) from April 1, 2010, will need to resubmit new claims for processing with HCPCS code G0431 or G0431 QW, as appropriate.
HP Enterprise Services
1-800-688-6696 or 919-851-8888
Attention: Orthotics and Prosthetics Providers
A rate has been established for HCPCS code S1040. Previously, this code was manually priced.
Refer to Clinical Coverage Policy 5B, Orthotics and Prosthetics, for detailed coverage information.
HCPCS code S1040 will be added to the O&P Fee Schedule effective with date of service September 1, 2010. Providers are reminded to bill their usual and customary rates.
|HCPCS Code
|Orthotic and Prosthetic Devices
|Maximum Rate
|Cranial remolding orthotic, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s).
Consistent with the N.C. Medicaid State Plan, there shall be no retroactive payment for fee changes.
HP Enterprise Services
1-800-688-6696 or 919-851-8888
Attention: Private Duty Nursing Providers
Effective with date of service November 1, 2010, a modifier will be required when billing HCPCS code T1000 for private duty nursing (PDN). The modifier will be used to indicate the respective level of care provided to the recipient, either RN or LPN. The codes and maximum reimbursement rates are indicated below.
|Code with Modifier
|Billing Unit
|Maximum Reimbursement Rate
|In-Home Nurse Care – RN
|1 unit = 15 minutes
|$ 9.18
|In-Home Nurse Care – LPN
|1 unit = 15 minutes
|$ 7.81
Effective November 1, 2010, claims submitted for HCPCS code T1000 will be denied if the TD or TE modifier is not appended to the code.
Prior approval by DMA PDN Nurse Consultants and signed physician orders are required per usual protocol.
A new code will be added to the fee schedule for PDN providers to use when billing for congregate (multi-recipient) services. Multi-recipient nursing is defined as a single nurse providing hourly skilled nursing care to two or more Medicaid recipients during the same hours and in the same private primary residence. The code for multi-recipient nursing, G0154, shall be used to bill for services where DMA has authorized congregate nursing care. The modifiers TE or TD, as applicable, are required when billing this code.
Congregate PDN should be provided when more than one hourly nursing recipient (PDN or CAP/C) resides in the same home. Congregate PDN shall be limited to a maximum ratio of one private duty nurse to two individuals who receive hourly nursing services.
Agencies currently providing more than one nurse per recipients' household should contact DMA PDN consultants by November 1, 2010, to develop a transition plan for congregate nursing care. An individual review will be used to determine the medical necessity for each recipient and PDN services will be approved accordingly.
|Code with Modifier
|Billing Unit
|Maximum Reimbursement Rate
|Congregate/Multiple Recipient Care - RN
|1 unit = 15 minutes
|$ 6.89
|Congregate/Multiple Recipient Care - LPN
|1 unit = 15 minutes
|$ 5.86
It is the responsibility of the home care provider to ensure appropriate delegation and supervision of nursing activities in accordance with the North Carolina Nursing Practice Act, G.S. Chapter 90, Article 9A, and Home Care Licensure Rules. This includes appropriate acceptance of clients and ensuring that the agency has trained and experienced nursing personnel to meet the nursing needs of the recipient as authorized by the physician.
It is also the responsibility of the home care agency to adhere to the CAP Service Authorization as outlined by the CAP/C case manager with regard to approved hours.
As a reminder, PDN nursing services shall not duplicate other services in the home such as home infusion therapy, home health skilled nursing and respiratory therapy. Refer to Clinical Coverage Policy 10D for recently published limitations on respiratory therapy services provided by independent practitioners.
Teresa Piezzo, Home and Community Care
Attention: CAP/C Case Managers, CAP/C Service Providers, and Hospice Services
CMS has granted approval for N.C. Medicaid's Community Alternatives Program for Children (CAP/C) waiver program for an additional 5 year period beginning July 1, 2010. The new coverage policy for CAP/C, Clinical Coverage Policy 3K-1, will be implemented effective with date of service October 1, 2010. The policy will be available on October 1, 2010, on the CAP/C Services web page.
The following changes in the CAP/C Program are to be implemented with date of service effective October 1, 2010 (unless otherwise noted):
The following services have been added or changed, effective with date of service October 1, 2010, unless otherwise noted. Complete service definitions, including criteria and limitations, can be found in Clinical Coverage Policy 3K-1. The document can be accessed from the CAP/C Services web page.
|Service and Procedure Code
|Maximum Reimbursement Rate
|CAP/C Pediatric Nurse Aide
|Personal care services, per 15 minutes. Not for an inpatient or resident of a hospital, nursing facility, ICF/MR or IMD, part of the individualized plan of treatment
|$ 4.74 per 15 minutes
|Home Modifications
|Home modifications; per service
|as quoted within max limits $10,000 over life of waiver
|CAP/C Nursing – RN
effective 11/1/2010
|Private duty/independent nursing service(s), licensed, up to 15 minutes
|$ 9.18 per 15 minutes
|CAP/C Nursing – LPN
effective 11/1/2010
|Private duty/independent nursing service(s), licensed, up to 15 minutes
|$ 7.81 per 15 minutes
|Respite Care, In-Home RN
effective 11/1/2010
|Respite care services, up to 15 minutes
|$ 9.18 per 15 minutes
|Respite Care, In-Home LPN
effective 11/1/2010
|Respite care services, up to 15 minutes
|$ 7.81 per 15 minutes
|In-Home Attendant Care
|Specialized childcare, waiver; per 15 minutes
|$ 2.37 per 15 minutes
|Motor Vehicle Modifications
|Vehicle modifications, waiver; per service
|as quoted within max limits $15,000 over life of waiver
|Adaptive Tricycles
|Specialized supply, not otherwise specified, waiver
|as quoted within max limits $600 over waiver year
|Caregiver Training and Education
|Home care training, family; per 15 minutes
|$ 8.53 per 15 minutes
|Palliative Care – Counseling
|Home visit for individual, family, or marriage counseling; per visit
|$ 71.04 per visit
|Palliative Care – Bereavement Counseling
|Home care training, family; per session; per visit, one time only
|$ 71.04 per visit
|Palliative Care – Expressive Therapy
|Home care training to home care client, per 15 minutes
|$ 5.51 per 15 minutes
|Community Transition Funding
|Community transition, waiver; per service
|as quoted within max limits
|Congregate CAP/C Nursing – RN
effective 11/1/2010
|Services of skilled nurse in home health, or nurse in hospice settings, each 15 minutes
|$ 6.89 per 15 minutes
|Congregate CAP/C Nursing – LPN
effective 11/1/2010
|Services of skilled nurse in home health, or nurse in hospice settings, each 15 minutes
|$ 5.86 per 15 minutes
The following CAP/C procedure codes remain in effect and are unchanged by the new waiver.
|Service and Procedure Code
|Maximum Reimbursement Rate
|CAP/C Case Management
|Case management, each 15 minutes
|$ 14.43 per 15 minutes
|CAP/C Case Management
|Case management – extra for CNR/Reauthorization/Crisis/Emergency, each 15 minutes
|$ 14.43 per 15 minutes
|Attendant Care Services
|CAP/C Personal Care Service
|$ 3.54 per 15 minutes
|Respite Care Institutional
|Respite care services, not in the home
|$211.20 per diem
|Respite care In-Home/Aide Level
|Unskilled respite care, not hospice
|$ 3.54 per 15 minutes
|Disposable Liner/Shield/Guard/Pad/
Undergarment, for Incontinence
|Disposable liner/shield for incontinence
|$ 0.34 each
|Incontinence Product, Diaper/Brief, Reusable, Any Size
|Incontinence product, diaper/brief, reusable, any size
|$ 21.22 each
Effective November 1, 2010, claims submitted for the following HCPCS codes will be denied:
Provider Requirements
All CAP providers must apply for and be enrolled as a Medicaid provider with N.C. Medicaid to qualify for reimbursement of CAP services. To qualify for reimbursement for new services, existing CAP/C providers must complete a CAP Addendum to Add Services. Provider enrollment information and the application are available on the NC Tracks website. Please call the EVC Call Center at 1-866-844-1113 for questions regarding enrollment.
Currently enrolled CAP/C case management providers will need to add Vehicle Modifications, Community Transition Funding, and Caregiver Training and Education to their enrollment package. Hospice providers may enroll as a CAP provider in order to provide Palliative Care Services. Qualified home care providers may add Attendant Care, Pediatric Nurse Aide Care, Congregate Care, and Medical Supplies (PDN providers only) to their CAP enrollment package.
Reimbursement to Providers
The fee schedule for the waiver services is located on DMA's Fee Schedule web page. Providers are reminded to bill their usual and customary rates for all billing. Do not automatically bill the established maximum reimbursement rate. Payment will be the lesser of either the billed usual and customary rate or the maximum reimbursement rate.
Providers may not directly submit billing for any expense for home modifications, vehicle modifications, community transition funding, or caregiver training and education. All requested items must go through the individual's case manager for inclusion in the plan of care, which must clearly state defined goals and outcomes related to use for the item.
Teresa Piezzo, Home and Community Care
DMA's Managed Care Section produces reports to help participating primary care providers (PCPs) manage the care of their enrolled Medicaid patients. Currently, the following reports are printed on paper and mailed to each PCP:
Effective September 1, 2010, DMA no longer prints and mails these reports. Providers can view and download these reports via a secure web portal. To access the portal, providers must complete and submit the Provider Confidential Information and Security Agreement. The Agreement must be signed with an original signature and mailed to DMA.
At this time, the Carolina ACCESS Provider Enrollment Report will continue to be printed on paper and mailed. Providers can also access their enrollment report via the web portal. For questions about any of the managed care reports, contact your managed care consultant. A list of the consultants and contact information can be found on DMA's CCNC/CA web page.
Managed Care
The following new or amended clinical coverage policies are now available on DMA's Clinical Coverage Policies and Provider Manuals web page:
These policies supersede previously published policies and procedures. Providers may contact HP Enterprise Services at 1-800-688-6696 or 919-851-8888 with billing questions.
Clinical Policy and Programs
Attention: Pharmacists and Prescribers
N.C. General Assembly Session Law 2010-31, Section 10.58. (d)(28) allows the Secretary of Health and Human Services to prevent substitution of a generic equivalent drug, including a generic equivalent that is on the State Maximum Allowable Cost (SMAC) list, when the net cost to the State of the brand-name drug, after consideration of all rebates, is less than the cost of the generic equivalent. Generic drugs are usually considered preferred. However, with the implementation of the next phase of the N.C. Medicaid Preferred Drug List, on September 15, 2010, the following four brand drugs will be considered preferred instead of their generic equivalents:
N.C. Medicaid will remove the SMAC from these drugs when applicable. Prescribers will not need to write "medically necessary" on the face of the prescription for coverage of these drugs. Pharmacists will not need to enter a DAW "1" on the point-of-sale claims when dispensing these drugs.
HP Enterprise Services
1-800-688-6696 or 919-851-8888
Attention: Pharmacists and Prescribers
With the implementation of the N.C. Medicaid Preferred Drug List changes on September 15, 2010, Duoneb (combination ipratropium and albuterol nebulizer solution) and some insulin cartridges and pens will have a non-preferred status on the N.C. Medicaid Preferred Drug List. On June 15, 2010, the N.C. Board of Pharmacy agreed that pharmacists may
The pharmacist will not be required to obtain a new prescription in these circumstances when substitution is allowed. The Board reminded pharmacists that patient counseling and education on appropriate usage is very important. A copy of the June 15, 2010, N.C. Board of Pharmacy communication can be found on the DMA Outpatient Pharmacy Services web page.
HP Enterprise Services
1-800-688-6696 or 919-851-8888
With the implementation of the N.C. Medicaid Preferred Drug List changes on September 15, 2010, pharmacists will be able to override a point-of-sale message that prior authorization (PA) is required for leukotrienes, statins, orally inhaled steroids, and second generation anticonvulsants (for seizure disorders only). If the prescriber has indicated that the PA criteria have been met, by writing "Meets PA Criteria"on the face of the prescription in his or her own handwriting, the pharmacist will be able to override the PA edit for these drugs. This information may also be entered in the comment block on e-prescriptions.
If the prescribed drug in one of these drug classes has a generic version available, "medically necessary" must also be written on the face of the prescription in the prescriber's own handwriting in order to dispense the brand name drug. A "1" in the PA field (461-EU) or a "2" in the submission clarification field (420-DK) will override the PA edit. These overrides will be monitored by Program Integrity.
Providers may also contact ACS at 1-866-246-8505 (telephone) or 1-866-246-8507 (fax) to request PA for these medications. The PA criteria and request form for these drug classes will be available early September 2010, on the N.C. Medicaid Enhanced Pharmacy Program website. If the PA is approved by ACS, the POS override codes will not be needed.
HP Enterprise Services
1-800-688-6696 or 919-851-8888
Attention: Pharmacists and Prescribers
Six new prior authorization (PA) policies and two revised PA policies will be implemented with the N.C. Medicaid Preferred Drug List changes on September 15, 2010. The new PA policies are for Emend, leukotrienes, lidoderm, orally inhaled corticosteroids, statins, and Suboxone. Specific clinical criteria must be met before these drugs can be covered by N.C. Medicaid. In addition, two of the existing PA policies were revised. The revised PA policies are for schedule II narcotic analgesics and second generation anticonvulsants. These new and revised policies will be posted early September 2010 on the N.C. Medicaid Enhanced Pharmacy Program website.
HP Enterprise Services
1-800-688-6696 or 919-851-8888
Attention: Nurse Practitioners and Physicians
