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Behavioral Health Updates

Managed Care Organizations Updates 10/27/2021

Community Behavioral Health (CBH) – Provider Bulletin 21-14: Delay of American Society of Addiction Medicine (ASAM) Value Based Payment (VBP) (Case Rate) Arrangement

This Bulletin is to alert providers of the delay in implementation of the ASAM VBP arrangement (case rate). Given the extension of the COVID-19 Alternative Payment Arrangement (APA), the ASAM VBP implementation date has been extended from October 1, 2021 to January 1, 2022. Please note, although the VBP arrangement implementation has been delayed, all ASAM providers are expected to adhere to ASAM requirements unless a waiver has been received. 

Should you have any questions, please contact your Provider Relations Representative. 

Community Behavioral Health (CBH) – Member Services 2021 Fall Newsletter

The Member Services Fall Newsletter is now available on the CBH website. This edition includes highlights about services available for school-aged children and what to expect this school year. The newsletter is available in both English and Spanish.

Community Behavioral Health (CBH) – Provider Bulletin 21-15: Service Description Name Change and Termination of Levels of Care

The Office of Mental Health Substance Abuse Services (OMHSAS) has revised and published its Behavioral Health Services Reporting Classification Chart (BHSRCC) which changes the service description name for inpatient hospital detoxification from “Inpatient Drug and Alcohol Detoxification” to “Inpatient Drug and Alcohol Withdrawal Management”. CBH will be revising and releasing updated provider contracts (Schedule A) to reflect the following levels of care (LOC) changes which will be effective November 15, 2021:

  • LOC 150- 01 will be renamed “Inpatient Drug and Alcohol Withdrawal Management”
  • LOC 150- 07 “Inpatient Drug and Alcohol Withdrawal Management 3-Day” will be terminated
  • LOC 200-24 “Non-Hospital Drug and Alcohol Withdrawal Management 3-Day” will be terminated

Beacon Health Options of Pennsylvania – Issues a Request for Proposal (RFP) for a Substance Use (SU) Non-Hospital Detox and Residential Rehab

Adolescent SU Non-Hospital Detox and Residential Rehabilitation Located in or within Close Proximity to Beaver County, PA

Click here to see the complete RFP:

Beaver County Adolescent SU Non-Hospital Detox and Residential Rehab

Responses to this RFP must be received by 4:00 p.m. on Thursday, November 11, 2021.

Beacon Health Options of Pennsylvania – Monthly Provider Newsletter

Click on the link below to view the October issue of ValueAdded, Beacon Health Options of Pennsylvania’s monthly provider newsletter.

October ValueAdded

Issue Highlights …

  • Telehealth Suspended Regulations
  • Minimum Documentation Standards for Payment
  • Join Us for COVID-19 Discussion Meetings 
  • Reporting Capacity and Appointment Access Reminder

And much more!

Beacon Health Options of Pennsylvania – Issues Request For Proposal (RFP) for Mobile Psychiatric Medication Program

Beacon Health Options of Pennsylvania, in partnership with Southwest Behavioral Health Management and Washington County Behavioral Health and Developmental Services, have issued a Request for Proposals (RFP) for: Mobile Psychiatric Medication Program 

Click here to see the complete RFP:

Washington County Mobile Psychiatric Medication Program

Responses to this RFP must be received by 4:00 p.m. on November 22, 2021.

Beacon Health Options of Pennsylvania – Issues Request for Proposal (RFP) for School-Based Outpatient Mental Health Treatment, Prevention & Education Program Services

Beacon Health Options of Pennsylvania, in partnership with Southwest Behavioral Health Management and Washington County, have issued a Request for Proposals (RFP) for: School-Based Outpatient Mental Health Treatment, Prevention & Education Program Services in Canon McMillan High School  

Click here to see the complete RFP:

School-Based Outpatient Mental Health Treatment, Prevention & Education Program Services

Responses to this RFP must be received by 4:00 p.m. on November 24, 2021.

PerformCare – Board Certified Behavior Analyst (BCBA) Billing Clarification Provider Notice, IBHS 21 105

PerformCare’s provider notice IBHS 21 105: BCBA Billing (PDF) has been issued to clarify reimbursement rates for treatment delivered by a board-certified behavior analyst (BCBA) with intensive behavioral health services (IBHS) applied behavior analysis (ABA).