Policies and Notices

• CC-001: Reporting Suspected Provider Fraud, Waste and Abuse 6/13/2014 (PDF)
• CC-002: Fraud, Waste, and Abuse Program 7/15/2014 (PDF)
• CC-003: Provider Audits 7/01/2014 (PDF)
• CC-005: Reporting Suspected Recipient Fraud, Waste, and Abuse 7/01/2014 (PDF)
• CC-005: Provider Dispute Policy 7/01/2014 (PDF)

• CM-048: Functional Behavioral Assessment (FBA) (PDF)
• CM-012: Authorization of Psychological and Neuropsychological Testing (PDF)
  • CM-012-01: Attachment 1 Psychological and Neuropsychological Test Request Form (PDF)
  • CM-012-02: Attachment 2 PerformCare Guidelines for Testing (PDF)
  • CM-012-03: Attachment 3 Psychological Test Hours Guide (PDF)
• CM-009: Use of IQ and Adaptive Functioning Testing to Diagnose Mental Retardation 10/01/2004 (PDF)
• CM-014: Allowable Services Concurrent With Partial Hospitalization and Inpatient Care 6/14/2004 (PDF)
• CM-019: Bed Hold Payment and Therapeutic Leaves 12/01/2006 (PDF)
• CM-024: Peer Support and Peer Support Waiver Exceptions 7/02/2014 (PDF)
• MH 13 100 CM-047: Authorization and Delivery of Music Therapy Services (PDF)
  • Authorization and Delivery of Music Therapy Services Medical Necessity Criteria (PDF)

• FI-014: Third-Party Liability and Coordination of Benefits 7/23/2013 (PDF)
• FI-015: Providing Third-Party Liability Information to Providers 1/01/2005 (PDF)

• PR-001: Service Authorization Procedures and Standards for Out-of-Network Providers 6/04/2013 (PDF)

• Critical Incident Report (PDF)
• Report of Restraint or Seclusion (PDF)
• QI-CIR-001: Critical Incident Reporting (PDF)

2017

• AD 17 102: Capital Area Performance Incentive Payments (PDF)

2016

• AD 16 106: Information System Update and Timeline (PDF)
• AD 16 104: Franklin Fulton Retroactive Performance Incentive Payments (PDF)
• AD 16 103: Information System Transition (PDF)
• AD 16 101: Utilization Management Process (PDF)
• AD 16 100: Bedford Somerset retroactive performance incentive payments (PDF)

2015

• AD 15 100: Process Change for OP Requests Requiring MNC or Registration (PDF)
• AD 15 101: Behavioral Health Screening Programs (PDF)
• AD 15 102: Treatment Record Review and Risk Assessment (PDF)
• AD 15 103: Fraud, Waste, and Abuse (PDF)
• AD 15 105: ICD-10-CM Frequently Asked Questions (PDF)
• AD 15 106: Enhanced Care Management (ECM) Program (PDF)
• PC-13: Collaborative Documentation (PDF)
  • 45-PC 02-14-01: Compensation & Progress Notes (PDF)

    Providers of Peer Support Services should review the policy clarification 45-PC 02-14-01 which was released by the Office of Mental Health and Substance Abuse Services Bureau of Policy, Planning and Program Development on April 16, 2014. This policy clarification contains important information about billing and time spent completing progress notes.

• AD 15 108: Quality Improvement Resources Available on PerformCare Website (PDF)

2014

• AD 14 105 OMHSAS 14-03: Bulletin ACA Re-enrollment Requirement (PDF)
  • AD 14 105 Att 1: OMHSAS Bulletin On MA Enrollment (PDF)
  • AD 14 105 Att 2: OMAP Bulletin Re-enrollment 99-14-06 (PDF)
• AD 14 107: PerformCare Harrisburg Mailing Address Change (PDF)

