Missouri WISEWOMAN Program Manual

How to Become a Wisewoman Provider

WISEWOMAN is a sister program to SMHW, therefore, you must be a SMHW provider before you are eligible to become a WISEWOMAN provider. Once you are a SMHW provider, follow these steps to become a WISEWOMAN provider:

• Contact the WISEWOMAN Program Manager by email or at 573-522-2871
• Submit a written request to the WISEWOMAN Program Manager for an amendment to your current SMHW Contract for WISEWOMAN funding
• WISEWOMAN Program Manager will submit request to CDC for approval
• Once the request is received and CDC approval is obtained, the Program Manager will submit the contract amendment to be processed
• The contract amendment will then require an administrative signature to be fully executed by the State of Missouri system
• Provider staff will be contacted by the WISEWOMAN Education Coordinator to set up WISEWOMAN Provider Training
• After the contract amendment has been fully executed and WISEWOMAN Provider Training has been completed, WISEWOMAN funding will be loaded for provider use

WISEWOMAN Contractual Agreements

The WISEWOMAN and SMHW programs utilize annual contracts with service providers to deliver program services. Contracts are available for SMHW only or for both SMHW and WISEWOMAN services. WISEWOMAN providers are eligible to receive two different forms of annual contracts: one for direct WISEWOMAN services and one for Healthy Behavior Support Services (HBSS).

The contract for direct WISEWOMAN services would be an amendment to the provider’s SMHW contract. Providers will be reimbursed for these services by entering claims in MOHSAIC. The contract for HBSS would be in the form of a Letter of Agreement (LOA). Providers will be reimbursed for these services through invoice submission. The WISEWOMAN Fiscal Year runs from September 30- September 29, while SMHW’s Fiscal Year is June 30-June 29. Reimbursement and MOHSAIC entry information can be found in their respective sections in the WISEWOMAN Program Manual.

What We Do

• Establish annual contracts for screening providers
• Provide an easily accessible Program Manual that describes screening, follow-up, education and reporting
• Follow guidelines based on national guidelines
• Require providers to utilize the Clinical Laboratory Improvement Amendments of 1988 (CLIA) approved laboratories or assure laboratory equipment is CLIA waived
• Provide Regional Program Coordinators (RPCs) for each geographic region to assist providers with training, technical assistance and tracking participants with abnormal values to ensure participants receive appropriate follow-up
• Provide training and technical assistance to provider staff
• Provide participant recruitment, targeting ethnically diverse program-eligible women
• Provide participant educational materials and tools
• Provide required reporting forms and data system for submitting service reports
• Reimburse providers for allowable services according to the Medicare 01 region rates
• Monitor provider services to assure quality standards
• Maintain a central data system for tracking and reporting required data to CDC
• Assist the service providers with participant case management/follow-up and annual evaluation screening efforts
• Provide promotional items, literature and other public educational materials

WISEWOMAN Contract Requirements

Provider Forms [NEEDS LINK]

SMHW/WISEWOMAN Provider Forms can be located on the DHSS site listed above. Providers are required to complete and sign the SMHW/WISEWOMAN Contract annually, as well as the SMHW/WISEWOMAN Provider Information Update Form annually or within 30 days of any SMHW/WISEWOMAN staff changes.

Recruit Participants With The Following Activities

• Offer WISEWOMAN services to all SMHW participants to increase program recruitment and provide materials on screening services to all eligible women attending clinics in the facility
• Display recruitment and educational information in the waiting areas and exam rooms
• Coordinate recruitment activities with DHSS staff, WISEWOMAN Education Coordinator and/or the RPC in your area

Attend Training

• New providers of SMHW/WISEWOMAN services must participate in an on-site training and orientation session by MDHSS staff upon initial contract application prior to providing services
• Ensure staff is well-trained in program protocols by attending SMHW/WISEWOMAN provider staff training and request training sessions when new staff are hired
• Facilitate attendance/participation of staff members responsible for submission of data forms and clinical services at annual trainings that provide policy and procedure updates and review

Termination of SMHW/WISEWOMAN Participation

Providers who terminate participation in the SMHW/WISEWOMAN Program must submit a letter with the date of termination to MDHSS 30 days before the date of anticipated termination of services. The letter should be mailed to:

Missouri Department of Health and Senior Services
Wisewoman Central Office Staff
PO Box 570
Jefferson City, Mo 65102-0570

Providers must continue to report all program service information after termination on the appropriate SMHW/WISEWOMAN forms to complete all outstanding cases. They should also inform participants where they may obtain SMHW/WISEWOMAN services once the provider terminates participation. To accomplish this, a provider should work closely with the RPC in their area and the WISEWOMAN Education Coordinator.