PMHCC Winter 2015

UP CLOSE & PERSONNEL

Save The dates: Principal 1 on 1 meetings April 7th & 9th Personalized 1 on 1 planning offers benefits that can quickly add up. When it comes to planning for your retirement and other financial needs, are you saving, investing and making choices that help get you to your desired future? If you’re not sure, the Principal Retire SecureSM team can help. By meeting 1 on 1 with an experienced, noncommissioned Retire Secure representative you can get tips and develop a plan for your future. Made available by Company name, this opportunity costs you nothing—and the benefits can add up. During your 1 on 1 meeting you will cover: • Your unique needs and goals • Gaps in your savings • Protecting your income and assets You will leave your planning meeting with a personalized action plan to help keep you on track toward your goals. Look for the upcoming email communication to schedule times.

Table of Contents

United Way / Principal 1

Compliance Corner 2

Compliance Corner 3

YOS Awards 4

New Employees 5

Department News 6

Department News 7

DBHIDS 8

Did You Know? 9

Benefit Contact Information 10

PMHCC has been partnering with the United Way of Greater Philadel-phia and Southern New Jersey for a number of years to be a part of their mission to help improves lives and communities. Many quality programs and initiatives would not succeed without the help of United Way and they would not exist if individuals and corporations did not contribute to the campaign. In other words, those who need it most would not get the help they need if generous people did not contribute to the Untied Way campaign. The 2014-2015 campaign has been in-

credibly successful with both an increase in the number of participants and the amount of pledges. This year our participation rate jumped from 33 participants to 69 participants which is an increase of 109%. Our do-nation amount also had a significant increase. Last year’s campaign total was $4,819, while this year’s cam-paign total of donations and pledges is $12,224! That is an increase of 153%! A special thank you goes out to Rachel Holmes-Pittman, CHRO and Christine Gradel, HR Benefits Coordinator for doing such a terrific job in promoting and organizing this years United Way. A big thank you also goes out to AFLAC, BDO, Charon Planning, Cigna, Delta Dental, and PFCU Credit Union for all of the wonderful raffle prizes!

Page 2 Winter 2015

PMHCC Compliance Corner

FRAUD & ABUSE: WHAT IS IT AND HOW CAN IT BE AVOIDED

National estimates project that billions of dollars are lost to health care fraud and abuse on an

annual basis. Health care fraud is generally defines as an intentional misrepresentation, de-

ception, or intentional act of deceit for the purpose of receiving greater reimbursement.

Health care abuse is generally referred to as reckless disregard or conduct that goes against

and is inconsistent with acceptable business and/or medical practices resulting in greater re-

imbursement. Examples of health care fraud include:

Billing for services that were not provided Misrepresenting the service provided Billing for a covered service when the service actually provided was not covered Duplicate billing for the same service Billing for services provided by unlicensed or unqualified persons In Pennsylvania, the Office of Inspector General investigates reports of suspected welfare

fraud. Between January 1, 2014 and December 31, 2014 the welfare fraud hot line:

Received 17,530 tip complaints through the toll-free welfare fraud tip line, regular mail,

or via the web. Of the complaints received, 4,976 field investigations were conducted by the Office of In-

spector General. Investigations resulted in $17,760,798 in costs avoided by the Commonwealth’s Department

of Human Services. Although we more frequently consider fraud in terms of health care and welfare, fraud is not

limited to government billing issues. Examples of fraud can include an employee’s activities

related to their own employment. Examples of fraud in the workplace include:

Abuse of Work Hour (for instance stating you are working when you are not). Misuse of Equipment/Supplies/Facilities/Vehicles (for instance using a company car for

personal business). Conflict of Interest/Adverse Interest Violations (for instance becoming a Social Security

Representative Payee for a participant/individual that is receiving services from PMHCC or

CTT). Contract/Grant Administration/Procurement/Performance Irregularities (for instance

spending money allocated under a grant on items not approved by the funding source). Program Fraud/Mismanagement (for instance submitting a billing document claiming to

have provided services that were not provided). False Statements/Falsification of Records (for instance signing service documentation that

is inaccurate). Misappropriation/Theft of Funds (for instance receiving a PMHCC or CTT salary while per-

forming work for another company on PMHCC or CTT time).