2013

• AD 13 103R: NCCI Claims Edits (PDF)
• PC-01: WRAP® (PDF)
• PC-02: Mobile Crisis Intervention (PDF)
• PC-03: Mental Health Targeted Case Management (TCM) Transportation Clarification (PDF)
• PC-04: TCM Concurrent Billing With PH-BH Appointments (PDF)
• PC-06: Electronic Signatures (PDF)

2012

• AD 12 100: Common Problem Areas and Pprovider Performance Reports (PDF)
• AD 12 105: Administrative Appeals Reminder (PDF)
• AD 12 112: 2013 CPT Code Update Implentation (PDF)

2011

• AD 11 109: Clarification of Payment Policy (PDF)
  Day of admission and day of discharge for inpatient services
• AD 11 115: MA Bulletin 99-11-05 (PDF)
  "Provider Screening of Employees and Contractors for Exclusion from Participation in Federal Health Care Programs and the Effect of Exclusion on Participation"

2010

• AD 10 002: Coordination With Crisis Intervention Services (Capital Area) (PDF)
• AD 10 006: Billable Reportable Time (PDF)
• AD 10 110: Compliance and Billing Reminders (PDF)
  MH partial hospitalization, MH outpatient, CRR, BHRS, FBMHS and concurrent services

2009

• AD 09 109: Rrovider Corporate Compliance Initiatives and OMAP Bulletin 99-02-13 (PDF)
• AD 09 111: Additional Fraud and Abuse Requirements (PDF)
  per Section 6034 of the Deficit Reduction Act

2004

• AD 04 003: Notification Requirements for PerformCare as Secondary Payer (PDF)

2002

• AD 02 012: EVS and Authorization Requirements (PDF)
• AD 03 001: Naming Conventions for Provider CSommunications (PDF)

2017

• BHRS 17 103: Revised Default School TSS Start/End Date Methodology (PDF)
• BHRS 17 102: Use of HP modifier for Behavior Specialist Consultant (BSC) services for individuals with Board Certified Behavior Analyst® (BCBA) credential (PDF)
• BHRS 17 101: Initial BHRS Authorization Monitoring Process (PDF)
• BHRS 17 100: Psychologist Attestations, BHRS Prescriptions, and Best Practice Evaluations (PDF)

2016

• BHRS 16 102: CPT Codes and Modifiers for Applied Behavioral Analysis (ABA) Services (PDF)
• BHRS 16 101: ProviderConnect Best Practice Evaluations and Evaluator Participation in Interagency Service Planning Team (ISPT) Meetings (PDF)
• AD 16 105: Capital area Child and Adolescent Needs and Strengths (CANS) Assessment Retroactive Payments (PDF)
• BHRS 16 100: Revised Functional Behavioral Assessment (FBA) Request Process (PDF)
  • CM-048: Functional Behavioral Assessment (FBA) (PDF)

2015

• BHRS 15 100: Prescription Event Notice (PDF)
• Prescription Event Instructions (PDF)
• BHRS 15 101: Act 62 and Primary Insurance Process Update (PDF)
• BHRS 15 102: ProviderConnect® Evaluation Event Update (PDF)

2014

• AD 14 106: BHRS and FBMHS Provider Capacity Mandatory Reporting (PDF)
• BHRS 14 101: BSC ASD Services Modifier (PDF)

2013

• BHRS 13 100: ISPT Meeting Event (PDF)
• BHRS 13 102: Electronic Packet Submission (PDF)
• BHRS 13 003: Changes to FBA Authorizations (PDF)
• PC-05: BHRS Program Director Qualifications and BSC/MT Progress Note Sign Off (PDF)

2012

• MH 12 102: Residential Treatment Facilities (RTF) as a Comprehensive Service (PDF)

