Behavioral Health Directed Payment Cco

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Oregon Health Authority : Behavioral Health Rate Increase : Oreg…

(5 days ago) People also askShould behavioral health providers be reimbursed if they contract with CCOs?OHA is considering multiple ways to ensure the behavioral health providers who contract with CCOs are reimbursed accordingly. One option, which would require CMS approval, is implementing a directed payment model that allows OHA to specify how an increase to CCO capitation rates can be used.Item 16: Oregon Health Authority Behavioral Health Provider Rate Incre…olis.oregonlegislature.govWhat is a 'directed payment' for Medicaid behavioral health services?In January 2023, CMS approved OHA requiring and directing CCOs to significantly increase Medicaid behavioral health services reimbursement. Effective January 1, 2023, through December 31, 2023, the approved payment mechanism is called a “Directed Payment.” Approval of this payment mechanism is authorized through CMS regulation ( 42 CFR 438.6 ).Oregon Health Authority : Behavioral Health Rate Increase : Oregon oregon.govWhen will OHA be able to retroactively pay behavioral health providers?This timeline will allow OHA to submit a Medicaid State Plan Amendment request to CMS by September 30, 2022. Once CMS approves this request within its own 90-day window, OHA will be able to retroactively pay behavioral health providers the increased FFS rates effective to July 1, 2022.Item 16: Oregon Health Authority Behavioral Health Provider Rate Incre…olis.oregonlegislature.govWhen will OHA pay behavioral health providers the FFS rate increase?Once CMS approves this request within its own 90-day window, OHA will be able to retroactively pay behavioral health providers the increased FFS rates effective to July 1, 2022. In other words, the FFS rate increase is on track for taking effect July 1, 2022, but increased payments might not begin until several months later.Item 16: Oregon Health Authority Behavioral Health Provider Rate Incre…olis.oregonlegislature.govFeedbackOregon.govhttps://www.oregon.gov/oha/HSD/OHP/CCO/BH-Directed[PDF]BEHAVIORAL HEALTH DIRECTED PAYMENT GUIDANCE …WebBEHAVIORAL HEALTH DIRECTED PAYMENT GUIDANCE DOCUMENT The Centers for Medicare & Medicaid Services (CMS) Medicaid managed care regulations at 42 C.F.R. QDP reimbursement as described in the contract at the time of original payment. 4. …

https://www.oregon.gov/oha/HSD/OHP/Pages/BH-Rate-Increase.aspx#:~:text=In%20January%202023%2C%20CMS%20approved%20OHA%20requiring%20and,is%20authorized%20through%20CMS%20regulation%20%2842%20CFR%20438.6%29.

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BH Provider Directed Payment – Advanced Health

(6 days ago) WebBehavioral Health Provider Directed Payment Increase. Effective January 1, 2023, the Oregon Health Authority (OHA) implemented four behavioral health-directed payments …

https://advancedhealth.com/providers/bh-provider-directed-payment/

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Behavioral Health - Trillium

(6 days ago) WebWhat is the directed payment increase? Effective January 1, 2024, the Oregon Health Authority (OHA) is implementing the annual attestation process required …

https://www.trilliumohp.com/providers/resources/TBH.html

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Behavioral Health Directet Payment Cascade Health Alliance

(4 days ago) WebEffective January 1, 2023, the Oregon Health Authority (OHA) will implement four behavioral health-directed payments (BHDP’s) within the CCO contracts that will further the goals …

https://www.cascadehealthalliance.com/for-providers/2023-medicaid-bh-provider-directed-payment-increase/

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How States Are Leveraging Payment to Improve the …

(2 days ago) WebThis process highlighted the need, in CCO 2.0, to improve the behavioral health system (both mental health and SUD) and increase use of VBP. However, both Arizona and Pennsylvania do know that …

https://nashp.org/how-states-are-leveraging-payment-to-improve-the-delivery-of-sud-services/

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Qualified Directed Payment (QDP) Overview Yamhill …

(1 days ago) WebThe Behavioral Health Oregon Medicaid fee-for-service (FFS) payment rate in effect on the date of service is $80. Ten percent (10%) of the $80 is $8. • The CLSS eligible service …

https://yamhillcco.org/wp-content/uploads/Qualified-Directed-Payment-Overview.pdf

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Upcoming Provider Webinar with OHA- Implementation …

