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PROVIDER MANUAL AND ALERTS
IMPORTANT CONTACTS
IVR AND EXTENSION SCREENS
ELECTRONIC CLAIMS
REPORTS AND SUPPORT MATERIALS
INFORMATION FOR PCCs
MASSHEALTH ELIGIBILITY
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Children's Behavioral Health Initiative (CBHI) Information


CBHI Member Notice
     This is the MassHealth Member Notice that was sent to
     MassHealth members in June. The language within this
     document can be used by CSAs in their CSA marketing
     materials, CSA presentations, etc.

CBHI Provider Alerts
     CBHI Provider Alert #60
     CSA Provider Alert #64
     Alert 64 Attachment 1: Geographic CSAs (Updated 8/17/2009)
     Alert 64 Attachment 2: Specialty CSAs (Updated 9/28/2009)
     Alert 64 CSA spreadsheet (Updated 9/28/2009)
     CSA Provider Alert #69
     CBHI Provider Alert 74: Expansion of Billing Parameters for
        Case Consultations
     CBHI Provider Alert #75
     Important Letter regarding In-Home Behavioral Services:
     This letter provides clarifying information about youth who
     may demonstrate a medical need for In-Home Behavioral
     Services and should be reviewed alongside MBHP Provider
     Alert #75, Additional Credentialing Requirements for
     In-Home Behavioral Services.
     CBHI Provider Alert #76
     CBHI Provider Alert #78
     CBHI Provider Alert #79
     CBHI Provider Alert #82
     Alert #86 CBHI: Decision Regarding Crisis Stabilization
     Service (Updated 3/16/2010)
     CBHI Provider Alert #88: Revision of the Performance
     Specifications for In-Home Behavioral Services
        (Updated 3/29/2010)

     Alert 105 Clarification for Providers of IHT -- Aug 26 2011
     Alert 106 Accessing Family Support and Training --
        Sept 27 2011
     Alert 110 IHT Announcement of Revised Performance
        Specifications -- Apr 4, 2012
     Alert 111 IHBS Announcement of Revised Performance
        Specifications -- Apr 4, 2012
     Alert 114 ICC Announcement of Revised Performance
        Specifications -- Apr 10, 2012
     Alert #119 Therapeutic Mentoring, In-Home Behavioral
        Services, and Family Support and
        Training: Announcement of Revised
        Medical Necessity Criteria
     Alert #120 CANS Update
     Alert 121 Revised FS&T Performance Specs -- Aug 31 2012
     Alert 122 Revised IHT, TM, and IHBS Performance Specs --
        Aug 31 2012
     Alert 124 Revised ICC Performance Specs -- Oct 30 2012
     Alert 130 Dimock and Lowell CSA -- Feb 6, 2013
     Alert 143 CANS HA Denial -- Mar 21, 2014

CBHI Overview

     CBHI Services and Referral Contact Numbers

     Conflict Resolution Process
     The process described in this document is to be used by
     Community Service Agencies (CSAs) delivering Intensive
     Care Coordination (ICC), CBHI providers delivering In
     Home Therapy (IHT) and State Agency Staff participating
     in ICC Care Planning Teams for any conflict in an ICC or
     IHT team in which the members of the team feel that
     they've reached an impasse. Examples of common conflicts
     are: strong differences of opinion between team members
     regarding: state service plans or CBHI Care Plans or
     treatment plans; plans for discharge, from either
     state-funded or CBHI services; the need for higher
     levels of care; and payment for residential services.

     Guidelines for Ensuring Timely Access to CBHI Services
     Please refer to these guidelines for ensuring timely access to
     care for youth and families seeking CBHI services. These
     guidelines highlight the importance of using the
     MABHAccess website to search for providers with
     availability to accept new referrals in real time.

     Mission, Values, Vision, Strategic Priorities

     CBHI Services one-pager (Updated 4/13/2012)
     
CBHI Publications (Updated 1/26/2012)
   CBHI Brochure for Parents/Caregivers and Companion Guide
       for Providers
   Helping Families Access MassHealth Home-and
     Community-Based
      Behavioral Health Services for Children and
      Youths under Age 21: A Guide for School Personnel
   How to Apply for MassHealth for Your Child

Performance Specifications for CBHI Services

Medical Necessity Criteria for CBHI Services

Service Definitions for CBHI Services

Child and Adolescent Needs and Strengths (CANS)

MBHP IVR
     Note regarding MBHP CBHI Authorization Procedure
     For CBHI services, including Therapeutic Mentoring (TM), In-
     Home Behavioral Services, Family Support & Training (FS&T),
     and In-Home Therapy (IHT), authorization is obtained
     through MBHP's IVR system. To access the IVR system,
     please call (888) 899-6277 and follow the prompts. This is
     the easiest and quickest way to obtain authorization for
     these services. If the authorization request cannot be
     processed for any reason, providers will be directed to
     a voicemail box. All messages in the voicemail box are
     processed regularly and forwarded to an appropriate care
     manager who will assist providers in completing
     authorization requests.