2011

• AD 11 117: OMHSAS Policy Regarding BSC Education Requirements and Applicability (PDF)
• BHRS 11 100: Therapeutic Staff Support (TSS) and Mobile Therapy (MT) Billing Increments (PDF)
  Effective March 1, 2011
• BHRS 11 101: TSS Schedule and CM-CAS-049 Policy Revision (PDF)
  Not applicable for Franklin/Fulton County members
• BHRS 11 102 BHR Authorization Periods, Submission Timelines and TRR (PDF)
• BHRS 11 104 Updated Rural ZIP Code List (PDF)
  Cumberland, Dauphin, Lancaster, Lebanon and Perry Counties

2010

• BHRS 10 001: CRR Host Home Incidents of AWOL (Absent Without Leave) (PDF)
• BHRS 10 102: Best Practice Evaluation and Elimination of Specialized Evaluator Program (PDF)
  Effective May 1, 2010
• BHRS 10-003: Developmental Disorder (DD) Extended Authorization Concurrent Reviews (PDF)
• BHRS 10 107: Therapeutic Staff Support (TSS) Training and Supervision Requirements (PDF)

2009

• AD 09 101: Primary Insurance Coverage REVISED for Act 62 (PDF)
• BHRS 06 000R: BHRS and Exception Service Unit Calculation (PDF)
• BHRS 09 000: Authorization and Billing for Functional Behavior Analysis (FBA) (PDF)
• BHRS 09 000: Clarification on Conducting Functional Behavioral Assessment (FBA) (PDF)
• BHRS 09 000: Process for Transferring TSS Hours to Home and Community Setting (PDF)
• BHRS 09 102: Program Exception Services - Attestation (PDF)
• BHRS 09-104: BHRS Authorizations for Services In the School Setting (PDF)

2007

• Attending Grievance Meetings (PDF)

2017

• AD 17 101: Timely Filing of Claims Requirements for all Behavioral Health Services of Somerset and Bedford Counties (PDF)
• AD 17 101: Timely Filing of Claims Requirements for all Capital Area Behavioral Health Collaborative (PDF)
• AD 17 101: Timely Filing of Claims Requirements for all Tuscarora Managed Care Alliance (PDF)

2016

• AD 16 102: Additional Pre-payment Claims Edits for Duplicate/Disallowed Services (PDF)
• PC-18 FQHC/RHC Prospective Payment System (PDF)

2015

• AD 15 107: HIPAA 5010 X12 Format Requirements (PDF)
• AD 15 104: Remittance Advice Update (PDF)
• PC-17: Pharmacogenomics Tests for Psychiatric Medications (PDF)

2014

• AD 14 101: New 1500 Claim form Corrected Claims March 2014 (PDF)

2013

• AD 12 110R: Electronic Submission of Corrected Claims (PDF)
• AD 13 103R: NCCI Claims Edits (PDF)
• PC-14: Provider Memo TCM Billing for Records Review (PDF)

2011

• AD 11 104: Claims Submission and POS 03 for Services Provided In Schools Reminder (PDF)
• AD 11 107: NPI (National Provider Identifier) and Claims Submission Reminder (PDF)
• AD 11 108: Claims Submission and POS 50 In Federally Qualified Health Centers (FQHC) (PDF)
• AD 11 111: Change In Mailing Address and Handling of Paper Claims (PDF)
• AD 11 114: EMDEON Payer ID for Electronic Claims (PDF)
• AD 11 113: Transition to EMDEON for ERA and EFT (PDF)

2010

• AD 10 109: Claims Submission and POS 03 for Services Provided in Schools (PDF)

2009

• Act 62 of 2008 (HB 1150): Autism Insurance (PDF)
• AD 09 102: Faxed Claims No Longer Accepted (PDF)

2014

• AD 14 100: Verification of Psychiatric and Substance Abuse Inpatient Rehab Hospital Admission (PDF)
• AD 14 102: Change In Initial Assessment Continued Stay and Discharge (PDF)
  • AD 14 102A: UM MH (PDF)
  • AD 14 102B: UM SA (PDF)
  • AD 14 102C: MSS Bedsearch (PDF)
• AD 14 104: Change In UM Contact Process (PDF)

