December 12, 2019, IBHS Bulletins and Attachments:

• Preamble to IBHS Bulletins 19-23, 19-24, 19-25, and 19-26
• Bulletin 19-23 State Promulgation of Intensive Behavioral Health Services (IBHS)
• Bulletin 19-24 Accessing Intensive Behavioral Health Services (IBHS)
• Bulletin 19-24 Written Order Letter Template Attachment (.docx)
  (please note that this Written Order Letter template is out-of-date; please see the attachment to Bulletin 20-11 for the most up-to-date version)
• Bulletin 19-25 Authorization and MNC Determinations Under Intensive Behavioral Health Services (IBHS)
• Bulletin 19-26 Behavioral Health Rehabilitation Services (BHRS) and Intensive Behavioral Health Services (IBHS) Incentive Program
• Bulletin 19-26 ISPT Meeting Invitation Form Attachment (.docx)

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

• Waiver Attachment

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 19-16 Codes Attachment (.xlsx)

Bulletin 19-15 Provider Preventable Medical Conditions

• OPPC Self-Reporting Form

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

• BHRS Downward Authorization Adjustment Request Form (.docx)
• Initial Interagency Service Planning Team (ISPT) Meeting Invitation Form

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 19-08 Codes Attachment

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

• Provider Self-Auditing Form
• Provider Claims Overpayment Attestation
• Claims Overpayment Spreadsheet

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 

• Significant Incident Report Form

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 

• Bulletin 18-09 FAQ

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 18-08 FAQ

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 18-07 EBP Policy Checklist
• Data Collection Template (.xlsx), updated May 5, 2020

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

• TCA Request Form

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

• Place of Service Codes

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

• CBH Allowable Discharge Codes

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