Effective with date of service June 5, 2010, the N.C. Medicaid Program covers denosumab (Prolia) for use in the Physician's Drug Program when billed with HCPCS code J3590 (unclassified biologics). Prolia is available in a 60-mg/1-ml prefilled syringe.
Prolia is indicated for the treatment of osteoporosis in postmenopausal women with a high risk for fracture, defined as a history of osteoporotic fracture, or multiple risk factors for fracture; or male or female patients who have failed or are intolerant to other available osteoporosis therapies.
Prolia should be administered in 60-mg doses as a single subcutaneous injection in the upper arm, upper thigh or abdomen, once every six months. Prolia should be administered by a health care professional.
For Medicaid Billing
The fee schedule for the Physician's Drug Program is available on DMA's Fee Schedule web page.
HP Enterprise Services
1-800-688-6696 or 1-919-851-8888
Attention: Pharmacists and Prescribers
Effective with date of service September 15, 2010, the N.C. Medicaid Outpatient Pharmacy Program will begin coverage of over-the-counter (OTC) second generation antihistamine and decongestant combination products. Products included are cetirizine-D OTC, loratadine-D OTC 12 hour, and loratadine-D OTC 24 hour. With a valid prescription, a recipient may receive up to a 102-days supply per 12 months.
HP Enterprise Services
1-800-688-6696 or 919-851-8888
Attention: HIV Case Management Providers
The revised policy for HIV Case Management services will be implemented effective October 1, 2010. Clinical Coverage Policy 12B can be accessed on the Clinical Coverage Policies and Provider Manuals web page. Many of the functions addressed in the policy will be the responsibility of the new vendor, The Carolinas Center for Medical Excellence (CCME). Implementation of those policy changes that are dependent upon the new vendor being fully operational will be delayed somewhat as we work towards assuring a good transition. Also, please be advised that due to the numerous changes in the requirements for certification, DMA is restructuring the certification process. All providers who are currently certified to provide HIV Case Management and enrolled with DMA will be required to complete a new application and undergo the certification process. Until all changes have been implemented, providers should continue to operate under their current certification. Any existing applications or future applications for new HIV Case Management providers will be reviewed under the new requirements recently approved by CMS and documented in Clinical Coverage Policy 12B. DMA will announce in upcoming Medicaid Bulletin articles when the new application process will begin. Until contact information is provided for CCME, please continue to direct any questions to Victoria Landes, HIV Program Consultant at DMA, 919-855-4389.
Victoria Landes, Clinical Policy
Attention: Critical Access Behavioral Health Agencies
Mental Health/Substance Abuse Targeted Case Management (MH/SA TCM) was implemented effective with date of service July 1, 2010, with a weekly case rate of $81.25.
The procedure code for MH/SA TCM is H0032 and the billing limit is one unit per week (Sunday through Saturday). Prior approval is required for this service. In order to bill this weekly rate, case managers must provide at least 15 minutes of case management activity (assessment, person centered plan [PCP] development, linkage/referral, monitoring) per week. The case manager is expected to provide all services necessary to meet the case management needs of the recipient. It is the expectation that many recipients will require more than 15 minutes of case management activity per week. With the weekly case rate, a provider may only bill once per week, although a case manager might provide services for a recipient multiple times in a week. Providers should not bill for each 15 minute contact. Providers should not bill over a span of dates. Providers may bill only once (one date) per week when at least 15 minutes of case management activity have been achieved. For example, if a case manager has a 15-minute contact with a recipient on Monday, the provider may bill the weekly rate for that week on Monday. If the case manager provides additional case management services throughout that week, the provider cannot bill again for any date in that same week (Sunday through Saturday). The weekly case rate covers ALL case management activities for the week and all dates of service for that week. To bill this weekly case rate, the case manager must provide at least 15 minutes of case management activity per week (assessment, PCP development, linkage/referral, monitoring). However, the case manager must provide all services necessary to meet the case management needs of the recipient. For audit and rate setting purposes, each contact must be documented and must include the amount of time spent during the contact. Per the service definition, a full service note for each contact, or a full service note for each date of service (if there are multiple contacts within a day), written and signed by the person(s) who provided the service, is required. Please see DMA Clinical Coverage Policy 8L for the full description of the service, including the full requirements of a service note.
Provider Enrollment Information
CSC will issue a statewide MH/SA TCM Medicaid Provider Number (MPN) to each certified and enrolled CABHA until site-specific enrollment can be achieved (more information on site-specific enrollment will be provided in future communications). CSC will contact those CABHAs that have already enrolled to assist with obtaining a statewide MH/SA TCM MPN. CSC will automatically link the MH/SA TCM MPN to the NPI associated with the CABHA MPN. If an already enrolled CABHA wishes to choose a different NPI for their MH/SA TCM MPN, they will need to submit a Medicaid Provider Change Form and a copy of the NPPES letter for that NPI to CSC. The MH/SA TCM MPN will be used to request prior authorization for the service. When billing, the CABHA NPI will be the billing provider number on the CMS-1500 claim, and the MH/SA TCM NPI will be the attending number on the claim. Unless they have indicated a different NPI for their MH/SA TCM MPN, both NPIs (billing and attending) will be the same on the claim form. CABHAs that have not yet enrolled must indicate on the enrollment application that they will be providing MH/SA TCM by checking "Targeted Case Management for Mental Health and Substance Abuse" on the enrollment application. They will need to indicate the NPI associated with MH/SA TCM in the space provided. This NPI can be the same as the NPI associated with the CABHA NPI or it can be a different NPI. If they do not indicate an NPI, CSC will automatically link their MH/SA TCM MPN to the NPI associated with their CABHA MPN. When a CABHA is issued a CABHA MPN, they will also be issued a statewide MH/SA TCM MPN. The updated downloadable enrollment application is available on the NC Tracks website.
Prior Authorization
CABHAs may begin to request prior authorization for MH/SA TCM once they have received their MH/SA TCM MPN. Submission of authorization requests must follow one of two procedures:
Claims Submission
System implementation for payment of the weekly rate for MH/SA TCM is expected to be completed by September 1, 2010. Providers should not submit claims for MH/SA TCM prior to September 1, 2010. In the interim weeks, providers may continue to provide and bill the case management component of CS if authorized for a recipient under the CISA MPN.
MH/SA TCM claims will always be billed using the professional (CMS-1500/837P) claim type. For claims submission, the NPI associated with the CABHA MPN will always be the "billing" number and the NPI associated with the MH/SA TCM MPN will always be the "attending" number. Providers must bill MH/SA TCM claims with dates of service that correspond with MH/SA TCM authorization dates. The billing limit is one unit per week, which runs from Sunday to Saturday. If the claim identifies a span of dates (e.g., August 2-6, 2010), the claim will be denied.
When a claim is submitted for MH/SA TCM, HP Enterprise Services will automatically recoup any payments for CS during any week (Sunday through Saturday) that the MH/SA TCM procedure code is billed. Claims will be recouped from the original CISA billing MPN that provided the service. The weekly unit may not be billed for any week in which there was no contact with the recipient. Services reimbursed will be subject to audit and recoupment if policy requirements were not met for that week.
Behavioral Health Unit
Attention: Critical Access Behavioral Health Agencies
Please contact HP Provider Services at 1-800-688-6696 or 919-851-8888, option 3, for assistance with the EOBs listed below.
|EOB Description
|Common Resolution
|A claim with the same dates and services has paid, previously in history. If previous payment is incorrect, submit a replacement claim to address overpayment or underpayment. If payment is correct, no action necessary.
|Provider is most likely billing for a code with the incorrect NPI associated with assigned MPN. Resubmit the claim with the correct NPI.
|Provider needs to verify the provider number associated with the authorization number and resubmit the claim with the correct NPI associated with the authorization.
|Claim was received with authorization number omitted from the claim. Provider needs to include authorization on the claim or obtain authorization for the service.
|Units are exceeded. Provider needs to obtain additional authorization.
|Provider needs to verify the diagnosis code: Missing-incomplete-invalid diagnosis or condition.
|Submitted claim requires a referring NPI. The referring NPI is either not found on the claim or is unresolved (cannot map to single MPN). Correct and resubmit the claim.
|Referring NPI on processed claim does not match the CCNC/CA PCP listed on the recipient's eligibility file for submitted date of service. Contact referring PCP, obtain the correct referral information and resubmit claim.
Although the suggested resolution is for common denial cases, each claim may propose a unique processing scenario. For further information or claim research, contact HP Provider Services for claim-specific analysis.
HP Enterprise Services
1-800-688-6696 or 919-851-8888
Attention: Targeted Case Management Providers for Individuals with Intellectual and Developmental Disabilities
DMA has received approval to implement a new procedure code and rate for Targeted Case Management for Individuals with Intellectual and Developmental Disability (TCM-IDD) for direct-enrolled providers. Effective with date of service August 1, 2010, or the date of enrollment, whichever is the later date, direct-enrolled providers may be reimbursed for T1017 HE at the new weekly rate of $62.26. T1017 HE may be billed only by the direct-enrolled providers. HP Enterprise Services will not process any systematic recoupment of T1017 HI and repayment for T1017 HE.
Provider Enrollment Information
The effective date of enrollment for direct-enrolled providers will be the date requested by the provider but no earlier than August 1, 2010, or the date a complete enrollment package is received by CSC, if a date is not requested by the provider.
Until providers are directly enrolled, they may continue to bill TCM-IDD services through the local management entities (LMEs) with T1017 HI and T1017 HI SC, at the current rate of $17.67 per unit. Effective January 1, 2011, LMEs will no longer process TCM-IDD claims.
Prior Authorization
This service must be prior authorized for non-Community Alternatives Program (CAP) waiver recipients prior to submitting claims. (TCM for CAP wavier recipients does not require prior authorization.) Following enrollment, the provider will be able to request authorization for TCM-IDD for new non-CAP waiver recipients in accordance with current procedures and documentation requirements. Providers may fax authorization requests to ValueOptions (VO) at 1-877-339-8754. For current recipients with an existing authorization, providers may request transfer of authorizations from T1017 HI to T1017 HE and transfer of the authorization from an LME to their TCM-IDD Medicaid Provider Number through VO's TCM Provider Change Request Form on the ValueOptions website. VO will retroactively authorize the new code as requested starting August 1, 2010, or the actual provider enrollment date, whichever is later. There will be no charge to the provider for this transfer of authorizations.
Additional Claims Processing Information
Claims Submission: The billing limit is one unit per week, which runs from Sunday to Saturday. If the claim identifies a span of dates (e.g., August 2-6, 2010), the claim will be denied. In order to bill, providers must provide at least 15 minutes of service per week. However, the expectation is that service will be provided and documented according to the needs of the recipient. Electronic claims for procedure code T1017 HE submitted by direct-enrolled providers prior to the August 19, 2010, cut-off will adjudicate on the August 26, 2010, checkwrite. Claims processed after the August 19, 2010, cut-off will adjudicate according to the current checkwrite schedule.
Note: System audits have been developed to deny claims billed with T1017 HE or T1017 HI if billed during the same calendar week. The first claim processed and paid for a recipient will result in the denial of any other claim for TCM during the same week.
Electronic Funds Transfer: Providers must submit to HP Enterprise Services a completed Electronic Funds Transfer (EFT) Authorization Agreement for Automatic Deposit form specific to TCM-IDD. Claims will suspend if this EFT form is not on file. Although many providers have completed the enrollment process and been issued a Medicaid Provider Number, many have not completed an EFT form needed for payment. You can access the form from DMA's Provider Forms web page.
Behavioral Health Unit
Attention: Enhanced Behavioral Health (Community Intervention) Service Providers and Critical Access Behavioral Health Agencies
As indicated in Implementation Updates #63 and #65, and the November 2009 and December 2009 Medicaid bulletins, DMA is engaged in the re-verification of Notifications of Endorsement Actions (NEA) letters for providers of Community Support Team (CST). CST providers were required to submit the re-verification packet with appropriate credentials, including all current NEAs, to qualify for continued enrollment as a provider of CST services. Further verification has also occurred through the endorsing Local Management Entities.