2013

• PC-10: Clock Time Requirement for Inpatient Psych Services (PDF)
• PC-11: CRNP for Inpatient Hospital Care v.3 (PDF)

2011

• AD 11 101: Federal Regulations 42, CFR Subpart D Related to JCAHO Accreditation (PDF)
  Final ruling

2010

• MH 10 106: MH IP Discharge Planning and Member Letter (PDF)

2009

• Referral to Peer Support Services at Discharge From Inpatient Unit (PDF)

2008

• MH 08 000: Psychiatric Inpatient Admissions for Member on a Medical Floor (PDF)

2003

• AD 03 003: Blood Alcohol Levels and Level of Care Determinations (PDF)

2016

• SA 16 100: SA IOP Registration/Prior Authorization Requirement (PDF)
  • SA IOP Request Form (PDF)

2014

• AD 14 100: Verification of Psychiatric and Substance Abuse Inpatient Rehab Hospital Admission (PDF)
• AD 14 102: Change In Initial Assessment Continued Stay and Discharge (PDF)
  • AD 14 102A: UM MH (PDF)
  • AD 14 102B: UM SA (PDF)
  • AD 14 102C: MSS Bedsearch (PDF)
• AD 14 104: Change In UM Contact Process (PDF)
• PC-16: Lab Changes During Substance Abuse Treatment (PDF)

2013

• PC-08: Use of Member Incentives In Substance Abuse Treatment (PDF)
  • PC-08: Advisory Opinion No.08-14 Attachment

2012

• SA 12 100: Substance Abuse Intensive Outpatient Program Expectations (PDF)
  Cumberland, Dauphin, Lancaster, Lebanon and Perry Counties
• SA 12 102: Recovery Oriented Methadone (ROM) Services Coding (PDF)
  Bedford and Somerset Counties
• SA OP 12 103: Compliance Reminders (PDF)
  Documentation and delivery substance abuse outpatient, methadone and suboxone services

2009

• SA 09 100: Methadone Billing for Take Home Services (PDF)

2014

• AD 14 106: BHRS and FBMHS Provider Capacity Mandatory Reporting (PDF)
• PC-15: Billing for FBMH No Shows (PDF)

2012

• FBMH 12 100: Family-Based Mental Health Services Update (PDF)

2008

• FBMH 08 000: Clarification of Family-Based Mental Health Services Billing for Travel Time (PDF)

2004

• FBMH 04 002: FBMHS Coordination and Reporting (PDF)

2017

• PC-19: Medicaid Enrollment of Ordering, Referring, and Prescribing Providers (PDF)

2016

• MH 16 101: Trauma-Focused Cognitive Behavior Therapy (TF-CBT) Modifier (PDF)
• MH 16 100: New CPT Code 96127 Brief Emotional-Behavioral Assessment (PDF)

2015

• AD 15 100: Process Change for OP Requests Requiring MNC or Registration (PDF)

2014

• MH 14 100: Assertive Community Treatment Code Changes (PDF)
  • MH 14 100A: Assertive Community Treatment ACT Authorization form (PDF)
• AD 14 103: Outpatient Codes for Initial Services BS Level in Standard (PDF)

2013

• PC-07: MH-OP Treatment Plan No Show v.2 (PDF)
• PC-09: OP Treatment Plan Frequency v.2 (PDF)
• PC-12: Physician Services In MH OP Clinics (PDF)

2011

• MH 11 100: Utilization of FBAs In a Partial Hospital Program (PDF)

2010

• MH 10 102: Addition of Interactive Telecommunications Modifier for Peer Support (PDF)
  per revised bulletin OMHSAS-09-07
• MH 10 105: Psychiatric Rehabilitation Coding Changes (PDF)

2003

• MH 03 005: Medication Management and Psychotherapy as Stand-Alone Services (PDF)

2002

• AD 02 011: Medication Management and Partial Hospital Requirements (PDF)

