2021 Provider Alerts

_____ Jun 08
- Important Provider Notification
PA27 Dec 23
- Mental Health Crisis Intervention Services and Mental Health Crisis Residential Services Performance Standards
PA26 Dec 03
- Provider Rate Setting
- Policy and Procedure Manual: Provider Rate Setting All contracts except Northeast
PA25 Nov 18
- Prevention, Early Detection, Treatment and Recovery (PEDTAR) Performance Improvement Project
PA24 Oct 04
- Updates from the PA Department of Human Services (DHS) Regarding Continuance of Suspended Regulations, Bulletins and Other Guidance, Due to the COVID-19 Pandemic, Effective 09/30/21
PA23 Sep 29
- Fraud, Waste, and Abuse (FWA) Updates Regarding the Guidelines for the Delivery of Behavioral Health Services Through Telehealth, effective September 30, 2021 Revised
- Telehealth Waiver Template
PA21 Sep 27
- Community Residential Rehabilitation Host Home (CRR HH) Performance Standards and Medical Necessity Guidelines
PA20 Sep 24
- Provider Implementation of Naloxone Interventions: Guidance and Resources
- Community Care Provider Naloxone Attestation
PA18 Aug 17
- Medicare Third Party Liability Requirements for Opioid Treatment Programs
PA17 Aug 17
- ASAM Level 2.5, 3.5, 3.7, and 3.7WM Performance Standards
PA16 Jul 21
- HealthChoices North Central – Change to Member Eligibility Code in PROMISe North Central only
PA15 Jul 01
- HealthChoices North Central Billing and Payment Changes North Central only
PA14 Jun 25
- Allegheny Drug and Alcohol (ALDA) MPER Service Offering ID ALDA only
PA13 Jun 17
- Fraud, Waste and Abuse (FWA) Updates from the Office of Mental Health and Substance Abuse Services (OMHSAS) Provider Compliance Requirements During COVID-19, 2/18/21
PA12 Jun 17
- Treatment Plan Definitions (Revised) and Progress, Treatment or Service Note Requirements
PA11 Jun 11
- Change in Authorization Process: Joint Planning Teams
PA10 Jun 02
- Provider Exclusion Screening Requirements
PA09 May 17
- Universal Discharge Form
PA08 Apr 27
- CAQH Credentialing Application Implementation
PA07 Apr 15
- Procedure for Providing a Specialized Behavioral Health Treatment Program in Community Residential Rehabilitation Host Home Settings
- OMHSAS Host Home Treatment Bulletin
- Attachment A: Service Description Format
- Attachment B: Fee-For-Service Prior Authorization Instructions
- Attachment C: Contact List for OMHSAS’s Regional Field Offices
PA06 Mar 29
- Monitoring Guidelines of Provider Implementation of Suicide Prevention Interventions
PA05 Mar 04
- Provider Reimbursement: Claim Address Reminder
PA04 Mar 04
- New Outpatient Mental Health and Family Based Mental Health Performance Standards
PA03 Mar 02
- Process for Recommending Intensive Behavioral Health Services (IBHS) and Other Services, such as Family Based, CRR Host Home, and Residential Treatment Facility Services
PA02 Jan 15
- Dual Diagnosis Treatment Team Performance Standards
PA01 Jan 15
- CommonGround Decision Support Center (DSC) Performance Standards

Archive of Provider Alerts