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Latest Updates

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February 10 – 16

February 14, 2019
Targeted case management (TCM) mental health (MH) authorization request form (PDF)

December 23 – 29

December 29, 2018
Additional units request form - Capital (PDF)

November 11 – 17

November 14, 2018
AD 18 106 Tobacco Cessation Providers (PDF)

October 7 – 13

October 10, 2018
Requirements for certified peer specialist grandparenting (PDF)

September 30 – October 6

October 1, 2018
SA 18 101: Inpatient withdrawal management notification of admission (PDF)

Withdrawal management notification form (PDF)

October 1, 2018
AD 18 105: Capital Area performance incentive payments (PDF)

October 1, 2018
Peer support authorization request form (PDF)

September 2 – 8

September 4, 2018
Substance use disorder IOP authorization request and discharge form (PDF)

September 4, 2018
Substance use out-of-network prior authorization request form (PDF)

September 4, 2018
Withdrawal management notification form (PDF)

August 26 – September 1

September 1, 2018
SA 18 100: DDAP Transition to American Society of Addiction Medicine (ASAM) for Substance Use Disorder Levels of Care (PDF)

July 30 – August 4

August 1, 2018
AD 18 104: Changes to Prior Authorization and Denial Process (PDF)

August 1, 2018
AD 18 103: Do you want to save time and shorten your reimbursement cycle? (PDF)

July 8 – 14

July 14, 2018
Claims Submission Overview (PDF)

June 24 – 30

June 29, 2018
OMHAS-18-01: Consent to Mental Health Treatment for Minor Children (PDF)

June 28, 2018
The Behavioral Health Rehabilitative Services (BHRS) Provider Choice form for the Capital region (PDF) has been updated.

May 27 – June 2

June 1, 2018
AD 18 102: Discharge Planning: Using the Teach Back Method (PDF).

May 31, 2018
BHRS 18 100: Differential Reimbursement of TSS with the RBT Credential (PDF).

May 31, 2018
MH 18 100: Partial Hospitalization Continued Stay and Discharge Process (PDF).

May 6 – 12

May 10, 2018
The Provider Manual (PDF) has been updated. Be sure to review changes to the following sections:

  • Administrative and Treatment Quality Concerns in the Provider Responsibilities chapter.
  • Claims and Claims Dispute chapter.
  • Member Rights and Responsibilities.
  • Prevention Programs available to Members.