• OMAP 99-17-02: Submission of Claims that Require the National Provider Identifier (NPI) of a Medical Assistance Enrolled Ordering, Referring or Prescribing Provider (PDF) January 30, 2017

• OMHSAS-16-12: Peer Support Services - Revised (PDF) December 12, 2016
  • Amendment to Provider Handbook for Psychiatric and Partial Hospitalization Services (PDF)
• OMAP 99-16-15: Payment of Claims for Autism Spectrum Disorder (ASD) (PDF) August 17, 2016
• OMHSAS Policy Clarification 03-16-01: Encounter Coding (PDF) March 21, 2016
• OMAP 99-16-17: Enrollment of Ordering, Referring and Prescribing Providers (PDF) April 1, 2017
• OMHSAS-16-09: Medical Necessity Guidelines for ABA (PDF) July 1, 2016
• Description of Service (PDF)
• OMHSAS-16-07: Enrollment and Payment of Provider Entities, Applied Behavior Analysis (PDF) June 6, 2016
• OMAP 99-16-04: Enrollment of Co-Located Providers (PDF) May 31, 2016
• OMHSAS-16-06: Payment for Room and Board when Services are Provided by a CARF or COA Accredited Residential Treatment Facility (PDF) May 16, 2016
• OMHSAS-16-04: Training Requirements for Licensed Behavior Specialists Who Use Behavioral Specialist Consultant-Autism Spectrum Disorder Services to Provide Applied Analysis (PDF) April 26, 2016
• OMHSAS-16-03: Revised Procedure for Waiver of Office of Mental Health and Substance Abuse Services Program Regulations and Standards (PDF) April 19, 2016
• Pennsylvania Opioid Use Disorder Centers of Excellence Cover letter (PDF)
• DHS Opioid Use Disorder Centers of Excellence Application (PDF)
• OMAP PowerPoint on Health IT Initiative Update on Behavioral Health Opportunities (PDF) April 1, 2016
• DHS FQHC / RHC Prospective Payment System (PPS) FAQ (PDF)
• OMHSAS 16-01: Mental Health Emergency Services Guidelines (PDF) January 8, 2016
• OMHSAS-16-02: Training and Supervision Requirements for Therapeutic Staff Support (TSS) Workers that Implement Treatment Plans that Include Applied Behavioral Analysis (PDF) March 11, 2016
• TSS Training (PDF)
• OMHSAS Applied Behavioral Analysis Attestation (ABA) Memo (PDF) March 10, 2016
• ABA Attestation (.docx)
• ABA Behavioral Specialist Consultant Confirmation (.docx)

2015

• DHS 01-15-28 Provider Preventable Conditions (PDF) September 1, 2015
• DHS Mandatory Reporting Requirements covered by Adult Protective Services Act (PDF) April 8, 2015
  • Mandatory Abuse Report Form Instructions (PDF)
  • Mandatory Abuse Report Form (PDF)
• DPW Adult Protective Services (APS) Letter (PDF) May 26, 2015
• OMHSAS Medical Assistance (MA) Coverage of Services to Children With Autism Spectrum Disorder (ASD) (PDF) March 18, 2015

2014

• OMAP 99-14-09: Implementation of Healthy PA (PDF) November 4, 2014
• OMHSAS 14-04: DSM Fifth Edition (PDF) September 5, 2014
• OMHSAS 14-03: Affordable Care Act (ACA) Provider Re-Enrollment for Behavioral Health Providers (PDF) August 1, 2014
• OMHSAS 14-02: Payment of Licensed Providers for Children with ASD (PDF) May 23, 2014
• OMHSAS DPW Policy Clarification 01-14-01: MA Payment for Diagnostic Laboratory Services (PDF) April 30, 2014
• OMHSAS 14-01: Guidelines for Telepsych Services Approval (PDF) March 18, 2014
• OMHSAS Policy Clarification 03-14-02: BHMCO Attestation Form (PDF) March 10, 2014
• OMAP 99-14-01: Re-enrollment/rRevalidation of Medical Assistance (MA) Providers (PDF) March 7, 2014
• OMHSAS Policy Clarification 03-14-01: Psych Rehab Codes (PDF) March 6, 2014
• OMHSAS Policy Clarification 02-14-01: Compensation Progress Notes (PDF) February 25, 2014
• OMHSAS Policy Clarification 01-14-01: Group Services in Partial Hospitalization Programs (PHPs) (PDF) January 15, 2014
• OMHSAS Policy Clarification 01-14-01: Diagnostic Lab Payment in D&A Clinics (PDF) January 15, 2014

