| May 09, 2023
Precertification update for IEP Behavioral Health Services May 4, 2023 -
Effective for dates of service on or after April 17, 2023, precertification is no longer required for behavioral health school-based Individualized Education Program (IEP) direct services. This includes counseling/psychotherapy services and applied behavior analysis (ABA) services. Read more...
Hot Tips Comprehensive Community Support Billing Tips– Residential Treatment and Treatment Foster Care May 4, 2023 The information in this provider hot tip applies to services for MO HealthNet fee-for-service covered participants. Please remember that prior authorization is required for residential treatment, treatment foster care. Below are tips to help speed the approval process: - Requests for prior authorization must include the facility NPI and the taxonomy code associated with the agency's Community Psychiatric provider type.
- Documentation accompanying the prior authorization form must include recent clinical records such as the treatment plan and prescriber progress notes.
- The Prior Authorization Request form has been updated. Please indicate in box 1 if the request is for an initial authorization or re-authorization. Prior authorization requests should be faxed to (573) 659-0207.
- Please include the dates requested (fields 19-20) and the number of units (days) requested (field 22). There are online tools to assist with calculating the number of days in a date span, here is one example. Be sure to include the end day for accuracy.
- Prior authorization is not required for six months of residential aftercare.
Questions about prior authorization may be emailed to MHD.BehavioralHealth@dss.mo.gov In eMOMED, when billing for residential treatment or treatment foster care services (e.g., H0019, H2020, H2022), after entering the facility NPI, providers must select the taxonomy code associated with the Community Psychiatric provider type (if the NPI is also associated with other provider types such as Clinic). Contact Provider Communications at (573) 751-2896 for questions about filing claims or claims disposition.
COVID-19: Registered Behavior Technician Extension On March 20, 2020, in response to the COVID-19 outbreak and due to the closure of testing centers administering the Registered Behavior Technician (RBT) exam, the MO HealthNet Division (MHD) published a provider hot tip temporarily waiving the RBT requirement for technicians who met all other requirements but had not taken the RBT exam. MHD is temporarily extending the waiver of this requirement until November 11, 2023. MHD urges impacted individuals to schedule RBT exams as soon as possible in order to avoid any disruption to applied behavior analysis services. No further extensions of this flexibility will be considered. Information about RBT testing is available here: https://www.bacb.com/examination-information/ If you have questions, please email MHD.EDUCATION@dss.mo.gov or call (573) 751-6683.
Contact Us | 
No comments:
Post a Comment
Keep a civil tongue.