This process is now complete and new provider enrollment numbers were issued with an effective date of July 1, 2010, for CST using the provider's core Medicaid Provider Number (MPN) with a V suffix to provide a unique provider number for CST (H2015 HT) separate from other Community Support services (H0036 HA, HB, and HQ). With this separation, all new and concurrent service authorization requests submitted to ValueOptions for dates of service July 1, 2010 and after must include the V suffix.
After July 31, 2010, authorization requests for CST services will be returned as "Unable to Process" if the MPN retains the B suffix rather than the V suffix. Service authorizations approved prior to July 1, 2010, under the B suffix will be honored until these authorizations expire.
Please be attentive to which MPN and suffix is used on the authorization when submitting claims. Providers must use the NPI associated with the MPN and suffix that matches the CST authorization to ensure proper adjudication of claims.
For additional assistance, or further information, contact the CSC EVC Call Center. Customer service agents are available Monday through Friday, 8:00 a.m. through 5:00 p.m., at 1-866-844-1113.
Attention: Children's Developmental Service Agencies, Health Departments, Home Health Providers, Hospital Outpatient Clinics, Independent Practitioners, Local Education Agencies, Local Management Entities, and Physicians
Please refer to the following helpful hints for post-payment reviews.
The recoupment chart at the end of the recoupment letter specifies each service date subject to recoupment and includes a "remark" to identify the reason for the recoupment. Be sure to follow all of the timelines outlined in the letter.
Questions about PPV should be directed as follows:
Recoupment checks should be made payable to DMA Accounts Receivable.
Nora Poisella, Clinical Policy and Programs
Attention: Personal Care Services Providers
PCS Provider Interface
Registration for the new PCS Provider Interface, which is required by PCS Clinical Coverage 3C, will begin September 1, 2010. Refer to the Independent Assessment website for Provider Interface registration dates, forms, and instructions. To allow adequate time for processing, please submit Provider Interface registration forms to The Carolinas Center for Medical Excellence (CCME) by September 15, 2010. All Provider Interface registration forms must be received by October 1, 2010.
The new Provider Interface is a web-based information tool for exchange of information between CCME and personal care services (PCS) providers. Beginning in October 2010, CCME will use the Provider Interface to electronically send recipient referrals to PCS providers. Providers will use the interface to view their own agency's referrals and recipient assessments, notify CCME of their decision to accept or decline a referral, and view authorization notices that CCME generates after the agency accepts a referral.
Regional Provider Training
CCME will offer provider regional trainings in September and October 2010 at the sites listed below. The trainings will cover the following topics:
|September 21, 2010
|September 22, 2010
|September 23, 2010
|September 28, 2010
|September 30, 2010
|Asheville/Black Mountain
Registration for these sessions will open on September 1, 2010. Refer to the Independent Assessment website for additional information and to register for an upcoming training in your region.
Please continue to submit weekly discharge updates to CCME using Part 2 of the Weekly Summary Form (see the Independent Assessment website).
Continue to visit the Independent Assessment website regularly for PCS forms, reference documents, educational content, announcements, and updates to frequently asked questions.
Questions may be directed to the CCME Independent Assessment Help Line at 1-800-228-3365 and by e-mail to firstname.lastname@example.com. Please note that the Help Line call center capacity has been increased. Please direct questions regarding recipient status or referrals to the Help Line for faster response and to avoid the transmission of PHI over e-mail.
Attention: Behavioral Health Providers in Durham, Duplin, Lenoir, Sampson, and Wayne Counties
As indicated in the joint Division of Mental Health, Developmental Disabilities, and Substance Abuse Services (DMH/DD/SAS) and DMA Implementation Update #77 and the August 2010 Medicaid Bulletin, as of September 20, 2010, all providers for recipients with eligibility within The Durham Center's catchment area (Durham County) will be required to submit requests for initial and concurrent authorization for mental health, developmental disabilities, and substance abuse services to The Durham Center for prior authorization. All providers for recipients with eligibility within Eastpointe's catchment area (Duplin, Lenoir, Sampson, and Wayne counties) will be required to submit requests for initial and concurrent authorization for mental health, developmental disabilities, and substance abuse services to Eastpointe for prior authorization. This change will apply only to providers delivering services to recipients with eligibility in those catchment areas.
Effective September 20, 2010, all CAP requests must be sent to the appropriate LME UR vendor for processing; recipients with eligibility in Durham Center's catchment area will be sent to The Durham Center and recipients with eligibility in Duplin, Lenoir, Sampson, and Wayne counties will be sent to Eastpointe. As a point of clarification, revision requests for CAP/MR-DD would include requests for additional units for services that have an existing authorization. When submitting CAP/MR-DD revision requests or provider change requests for CNRs that have been approved by ValueOptions (VO), the targeted case managers are required to submit the following documents:
Note: All concurrent requests for non-waiver Targeted Case Management for Individuals with Intellectual and Developmental Disabilities (IDD TCM) must continue to be sent to VO until December 31, 2010. All new non-waiver requests from IDD TCM providers who will continue to request authorization for T1017 HI and bill through an LME, must continue to be sent to ValueOptions. Initial requests for non-waiver IDD TCM made by direct-enrolled providers for new recipients with no prior authorizations on file should be sent to the UR vendor for their county of eligibility (i.e. VO, Eastpointe, or the Durham Center) as of September 20, 2010. The LME UR vendors can only authorize the new weekly code (T1017 HE) for direct-enrolled IDD TCM providers.
For mental health/substance abuse services, providers should submit requests for "additional units" to VO for processing if VO originally approved the initial or concurrent request. In other words, if a recipient with eligibility in the Durham Center or Eastpointe catchment areas needs the authorization of additional units for a mental health/substance abuse services request that was authorized by VO prior to September 20, 2010, that request should be faxed to VO for processing (this request should not be submitted through ProviderConnect). It is important that the request be clearly labeled as a request for "additional units" to ensure that it is processed appropriately by VO in a timely fashion.
The Durham Center's fax number for inpatient requests is 919-328-6011. Eastpointe LME's fax number for inpatient/PRTF requests is 910-298-7184.
For those certified Critical Access Behavioral Health Services Agencies that have a Community Support authorization and plan to use the Mental Health/Substance Abuse Targeted Case Management (MH/SA TCM) Attestation process outlined in DMH/DD/SAS Implementation Update #77, (see also Update on Mental Health/Substance Abuse Targeted Case Management) these attestation letters must be sent to VO for end-dating the CS authorization and starting the MH/SA TCM authorization. Eastpointe and The Durham Center WILL NOT be able to process these attestation requests. VO will retain all Community Support authorizations until December 31, 2010. All initial requests for recipients that do not have a Community Service authorization on file with VO should be sent to the appropriate UR vendor (i.e., VO, Eastpointe, or The Durham Center). Concurrent requests for additional units of TCM MH/SA will be sent to the appropriate UR vendor (i.e., VO, Eastpointe, or The Durham Center) for the recipient's catchment area.
Remember that all N.C. Health Choice service requests throughout the state are to continue to be submitted to VO for prior authorization.
Behavioral Health Unit
The Durham Center
Eastpointe LME
N.C. Medicaid's Family Planning Waiver (FPW), initially approved by CMS in November 2004 for a 5-year period, is due to end on September 30, 2010. On March 31, 2010, DMA submitted another application to CMS to renew the FPW program beyond the initial 5-year demonstration program. CMS has consistently approved many similar requests from other states without difficulty for programs that have a demonstrated track record of providing quality services to family planning recipients under the Waiver. If approved, family planning services under the FPW renewal will continue through September 30, 2013.
On July 2, 2010, CMS submitted guidance on additional options available to states with FPW programs, which was based on federal health care reform legislation. The State Eligibility Option for Family Planning Services would allow states to provide family planning services through an amendment to the Medicaid State Plan, without the formal process of routinely needing to seek approval for a waiver. The State of North Carolina has not made a decision regarding which option it will pursue; however, CMS will extend the State's current FPW program, without any lapse in coverage for recipients. The extension will allow time for the State to determine if pursuing an amendment to the Medicaid State Plan would provide enhanced benefits and an improved quality of family planning services to the citizens of North Carolina, than merely extending the current FPW program.
Therefore, the current FPW program will not end on September 30, 2010. Medicaid Family Planning Waiver applicants will continue to be evaluated for eligibility to enroll in the FPW program, and will receive FPW-covered services. Further, providers will continue to be reimbursed by the State for FPW-eligible covered services. Though the State has not yet made a decision regarding which option it will pursue, please be assured that a process is in place to extend certification and benefits for current eligible recipients for at least 12 months. In addition, Medicaid applications for the program will continue to be processed by the local departments of social services, with no lapse in coverage for approved services and eligible family planning recipients.
The State will continue to keep providers informed of any changes in the FPW program and any decision regarding the option that will be pursued by the State to continue providing family planning services covered under the FPW program. Updates will be published in future Medicaid Bulletins.
Andrea Phillips, FPW Program Manager
Service limitations on scope, amount, duration, frequency, location of service, and other specific criteria stated in this publication may be exceeded or may not apply to recipients under 21 years of age if the provider's documentation shows that
This applies to both proposed and current limitations. Providers should review any information in this publication that contains limitations in the context of EPSDT and apply that information to their service requests for recipients under 21 years of age. A brief summary of EPSDT follows.
EPSDT is a federal Medicaid requirement (42 U.S.C. § 1396d(r) of the Social Security Act) that requires the coverage of services, products, or procedures for Medicaid recipients under 21 years of age if the service is medically necessary health care to correct or ameliorate a defect, physical or mental illness, or a condition [health problem] identified through a screening examination (including any evaluation by a physician or other licensed clinician).
This means that EPSDT covers most of the medical or remedial care a child needs to
Medically necessary services will be provided in the most economic mode possible, as long as the treatment made available is similarly efficacious to the service requested by the recipient's physician, therapist, or other licensed practitioner; the determination process does not delay the delivery of the needed service; and the determination does not limit the recipient's right to a free choice of providers.
EPSDT does not require the state Medicaid agency to provide any service, product, or procedure that is unsafe, ineffective, experimental, or investigational; that is not medical in nature; or that is not generally recognized as an accepted method of medical practice or treatment.
If the service, product, or procedure requires prior approval, the fact that the recipient is under 21 years of age does not eliminate the requirement for prior approval.
For important additional information about EPSDT, please visit the following websites:
Employment opportunities with DMA are advertised on the Office of State Personnel's website at http://agency.governmentjobs.com/northcarolina/default.cfm. To view the vacancy postings for DMA, click on "Agency," then click on "Department of Health and Human Services". If you identify a position for which you are both interested and qualified, complete a state application form online and submit it to the contact person listed for the vacancy. If you need additional information regarding a posted vacancy, call the contact person at the telephone number given in the vacancy posting. General information about employment with North Carolina State Government is also available online at http://www.osp.state.nc.us/jobs/general.htm
In accordance with NCGS §108A-54.2, proposed new or amended Medicaid clinical coverage policies are available for review and comment on DMA's website. To submit a comment related to a policy, refer to the instructions on the Proposed Clinical Coverage Policies web page. Providers without Internet access can submit written comments to the address listed below.
Richard K. Davis
Division of Medical Assistance
Clinical Policy Section
The initial comment period for each proposed policy is 45 days. An additional 15-day comment period will follow if a proposed policy is revised as a result of the initial comment period.
|Electronic Cut-Off Date
|Checkwrite Date
Electronic claims must be transmitted and completed by 5:00 p.m. on the cut-off date to be included in the next checkwrite. Any claims transmitted after 5:00 p.m. will be processed on the second checkwrite following the transmission date.
|Craigan L. Gray, MD, MBA, JD
Division of Medical Assistance
Department of Health and Human Services
|Melissa Robinson
Executive Director
HP Enterprise Services