2013

• OMHSAS Policy Clarification 10-13-01: Recovery of Overpayments (PDF) October 31, 2013
• OMHSAS Policy Clarification 09-13-01: Peer Support Applicability (PDF) September 18, 2013
• OMHSAS Policy Clarification 09-13-01: HealthChoices Capitation Payments (PDF) September 18, 2013
• OMHSAS Policy Clarification 09-13-01: Financial Reporting (PDF) September 13, 2013
• OMHSAS Policy Clarification 08-13-01: Assertive Community Treatment (ACT) Substance Abuse Specialist (PDF) August 10, 2013
• OMHSAS Policy Clarification 06-13-01: Nurse Billing E&M Code (PDF) June 17, 2013
• OMHSAS Policy Clarification 03-13: TSS Simultaneously with OT, ST, or PT in School (PDF) March 27, 2013
• OMHSAS Policy Clarification 02-13: Pharmacologic Management (PDF) February 14, 2013
• OMHSAS 13-01: Targeted Case Management (TCM) Travel Transportation Guidelines (PDF) January 18, 2013
• OMHSAS Policy Clarification 01-13: Prior Authorization Code Clarification for Group Psychotherapy (PDF) January 8, 2013

2012

• OMAP 99-12-12: Updates to National Correct Coding Initiative (NCCI) (PDF) October 26, 2012
• OMHSAS Policy Clarification 06-12: Pharmacologic Management (PDF) October 9, 2012
• OMHSAS Policy Clarification 04-12: Crisis Residential Services (PDF) August 9, 2012
• OMHSAS Policy Clarification 02-12: Retroactive Provider Rate Adjustment Policy (PDF) March 18, 2012
• OMAP 99-12-03: Updates to Medical Assistance Co-payment Policy (PDF) April 16, 2012
• OMAP 99-12-01: PES Software (PDF) April 6, 2012
• OMHSAS-12-01: Summer Therapeutic Activities Program (STAP) (PDF) March 1, 2012
• OMHSAS Policy Clarification 01-12: Transportation for Psych Rehab Services (PDF) January 24, 2012
• OMHSAS Mental Health Case Manager Refresher Training (PDF) January 13, 2012

2011

• OMHSAS 11-09: Telepsychiatry Guidelines (PDF) December 12, 2011
• OMHSAS Policy Clarification 03-11: Alternative Payment Arrangements (PDF) November 18, 2011
• OMAP 99-11-10: National Correct Coding Initiative (NCCI) Announcement (PDF) November 10, 2011
• OMAP 99-11-05: Provider Screening of Employees (PDF) August 15, 2011
• OMHSAS Use of Safe Physical Management and Time Outs (PDF) July 6, 2011
• OMHSAS Policy Clarification 01-11: Psych Diagnostic Coding (PDF) May 6, 2011
• OMHSAS 11-05: Permissible Arrangements for BHRS Psychologists (PDF) March 8, 2011
• OMHSAS Permissible Arrangements for Psychologists Presentation (PDF)
• OMHSAS 11-01: Non-Discrimination Toward LGBTQI (PDF) January 7, 2011

