Helping You Help Your Patients

We’re here to provide you with the tools, training, resources, and more that you need to offer your patients whole person behavioral health care. We’ve also answered many of the common questions our providers have in our behavioral health FAQ.

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Policies & Guidelines

Note: Important Policies and Guidelines

From treatment criteria to addressing trauma, our Clinical Utilization Management Guidelines and Clinical Practice Guidelines are here to help. Plus we’ll have more information on behavioral health policies to share soon!

Announcements & Updates

Keeping you up to date.

Here’s our latest behavioral health announcements & updates
Behavioral Health Access and Availability Standards
Evidence Based Practices with Children and Family Treatment and Support Services, Effective November 1, 2023
Billing Requirement Changes and Updates for Children’s HCBS and CFTSS Services, Effective December 1. 2023
Utilization Management and Other Requirements for 1915c Children’s Waiver Services, Effective August 3. 2023
School Based Mental Health Clinics in Mental Health Outpatient Treatment Rehabilitative Services (MHOTRS) Program, Effective July 1, 2023
Continuity of Care Plan Transfer Guidelines for Medicaid Children’s Waiver (HCBS)
Reminder Regarding Bill Type Requirements for 29-I VFCA Health Facility Claims
Updated Provider Letter Regarding Foster Care – Effective April 1, 2023
1115 Waiver Mobile Crisis Services Provided by CPEPs – Effective May 1, 2023
Prohibiting Copays for Treatment at an Opioid Treatment Program (OTP) – Effective January 1, 2023
Updated Billing Guidance for Off-site and Primary Care Services for OMH-hosted IOS Sites – Effective April 1, 2023
Added Medical Nutrition Therapy (MNT) to 29-I VFCA Health Facilities Other Limited Health Related Services (OLHRS) Fee Schedule – Effective July 1, 2023
CPEP Rate Code 4010 Discontinued – Effective July 1, 2023
Act Guidance and Removal of Authorization Requirements – Effective June 20, 2023
Medicaid Managed Care Plan Update (ABA Policy Update and COVID-19 Billing)
Provider CPEP Program Guidance
Medicaid Managed Care Plan Update (LCSW, LMHC, LMSW, and LMFT) – Effective April 1, 2023
last updated: January 18, 2024

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