Behavioral Health Updates
Managed Care Organizations Updates as of 4/27/2022
PerformCare – School-Based Behavioral Health Resources
Teachers, students, and school personnel may be feeling an increase in stress, uncertainty, and other unsettling emotions due to the prolonged nature of the COVID-19 pandemic.
In response to this, PerformCare is pleased to provide a series for those who work with children or adolescents in the home, school, or community. This series will define mental health, identify coping skills and therapeutic techniques, and offer effective strategies for better mental health. Learn more in our notice on school-based behavioral health (PDF).
Check PerformCare’s website for this resource and other school-based behavioral health resources that are part of this series.
PerformCare – New Care Management Policies
PerformCare added the following care management policies and procedures to the website:
- CM-CAS-42: Initial and Re-Authorization Requirements for Individual IBHS and ABA Services (PDF)
- CM-CAS-43: Initial and Re-Authorization Requirements for IBHS Group, Evidence-Based Practice and Other Services (PDF)
- CM-CAS-55: Best Practice Evaluations and Continued Care Evaluation Requirements (PDF)
- CM-CAS-56: Children’s Services Team Meeting and ISPT Planning (PDF)
- CM-CAS-57: Children’s Service Provider Transfer Process (PDF)
- CM-CAS-58: Initial Requirements for Individual IBHS Concurrent With CRR-RTF (PDF)
- CM-CAS-59: Behavioral Health Technician Skills Training and Development (PDF)
- CM-CAS-60: Initial IBHS Service Capacity Monitoring (PDF)
- CM-CAS-61: School, Day Care, and Other Community Input Into IBHS Request Process (PDF)
- CM-CAS-62: Adding or Increasing IBHS During a Current Authorization Time Frame (PDF)
Access these and other policies on PerformCare’s website.
PerformCare – Updated Claims Submission Overview Resource
An updated Claims Submission Overview (PDF) training resource is now online.
Providers can find this resource and other claims and billing materials on PerformCare’s website.
Beacon Health Options of Pennsylvania – Updated Provider Field Coordinator Assignments
Our Provider Field Coordinator (PFC) assignments changed. Please see the attached document showing the updated assignments.
Beacon Health Options of Pennsylvania – ValueAdded: monthly provider newsletter
Issue Highlights …
- Critical Incidents Have Been Replaced with Reportable Events
- We Need Your Ongoing Help to Gather Consumer Feedback
- Provider Alert: Beacon is Temporarily Waiving Timely Filing Requirements
- Retro Auth Reminder
Beacon Health Options of Pennsylvania – Request for Proposals (RFP) for Substance Use Disorder: Partial Hospitalization Services Serving HealthChoices Members in Mercer County
Deadline for submissions is Thursday, May 19, 2022. Please view the RFP in its entirety here:
Substance Use Disorder: Partial Hospitalization Services
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 – Request for Proposals (RFP) for: Mental Health Outpatient Clinic Services Serving HealthChoices Members in Washington County
Deadline for submissions is Friday, May 20, 2022. Please view the RFP in its entirety here:
MENTAL HEALTH OUTPATIENT CLINIC SERVICES
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 – Request for Proposals (RFP) for: Intensive Behavioral Health Services: Group Services Serving HealthChoices Members of Westmoreland County
Deadline for submissions is May 26, 2022. Please view the RFP in its entirety here:
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.
Community Behavioral Health (CBH) – Provider Notice: Provider Language Assistance Resources
This Notice is to inform Providers about the language assistance resources CBH offers to supplement their practice/organization’s language access plans.
Please click here to view the full Notice.
Community Behavioral Health (CBH) – Community Autism Peer Specialist (CAPS) Request For Proposal (RFP): Notification of the Right to Negotiate
CBH has released the Community Autism Peer Specialist (CAPS) RFP Notification of the Right to Negotiate.
Please click here to view the full Notification.
Community Behavioral Health (CBH) – Children’s Crisis Response Center and Crisis Stabilization Unit Request for Proposal (RFP)
CBH is requesting proposals for up to two Children’s Crisis Response Centers as well as a Crisis Stabilization Unit to provide an increased capacity to address children and adolescent behavioral health crises.
A virtual Bidder’s Conference for the RFP will be held on Wednesday, April 27 at 11:00 a.m. Please click here to attend the Bidder’s Conference.
Click here to view the full RFP.