Page 3 Winter 2015

PMHCC Compliance Corner

EXAMPLES OF WAYS TO COMBAT FRAUD INCLUDE:

Keeping accurate records of all meetings with clients and services provided. Carefully reviewing billing records and service documentation. Discussing with supervisors/management questions about services that are billable. Confirming, in writing, with individuals/participants that the services billed were actual-

ly provided. Never asking an individual/participant to sign blank forms. Discussing with the individual/participant and the treatment team/supervisor if a treat-

ment plan seems questionable. Advising individuals/participants to protect documents that include identifying infor-

mation such as health care membership cards and then never “holding” the card in PMHCC

or CTT offices. Reporting any suspicions of fraud to management and/or the PMHCC/CTT Compliance

Hotline. Reporting accurately your start and end time each day. Following PMHCC/CTT policies regarding use of cars and company equipment. Maintaining only a professional relationship with individuals/participants that are re-

ceiving services. Keeping accurate records of outside employment that clearly establish that no work for out-

side employers is done during PMHCC or CTT work hours.

It is everyone’s responsibility at PMHCC and CTT to avoid situations that might result in

fraud and to report suspected fraud. Please review Policy 1213 “Anti Fraud And Response

Program” for details on when and how to report suspected Fraud.

Compliance Hotline: If you have any questions or concerns regarding a Fraud or Abuse

issue please contact the Compliance Hotline at 215-413-8230.

Page 4 Winter 2015

5

Years of

Service

PMHCC Years Of Service Awards

Laurie Bundick

Andrea Lee

Keryl Miglioretto

Sylviah Banks

Sukeshi Buch

Daniel Doyle

Chantele Mallory

Lauren Shawl

Joyce Simons

Monique Simpson

Gordon Zeis

Aaron Rice III

Taylor Richardson

Arthur Thomas

15

Years of

Service

20

Years of

Service

Anna Marie Albadine

Cassandra Alexander

Luciane Green

Stephen Green

Tonya Harris

Sandra Pullett

Alma Taylor

10

Years of

Service

25

Years of

Service

Peggy Williams

Up Close & Personnel Winter 2015 Page 5

David Ayers Specialized Clinical + Criminal Justice Unit Criminal Justice Policy&Planning Coordina-tor

Charles Balmer Behavioral Health Special Initiatives OAS ICM

Mia Blue BHFEC - Behavioral Health Forensic Evaluation Center

Secretary-Scheduling

Darlene Brooks PMHCC Administration Payroll Administrator

Lashonda Brunson PMHCC CTT Inc. BHID Pool Case Management Technician

Lauren Carbone Behavioral Health Special Initiatives OAS ICM

Reginald Connell Jr. Behavioral Health Special Initiatives Director-BHSI

Sandra Cribbs PMHCC CTT Inc. BHID Program Assistant

Stacey Cummings DBHIDS Manager, Grants & Procurement

Michelle Dean Behavioral Health Special Initiatives OAS ICM

Beverly Dunning PMHCC CTT Inc. ACT Community Psychiatric Registered Nurse

Cynthia Elliott Behavioral Health Special Initiatives Accounts Payable Specialist