2010

• DPW 00-10-02: Complex Case Planning (PDF) December 28, 2010
• OMHSAS 10-04: Psych/Clinical Re-Evaluation for BHRS (PDF) July 9, 2010
• OMHSAS 10-04: FAQ 6 Month Evaluations/Authorization (PDF)
• OMHSAS 10-03: Blended Case Management (BCM) Revised (PDF) June 14, 2010
• OMHSAS 10-03: Definitions Attachment A (PDF)
• OMHSAS 10-03: Services for severely emotional disturbance disorders Appendix A (PDF)
• OMHSAS 10-03: Community Support Values and Principles Appendix B (PDF)
• OMHSAS 10-03: Fiscal Issues Attachment B (PDF)
• OMHSAS 10-03: Provider Enrollment Attachment C (PDF)
• OMHSAS 10-03: Recovery Principles Appendix C (PDF)
• OMHSAS 10-03: Blended Case Mgmt Guidelines Attachment D (PDF)
• OMHSAS Policy Clarification 02-11: Educational requirements for Behavioral Specialist Consultant (BSC) (PDF) June 9, 2010
• OMHSAS 10-01: Medication Prescribing Practices of CRNP's in MH and Mental Retardation Programs (PDF) March 27, 2010
• OMHSAS Policy Clarification 01-10: Payment for Room & Board in Non-Hospital D&A Facilities (PDF) February 25, 2010
• OMHSAS 10-01: Educational Portions of "Non-Educational" Residential Placement (PDF) January 4, 2010
• OMHSAS 09-07: Peer Support Services Revised (PDF) January 1, 2010

2009

• DPW 3800-09-02: Prone Restraints in Children's Facilities (PDF) December 19, 2009
• DPW 3800-09-01: Strategies and Practices to Eliminate Unnecessary Restraints (PDF) December 19, 2009
• OMHSAS Policy Clarification 07-09: Payment for Drug and Alcohol Outpatient Services (PDF) October 13, 2009
• OMHSAS 09-05: Peer Support Revised (PDF) September 22, 2009
• OMHSAS Policy Clarification 06-09: Fraud and Abuse Requirements (PDF) September 8, 2009
• OMHSAS Personal Care Home Policy (PDF) August 18, 2009
• OMHSAS functional behavioral assessment (FBA) Q&A (PDF) June 16, 2009
• OMHSAS Policy Clarification 04-09: Psych Evaluations for STAP (PDF) February 18, 2009
• OMHSAS Policy Clarification 03-09: Payment for Federally Qualified Health Clinics (FQHC) and Rural Health Clinics (RHC) (PDF) February 11, 2009
• OMHSAS Policy Clarification 05-09: Crisis Intervention vs Emergency Services (PDF) February 10, 2009
• OMHSAS 09-04: Family Involvement with Youth in RTF (PDF) June 15, 2009
• OMHSAS 09-01: Guidance for Conducting Functional Behavioral Assessments (FBA) (PDF) January 9, 2009

2008

• OMHSAS Policy Clarification 02-09: Mobile Mental Health Tx exempt from TPL (PDF) October 29, 2008
• OMHSAS Policy Clarification 08-09: Timeframe for Psych Evals for RTF Admission (PDF) October 20, 2008
• OMHSAS Policy Clarification 02-08: Email Communication (PDF) October 1, 2008
• OMHSAS 08-03: Assertive Community Treatment (ACT) (PDF) September 2, 2008
• OMHSAS Policy Clarification 2008-002: List of Six Claim Adjustment Reason (CAR) Codes (PDF) June 20, 2008
• OMHSAS Policy Clarification 03-08: Scope of Practice for CRNPs (PDF) May 8, 2008

