Behavioral Health Updates

Community Behavioral Health (CBH) Provider Bulletin 21-08:Clinical Guidelines and Related Provider Requirements

CBH has adopted Clinical Practice Guidelines (CPGs) to outline best practices for the treatment of specific disorders or certain populations. These guidelines outline best practices for treatments and will be used by CBH to assess the quality of care provided to CBH members. As such, providers are advised to review and, where appropriate, implement these best practices in their care. CPGs apply to all clinical settings where members are seen with these disorders. CPGs should be used in conjunction with any level-of-care-specific performance standards as well as all other required CBH, NIAC, state, and federal regulations and standards.

CBH has updated Clinical Guidelines for Opioid Use Disorder (OUD) and Clinical Guidelines for the Prescribing and Monitoring of Benzodiazepines and Related Medications. The most recent version of all CPGs can be found in Section 7.2., “Clinical Guidelines,” of the CBH Provider Manual.

Community Behavioral Health (CBH) Intensive Behavioral Health Services Interim Alternative Payment Arrangement Extension and Staffing Updates

Community Behavioral Health (CBH) has decided to extend the existing interim Intensive Behavioral Health Services (IBHS) Alternative Payment Arrangement (APA) through the 2021/2022 school year with an end date in August 2022. In the same update CBH also states, it is the expectation that all IBHS providers will have adequate staffing to deliver medically necessary services to the youth approved for IBHS.

Community Behavioral Health (CBH) Request for Qualifications for Psychiatric Residential Treatment Facilities

On Tuesday, July 6, 2021, CBH issued its RFQ for psychiatric residential treatment facilities. Applications are due by 2:00 p.m. on August 9, 2021. The info session webinar recording for this RFQ is now posted on the Contracting Opportunities page of the CBH website. Click here to view the complete RFQ and info session webinar. Scroll down to “RFQ for Psychiatric Residential Treatment Facilities (revised)”.

Community Behavioral Health (CBH) Request for Qualifications for Psychiatric Residential Treatment Facilities (Intellectual disAbility and Autism Spectrum Disorder)

On Tuesday, July 6, 2021, CBH issued its RFQ for psychiatric residential treatment facilities (ID-ASD). Applications are due by 2:00 p.m. on August 9, 2021. The info session webinar recording for this RFQ is now posted on the Contracting Opportunities page of the CBH website. Click here to view the complete RFQ and info session webinar. Scroll down to “RFQ for Psychiatric Residential Treatment Facilities (ID-ASD) (revised)”.

PerformCare Updated IBHS Forms Now Available

PerformCare’s Intensive Behavioral Health Services (IBHS) page has updated versions of the following forms:

• IBHS Provider Choice Form — Lancaster and Lebanon (PDF)
  • IBHS Provider Choice Form — Lancaster and Lebanon (Spanish) (PDF)
• IBHS Provider Choice Form — Cumberland, Dauphin, and Perry (PDF)
  • IBHS Provider Choice Form — Cumberland, Dauphin, and Perry (Spanish) (PDF)

Visit PerformCare’s IBHS forms page to access more forms.

PerformCare – New Training: Exploring Certified Recovery Specialist Services

PerformCare invites providers to join them in September for an online training about certified recovery specialist (CRS) services.

The presentation, You Don’t Have to Walk Alone: Exploring Certified Recovery Specialist Services, will cover what a CRS does and does not do, as well as answer any questions you have. Join PerformCare and clinical care managers Rachel Hahn, LPC, and Kevin A. Cable, LPC, CAADC, during one of the following presentation time slots:

• Thursday, September 9, 2021, 10 a.m. – 11 a.m.
• Thursday, September 9, 2021, 1 p.m. – 2 p.m.
• Thursday, September 16, 2021, 10 a.m. – 11 a.m.
• Thursday, September 16, 2021, 1 p.m. – 2 p.m.

Learn more about the training on PerformCare’s website and sign up online via Survey Monkey.

PerformCare – Help Us Prevent Fraud, Waste, and Abuse

As a Medicaid managed care organization that participates in the Behavioral HealthChoices program, PerformCare actively monitors provider activities for fraud, waste, and abuse (FWA). PerformCare encourages its providers to read and be familiar with the federal guidelines as they pertain to this important issue. Read AD 21 105: Fraud, Waste, and Abuse (PDF) and watch our presentation for more information on FWA.