text:
Today, I am praying for the following intentions:
For the Bride of Christ, the Church, that we may always stay true to our Baptismal promises.
For the special intentions of the Holy Father, Pope Benedict XVI.
For world peace, and an end to terrorism, abortion, and violence.
For Ebeth's father - in - law, Chet, who was taken to the hospital with a low grade fever, dehydration, and lethargy.
For God's love and peace to be poured out into the heart of Bill today, as he faces new challenges and responsiblities in his work place. For a special intention.
For healing for Maureen, who suffered injuries in a recent accident, for her marriage, and for a return to her faith.
For conversion and healing for Michael and his son.
For all the prayer intentions at One Came Back.
For God's justice in the Tiller case and for Tiller's conversion.
For the conversion of the hearts of all who are ensnared in the culture of death.
For the poor, hungry, and homeless, that through the charity of others, their needs will be met.
That the fear that exists within the hearts of so many today be replaced with love and hope in the future as they surrender their fears to Our Lord and Savior.
For all previous prayer intentions mentioned here.
9 months ago


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Marc by Marc Jacobs' slouchy gray textured-leather bag features the brand's signature gold designer plaque and is roomy enough for all your everyday essentials. Carry it by the top handle or the detachable shoulder strap.
Gray textured-leather (Cow)Top handle, detachable adjustable shoulder strapDesigner plaque, gold hardwareInternal pouch and zipped pocketsFully lined in designer-stamped canvasMagnetic snap fastening at topDesigner color: Warm Zink
Product code: 403920 - Need help? Contact us


