Behavioral Health Updates
Managed Care Organizations Updates 1/19/2022
Beacon Health Options of Pennsylvania – Provider Self-Audits
As a reminder and per the DHS Provider Self-Audit Protocol defined in Medical Assistance Bulletin #99-02-13, effective 12/02/2002, providers are responsible to have compliance programs that monitor and audit for potential fraud and abuse. Provider self-audits are an effective tool in detecting potential fraud, waste and abuse issues and providers are encouraged to complete self-audits in accordance to your compliance plan. You will find additional information regarding the self-audit process on Beacon’s website: https://pa.beaconhealthoptions.com/fraud-waste-and-abuse/.
Please reach out with any questions prior to submitting your self-audit to SIU@BeaconHealthOptions.com.
Beacon Health Options of Pennsylvania – New Training Available
Beacon’s Interactive Fraud, Waste and Abuse Training is available on https://pa.beaconhealthoptions.com/fraud-waste-and-abuse/ under Trainings. This training will guide you through fraud, waste and abuse related materials and scenarios that can be completed at your own convenience. At the end of the training you have an option to print a certificate of completion for this course. Please be aware Beacon is unable to track participation so please print the certificate and maintain for your records.
Beacon Health Options of Pennsylvania – Updated Covered Services Grid
The Beacon Health Options of Pennsylvania’s Covered Services Grid has been updated effective December 1, 2021. This grid lists all the service classes, modifiers, and service codes for authorizations and billing purposes. Changes/updates are highlighted in orange.
Please view the most recent version by visiting this page https://pa.beaconhealthoptions.com/providers/provider-manual/3-provider-covered-services-grid-hipaa-compliant/ and clicking on the text, “The most recent version”.
Please note that since this grid is updated regularly, it is advisable to save the above mentioned page and then click on the hyperlinked text to ensure you can get to the most recent version.
Beacon thanks you for being a valued provider.
Community Behavioral Health (CBH) – *UPDATED* Provider Bulletin 21-20: Transition from COVID-19 Alternative Payment Arrangement (APA) to Provider Bridge Payments
CBH has updated the Provider Bulletin 21-20: Transition from COVID-19 Alternative Payment Arrangement (APA) to Provider Bridge Payments, originally issued on December 21, 2021, to include new details about registration information for the Bridge Payments webinar being held on Wednesday, January 12.
Click here to view the updated Bulletin.
Community Behavioral Health (CBH) Provider Training and Development Winter – Spring 2022 Virtual Training Schedule
CBH Provider Training and Development has just released its Winter – Spring 2022 Virtual Training Schedule. Details about the training sessions and registration can be found at the DBHIDS Learning Hub. Please click here to view the full trainings calendar.
Additionally, the following Clinical Processes webinars are open to CBH contracted in-network providers for all levels of care in February:
Wednesday, February 2, 2022
10:00 a.m. – 12:30 p.m.
Wednesday, February 9, 2022
10:00 a.m. – 12:30 p.m. If you have any questions about the trainings, please contact Provider Training & Development at cbh.ptdtechnicalassistance@Phila.gov.
PerformCare – Mental Health Inpatient Effective Discharge and After Care Planning
PerformCare issued notice MH IP 21 101: MH IP Effective Discharge and After Care Planning (PDF) to provide recommendations for effective discharge planning for members.
PerformCare recommends that providers:
- Use PerformCare’s Online Provider Directory to locate mental health outpatient and medication management providers located in the member’s county or living area.
- Adopt the principles of the Re-Engineered Discharge (RED) protocol.
Access this and other notices on PerformCare’s website.