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Behavioral Health Updates

Managed Care Organizations Updates 2/16/2022

PerformCare – Re-Credentialing Process and Requirements

PerformCare released notice AD 21 111: Re-Credentialing Process and Requirements (PDF) to clarify the timelines for the provider re-credentialing processes and to emphasize that providers who do not comply with the re-credentialing timelines will be recommended for termination from the PerformCare provider network to the PerformCare Credentialing Committee.

PerformCare also wants to re-share the following documents with providers to help with the re-credentialing process:

Access this notice, the updated forms, and additional provider notices on PerformCare’s website.

PerformCare – CRR and RTF Authorization Updates

PerformCare has updated the following policies and procedures:

Provider notice MH 22 100: CRR and RTF Authorization Updates (PDF) communicates these changes as they relate to the maximum authorization length:

RTF authorizations will be generated for a maximum of 90 days (currently 120 days).
CRR-HH authorizations will be generated for a maximum of four months (currently six months).

In addition to these changes, PerformCare has also updated attachments for the reauthorization process for CRR and RTF:

Access these updates, forms, and other notices and policies on PerformCare’s website.

PerformCare – IBHS Initial Service Capacity Acknowledgment

PerformCare has added the Intensive Behavioral Health Services (IBHS) Initial Service Capacity Acknowledgement for Individual IBHS and ABA IBHS (PDF) to the IBHS forms page on the website.

Access this and other IBHS forms on PerformCare’s website.

Community Behavioral Health (CBH) – Actuarial and Contract Negotiation Services Request For Proposal (RFP)

CBH is seeking a qualified, independent vendor who specializes in Actuarial Services. Applications for this RFP are due by Tuesday, February 22.

Click here to view the RFP.

Community Behavioral Health (CBH) – Assertive Community Treatment (ACT) RFP: Q&A

CBH has released the Assertive Community Treatment (ACT) RFP Q&A.

Click here to view the full Q&A.

Community Behavioral Health (CBH) – Provider Notice: 2022 Monthly Staff Vacancies Survey

CBH has released the Provider Notice: 2022 Monthly Staff Vacancies Survey. This Notice is to inform Providers about CBH’s Monthly Staff Vacancies Survey, which aims to help the organization better understand the impact of staffing challenges within our network.

CBH requests that Providers complete the survey by 12:00 p.m. on the last day of each month.

Click here to view the full Notice.

Community Behavioral Health (CBH) – Community Autism Peer Specialist (CAPS) Request For Proposal (RFP)

CBH is seeking is seeking Providers to deliver Community Autism Peer Specialist (CAPS) services. Applications for this RFP are due by Tuesday, April 19.

Click here to view the RFP.

Community Behavioral Health (CBH) – Actuarial and Contract Negotiation Services Request For Proposal (RFP): Q&A

CBH has released the Actuarial and Contract Negotiation Services RFP Q&A.

Click here to view the full Q&A.

Community Behavioral Health (CBH) – Transcription Services Request For Proposal (RFP): Notification of the Right to Negotiate

CBH has released the Notification of the Right to Negotiate for the Transcription Services RFP.

Click here to view the full Notification.

Beacon Health Options of Pennsylvania – Provider Alert Reminder: COVID-19 Reporting Tool for All Beacon In-Network Providers

This communication is a reminder that if new COVID-19 cases are confirmed or suspected within your staff or the individuals you support, Beacon requires the submission of a Beacon Health Options of Pennsylvania COVID-19 Reporting Form. Please read the Provider Alert (Alert # 4.20.9) below, originally issued September 24, 2020, as a reminder.

COVID-19 Reporting Tool for All Beacon In-Network Providers

Beacon Health Options of Pennsylvania – Important Training Opportunity for Beacon Health Options of Pennsylvania Providers and Their Billing Personnel

Effective March 1, 2022, Beacon Health Options (“Beacon”) will be transitioning to the Availity Essentials Provider Portal; this includes Beacon Health Options of Pennsylvania.

Availity Essentials will become the preferred portal for verifying eligibility and benefits, claim status and other secure transactions for Beacon. To prepare for this transition, Availity Essentials will be hosting Beacon provider and support staff training sessions. During these training sessions, Availity Essentials will cover topics such as eligibility, benefits and claims submission. Four live sessions are offered and will be recorded and available for playback if you are unable to participate.

In-network providers received an E-Communication from Beacon with the details. Beacon wants to support this communication for the Pennsylvania Medicaid market (Beacon Health Options of Pennsylvania) as well. Please see the E-Communication below about the Availity Essential Training.

Availity Essentials Required Provider Training

February ValueAdded

Issue Highlights …

Join Beacon in 2022 for COVID-19 Discussion Meetings
Availity Essentials Required Provider Training
Advance Directives FAQs for Providers

And much more!

Magellan Behavioral Health of Pennsylvania – Provider Notice: ASAM Update – 3.7 Level of Care

Please review this communication for all substance use disorder (SUD) providers who provide
an American Society of Addiction Medicine (ASAM) level of care.

Please see Provider Focus – Winter 2022 to read more about news and information for Magellan Providers.