     IVR Manual
     MBHP IVR Authorization Procedure for TM, IHBS, and FS&T
         (Updated 10/4/2012)

     MBHP IVR Authorization Procedure for IHT (Updated 10/4/2012)

MCE Documents and Resources

     Tip Sheet for Outpatient Clinicians: Roles and
        Responsibilities as a Children's Behavioral
        Health Initiative (CBHI) Hub Provider
     MCE Use of Interns for CBHI Services (Updated 8/16/2010)
     CBHI MCE Waiver Request Form  (updated 7/8/2014)
     MCE Submission Requirements for Crisis Planning Tools
     This document describes the MCEs' submission requirements
     of the crisis planning tools for providers of IHT, MCI,
     and ICC. (updated 7/15/2011)
     MCE CBHI Health Record Documentation Standards
     (updated 3/7/2013)
     MCE Grid Outpatient Benefits
     The MCEs collaboratively developed this grid for two
     purposes: 1) to allow outpatient providers to get
     MCE-specific in an easy way, rather than having to
     search on the MCEs' information websites, review multiple
     alerts, etc.; and 2) to assist outpatient providers in
     appropriately accessing these available services/benefits
     for our Members. CBHI providers can also refer outpatient
     providers to it, when collaborating with them around a
     youth's treatment.
     MBHP IHT Orientation Tip Sheet (Updated 3/5/2012)
     MBHP IHBS Hub Waiver Process (Updated 4/13/2012)
     MCE CBHI Authorization Processes (Updated 1/6/2014)
     Access to Care Protocol (Updated 8/20/2012)
     Referral Log Waitlist Template (Updated 9/5/2014)

Crisis Planning Tools (Updated 4/28/2011)

Resources

State Agency Protocols
     DCF Protocols (Updated 3/17/2011)
     DDS Protocols (Updated 3/17/2011)
     DMH Protocols (Updated 3/17/2011)
     DPH Early Intervention Protocols (Updated 3/17/2011)
     DPH Bureau of Substance Abuse Services Protocols
      (Updated 3/17/2011)
     DPH School-Based Clinic Protocols (Updated 3/17/2011)
     DTA Protocols (Updated 3/17/2011)
     DYS Protocols (Updated 3/21/2011)

Transition-Age Youth (TAY) Resources

The Learning & Working During the Transition to Adulthood Rehabilitation Research & Training Center labs.umassmed.edu/transitionsRTC/index.htm
The Transitions RTC is a national effort that aims to improve the supports for youth and young adults, ages 14-30, with serious mental health conditions who are trying to successfully complete their schooling and training and move into rewarding work lives.

Northeast Massachusetts Community of Practice for Transition Aged Youth and Young Adults with Serious Mental Health Conditions (NE MA TAY-YA CoP) macoptayya.wikispaces.com
The Northeast Massachusetts Community of Practice for Transition Aged Youth and Young Adults with Serious Mental Health Conditions was formed to provide an opportunity for stakeholders and representatives of services for mutual exchange and co-learning. This exchange, both actual and virtual, leads to identification of projects for the CoP to collectively develop. Interested individuals must join the group to participate as members via a Wikispace.

DMH maintains a young adult mental health, addictions, and trauma recovery website that contains comprehensive and up-to-date recovery information, links, and resources created by young adults for young adults. Here are just three specific links on the site:
yac-yac.info/Resources.html for resources
yac-yac.info/Resource_Guide.html for resource guides
www.speakingofhope.org Speaking of Hope project

The Research and Training Center (RTC) for Pathways to Positive Futures through Portland State University aims to improve the lives of youth and young adults with serious mental health conditions through rigorous research and effective training and dissemination. Their work is guided by the perspectives of young people and their families and based in a positive development framework. www.pathwaysrtc.pdx.edu/index.shtml

Massachusetts 2-1-1
www.mass211.org
Mass 2-1-1 connects callers to information about critical health and human services available in their community. It serves as a resource for finding government benefits and services, nonprofit organizations, support groups, volunteer opportunities, donation programs, and other local resources. It is available 24 hours a day, 7 days a week, and is an easy way to find or give help in your community. Mass 2-1-1 responds immediately during times of crisis, to field calls regarding the crisis, and to direct callers to services most appropriate for their needs. If you are unable to reach 2-1-1 due to your telephone or cell phone carrier, a toll-free number is available:
1-877-211-MASS (6277); Hearing Impaired: 508-370-4890 TTY

Transitional Age Youth at Parent Information Network (TAY at PIN)
tayatpin.org
TAY at PIN is a program that provides educational and support services for parents and caregivers of youth, ages 14 to 25 years. Services and outreach to parents are provided through the facilitation of focus groups, parent support groups, and one-on-one support. TAY at PIN is a component of the BAMSI Parent Information Network and is funded by the Southeast Area Department of Mental Health.

Transitional Age Youth - Berkshire County
www.tayberkshire.com
A collaborative group of non-profit agencies who provide one or more programs and resources specifically targeted at the transition needs of youth throughout Berkshire County




BHProvider

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Link SymbolThird Party Liability (TPL) FAQs
 Click here for Frequently Asked Questions about MBHP's Provider Alert #126 regarding Third Party Liability.

Link SymbolExpedited Authorization Website
 An Expedited Authorization and Mental Status Update website is available for all eligible Emergency Service Program providers starting June 1, 2012: please click here to connect.

Link SymbolMBHP has gone Green!
 Notices of new routine authorizations, and the letters themselves, are available at the MBHP/ValueOptions online provider portal ProviderConnect. Letters related to adverse actions or denials continue to be sent through the mail. To hear a previously presented training on the authorization letter Go Green program click here.

Link SymbolChildren's Behavioral Health Initiative (CBHI)
 Please click here for information, including performance specifications, for Children's Behavioral Health Initiative (CBHI) services.

Link SymbolFile Electronic Claims
 Learn more about the advantages of submitting electronic claims.

Link SymbolRights for Your Members
 Information on rights, appeals, and grievances for your Members

Link SymbolContact MBHP
 We're here to answer your questions and address your concerns.

Link SymbolMassHealth Provider Services Department
 1-800-841-2900
Primary Care referral sources, community resources, and acute and Urgent Care Services Facilities

 

 

 

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This page was last updated: 9/30/2014