Tawanna Ellis DBHIDS PSH Clearinghouse Data Analyst

Jasmine Evans Behavioral Health Special Initiatives OAS ICM

Jerel Ferguson Behavioral Health Special Initiatives OAS ICM

Derrick Galmore PMHCC CTT Inc. BHID Pool Case Management Technician

Nili Gleaton Behavioral Health Special Initiatives OAS ICM

Chanell Nicole Gooden

Behavioral Health Special Initiatives OAS ICM

David Gorko PMHCC CTT Inc. ACT Clinician

Adrienne Hardy PMHCC CTT Inc. Case Management Specialist

Latoya Harrison PMHCC CTT Inc. ACT Community Psychiatric Registered Nurse

Andrew Herdsman PMHCC CTT Inc. BHID Pool Case Management Technician

Lisa Jackson Behavioral Health Special Initiatives OAS ICM

Robert Jackson PMHCC CTT Inc. Certified Peer Specialist

Jeremy Keim-Shenk DHS Data Coordinator

Amber Liggins PMHCC CTT Inc. ACT Program Assistant

Shaakira Lyons Behavioral Health Special Initiatives OAS ICM

Gulal Nakati DHS Knowledge Manager

Sharon Parks PMHCC Administration Administrative Liaison

Erica Payne Behavioral Health Special Initiatives OAS ICM

Jerome Ross Behavioral Health Special Initiatives OAS ICM

Hillary Shayne DBHIDS Human Services Continuity Planner

Kwanda Smith PMHCC CTT Inc. ACT Community Psychiatric Registered Nurse

Christine Sullivan PMHCC Administration Controller

Temple Taylor Behavioral Health Special Initiatives OAS ICM

Mark Vandoren DPH Social Services Data Warehouse Manager

David Westerfer DPH EHR Business Architect I

Ysaye Zamore DBHIDS Human Services Incident Response Planner

Bendu Zoryeah Behavioral Health Special Initiatives Enhanced Case Management Specialist

Full Name: Business Unit: Job Title:

Page 6 Winter 2015

Department News

Department Congratulations!

PCHC

Philadelphia Coordinated Health Care (PCHC) is de-

lighted to inform PMHCC

staff that Melissa DiSipio,

Assistant Director has been elected by the mem-

bership of the American

Association of Intellectual and Developmental Disa-

bilities (AAIDD) to its

Board of Directors, as Member at Large. Melissa’s term will run from July 1, 2015 to

June 30, 2019. Melissa has been with PCHC

for sixteen years and has been an active member of AAIDD for ten years. Melissa is

very excited to represent PCHC, PMHCC and

PA on a national level to support the

community healthcare needs of ID. Congratulations Melissa!

PMHCC Payroll News

We strive to continually improve and

streamline our business practices. Our

most recent change is the creation of a centralized email address that is monitored

by more than one staff. This ensures cover-

age during absences and timely responses to employee requests. Please direct

all payroll requests to

payroll@pmhcc.org.

Effective January 1, 2015

the mileage reimbursement rate is $0.575

per mile.

W-2’s were distributed in late January

2015 is a new tax year. Review your

paystub and verify your mailing address and payroll withholdings. If changes are

needed, please contact Human Resources.

CTT Taeesha Smith was awarded the Case

Manager of The Year at the NACM

Conference held in Philadelphia in November 2014.

Phyllis Mayo retired after a 24 year tenure with CTT.

Page 7 Winter 2015

New Telephone System Our aging telephone system is being replaced with a new state of the art Voice Over IP (VOIP) phone system. What is VOIP? Basically VOIP uses the computer network and the internet to send and receive voice calls. VOIP saves money by eliminating special cables and allowing the computer and phone to use the same internet service instead of paying for internet service and traditional telephone services. The new phone system will have all of the existing functionality we currently have but it will also have several new features such as software on your computer to manage calls, the ability to dial by extension between Broad Street and Delaware Avenue, a choice of a desktop phone or a headset phone that connects directly to your computer (this is called a Softphone), an easy to use corporate directory, voice mail messages that will be delivered as email, chat, collabora-tion with video, and the ability to use a company issued mobile phone with your work extension to receive and make calls wherever you are. All staff in the Broad Street and Delaware Avenue loca-tions will be migrated over to the new phone system in the next several months. The IS Department will perform training sessions for all staff as your department is scheduled for the migration. PMHCC has already purchased the phone system and will be responsible for purchasing all phones for every department.

A word from MHFA

News From IS

One in five Americans has a mental illness and many are reluctant to seek help or might not know where to turn for care. The symptoms can be difficult to detect — even when friends and family of someone who appears to be struggling with behavioral health challenges can tell that something is amiss, they may not know how to intervene or direct the person to proper treatment – which means that all too often, those in need of behavioral health services do not get help until it is too late. Studies have found that people trained in Mental Health First Aid have more confidence in helping others and a greater likelihood of advising people to seek professional help. YOU can be that person who reaches out and helps a family member, friend, co-worker or neighbor! Sign up for a free training to become a certified Mental Health First Aider, and join the almost 8,000 Phil-adelphians who have committed to helping others. (For more information, visit www.healthymindsphilly.org call (215) 790-4996, or visit the MHFA main office @ 123 S. Broad Street, 22nd Floor)

Page 8 Winter 2015

Philadelphia DBHIDS Transformation Decade Celebration

Philadelphia has a long history of innovative services in the behavioral health and intellectual disAbility

fields, and over the last ten years, the City's DBHIDS has been at the forefront of the shifting landscape in

how people receive services. This transformative change required the creation of a system-wide and integrat-

ed strategy, led by the shared visions of leaders, providers, community stakeholders, people in recovery, in-

dividuals with intellectual disAbilities, and DBHIDS staff.

