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Behavioral Health Updates

Managed Care Organizations Updates 2/2/2022

Community Behavioral Health (CBH) – Provider Bulletin 22-03: Inpatient Mental Health Technician: Name Change and New Requirements

CBH has posted the Provider Bulletin 22-03: Inpatient Mental Health Technician: Name Change and New Requirements. This Bulletin is to inform Providers that the new Inpatient Mental Health Technician (MHT) position will replace the Inpatient Mental Health Worker (MHW) position.

Click here to view the full Bulletin.

Community Behavioral Health (CBH) – Provider Bulletin 22-04: CBH Compliance Department Documentation Requirements: Per Diem Substance Use Disorder Services 

CBH has posted the Provider Bulletin 22-04: CBH Compliance Department Documentation Requirements: Per Diem Substance Use Disorder Services as an update to Provider Bulletin #18-05. The guidelines contain documentation requirements for Residential/Inpatient Services and Medically Managed Intensive Inpatient Services under American Society of Addiction Medicine (ASAM).

Click here to view the full Bulletin.

Community Behavioral Health (CBH) – Provider Notice: Provider Bridge Payment Clarification and Due Dates

CBH has posted the Provider Notice: Provider Bridge Payment Clarification and Due Dates. This Notice is inform Providers who received the COVID-19 Alternative Payment Arrangement (APA) through December 2021 about their eligibility to receive Bridge Payments throughout the 2022 calendar year. Additionally, the Notice provides further clarification on requirements and claim submission deadlines pertaining to Bridge Payment dates.

Click here to view the full Notice.

Community Behavioral Health (CBH) – Provider Notice: 2022 IBHS APA Payment Outline

CBH has posted the Provider Notice: 2022 IBHS APA Payment Outline. This Notice is to inform Providers that, per the Provider Notice from July 27, 2021, the Alternative Payment Arrangement (APA) for Intensive Behavioral Health Services (IBHS) will continue through the 2021/2022 school year.

Click here to view the full Notice.

Community Behavioral Health (CBH) – Updates to Provider Bulletin 21-20: Transition from COVID-19 Alternative Payment Arrangement (APA) to Provider Bridge Payments 

CBH has updated Provider Bulletin 21-20: Transition from COVID-19 Alternative Payment Arrangement (APA) to Provider Bridge Payments to include a 2022 Bridge Payment FAQ document. The FAQ document serves as an attachment to the Bulletin.

Click here to view the updated Bulletin and 2022 Bridge Payment FAQ document.

Community Behavioral Health (CBH) – Provider Notice: 2022 CBH Personnel Roster Template

CBH has released the Provider Notice: 2022 Provider Personnel Roster Template. This Notice is to inform Providers that the Personnel Roster Template for 2022 is now available on the CBH website.

Providers must submit completed rosters via email to cbh.compliancecontact@phila.gov by Friday, February 18, 2022.

Please direct any questions about the template to cbh.compliancecontact@phila.gov.Click here to view the full Notice and 2022 Personnel Roster Template.

Community Behavioral Health (CBH) – Provider Notice: American Society of Addiction Medicine (ASAM) Outpatient Case Rate Delay Clarification

CBH has posted the Provider Notice: ASAM Outpatient Case Rate Delay Clarification. This Notice is to provide further clarification on Provider Bulletin 22-01 which announced that implementing the American Society of Addiction Medicine (ASAM) Outpatient Case Rate has been delayed to April 1, 2022. 

Click here to view the full Notice.

Community Behavioral Health (CBH) – Diversity, Equity, and Inclusion Services Request for Proposal (RFP): Updated Schedule

CBH has released an updated schedule with revised deadlines for the Diversity, Equity, and Inclusion Services RFP.

Click here to view the updated schedule.

Community Behavioral Health (CBH) – Updated Assertive Community Treatment (ACT) Request for Proposal (RFP)

CBH has updated the Assertive Community Treatment (ACT) RFP to include a link to more information about the ACT RFP Bidder’s Conference held on Tuesday, January 25.

Click here to view the updated RFP.

Community Behavioral Health (CBH) – CBH Crisis Response Center Request for Proposal (RFP) Q&As (DELAYED)

CBH has released a Notice of Delay regarding the CBH Crisis Response Center RFP Q&A Document. CBH is still reviewing the Q&A Document and will post it on the website later this week.

