Intensive Behavioral Health Services

Providers should consult the following Memorandum and COVID-19 Public Health Emergency Suspended Regulations List.

Providers are encouraged to check the Department of Human Services’ IBHS website for up-to-date information, including but not limited to:

• IBHS Regulations Annex A and Preamble
• IBHS FAQ

OMHSAS has released Medical Necessity Guidelines for IBHS. Bulletin and Guidelines for each service type:

• 7/22/20 OMHSAS Bulletin
• Attachment 1: Individual Services MNG
• Attachment 2: Applied Behavior Analysis MNG
• Attachment 3: Group Services MNG

Community Care is providing the following video and companion slide deck about our IBHS Authorization Process:

• IBHS Provider Meeting Recording
• IBHS Presentation (updated 7/28/20)
• IBHS & Schools Presentation (updated 9/16/20)

Community Care has released the following IBHS Provider Alerts:

• PA24 (7/31/20): Intensive Behavioral Health Services (IBHS) Medical Necessity Guidelines (MNG)
• PA17 (7/6/20): Process and Procedure for Requesting New Intensive Behavioral Health Service (IBHS) Authorizations and Transition of Authorizations from BHRS to IBHS (please note: the ePortal Getting Started Guides for practitioners and facilities have been consolidated into one resource here)
• PA02 (2/11/20): Intense Behavioral Health Services - Service Locations
• PA14 (12/27/19): Intensive Behavioral Health Services Updated Information/Guidelines
• PA11 (11/11/19): Intensive Behavioral Health Services (IBHS)

Some providers have requested guidance regarding Coordination Agreements. In general, coordination agreements should include the following content:

• A heading with the name of the agency that is requesting the agreement
• Physical Address
• Phone Number
• Fax Number
• Email address
• Purpose
• Terms of the agreement
• The time frame for the agreement
• Signatures of both parties
• The date that the form was created

Community Care and county partners are working closely with current BHRS providers to facilitate the transition to IBHS. Please contact your Provider Representative when you are ready to bill for IBHS.