Therap

The Department of Disability & Aging (DDA) is excited to use Therap as a major component of its integration of all I/DD services in the State of Tennessee. Using Therap will bring the majority of DDA business processes into alignment, eliminate duplication, and improve service delivery.

As Tennessee continues to move to a single, seamless person-centered system, Therap will streamline processes, expedite service authorizations and claims, and provide the benefit of access to data-driven outcomes that will, ultimately, benefit people supported and providers.

The project will launch in phases with implementation beginning in July 2022.  Access to Therap will be provided at no cost to Tennessee Providers.  If you have any questions about the implementation of Therap, please direct those to 
DDA.TherapQuestions@tn.gov

Please review the prerequisites chart below in order to ensure you are ready for billing. 

Training Topics
 Links to Therap Support Guides
Provider Admin Basics Course - Provider Admin Basics
Create Users for Billing Create New User
Assign User Privileges & Super Roles for Billing Testers

Manage User Privilege and User Profile  

 Billing Data Roles List  

 Attendance Data Collection Roles List  

  Billing Claim Roles List
Create at Least One Site & Program

Create, Update, Deactivate, Activate and Delete Sites  

  Create, Update, Delete, Deactivate, and Activate Programs
Enroll Individuals in Programs Enroll, Discharge, and Re-Enroll an Individual to Programs
Updating Provider, Staff & Individual Setup for EVV Services Provider, Staff, and Individual Setup for Scheduling
Billing Overview Billing Workflow and Overview
EVV Setup, Data Collection & Reports TN EVV Main Page
Self Password Reset Setting up Self Password Reset
  • All ISC Agencies + Providers have a super-admin user who can assist agency staff with setting up users and passwords in Therap.
  • Users responsible for billing at their agency should attend the trainings listed in the Billing Training Series section of the DIDD Therap page.
  • Where to login: https://secure.therapservices.net/auth/login
  • Users will have to set up Self Password Reset prior to use of its capabilities to reset your password. Click this link to access the instructions for first set up of Self Password Reset in order to gain access to reset your password. This does not occur automatically.  
  • All sites must be set up. All programs must be setup. All people must be assigned to programs. 
  • Users must first set up site(s), then must set up programs & assign individuals to those programs. Users will NOT be able to bill until these steps are completed. This will be an ongoing process as new members are added. 

Are You and Your Staff Registered for Billing Training? 

  • Registration / Schedule found beneath the Billing Training Series Schedule 
  • Links to previous trainings will be posted as soon as they are available

Questions? 

For technical issues, such as setting up sites & programs or setting up user permissions, reach out to tnsupport@therapservices.net

  • Billing for all 1915c, Katie Beckett Part B, and State-Funded services with dates of service on or after 7/1/2024 will occur in Therap.
  • Currently, 1915c services are being paid by TennCare. Starting on July 1, 1915c waiver services being billed in Therap will be paid from the MCO’s and NOT TennCare (MCO’s: BCBS, UHC, Wellpoint)
  • Providers will be required to acknowledge service authorizations in Therap with dates of service 7/1/24 forward. This will replace legacy cost plans. Any cost plans received prior to 7/1/24 are only good for services through 6/30/24.
  • Legacy DIDD service codes will not be used in Therap. Services will follow the industry standard HCPCS codes and modifiers.
  • The Cost Plans sent by Plans Reviewers will be discontinued.
  • Monthly Cost Plan Reports will not include service dates on/after 7.1.24
  • Billing for services with dates of service PRIOR to 7/1/2024, will occur as usual in the PCP system. This includes the submission of new claims, late billings, adjustments, and voids.
  • Although claims for Katie Beckett Part B and State-Funded services will be submitted in Therap, payments will still be received from the state in the same way they are today.

Therap Provider Aggregator Technical Documentation

Resources

Websites

Therap Access

Training

Guidance 

 

Webex Recordings and Presentation Slides

Electronic Visit Verification (EVV)

TN DIDD EVV Service Listing

EVV Go-Live Checklist

Therap EVV Presentation for Providers - September 21, 2021

Therap EVV Presentation PowerPoint - September 2021

Therap TN EVV Support Page

FAQ's

EVV Clinical providers Orientation Training PPT - July 2022

Therap EVV Presentation PPT - August 2022

Therap EVV Presentation - August 2022

EVV Claim Matching

On January 1, 2023, the process of claim matching began for all services requiring Electronic Visit Verifications (EVV). Through this process, Therap is sending EVV data over to DIDD for applicable services.  DIDD will validate the data and determines whether the service meets all the billing requirements for payment.  If valid, the provider will automatically be paid for claims with a corresponding EVV visit in the Therap system. To be a valid visit, there must be a check-in and check-out by the worker providing the service. While this claim matching process will not change the provider’s current day-to-day usage of EVV in Therap, providers will no longer bill manually in the DIDD billing portal (PCP) for these services.

Any visits that do not reflect a check-in and check-out by the worker as noted above, reflect units provided over the daily max of approved units, or reflect unit overage of the approved amount must be manually edited by the provider’s EVV administrative staff in the Therap system in order for successful claim matching to occur and payment to be issued. Until this action occurs, the visit will remain unapproved, and providers will not be paid for that service visit.

This will apply to Personal Care Services (Personal Assistance and Respite 1-4) and Clinical Services (Nursing, Therapies, and Behavioral Services) visits with approved service authorizations.  Please note, the PA ‘Qtrhr Out of State’ service(s) do not need to be recorded for EVV in Therap. The ‘Out of State’ service(s) will continue to be keyed in the DIDD PCP System for payment. All services not requiring EVV usage will still require manual billing in the DIDD PCP System.  The DIDD billing schedules will remain the same.  This claim matching process will remain in effect until the billing module is fully occuring within Therap. 

The following User Guides have been created to assist with manually editing visits as needed for payment:

Additional Therap functionality is available to Providers. Those who opt in can work with Therap directly to get set up to use the module(s) and Therap will provide support and training. There is no time limit on when Providers can opt in to use this functionality.

Optional Module Webinar Schedule
Module Module Recording Therap Overview Page
Behavior Plan & Data Webinar Overview Page
Case Notes Webinar Overview Page
Care Plan (Nursing) No recording available Overview Page
Consent & Authorization Webinar Overview Page
Electronic Comprehensive Health Assessment Tool (eChat) Webinar Overview Page
Health Screening No recording available  Overview Page
Health Tracking Webinar Overview Page
Individual Medical Information Webinar Overview Page
Individual Plan of Protective Oversight (IPOP) Webinar Overview Page
Medication Administration Record (MAR) Webinar Overview Page
Orders Webinar Overview Page
Pharmacy Interface No recording available  Overview Page
Secure Communications (SComm) No recording available  Overview Page
T-logs No recording available  Overview Page
Time Tracking Webinar Overview Page
Training Management System (TMS) Webinar Overview Page