Description

To train Community Health Workers (CHWs) and CHW program managers on Medicaid billing practices, documentation, and service delivery standards, with an emphasis on integrating Substance Use Disorder (SUD) and Mental Health (MH) triage and ensuring compliance with CMS and Nevada Medicaid regulations.

Learning Objectives

By the end of this presentation, participants will:

• Understand CHW responsibilities under Medicaid – including scope of practice, boundaries, and coordination with healthcare teams.

• Identify billable services and CPT/HCPCS codes – such as 98960–98962 for patient self-management education and Q3014 for telehealth.

• Implement triage procedures for SUD/MH – applying standardized screening tools, crisis protocols, and referral pathways.

• Submit Medicaid-compliant claims via EVS – ensuring accuracy, timeliness, and proper documentation for clean claims.

• Explain and apply Prior Authorization (PA) rules – understanding when PAs are required, what documentation is needed, and how to request renewals.

• Follow CMS and Nevada Medicaid compliance standards – with an emphasis on fraud prevention, audit readiness, and program oversight.

Presented by:

Matthew Leland Cox, M.A, CEO

Continuing Education Units:

1.5 CEUs

Certification Board Information

This training is approved for continuing education units by the boards listed here. Additional specifications can be found below.

NAADAC (The Association for Addiction Professionals)

This course has been approved by CASAT, School of Public Health, University of Nevada, Reno, as a NAADAC Approved Education Provider, for the below # of CEUs. NAADAC Provider #98165. CASAT is responsible for all aspects of its programming.

CEUs: 1.5

Skills Groups

This course applies to the following Client Skill Groups as defined by NAADAC:

• Documentation

• Case Management

NBCC (National Board for Certified Counselors)

CASAT has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6492. Programs that do not qualify for NBCC credit are clearly identified. CASAT is solely responsible for all aspects of the programs. (Continuing education hours and CEU's are synonymous for purposes of issuing CEU's from CASAT Learning)

Qualifies for NBCC Credit: No

NCB (Nevada Certification Board)

This course is approved by the Nevada Certification Board for the following professional certifications:

• Certified Community Health Workers (CHW)

Presentation materials are not for reproduction or distribution without specific written authorization. The opinions, findings, conclusions, and recommendations expressed in our courses are those of the author(s) and do not necessarily represent the official views of CASAT.

Details