Coronavirus Bulletins

CBH Bulletin 21-04: Claims Amnesty Period

CBH Bulletin 21-02: Continuation of COVID-19 Alternative Payment Arrangement

CBH Bulletin 20-27: Continuation of COVID-19 Alternative Payment Arrangement (APA)

CBH Bulletin 20-26: Community Residential Rehabilitation Host Home 

CBH Bulletin 20-24: Modified Utilization Review

CBH Bulletin 20-22: Residential Treatment Facility Admission Enhancement (Revised October 26, 2020)

CBH Bulletin 20-17: Return to Fee-for-Service Funding Approach from the COVID-19 Alternative Payment Arrangement (APA) (published August 31, 2020)

CBH Bulletin 20-09: Temporary Suspension of Utilization Review (REVISED June 10, 2020)

CBH Bulletin 20-08: COVID-19 Response: Alternative Payment Arrangement (UPDATED April 3, 2020)

CBH Bulletin 20-07: Third-Party Liability (TPL) and Place of Service for Services Delivered via Telehealth Platforms (REVISED May 15, 2020)

CBH Bulletin 20-06: Requests for Children’s Community-Based Services (published March 24, 2020)

DDAP Bulletin 01-20: Use of Telehealth for Outpatient Drug and Alcohol Services Funded by the Single County Authority

OMHSAS Status Update for Behavioral Health Telehealth Expansion (published March 20, 2020)

OMHSAS Bulletin, March 15, 2020: Telehealth Guidelines Related to COVID-19

CBH Bulletin 20-05: Delivery of BHRS Services During School Closures Due to COVID-19 (Updated March 16, 2020)

2021

Bulletin 21-05: Elimination of Payment for BHCM Post-Death Claims

Bulletin 21-04: Claims Amnesty Period

Bulletin 21-03: IBHS Prior Authorization Requirements for BHT and BHT-ABA

Bulletin 21-02: Continuation of COVID-19 Alternative Payment Arrangement

Bulletin 21-01: Social Security Death Master File

CBH Provider Bulletin 20-33: Requirement for All Hospital-based Psychiatry Providers to Have Capability to Provide MOUD to Individuals with OUD Who Require Hospital-based Care

Bulletin 20-31: Termination of Behavioral Health Rehabilitation Services (BHRS) Levels of Care

Bulletin 20-32: Psychiatric Residential Treatment Facilities (PRTF) Performance Standards Update

Bulletin 20-30: Documentation Requirements – Independent Practitioner Guidelines

Bulletin 20-29: Clinical Guidelines for Alcohol Use Disorder (AUD)

Bulletin 20-28: Provider Policy Around the Administration of Cardiopulmonary Resuscitation (CPR)

Bulletin 20-25 Acute Inpatient Psychiatric Hospitalization for Pregnant Members (Revised: November 12, 2020)

Bulletin 20-23 Crisis Response Center (CRC) 23-Hour Stabilization Bed Pilot

Bulletin 20-21 Post Payment Recoveries Timeline Updated

Bulletin 20-20 Significant Incident Reporting 

Bulletin 20-19 Clinical Guidelines and Related Provider Requirements 

Bulletin 20-18 Billing for Covered Days in Per Diem Levels of Care (REVISED September 24, 2020)

Bulletin 20-16 Clinical Guidelines and Related Provider Requirements

Bulletin 20-15 Social Security Death Master File

Bulletin 20-14 Provider Timely Access to Treatment

Bulletin 20-13 Retirement of Obsolete Levels of Care (LOC)

Bulletin 20-12 Retirement of Behavioral Health Rehabilitation Services (BHRS) Levels of Care (LOC)

Bulletin 20-11 Transition from Behavioral Health Rehabilitation Services (BHRS) and School Therapeutic Services (STS) to Regionalized Intensive Behavioral Health Services (IBHS)

Bulletin 20-10 Updated Written Order Letter and Authorization Timeframes

Bulletin 20-04 Changes to the Requirements for Acute Inpatient Mental Health Worker

Bulletin 20-03 BHRS Assessment and Initial Treatment Authorization During the Transition to IBHS