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Rockwell and Angie Williams, attempting to show off some sheepshead that they caught in Big Marco Pass.
Bill D'Antuono speared this amberjack 30 miles out of Naples.
Bob Roesing, of Naples, caught this 38 inch snook while fishing with Larry Kempf near Goodland on a Bass Assassin paddle tail plastic lure.
Jennifer caught this 43 inch kingfish off the coast of Naples, while fishing with a Blue Runner on a balloon rig. She had chartered with Captain Marc, of Salt Water Magic.
Ken Foley, of Bonita Springs, caught and released this 40 inch gag grouper with a Mann's Stretch lure while trolling with Captain Alex Dolinski near New Pass.
Bill D'Antuono, with the Naples Spearfishing League, speared some hogfish and snapper 15 miles out of Naples.
Richard Fardy and his daughter, Dana Muller, caught their dinner aboard the Lady Brett while fishing out of the Gulf of Mexico.
Bill D'Antuono, with the Naples Spearfishing League, speared some amberjacks 30 miles out of Naples.


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The Nick Cave & the Bad Seeds presale password has finally been listed! During this limited time presale period you have got a good chance to buy show tickets before the public! Now is the time to get your tickets – before they go onsale and sell out! Purchase your tickets today to see Nick Cave & the Bad Seeds in N. Bethesda, MD!
Here are all the Nick Cave & the Bad Seeds performance details:
Nick Cave & the Bad Seeds
Music Center at Strathmore
N. Bethesda, MD
Wed, Mar 20, 2013 08:00 PM
Onsale to General Public
Start: Thu, 12/06/12 10:00 AM EST
Internet Presale
Start: Wed, 12/05/12 12:00 PM EST
End: Wed, 12/05/12 10:00 PM EST
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A complete list of plans, including a 3 Day temporary pass ($5.95) which does not auto-renew is available here.


