Webalign with new State guidance (DHCS BHIN 21-021) related to removal of the cap on Medi-Cal reimbursement for more than 2 non-continuous residential episodes. –Effective 8/16/2024, there is no longer a limitation/cap on 2 non-continuous residential episodes that are DMC reimbursable –See DHCS Behavioral Health Information Notice (BHIN) 21- WebMay 24, 2024 · We cannot predict FY22-23, but even for now the FY21-22 reasons are less “picky”: Recoupment if no service was claimed but no note exists Recoupment if services were not actually a mental health service (e.g., No Show, clerical) Recoupment if service was outside provider’s scope of practice Recoupment if note is not signed
DHCS Updated Reasons for Recoupment FY 21-22 (pdf)
WebDHCS BHIN 20-012 on the Network Adequacy Certification Tool (NACT) form. DHCS reviews these forms to determine if the provider networks meet required time and distance standards, as well as timeliness standards, for essential mental health services and psychiatry services for youth and adults. If these WebFeb 1, 2024 · • 3.5 - Clinically Managed High-Intensity Residential Services, and • 3.7 - Medically Monitored High-Intensity Inpatient Services. POLICY: In accordance with Health and Safety Code Section 11834.015, DHCS adopted the simplot idaho falls
FY 2024-21 MEDI-CAL SPECIALTY MENTAL HEALTH …
WebEnclosure 3. 1 . MEDI-CAL SPECIALTY MENTAL HEALTH SERVICES REASONS FOR RECOUPMENT FISCAL YEAR 2024/2024 . NON-HOSPITAL SERVICES . Medical Necessity / Beneficiary Criteria / Need for Specialty Mental Health Services / Assessment WebJan 19, 2024 · 1 dhcs bhin 23-001 • Case Mgmt-Care Coordination : is to be used whenever care is coordinated between ACBH contracted SUD providers (e.g. … Webbetween providers/plans. The universal transition tool expected to be implemented on 1/1/23 will help streamline that process. Both MHP & DMC-ODS Providers - Category: Peer Support Services 4. Question: The BHIN makes the following statement about Peer Support Specialists: Peer support services must be based on an approved plan of care. ray of the ancient spell prodigy