Bulletin 20-02 Progress Monitoring for Individuals Receiving Intensive Behavioral Health Services (IBHS)

Bulletin 20-01 Amendment to Bulletin 18-07 (CRC and D&A Data Reporting)

December 12, 2019, IBHS Bulletins and Attachments:

Bulletin 19-22 Changes to Mobile Mental Health Treatment Levels of Care Effective January 1, 2020

Bulletin 19-21 Mental Health and Substance Use Outpatient Treatment Providers Access Forms

Bulletin 19-20 Changes in Credentialing for Federally Qualified Health Centers (FQHC)

Bulletin 19-19 Changes in Laboratory Testing Coverage for Human Immunodeficiency Virus, Hepatitis C Virus, and Serum Clozapine Level

Bulletin 18-06 (Amendment) Expanding Capacity for Withdrawal Management in Residential Drug and Alcohol Levels of Care and Crisis Response Centers

Bulletin 19-18 Federally Qualified Health Center (FQHC) Allowable Diagnosis Codes

Bulletin 19-17 Updates to PRTF and RTF Referral Process: Pre-Admission Interview Requirement

Bulletin 19-16 Business Rules Implementation – Place of Service Limits 200 Levels of Care

Bulletin 19-15 Provider Preventable Medical Conditions

Bulletin 19-14 Prior Authorization Requirement Waived for Mobile Psychiatric Rehabilitation and Peer Specialist Services

Bulletin 19-13 Behavioral Health Rehabilitation Services (BHRS) Incentive Program

Bulletin 19-12 Children’s Mobile Intervention Services (CMIS) Reimbursement

Bulletin 19-11 BHRS Standard and Non-Standard Level of Care Rate Increases

Bulletin 19-10 Non-Standard Level of Care Rate Increase

Bulletin 19-09 Standard Rate Level of Care Rate Increase

Bulletin 19-08 Business Rules Implementation – Place of Service Limits, 375 Levels of Care

Bulletin 19-07 Supplement to the Manual for Review of Provider Personnel Files (SMRPPF) Update

Bulletin 19-06 Business Rules Implementation – Diagnoses Limits

Bulletin 19-05 Tobacco Use and Treatment Data Capture

Bulletin 19-04 Packet Exemption for Children’s Community Based Levels of Care

Bulletin 19-03 CBE/R Guidelines

Bulletin 19-02 Tobacco Recovery and Wellness Initiative: Requirements for Outpatient-Based Providers

Bulletin 19-01 Front-Ends Claims Edits

Bulletin 18-24 Tobacco-Free Policy Implementation Update

Bulletin 18-23 ICD Commonwealth of Pennsylvania Allowable International Classification of Diseases-10-Clinical Modification (ICD-10-CM) Codes

Bulletin 18-22 Prescriber Rate Increase

Bulletin 18-21 BCBA Rate Increase

Bulletin 18-20 Prior Authorization Requirement Waived for Drug and Alcohol Partial Hospitalization (2A)

Bulletin 18-19 15-day Initial Authorization for 3B

Bulletin 18-18 New Credentialing Manual

Bulletin 18-17 Self-Auditing Process for CBH Providers

Bulletin 18-16 Changes in Credentialing of Independent Practitioners and Group Practice

Bulletin 18-15 Social Determinants of Health Data Capture — Amended

Bulletin 18-14 PRTF/ RTF Interview Requirement and Reimbursement

Bulletin 18-13 Update to Significant Incident Reporting Process 

Bulletin 18-12 Clinical Guidelines

Bulletin 18-11 Mental Health and Substance Use Treatment Providers Access Forms

Bulletin 18-10 Supplement to the Manual for Review of Provider Personnel Files

Bulletin 18-09 Diagnostic Laboratory Services in Outpatient Drug and Alcohol Treatment 

Overview of Drug and Alcohol Treatment Bulletins 18-06, 18-07, 18-08

Bulletin 18-08 Prior Authorization Requirement Waived for Medically Monitored Residential Care (Level 3B)

Bulletin 18-07 Requirement for All Crisis Response Centers (CRCs) and Drug and Alcohol Licensed Providers to Establish Protocols to Assist Individuals in Accessing Evidence-Based Treatment, Including Medication-Assisted Treatment