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Moen 3838EPBN Brushed Nickel 2 GPM Multi Function Shower Head
Contact for Pricing
We want to help make your remodel easy and affordable! Please call or chat during business hours using the links at the top of our site to take advantage of this special offer. You may also: Request a Quote
Technical Specs
|Specification Sheet
|Moen Shower Valve Buying Guide
|Eco Friendly
|Flow Rate (GPM)
|Handshower Included
|Installation Type
|Wall Mounted
|Low Lead Compliant
|Number of Shower Heads
|Product Weight
|Multi Function
|Showerhead Height
|Showerhead Shape
|Showerhead Width
|Spray Pattern
|Full, Massage
|Spray Settings
|Water Efficient
|WaterSense Certified
Product Features:
- Covered under Moen's limited lifetime warranty
- Premier finishing process – finishes will resist corrosion and tarnishing through everyday use
- Multi-function water jet shower head
- Shower Head Width: 4-4/5"
- Flow Rate: 2 GPM (gallons-per-minute)
- Designed to easily install with standard U.S. plumbing connections
- All hardware required for installation is included
Product Technologies / Benefits:
- LifeShine Non-Tarnish Finish: Moen LifeShine finishes are guaranteed not to tarnish, corrode or flake off for the duration of their life. Providing the durability and wearability of chrome in a variety of beautiful, decorator-inspired finishes. The LifeShine finish is in the surface rather than on it, resulting in color stability for a lifetime. The PVD technique used also helps to eliminate hazardous by-products during manufacturing.
- WaterSense/Eco-Performance: To help make a difference on a global scale and further its role as industry leaders in eco-performance practices, Moen has established partnerships with a number of environmental organizations, including WaterSense. As of January 2009 all Moen bathroom faucets feature flow optimizing aerators; meaning they use less water, without sacrificing product performance.
Additional Moen Links
- View Manufacturer Warranty
- Shop All Moen Products
- Shop All Moen Basic Collection Products
Our SKU: 3838EP
This product is listed under the following manufacturer number(s):
- Brushed Nickel
- Chrome
- Chrome / Polished Brass
- Oil Rubbed Bronze
*Denotes a finish or option that has been discontinued
2 Questions from the Community
The Moen 3838EP shower head will swivel in all directions.
Does this showerhead swivel?
A. The Moen 3838EP shower head will swivel in all directions.
The Moen 3838EP does have a companion hand shower; however, the flow rate is higher.
Is there a hand held model with the lower flow rate?
The Moen 3838EP does have a companion hand shower; however, the flow rate is higher.
Moen Basic Collection
Other Products In The Moen Basic Collection
Jacuzzi CTS6036 WLR 2HX
60" x 36" Cetra® Three Wall Alcove Comfort Whi...$1,697.40-$1,727.40(2)
Jacuzzi CTS6036 WRL 2HX
60" x 36" Cetra® Three Wall Alcove Comfort Whi...$1,697.40-$1,727.40(2)
Jacuzzi CTS6032 WLR 2HX
60" x 32" Cetra® Three Wall Alcove Comfort Whirlpo...$1,540.20-$1,570.20
Jacuzzi CET6036 WLR 2HX
60" x 36" Cetra® Drop In Comfort Whirlpool Bat...$1,608.00-$1,638.00
Jacuzzi GAL7242 ALR 2XX
72" x 42" Gallery Drop In Comfort Pure Air® Ba...$1,641.00-$1,671.00
Warranty Info
Moen® products have been manufactured under the highest standards of quality and workmanship. Moen warrants to the original consumer purchaser for as long as the original consumer purchaser owns their home (the "Warranty Period" for homeowners), that this faucet will be leak and drip-free during normal use and all parts and finishes of this faucet will be free from defects in material and manufacturing workmanship. All other purchasers (including purchasers for industrial, commercial and business use) are warranted for a period of 5 years from the original date of purchase (the "Warranty Period" for non-homeowners). This warranty is applicable only to faucets purchased after December 1995 and shall be effective from the date of purchase as shown on purchaser's receipt. Faucets purchased prior to December 1995, Moen warrants to the original consumer purchaser that this faucet will be leak and drip free during normal domestic use for as long as you own it. If this faucet should ever develop a leak or drip during this time, Moen will FREE OF CHARGE provide the parts necessary to put the faucet back in good working condition.
Moen warrants to the original consumer purchaser all other aspects of this faucet to be free from defects in material and workmanship for two (2) years from date of purchase except for decorator finishes which are warranted for (1) year from date of purchase. A replacement for any defective part will be supplied free of charge for installation by the consumer. Defects or damage caused by the use of other than genuine Moen parts are not covered by this warranty.
If this faucet should ever develop a leak or drip during the Warranty Period, Moen will FREE OF CHARGE provide the parts necessary to put the faucet back in good working condition and will replace FREE OF CHARGE, any part or finish that proves defective in material and manufacturing workmanship, under normal installation, use and service. Replacement parts may be obtained by calling 1-800-BUY MOEN (1-800-289-6636), or by writing to the address shown below.
Moen Incorporated
25300 Al Moen Drive
North Olmsted, Ohio 44070-8022
Proof of purchase (original sales receipt) from the original consumer purchaser must accompany all warranty claims. Defects or damage caused by the use of other than genuine Moen parts are not covered by this warranty.
This warranty is extensive in that it covers replacement of all defective parts and finishes. However, damage due to installation error, product abuse, product misuse, or use of cleaners containing abrasives, alcohol or other organic solvents, whether performed by a contractor, service company, or yourself, are excluded from this warranty. Moen will not be responsible for labor charges and/or damage incurred in installation, repair or replacement, nor for any indirect, incidental or consequential damages, losses, injury or costs of any nature relating to this faucet. Except as provided by law, this warranty is in lieu of and excludes all other warranties, conditions and guarantees, whether expressed or implied, statutory or otherwise, including without restriction those of merchantability or of fitness for use.
Some states, provinces and nations do not allow the exclusion or limitation of incidental or consequential damages, so the above limitations or exclusions may not apply to you. This warranty gives you specific legal rights and you may also have other rights which vary from state to state, province to province, nation to nation. Moen will advise you of the procedure to follow in making warranty claims. Simply write to Moen Incorporated using the address above. Explain the defect and include proof of purchase and your name, address, area code and telephone number.