2007

• OMHSAS Policy Clarification 02-07 : Adverse Incident Reporting (PDF) October 5, 2007
• OMHSAS Policy Clarification 01-07: Partial Hospitalization Program (PHP) Services (PDF) September 13, 2007
• OMAP 99-07-13: Updated: Regarding False Claims Provisions of Deficit Reduction Act of 2005 (PDF) September 7, 2007
• DPW 08-07-09: Peer Support Services (PDF) May 22, 2007
• DPW Peer Support Services Supplemental Provider Agreement (PDF)
• DPW Peer Support Service Description Checklist (PDF)
• CMS FQA for Peer Support Services in PA (PDF) May 1, 2007
• OMAP 99-07-01: Employee Education about False Claims Recovery (PDF) January 2, 2007 - Employee education about false claims recovery

2006

• DPW 08-06-18: Mobile Mental Health Treatment (PDF) November 30, 2006
• MA Mobile Mental Health Treatment Handbook (PDF) November 1, 2006
• MA Fee Schedule (PDF)
• MA Handbook for Other Services (PDF) November 1, 2006

• DPW 09-05-16: Clarification of Enrollment Policy for CRNPs (PDF) December 16, 2005
• DPW TSS Transportation (PDF) July 7, 2005
• OMHSAS Policy Clarification 03-05: Qualifications for Behavioral Specialist Consultant (BSC) & Ph.D. (PDF) May 13, 2005
• DPW 28-04-01: Methadone Take-Home Services (PDF) February 1, 2004
• OMHSAS Policy Clarification 07-03: Licensed Group Homes (PDF) August 5, 2003
• OMHSAS Policy Clarification 18-02: Scope of Practice for Physician Assistants (PDF) December 20, 2002
• DPW 99-02-13: The Bureau of Program Integrity and the Medical Assistance Provider Self-Audit Protocol (PDF) December 2, 2002
• DPW 01-02-11: RTF Services Provided in a Secure Setting (PDF) October 1, 2002
• OMHSAS 02-01: The Use of Seclusion and Restraint in MH Facilities and Programs (PDF) April 8, 2002
• DPW 01-02-07: Reminder for BHRS Documentation Requirements (PDF) April 3, 2002
• OMHSAS Policy Clarification 16-02: TPL Issues (PDF) March 30, 2002
• DPW 29-02-03: Medical Record Keeping Requirements (PDF) March 21, 2002
• OMHSAS Policy Clarification 02-02: Parent availability for TSS services (PDF) January 14, 2002
• OMHSAS Q&A 11-97-176: Responsibility for Pharmaceuticals for an Inpatient BH Admission (PDF) September 2001
• DPW 01-01-07: Addition of BHRS to the Medical Assistance (MA) Program Fee Schedule (PDF) June 21, 2001

• OMHSAS Q&A 3-96-198: Non-Participating Providers allowed to Balance Bill (PDF) June 19, 2000
• OMHSAS Q&A 3-96-199: Definable Compensable Services (PDF) June 19, 2000
• OMHSAS Q&A 3-96-195: Bypass Primary Payer (PDF) May 8, 2000
• OMHSAS Q&A 11-97-66: Network Contracting (PDF) July 7, 1999
• DPW 28-99-02: Medication Management Visit (PDF) April 26, 1999
• DPW Policy Clarification RH-01: Age Limit for BHRS (PDF) March 4, 1999
• DPW 01-98-19: Clozapine Support Services (PDF) December 29, 1998
• DPW Inappropriate Delivery and Billing for TSS Services (PDF) January 6, 1998
• DPW 99-97-06: Accurate Billing for Units of Service Based on Periods of Time (PDF) September 17, 1997
• DPW 01-97-08: Diagnostic and Psychological Evaluations (PDF) May 28, 1997
• DPW 01-96-11: Procedures for Service Descriptions (PDF) April 29, 1996
• DPW 50-96-03: Summer Therapeutic Activities Program (PDF) April 25, 1996
• DPW 01-95-13: Updated JCAHO Accredited RTF Services (PDF) September 8, 1995
• DPW 01-95-01: Signature Requirements (PDF) January 2, 1995
• DPW 01-94-01: Outpatient Psychiatric Services for Children Under 21 Years of Age (PDF) January 11, 1994