To this end, DBHIDS is pleased to announce a series of events and activities scheduled throughout this year.

The goal of this celebration series is to highlight accomplishments, celebrate stakeholders who played an in-

tegral role in this process, and plan, as a system, for the next decade. We hope you will be a part of

the Transformation Decade conversation on Twitter. Use the hashtag, #PHLtransformed and follow

us @DBHIDS. To stay up-to-date with all that’s ahead over the next 9 months,

visit http://dbhids.org/phltransformed

TRANSFORMATION DECADE PLANNING TEAM

Month Theme

February Transformation: 10 Years Later

March Self Determination & Brighter Futures

April Community Mental Health & Wellness

May Children & Youth

June Cross Systems Collaborations

July & August

Align, Coordinate & Integrate: Innovations & Improvements in Service

Delivery

(Parts 1 & 2)

September Addiction Services & Recovery Advocacy

October Peer Culture & Family Inclusion

November Final Celebration: DBHIDS “Giving Thanks“

Maria Boswell Erica Gerald Jeffrey Orlin

Andrea Brooks Mark Hackney Ann Rudnick

Dana Careless Michelle Heyward Kimberly Rymsha

Monava Chappelle David Kim Bonnie Squires

Nicole Connell Jon Korczykowski Alma Jean Taylor

Shemiah Cooper Samantha Matlin Ricardo Tull

Keena Cravison Pamela McClenton Shawna Weaver

Deborah Ferrell L’Oreal McCollum Regina Xhezo

Derrick Ford Teresa Myers-Thompson Robert Ximines

Fal l 2012

From IS “Scam: The IRS is Suing You.”: It is tax season and cybercriminals are trying to make money off this opportunity. At the moment, massive amounts of robo-calls are being made to people at the house claiming that the IRS is suing you, with a callback number in Washington. The same is happening with IRS phishing emails. Don't try to call the number, and delete the emails. These scam-mers use high pressure tactics to extort your money. Remember to never give out personal infor-mation to anyone unless YOU have initiated the contact.

W-2’s, 403(b) contributions and addresses: Though Self Service is an important tool in mak-ing sure that your personal information is correct, some paper forms still need to be completed and sent to Human Resources. If you would like to make changes to your W-2, increase, decrease or can-cel your 403(b) contributions or change your address you are still required to print out and complete the paper forms.

Direct Deposit: is handled by Human Resources. To add, or change a bank account either a voided check or a bank account printout is needed along with the completed form.

Expense Reports: is handled by Payroll.

Request for Time Off: is handled by Payroll.

Did You Know?

Winter 2015 Page 9

Benefits Contact Information

Benefit Service Center

Charon Planning

1.877.797.8352

email: pmhcc@charon.nfp.com

pmhcc.mybenefitsview.com

User ID: pmhcc Password: benefits

Medical & Vision Benefits | Cigna

www.cigna.com | 1.800.244.6224 Group # 3337931

Prescription Drug | Cigna

www.cigna.com | 1.800.244.6224

Group# 3337931 Bin# 600428 PCN: 0215000 Dental Benefits | Delta Dental of PA www.deltadentalins.com | 1.800.932.0783 Group # 10849 Life and Disability | Aetna www.aetna.com Life | 1.800.523.5065 Disability | 1.866.326.1380 Flexible Spending Accounts | PayFlex www.healthhub.com | 1.800.283.4885

Employee Assistance Program | Aetna

www.mylifevalues.com | 1.855.283.1915

Username: RESOURCES Password: RESOURCES Retirement Plan | Principal Financial www.principal.com | 1.800.547.7754 Credit Union | Philadelphia Federal Credit Union www.pfcu.com | 1.800.832.7328; 215-934-3500 Aflac www.aflac.com | 1.800.992.3522 LegalShield www.legalshield.com | 1.800.972.9272 Global Fit www.globalfit.com | 1.800.294.1500