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UMCCTS 2014 Life Science Moment Fund
Concept papers for S&T and CE as well as the Letter of Intent for UMCCTS Life Sciences Moment Fund are due to the campus Office of Research Development by 5:00pm on Friday, February 28th. Submissions should be sent electronically to email@example.com.
Please also note as per the RFPs that, "Submission via campus research offices will be presumed to indicate approval of the Chancellor. For multi-campus proposals, evidence of approval of each campus research office is needed." Research Development staff can help secure written confirmation of approvals. Also please note that individual letters of support from the Chancellor are not required.
Assistance with S&T and CE concept development is available from the Office of Research Development upon request. Please contact Loren Walker, firstname.lastname@example.com, 7-3725.
Click here for more info.


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Ellsworth KellyAmerican (Newburgh, New York, 1923)
Red White
1962painting | oil on canvas
Now on view in the exhibition American Icons at Grand Palais, Paris
80 1/8 in. x 90 1/4 in. (203.52 cm x 229.24 cm)
Acquired 1966
Collection SFMOMA
T. B. Walker Foundation Fund purchase
© Ellsworth Kelly


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Google adds Esperanto as its 64th machine translatable language
Esperanto isn't just something Microsoft uses to tease Google for abandoning video codecs, it's a legitimate, manufactured language. Created in the late 1800's by Dr. Ludwig L. Zamenhof, Esperanto was designed to be an easy to learn language that would help folks from all over the world understand each other. Seeing as how Google Translate shares similar goals, the Mountain View firm felt Zamenhof's homemade tongue would be the perfect fit for its machine translation service. Despite a rather small sample size of pre-existing translated material to feed the Google language machine, the firm says Google Translate handled Esperanto surprisingly well — partially crediting the language's learner friendly construction for the service's success. Sure, it may not be the most useful addition Google Translate's ever seen, but hey, it gets us one step closer to watching cult classics like Incubus without the subtitles. What's that, you haven't heard of William Shatner's pre-Star Trek, all Esperanto romp? Crack open your machine translator and head past the break, then.
Continue reading Google adds Esperanto as its 64th machine translatable language
Google adds Esperanto as its 64th machine translatable language originally appeared on Engadget on Thu, 23 Feb 2012 07:29:00 EDT. Please see our terms for use of feeds.
Permalink TheNextWeb | Google Translate Blog | Email this | Comments


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I was looking for some PCT trail conditions and ran across this blog. This guy is 72 and has had two knee replacements. I am going to follow this one, and hope others here do the same. As of 5/16/2010 he was at mile 370 in Wrightwood. He started 4/20/2010. Sounds like he is going light. Maybe some of the BPLers doing the PCT will comment also.http://www.grandpastrek.blogspot.com/
I had to check this out. Gives me hope that someday I will be able to complete the PCT. Will be following this blog for sure :)
THAT is awesome!!!!!!!!!!!!!!!!!!!!!!!
That is wonderful.Back in 2007 when I did the Tour de Mont Blanc, I met a 93 year old Italian man also doing it. 93!!!
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Assess the impact of any paid TV campaign with our easy to understand rating system. Our real-time Ad Effectiveness Ratings are calculated by a TV ad's earned digital activity across social, video and search, in relation to the campaigns estimated TV spend and as compared to all other ads on TV. See your ad's ratings and compare with the rest of the industry.
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See the networks, shows and days when consumers are most receptive to brand messages on TV along with which creatives work and which do not. Use our data to make better creative and more targeted media purchasing decisions for TV.
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Core Facility Units
Innovation and Core Services for Industry
In addition to conducting our own pioneering research, the Biomedical Sciences Research Institute (BMSRI) provides a diverse range of state-of-the-art equipment, specialist laboratories and infrastructure that can offer clinical & translational services to academic researchers and business. Our research infrastructure and internationally recognized biomedical expertise operate as cost effective sustainable Core Facility Units (CFUs), which are available to academia and industry.
Our CFUs are managed by highly-skilled dedicated teams coordinated by academic and technical coordinators. We have the capability of running projects to Good Clinical Laboratory Practice (GCLP) quality standards (whenever required) and we can arrange for third-party
The Biomedical Sciences Research Institute strongly supports regional, national and international economic development and offers our services and capability to other external academic institutions, SMEs and major industry, including some of the world's leading pharmaceutical and biomedical companies on a consultancy or contract research basis. Consultancy contracts are managed through our technology and knowledge transfer company, Innovation Ulster Ltd. (http://oi.ulster.ac.uk/). The Biomedical Sciences Research Institute is a modern, well-equipped, stateof-the-art research facility with centralized resources including:
Advanced bioimaging/microscopy laboratories
Bioinformatics and computational biology
Facilities for use and storage of mammalian cells and tissues
Genomics research laboratories
Mass spectrometric and NMR analysis
Facilities for clinical research & human intervention studies/trials
Facilities for in vivo studies
Facilities for pharmaceutical research
Facilities for vision research studies.
contact : email@example.com
Follow the links below to a specific Core Facility Unit:
Bioimaging Core Facility
Biomedical and Behavioural Research Unit
Bioinformatics and Computational Biology Unit
Cell Technologies Unit
Genomics Unit
Human Interventions Studies unit
Metabolomics and Proteomics Unit
Pharmaceutical Instrumentation and aseptic Manufacture Core Facility Unit
Vision Science Core Facility Unit
Clinical Translational Research And Innovation Centre
The Wellcome Trust-Wolfson Northern Ireland Clinical Research Facility


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Mantaray Dark blue straight leg jeans
Item No.0920106904
Item No.0920106904
70% Off - Save a total of £28.00
These dark blue jeans from Mantaray give a classic straight leg fit and have two button down rear pockets. These dark wash jeans fasten with a concealed button fly and have mock creasing to the upper leg. Also available in big and tall sizes.
UK Home Delivery Free (UK orders over £30) or £3.49
Delivered within 5 working days
Next or Named Day Delivery
7 days a week between 8am - 6pm
Sunday to Friday - order by 9pm - £3.99
Saturday - order by 6pm - £3.99
Next or Named Evening Delivery
7 days a week between 6pm - 10pm
Monday to Sunday - order by Midnight - £6.99
Collect from store the next day - FREE
Order before 9pm for next day collection after 12pm midday
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Show full delivery details
Subject to exceptions, Debenhams is happy to exchange or refund your purchase within 28 days of delivery. Please check here for more details on our returns policy and exceptions.


