Behavioral Health Updates
Managed Care Organizations Updates 3/2/2022
Beacon Health Options of Pennsylvania – Family Based Mental Health Services Request For Proposal (RFP)
Deadline for submissions is Friday, March 18, 2022. Please view the RFP in its entirety here:
Family Based Mental Health Services for Lawrence County HealthChoices Children and Adolescents
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 – Serious Reportable Events Training
Beacon Health Options of Pennsylvania (Beacon), its Primary Contractors and its Counties have partnered to update the Serious Reportable Events (formerly referred to as Critical Incidents) reporting categories and procedures. This training details the updates made to the reporting categories, showcases the new reportable events form, and provides clarity on expectations for reporting.
Individuals who are responsible for and/or familiar with reporting incidents to Beacon should attend the training to ensure that the updated protocols are being followed.
Please click on the link below for the offered dates and how to register. The first training opportunity is March 4th.
Serious Reportable Events Training
Beacon looks forward to having you join them!
Beacon Health Options of Pennsylvania – Important Training Opportunity for Beacon Health Options of Pennsylvania Providers and Their Billing Personnel
Please note: The March 1st training session is now full. However, two additional sessions have been added – March 10 and March 14. Please view the updated training schedule in the link below for more information and how to register.
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 should have 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
As a reminder, providers must have an existing Availity account in order to register for the training. If a provider does not have an existing Availity account and does not wish to sign up for an account, they will not be able to register for a training session. For providers who do not wish to sign up for an Availity account, there will be a recording of the provider training session available on the Availity Essentials Provider Resources page by mid-March 2022.
Beacon Health Options of Pennsylvania – Important Information about Availity Essentials and ProviderConnect for Current Beacon Health Options of Pennsylvania Providers
Beacon thanks providers for their attention to the communications regarding Availity Essentials over the past several months. Beacon Health Options has offered the option of a one-stop, multi-payer claims portal and clearinghouse with the intent of improving the provider experience with its current capabilities and development potential for its increased functionality in the future.
Beacon realizes that their existing providers have had a positive experience with ProviderConnect over the years. Please know that while new providers will be instructed to use Availity (https://www.availity.com/) as it is the preferred claims portal and clearinghouse for Beacon Health Options as of March 1, 2022, existing Beacon Health Options of Pennsylvania providers still have the ability to use ProviderConnect as they learn more about the capabilities and functionalities of Availity Essentials.
For those of who’ve begun to submit claims through Availity Essentials, Beacon transactions are available at no charge.
Trainings are still available. There is a requirement to create an account and register in order to sign up for a training. Please know an on-demand option will be available in late March after the provider trainings have been conducted; it will not require an account or registration. A recording of the training will be posted on the Availity Essentials Provider Resources page on the Beacon Health Options website. Beacon of Pennsylvania will advise its providers once the training is posted with a link to that resource. In addition, they plan to develop a Pennsylvania-specific resources based on the feedback they have received.
As always, Beacon values their partnership with providers as they navigate change. If you have questions, please contact your Provider Field Coordinator or visit the Availity Essentials Provider Resources page.
Beacon Health Options of Pennsylvania – Provider Alert # 1.22.02: Prior Authorization Suspension Ending March 31, 2022
Beacon Health Options of Pennsylvania (Beacon-PA) waived all prior authorization requirements for services not included on the MA FFS prior authorization according to the OMHSAS Memorandum dated May 18, 2020. However, with the allowances under that memorandum expiring on April 1, 2022, Beacon-PA will resume prior authorization requirements for all services. To assist providers in re-acclimating to the prior authorization process, we will be hosting several Substance Use Disorder webinars listed on the attachment to this Alert.
Please read the Alert in its entirety below, which includes information on the upcoming webinars:
Provider Alert: Prior Authorization Suspension Ending March 31st
Community Behavioral Health (CBH) – Complex Care Program – Abilities First: Nothing For Me Without Me
CBH Member Services would like to inform Providers about its complex care program Abilities First: Nothing For Me Without Me. This program is an all-inclusive approach that can help with access to care for individuals 18 years and older who have an intellectual disability and behavioral health diagnosis.
To refer an individual to this program or to learn more information, please contact Dorian Fedkiw, Clinical Care Manager at 267-602-2515 or email CBH.email@example.com.
Please click here for a sharable document with more information about the program.
Community Behavioral Health (CBH) – Complex Care Program – Mommy’s Helping Hands
CBH Member Services would like to inform Providers about its complex care program Mommy’s Helping Hands. This program offers care coordination services for women who are pregnant, have been pregnant but didn’t carry to full term, or are up to one year postpartum and may be struggling with substance use disorder.
To refer an individual to this program or to learn more information, please contact Ashley Smith, Clinical Care Manager at 267-602-2118 or email CBH.firstname.lastname@example.org.
Please click here for a sharable document with more information about the program.
Community Behavioral Health (CBH) – Security and Network Operation Center (SOC/NOC) Solution Request For Proposal (RFP)
CBH is seeking a service provider to implement and manage a Security Information and Event Management (SIEM), Security Operations Center (SOC) and Network Operations Center (NOC) solution. Applications for this RFP are due by Thursday, March 3.
Click here to view the RFP.
Community Behavioral Health (CBH) – Community Autism Peer Specialist (CAPS) Request For Proposal (RFP): Bidder’s Conference Video Recording
CBH has posted a link to a video recording of the Community Autism Peer Specialist (CAPS) RFP Bidder’s Conference held February 22.
Click here to view the Bidder’s Conference recording. Please note that you will need to enter the following passcode to view the recording: Y#VMN&+5.
Community Behavioral Health – Diversity, Equity, and Inclusion Training Services Request For Proposal (RFP): Notification of the Right to Negotiate
CBH has released the Notification of the Right to Negotiate for the Diversity, Equity, and Inclusion Training Services RFP.
Please click here to view the Notification.
Community Behavioral Health (CBH) – Security and Network Operation Center (SOC/NOC) Solution Request For Proposal (RFP): Q&A
CBH has released the Security and Network Operation Center (SOC/NOC) Solution RFP Q&A.
Please click here to view the Q&A.
PerformCare – Language Resources for Members
The training materials from the Language Resources for PerformCare Members training are now available online.
Access the presentation (PDF) and the webinar recording on PerformCare’s website.
Magellan Behavioral Health of PA – Provider Announcement: American Society of Addiction Medicine (ASAM) Update – 3.7 Level of Care
Please see link, ASAM update – 3.7 level of care, to learn more about requirements to obtain 3.7 designation through the Department of Drug and Alcohol Programs (DDAP) under their new standards based on ASAM criteria.
Magellan Behavioral Health of PA – Provider Newsletter: Winter 2022
Please see Magellan’s Provider Focus – Winter 2022 to learn more about updates, news and information for the Magellan provider network.