(4 days ago) WebEffective January 1, 2023, the Oregon Health Authority (OHA) will implement four behavioral health directed payments (BHDPs) that will further the goals and priorities of the …

https://yamhillcco.org/wp-content/uploads/2023-Medicaid-Behavioral-Health-Provider-Directed-Payment-Increase-Information.pdf

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BEHAVIORAL HEALTH DIRECTED PAYMENT FREQUENTLY …

(1 days ago) WebThis document outlines frequently asked questions related to the new behavioral health directed payments going into effect January 1, 2023. Please note, in the CCO contract …

https://www.oregon.gov/oha/HSD/OHP/CCO/BH-Directed-Payment-FAQ-2023.pdf

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2023 Medicaid Behavioral Health Provider Directed Payment …

(8 days ago) WebDate: 12/02/22. Effective January 1, 2023, the Oregon Health Authority (OHA) will implement four behavioral health directed payments (BHDP’s) within the CCO contracts …

https://www.trilliumohp.com/newsroom/2023-medicaid-behavioral-health-provider-directed-payment-increase.html

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Behavioral health directed payments: 2023 changes

(4 days ago) WebBEHAVIORAL HEALTH DIRECTED PAYMENT GUIDANCE DOCUMENT The Centers for Medicare & Medicaid Services (CMS) Medicaid managed care regulations at 42 C.F.R. …

https://pacificsource.com/sites/default/files/2023-01/PRV761_0123_BH%20Qualified%20Direct%20Payments.pdf

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Behavioral Health Qualified Directed Payments (BHQDP)

(Just Now) WebNoncontracted providers of substance use disorder (SUD) residential, applied behavioral analysis (ABA), and mental health children’s wraparound services are eligible to receive …

https://www.jacksoncareconnect.org/docs/jacksoncareconnectorglibraries/providers/bh/qdp-faqs-(jcc).pdf?sfvrsn=7110801a_1

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Item 16: Oregon Health Authority Behavioral Health Provider …

(7 days ago) WebFFS rates reimburse providers for services delivered to certain populations not enrolled in a CCO, as well as pay for adult mental health residential services, which are carved out …

https://olis.oregonlegislature.gov/liz/2021i1/Downloads/CommitteeMeetingDocument/255506

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Providers – yamhillcco.org

(3 days ago) Web2023 Behavioral Health Provider Qualified Directed Payment (QDP) In 2022, the Oregon Health Authority (OHA) sought and received additional funds via House Bill 5202. The …

https://yamhillcco.org/providers/

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Integrating Behavioral Health Under an ACO Global Budget: …

(4 days ago) WebConclusions: Oregon’s CCO mandate included a focus on better integrating medical and behavioral healthcare for Medicaid recipients. Despite this intention, …

https://www.ajmc.com/view/integrating-behavioral-health-under-an-aco-global-budget-barriers-and-progress-in-oregon

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Billing Guide for Culturally and Linguistically Specific …

(3 days ago) WebEffective February 1, 2023, the Oregon Health Authority (OHA) will implement enhanced payments for non-residential behavioral health Culturally and Linguistically Specific …

https://www.oregon.gov/oha/HSD/OHP/Tools/CLSS-Billing-Guide.pdf

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Behavioral Health Rate Increase Update (HB 5202)

(7 days ago) WebCCO Program Highlights. CCOs are required to increase Behavioral Health reimbursement for the majority of services based on the Directed Payment mechanism as follows: …

https://apps.oregonlegislature.gov/liz/2023R1/Downloads/CommitteeMeetingDocument/259399

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Behavioral Health - Umpqua Health

(7 days ago) WebUmpqua Health Alliance (UHA) is committed to supporting our members with Intensive Care Coordination by utilizing all available resources to improve their physical health and …

https://www.umpquahealth.com/behavioral-health/

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Integrated Co-Occurring Disorders Billing Guide - Oregon.gov

(1 days ago) WebFor services rendered to coordinated care organization (CCO) members, CCOs will reimburse eligible providers through a CCO Behavioral Health Directed Payment. OHA …

https://www.oregon.gov/oha/HSD/AMH/docs/ICD-Billing-Guide.pdf

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Mental Health & Substance Use Disorders Medicare

(Just Now) WebMedicare covers certain screenings, services, and programs that aid in the treatment and recovery of mental health and substance use disorders. If you or someone you know is …

https://www.medicare.gov/coverage/mental-health-substance-use-disorder

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