14:03:40	 From  Sarah Fuller : Thanks John! We do appreciate you.
14:04:15	 From  Bob Horne : Thanks for this Jon! 😀
14:05:48	 From  Paresh Perry Patel -CFO- Fairfax Fallchurch CSB   to   Jennifer Faison, VACSB(Direct Message) : Thanks for doing this and if you can please get us the Presentation.
14:07:26	 From  Jennifer Faison, VACSB : A recording of this presentation along with the slide deck and chat log will be posted to the VACSB website.  I will send a notification to all who attended when it is available.
14:07:51	 From  Dr. M. Moore   to   Jennifer Faison, VACSB(Direct Message) : Thank you.
14:10:06	 From  Bob Horne : Particularly interested in how the notices and consents requirements impact on Comprehensive Crisis Services in Virginia since individuals in crisis would not typically in a position to consider good faith estimates due to their crisis.
14:10:23	 From  Jan Longman : Question for later when we get to it - our biggest concern is our Crisis Intervention services when the client may lack capacity to be informed, we don't know their health insurance status, nor a substitute decision maker
14:13:12	 From  David Coe CBH : Does the NSA apply to Tricare?
14:22:30	 From  Patricia Spangler : If a hospital requests a prescreen on a client evaluated at the hospital. Is the CSB or the hospital responsible of notifying the patient of the additional bill?
14:39:36	 From  Paresh Perry Patel -CFO- Fairfax Fallchurch CSB : Is anyone using EHR system to generate the GFE?
14:43:42	 From  Jan Longman : No- in Arlington at least - most crisis clients do not have Medicaid
14:44:39	 From  David Coe CBH : We also see commuters who may reside out-of-state.
14:45:05	 From  Jan Longman : Yes - they are billed to the patient
14:47:55	 From  Sarah Fuller : I agree w john.
14:49:49	 From  Sarah Fuller : Are our crisis care services considered emergency settings? Even if client agreed to multiple day follow up service? So far we are required to bill insurance, bill client on sliding scale, and the. Use local and state funds to fill the gap.
14:49:58	 From  Matt Hartsook : When the total duration of a service isn't known, is providing a schedule of fees for the related services sufficient to meet the GFE requirement?
14:50:09	 From  Melissa Lucy : It is all of the above Insurance, Medicaid and billing to the state if all of that fails.
14:50:32	 From  Sarah Fuller : And yes we also find it unethical to be required to bill client self pay for crisis services.
15:04:06	 From  Stephen Stewart   to   Jennifer Faison, VACSB(Direct Message) : FYI Sarah Fuller had to jump off call for another meeting.
15:04:24	 From  Jennifer Faison, VACSB   to   Stephen Stewart(Direct Message) : Thanks, man.
15:05:52	 From  Bob Horne : Thanks, Jon!  Nice 'seeing' you.  Appreciate your guidance in this matter.