Bulletin 18-06 Expanding Capacity for Withdrawal Management in Residential Drug and Alcohol Levels of Care and Crisis Response Centers

Bulletin 18-05 Per Diem Substance Use Treatment Providers Documentation Requirements

Bulletin 18-04 Level of Care Code Changes: BSC, Lead Clinician, FBA, and ASD-related Services

Bulletin 18-03 TCA Urine Screening Prior Authorization

Bulletin 18-02 Compliance Policies and Procedures

Bulletin 18-01 Billing Changes for Outpatient Drug and Alcohol 

Bulletin 17-14 Retiring of Outpatient Psychiatric Levels of Care Codes

Bulletin 17-13 RTF Staff Requirements

Bulletin 17-12 Changes to Claims Edit for Place of Service and Procedure Code Agreement

Bulletin 17-11 Daily Psychiatric and Substance Abuse Open Bed Registry

Bulletin 17-10 On-site Maintenance, Administration, and Prescription of NALOXONE: Extended Deadlines and Associated Fines

Bulletin 17-09 Requirements for Physicians and Other Practitioners to be Enrolled as Medical Assistance Participating Providers

Bulletin 17-08 Patient Status Codes / Discharge Status Codes Expanded

Bulletin 17-07 Commonwealth of Pennsylvania State Allowable ICD-10 – CM Codes Updates and Duplicate Diagnosis Code Edit

Bulletin 17-06 Billing Changes for Outpatient Psychiatric Assessment 300-3

Bulletin 17-05 Attestation to Provider Personnel Requirements

Bulletin 17-04 Halfway House (2b) Providers Required to Accept Individuals on All Forms of Medication Assisted Treatment

Bulletin 17-03 Billing Code Changes for Outpatient Psychiatric Services and Outpatient Drug and Alcohol 350-8, 325-21

Bulletin 17-02 Temporary Moratorium on Provider Rate Increase Requests

Bulletin 17-01 Billing Code Changes for Outpatient Psychiatric Services, Partial Psychiatric – 300-2, 300-3, 325-1. 325-5, 325-7

Bulletin 16-09 Certified Nurse Practitioner Requirements for Inpatient Psychiatric Services and Residential Treatment Facilities

Bulletin 16-08 Certified Nurse Practitioner Requirements for Outpatient Psychiatric Services

Bulletin 16-07 Change of Billing Code for Comprehensive Biopsychosocial Evaluation

Bulletin 16-06 Daily Psychiatric and Substance Abuse Open Bed Registry

Bulletin 16-05 Changes to Claim Edits for HIPAA Transactions for Valid 5+4 Zip Code

Bulletin 16-04 On-Site Maintenance, Administration and Prescription of NALOXONE

Bulletin 16-03 Use of Statistically Random Sampling & Extrapolation of Variance Rates in Compliance Audits

Bulletin 16-02 Business Rule Intensive Outpatient (IOP) Limit of 9.75 hours per week

Bulletin 16-01 Changes to Clearance and Criminal Background Check Requirements

Bulletin 15-06 Significant Incident Reporting (This Bulletin has been superseded by Bulletin 18-13)
– Significant Incident Report Form  (This form has been superseded by the SIR Form under Bulletin 18-13)

Bulletin-15-05 State Allowable ICD-10 CM Codes

Bulletin 15-04 Changes to Clearance and Criminal Background Check Requirements

Bulletin 15-03 Acute Partial Hospital Program Documentation Requirements

Bulletin-15-02-Changes-to-CMS-1500-02-12-and-UB-04-Required-Fields

Bulletin-15-01-Changes-to-Claims-Edits-for-5010-HIPAA-Transactions

2010

Bulletin 10-03 Use of Psychotropic Medications in Children and Adolescents (FDA-Approved and Off-Label)

2007

Bulletin 07-07 Policy Regarding the Screening for and Treatment of the Components of Metabolic Syndrome

Bulletin 07-05 Significant Incident Reporting for Crisis Response Centers/Emergency Assessment Centers