Ohio Behavioral Health Billing Guidelines

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Manuals, Rates, and Resources - medicaid.ohio.gov

(Just Now) WEBBehavioral Health Provider Manual - Version 1.26 January 24, Community Behavioral Health. The Ohio Managed Care and MyCare plans have developed a uniform prior authorization form for community BH services. 2023; Billing Resources. Billing …

https://medicaid.ohio.gov/resources-for-providers/bh/manuals

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Billing guidelines for Medicaid behavioral health providers

(1 days ago) WEBPlease be advised Anthem follows the Ohio Department of Medicaid (ODM) billing guidelines. To ensure accurate reimbursement of all behavioral health claims, …

https://providernews.anthem.com/ohio/articles/billing-guidelines-for-medicaid-behavioral-health-providers-18061

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OhioRISE Provider Enrollment and Billing Guidance

(7 days ago) WEBThe OhioRISE program covers a range of behavioral health (BH) services for youth that are comprised of existing, enhanced, and new behavioral health and care …

https://managedcare.medicaid.ohio.gov/wps/wcm/connect/gov/8f83b485-2991-4408-b9ce-7c0eea952189/OhioRISE+Provider+Enrollment+and+Billing+Guidance+6.15.2022.pdf?MOD=AJPERES&CVID=oUq4K4n

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Office of Policy Telehealth Billing Guidelines - Ohio

(5 days ago) WEBTelehealth Billing Guidelines . Applies to dates of service July 4, 2019 through March 8, Entities who provide services certified by the Ohio Department of …

https://dam.assets.ohio.gov/image/upload/medicaid.ohio.gov/Providers/Billing/BillingInstructions/Telehealth-Billing-Guidelines-07-04-2019-to-03-08-2020.pdf

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Clinical Criteria and Guidelines - Provider Express

(2 days ago) WEBOptum Behavioral Clinical Policies: Criteria that stem from evaluation of new services or treatments or new applications of existing services or treatments and are used to make …

https://www.providerexpress.com/content/ope-provexpr/us/en/clinical-resources/guidelines-policies.html

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Reimbursement Policies Anthem Blue Cross and Blue Shield

(2 days ago) WEBThese policies serve as a guide to assist you in accurate claim submissions and to outline the basis for reimbursement by Anthem Blue Cross and Blue Shield (Anthem) if the …

https://providers.anthem.com/ohio-provider/claims/reimbursement-policies

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Behavioral MediWellslines - Humana

(7 days ago) WEBReview evidence-based treatment options for common behavioral health conditions. American Academy of Child and Adolescent Psychiatry Clinical Practice Guideline for …

https://www.humana.com/provider/medical-resources/clinical/behavioral-health-guidelines

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Ohio Administrative Code Rule 5160-8-05 Behavioral health …

(Just Now) WEBRule 5160-8-05 Behavioral health services-other licensed professionals. Effective: January 1, 2021 Any individual registered with the Ohio board of …

https://codes.ohio.gov/assets/laws/administrative-code/authenticated/5160/0/8/5160-8-05_20210101.pdf

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Coding & Payment Guide Behavioral Health Services SAMPLE

(6 days ago) WEB1. CPT Codes and Descriptions. This edition of Coding and Payment Guide for Behavioral Health Services is updated with CPT codes for year 2023. The following icons ar e used …

https://www.optumcoding.com/upload/pdf/SYCH23/SYCH_2023_Sample.pdf

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Behavioral Health Resources UHCprovider.com

(Just Now) WEBUnited Behavioral Health Support. To help support you further, United Behavioral Health, which manages behavioral health services for UnitedHealthcare members, has …

https://www.uhcprovider.com/en/resource-library/behavioral-health-resources.html

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Behavioral Health Covered Services & Authorization …

(8 days ago) WEBCenpatico is Buckeye Health Plan’s MyCare Ohio (a Medicare-Medicaid Plan) behavioral health affiliate. Buckeye has delegated managing the provision of covered mental …

https://www.cenpatico.com/content/dam/centene/cenpatico/pdfs/OHOH_MyCareDuals_CSAG_including-MyCare-final_provider_031820151.pdf

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CPT Codes for Behavioral Health Billing

(5 days ago) WEBHealth and behavior intervention, individual (e.g., coping skills training). 96153. Health and behavior intervention, group (2 or more patients). 96154. Health and …

https://www.medicalbillersandcoders.com/blog/cpt-codes-for-behavioral-health-billing/

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Facility-Based Behavioral Health Program Reimbursement Policy

(3 days ago) WEBFor the Purpose of this reimbursement policy “facility-based behavioral health program” refers to the following levels of care: Mental Health: Inpatient Acute, Residential, Partial …

https://www.providerexpress.com/content/dam/ope-provexpr/us/pdfs/clinResourcesMain/guidelines/reimbPolicies/rpFac-Based.pdf

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Behavioral health clinical practice guidelines - Aetna

(3 days ago) WEBBehavioral health clinical practice guidelines. Clinical practice guidelines from nationally recognized sources promote consistent application of evidence-based treatment …

https://www.aetna.com/health-care-professionals/newsletters-news/office-link-updates-march-2022/behavioral-health-updates/behavioral-health-clinical-practice-guidelines.html

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