Explore updated guidance and prepare for billing success! ✅
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Hi there,

Thank you for joining us for the PROS Redesign Billing Readiness webinar on April 29th! The PROS Redesign project has been a significant undertaking—not just for our team, but for yours as well—and we’re grateful for your collaboration and patience as we navigate evolving requirements together. We’re pleased to see continued progress and are excited to share the key resources discussed during the session, along with the webinar recording and slide deck.

FH Webinar

Webinar Replay

Need a quick refresher on what we covered during the session? Want to share the webinar with a colleague who couldn’t attend? Click below to watch the full recording or browse the slide deck:

  • Watch the Recording
  • View the Slide Deck
Help (FH)

Resource Center 

Check out the PROS Redesign landing page in the Resource Center along with updated with step-by-step instructions for:

  • Billable Service Documentation
  • BillingBuilder Configuration

📝Clarification on IRP Requirements

During the webinar, we discussed that OMH has indicated certain services may be exempt from inclusion on the IRP. This information represents a shift from previous communications we've had with OMH, and understandably introduces some complexity.

 

During development, our team reached out to OMH to clarify if the following services (previously considered exempt) would continue to be exempt from the IRP in the PROS Redesign.

  • CRS-Crisis Intervention
  • CRS-Pre-Admission Screening
  • CRS-Individualized Recovery Planning
  • CT-Health Assessment
  • CT-Psychiatric Assessment

Their guidance was: With Redesign, we (OMH) were instructed to remove the list of medically necessary services in PROS to align with the Redesign SPA. Moving forward, all services which will be provided on a regular and routine basis should be on the IRP.

 

We are currently reviewing how to support an IRP exemption in AWARDS PROS Billing. At this time, however, AWARDS will continue to require that all services be included on the IRP in order to be billed. We’ll provide an update once a final decision is made regarding this potential change.

📃 Summary Record of Service Report

The Summary Record of Service Report is still in development, expected to be available mid-May. We’ll notify you when it becomes available.

✅Getting Ready for Your First PROS Redesign Billing

Many of you are preparing to submit your first PROS Redesign claims in the coming weeks. The BillingBuilder Configuration guide walks you through each configuration step. Once setup is complete, AWARDS will begin calculating your first full month of services—including tiers and add-ons—when invoices are generated. 

If you have any questions, need support during setup, or run into blockers when when submitting your initial PROS Redesign claims, the AWARDS Help Desk is ready to assist! 

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