We apologize for any inconvenience this delay may cause.

Click here for more information.

Community Behavioral Health (CBH) – Provider Notice: Termination of Provider Specialties 133 and 134

CBH has released the Provider Notice: Termination of Provider Specialties 133 and 134. This Notice is to inform providers that the Office of Mental Health and Substance Abuse Services (OMHSAS) has terminated Provider Specialties 133/ D&A Medically Monitored Residential Short Term and 134/ D&A Medically Monitored Residential Long Term. These specialties will be replaced with new American Society of Addiction Medicine (ASAM)-related Specialties added for 3.5 and 3.7 Residential services.

Click here to view the full Notice.

PerformCare – CABHC Alternative Payment Arrangement Update

PerformCare provided a follow-up reminder in the December 20, 2021, APA notice (PDF) that all CABHC COVID-19 alternative payment arrangements (APAs) ended on December 31, 2021, unless your agency has an approved service-specific APA extension until March 31, 2022. PerformCare will continue to pay any claims that exceed the approved monthly APA amount for each approved service for providers with an approved APA extension.

Read this and other CABHC APA notices on PerformCare’s website.

PerformCare – Compliance Training and Attestation

As part of PerformCare’s ongoing efforts to assist their network providers and ensure their members receive the highest quality care, PerformCare has created two new trainings on compliance and medical record documentation. These training modules are now available on the PerformCare website.

To further ensure that PerformCare reachs those network providers who would benefit most from these trainings, beginning on January 1, 2022, PerformCare will be requiring any network provider subject to a Quality Improvement Plan (QIP) or Corrective Action Plan (CAP), or specifically identified by the Special Investigations Unit (SIU), to complete these online trainings.

Read more about this in notice AD 21 109: Compliance Training (PDF), and if you are contacted by PerformCare’s Account Executive, remember to fill out your Attestation of Training Completion (PDF)

PerformCare – Information for Providers on Managing Members With Suicidal Thinking

Since fall 2021, PerformCare has issued memorandums every other month to support providers by sharing best practice standards on assessment, treatment, and management of clients with suicidal thinking.

January’s memo (PDF) offers training resources and information related to evidence-based treatment for clients with suicidal thinking.

Access this memo and other suicide prevention resources on PerformCare’s website.

PerformCare – Telehealth Audio-Only Modifier 95

On September 30, 2021, OMHSAS issued bulletin OMHSAS-21-09: Guidelines for the Delivery of Behavioral Health Services through Telehealth Rev 2021-0930, which outlines requirements for providers delivering behavioral health services via telehealth.

Provider Notice AD 21 110: Telehealth Audio Only Modifier 95 (PDF) reminds providers that effective February 1, 2022, PerformCare providers who deliver audio-only telehealth should use the 02 Place of Service Code and add the 95 modifier when submitting claims for services delivered via audio-only telehealth.

Access this and other notices on PerformCare’s website.

PerformCare – 2021 Member Satisfaction Survey Results

Every year PerformCare conducts a Member Satisfaction Survey to assess members’ experiences with their providers and their services authorized through PerformCare.

The results of the 2021 Member Satisfaction Survey (PDF) are now available.

Learn about the survey results and access other provider resources and training materials on PerformCare’s website.

Beacon Health Options of Pennsylvania – Beacon Health Options of Pennsylvania, in partnership with Southwest Behavioral Health Management and Lawrence County Human Services, have issued a Request for Proposals (RFPs) for Certified Registered Nurse Practitioners (CRNPs)

Deadline for submissions is Monday, February 21, 2022. Please view the RFP in its entirety here:

CRNPs for Lawrence County HealthChoices Members

Submissions: Email a completed copy of the signed RFP to: RFP-RFI4BeaconPA@beaconhealthoptions.com. Please type the title of the RFP and your organization’s name in the subject line.

Beacon Health Options of Pennsylvania – Monthly Provider Newsletter

January ValueAdded

Issue Highlights …

  • Provider Appreciation
  • Contractual Requirements for Providers of IBHS Reminder
  • The Psychological / Neuropsychological Testing Request Form Has Been Updated
  • Updated Provider Relations Staff Assignments

´╗┐And much more!

Beacon Health Options of Pennsylvania – Updated Covered Services Grid

The Beacon Health Options of Pennsylvania’s Covered Services Grid has been updated effective January 12, 2022. 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.