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Asked on Apr 29, 2013 - 18:05 UTC
Just today, my ToDoist Chrom Extension is only showing wing-dings -- no readable type. Help!
All responses
Replied on Apr 29, 2013 - 19:11 UTC
Hello Gail,
Unfortunately, we can't reproduce this issue. Please make sure that you're using the latest stable release of Chrome (no beta or dev version) and that this isn't caused by any style or font-changing plugins (try to disable all plugins and see if it helps).
Best regards,


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North Shore Traffic & Parking Info For Sept. 22
September 21, 2013 9:03 PM
Thousands of sports fans will pack the North Shore Sunday for the Pirates final home game of the regular season and Steelers game against the Chicago Bears.
Team officials are expecting a traffic and parking mess. So, some restrictions have been put in place to keep things from getting too congested.
Click the links below for more information on road restrictions and parking:


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Titanium Innovations AA NiCd 900mah 1.2V, FLAT TOP, 5C HIGH DISCHARGE RATE AA-900HD (as low as) $0.70!
You May Also Like...
Regular price: $34.95
Sale price: $25.95
(5 Reviews)
Tenergy CH-V6988 IC-Controlled 10 Channels Smart Charger for Ni-MH / Ni-Cd AA and AAA (01106) (as low as) $21.95!
Regular price: $43.95
Sale price: $23.95
(6 Reviews)


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Denzil in WV
Dispenses as a foam and seeps into the chain or anywhere you put it very well. Through a oil mat down under it because it'll start dripping about 30 secs after applicationRead All Reviews
JEREMY in PA
Very sticky. Good smell. Cleans out well. I use it on and OffRoad.Read All Reviews
Timothy in WV
I run this stuff in all my off road machines. Stabilizes fuel, lubricates the top end, and it makes my bikes smell fantastic.Read All Reviews
Scott in CA
I'll get a better filter next time, but it works just fine.Read All Reviews
JOEY in NC
Worked ok but it took a lot of cleaner for the filterRead All Reviews
Stephen in OR
The bestRead All Reviews


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Richard Drew/AP Photo/Richard Drew
Iveth Bowie, of Stamford, Conn., helps carry a piece of lumber cut from the trunk of the annual Rockefeller Center Christmas tree, in New York, Friday, Jan. 8, 2010, that will become part of her new Habitat for Humanity home in Connecticut. This is the third year the Rockefeller Center tree has been milled to serve as lumber for Habitat for Humanity. (AP Photo/Richard Drew)


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Lemon Shortbread Bars
- Nonstick vegetable oil spray
- 2 cups all purpose flour
- 3 tablespoons sugar
- 1/2 teaspoon salt
- 3/4 cup (1 1/2 sticks) chilled unsalted butter, cut into 1/2-inch pieces
- 2 large egg yolks
Lemon filling
- 6 large eggs
- 2 cups sugar
- 1/2 cup all purpose flour
- 1 teaspoon baking powder
- 1/2 cup fresh lemon juice
- 4 teaspoons finely grated lemon peel
Streusel topping
- 3/4 cup all purpose flour
- 1/2 cup sugar
- 1/4 teaspoon salt
- 4 tablespoons (1/2 stick) chilled unsalted butter, cut into 1/2-inch pieces
- Powdered sugar
PreparationFor crust:
Preheat oven to 350�F. Lightly coat 13x9x2-inch metal baking pan with nonstick spray. Blend flour, sugar and salt in processor to combine. Cut in butter, using on/off turns, until mixture resembles coarse meal. Add egg yolks and blend until moist clumps form. Press mixture onto bottom of prepared pan. Bake until just beginning to turn golden brown around edges, about 10 minutes. Remove crust from oven; reduce temperature to 325�F.
Meanwhile, prepare lemon filling:
Whisk eggs and sugar in large bowl to blend. Whisk flour and baking powder in medium bowl to blend. Add flour mixture to egg mixture, whisking to blend. Whisk in lemon juice and peel. Immediately pour lemon filling over hot crust; bake until filling is set, about 30 minutes. Maintain oven temperature.
For streusel:
Blend flour, 1/2 cup sugar and salt in processor to combine. Cut in butter, using on/off turns, until mixture resembles coarse meal.
Sprinkle topping over hot lemon bars; continue to bake until just golden, about 25 minutes longer. Cool completely. Sprinkle powdered sugar over. Cut into bars. (Can be made 2 days ahead. Store in airtight container at room temperature.)
Epicurious.com © Condé Nast Digital, Inc. All rights reserved.


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Live updates
Scottish Borders Council announces winter service plan
Scottish Borders Council have announced that they will spend £16,000 to increase the number of salt bins in the region to almost 1,000.
The funding announcement comes just 24 hours after the Scottish Government launched its Ready for Winter campaign.
Through 2012 to 2013, salt usage was up to 43,000 tonnes from 23,000 the previous year, and staff were called out 271 times to pre-salt roads in 2012/13 - considerably higher than the annual winter average of 180.
Council launches 'Gritter Twitter' service
Cumbria County Council has launched a Twitter service so people can keep track of gritting plans during the winter months. They've also introduced a new online map which is updated daily showing which routes the fleet of gritters intend to treat.
Twitter users can find it through Cumbria County Council's Twitter account at @CumbriaCC The interactive map can be viewed on the council's website
- ITV Report
Mountain Rescue warn walkers to be prepared
'Salt stocks at a high level'
The Highways Agency has said that Cumbria is well prepared for the winter with salt stocks at a high level in each of its depots.
Tim Backshall has the full report:
Ready for winter
Liz Girvan, the winter service manager for the Highways Agency in Cumbria, spoke to Tim Backshall about what preparations they have in place for this winter:
Winter safety advice
Cumbria Police have been advising apprentice mechanics at System Training in Carlisle, how to carry out winter safety checks on cars, to prepare them for bad weather.
Gritters on display in Penrith
Highways Agency says Cumbria is prepared for winter
The Highways Agency says Cumbria is well prepared for any severe weather this winter. It has 17 gritters available across Cumbria and North Lancs and nine depots, each holding hundreds of tonnes of salt. The Agency also says two snow-blowing machines can be used if the weather turns very wintry.
The gritters can be mobilised in under an hour, which includes the time needed to load the vehicles and they say all A roads and motorways should be gritted in under three hours.The Highways Agency is showing off its fleet of vehicles at its Penrith depot today.
At the same time it's encouraging drivers to travel safely this winter. It's giving the following advice to people who are delayed by maintenance or improvement works on the roads:
- Keep within the speed limit
- Get into the correct lane in good time
- Concentrate on the road ahead, not roadworks
- Be alert for traffic entering or leaving roadworks
- Keep a safe distance
- Observe all signs


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Do Your Birthday Upright! Cake
Cake serves 34.
- Football Set or
- Football Candle Set or candles of your choice
Step 1
Ice bottom 6th of 1-layer sheet cake green and remainder of cake blue. Pipe tip 1A band goal post. Sprinkle Rainbow Nonpareils on blue iced area. Randomly pipe tip 233 pull-out grass on bottom of cake and at bottom border.
Step 2
Ice football cake smooth. When icing begins to set up, imprint dry paper towel to achieve football texture. Pipe two tip 6 center lines, overpipe with tip 4 stitches. Position football cake inside goal post on sheet cake. Print tip 3 message. Position candles.
Get Inspiration and Great Deals
Yes, I want to receive new decorating ideas and exclusive offers from Wilton. You can withdraw your consent at any time. Learn more


text: my thoughts on the formula: theBalm's eyeshadows are soft, silky smooth, and packed with pigment. They apply evenly, blend out beautifully, and aren't powdery at all (sometimes a side effect of really soft eyeshadows). I find they are so easy to use, because they apply without fall out and blend with other shadows effortlessly.Read Full Review


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Flasher targets two women in Boston cemetery
Posted: December 06, 2012|
A man has exposed himself to two woman at a cemetery in Boston, Lincolnshire.
The first incident took place at the cemetery in Horncastle Road at about 5.30pm on Saturday, September 8, when a naked white man - wearing only a blue plastic bag - approached a woman.
The second incident occurred at around 5pm on Saturday, September 15, when a man approached an elderly woman and exposed himself.
If anyone saw any suspicious activity in the area on either of these dates, please contact DC 933 Lesley Alderson at Boston Police Station on the 101 non-emergency number.