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

Community Care does not practice medicine or exercise control over the methods or professional judgments by which providers render medical services to members. Nothing in these materials should be construed to supersede or replace the clinical judgment of a provider. Please note that an authorization is not a guarantee of payment for services rendered and providers are responsible for appropriate billing of services.