Provider Bulletins and Notices

Bulletin 26-01: Notification of Updates to HL7 Submission Guide and Provider Request for Compliance Plans

Bulletin 25-37: Clinical Guidelines and Related Provider Requirements: Trauma and Stressor-Related Disorders (TSRD)

Bulletin 25-36: Changes to the IBHS Submission Process

Bulletin 25-35: Family-Based Mental Health Services: Requirements for Completing Attestation for Specialty Teams

Bulletin 25-34: Utilization Review Parameters for Extended Acute Care

Bulletin 25-33: Clinical Guidelines and Related Provider Requirements: Treatment of Tobacco Use Disorder (TUD)

Bulletin 25-32: American Society of Addiction Medicine (ASAM) Alignment

Bulletin 25-31: Mobile Mental Health Treatment Pricing Modifier

Bulletin 25-30: Semi-Annual Provider Staff Vacancies Survey

Bulletin 25-29: Clinical Guidelines and Related Provider Requirements: Treatment of Adults with Major Depressive Disorder

Bulletin 25-28: Encounter Form Requirements Reminder and FAQ

Bulletin 25-27: Non-Fidelity ACT Name Change

Bulletin 25-26: Implementation of Screening Tools and Submission of Performance Measure Data for Statewide OMHSAS PIP – Improving Suicide Prevention and Community Resilience

Bulletin 25-25: Changes to IBHS-ABA Medical Necessity Criteria, Authorization, and Service Delivery

• Bulletin Appendix: FAQ for IBHS-ABA Services Realignment (Posted September 12, 2025)

Bulletin 25-24: Changes to IBHS Regionalized Requirements, Authorization, and Service Delivery

• Bulletin Appendix: FAQ for IBHS-ABA Services Realignment (Posted September 12, 2025)

Bulletin 25-23: Provider Implementation of Screening for Tobacco Use G-Codes and Suicide Safety Plan M-Codes

• Bulletin Appendix: FAQ for Screening for Tobacco Use (Posted October 15, 2025)

Bulletin 25-22: Clinical Guidelines and Related Provider Requirements: Prescribing and Monitoring of Benzodiazepines and Related Medications

Bulletin 25-21: Proper Diagnosis Coding: Opioid Use Disorder and Alcohol Use Disorder in Remission

Bulletin 25-20: Intensive Behavioral Health Services – Staffing and Parent/Guardian Communication

Bulletin 25-19: Intensive Behavioral Health Services – Clarification on Backdating Authorizations

Bulletin 25-18: Clinical Guidelines and Related Provider Requirements: Pharmacologic Treatment of Schizophrenia

Bulletin 25-17: Improving Suicide Prevention and Community Resilience Performance Improvement Project

• Bulletin Attachment A: Code Definitions
• Bulletin Attachment B (xlsx)

Bulletin 25-16: Calendar Year 2025 Pay for Performance Incentive Payment Update

Bulletin 25-15: Open Network Limitations

Bulletin 25-14: Provider Responsibility to Cooperate and Comply with CBH Program Integrity Activities

Bulletin 25-13: Claims and Expense Report Submission Requirements for Program-Funded Providers

Bulletin 25-12: Post-Payment Recoveries Due to Third-Party Liability

Bulletin 25-11: Provider Implementation of Core Data Set Depression Screening

• For additional information, please refer to the Bulletin 25-11 Frequently Asked Questions.

Bulletin 25-10: Recredentialing Changes

Bulletin 25-09: Provider Initiated Case Rate Payment Claims Adjustment

Bulletin 25-08: Intensive Behavioral Health Services (IBHS) Reimbursement Modifications

Bulletin 25-07: ASAM 3.7 Utilization Review Parameters

Bulletin 25-06: ASAM 3.5 Utilization Review Parameters

Bulletin 25-05: Intensive Behavioral Health Services – Applied Behavior Analysis (IBHS-ABA)

Bulletin 25-04: Intensive Behavioral Health Services (IBHS) – Regionalized 

Bulletin 25-03: Intensive Behavioral Health Services Written Order Form Update

Bulletin 25-02: Core Data Set Depression Screening

Bulletin 25-01: CBH Provider Manual Updates

Bulletin 24-24: Clinical Guidelines and Related Provider Requirements: Alcohol Use Disorder (AUD)

Bulletin 24-23: Use of Artificial Intelligence

Bulletin 24-22: Changes in Prior Authorization Requirements for IBHS Individual and Group Services [DELAYED]

• CBH has delayed the implementation of  Provider Bulletin 24-22. A new implementation date will be announced, with 30 days’ notice, via an updated Provider Bulletin.

Bulletin 24-21: Family Inclusion in Care

Bulletin 24-20: Changes to Provider Agreement Termination or Service Termination Notice 

Bulletin 24-19: Clinical Guidelines and Related Provider Requirements: Opioid Use Disorder (OUD)

Bulletin 24-18: Billing Change to Residential Treatment Facility Reserve Bed

Bulletin 24-17: Performance Outcome Management System Reporting

Bulletin 24-16: Family-Based Services Value-Based Payment Arrangement

Bulletin 24-15: Psychological Testing

Bulletin 24-14: Updates to the Rate Increase Request Process

Bulletin 24-13: Family Based Services Value Based Purchasing New Levels of Care

Bulletin 24-12: Removal of Prior Authorization for Withdrawal Management

Bulletin 24-11: Hepatitis C Testing and Treatment for Single Treatment Centers County Authorities (SCA) and Licensed Drug and Alcohol 

Bulletin 24-10: Clinical Guidelines and Related Provider Requirements: Prescribing and Monitoring of Antipsychotic Medications for Youth

Bulletin 24-09: Requirements for the Credentialing and Supervision of the Certified Registered Nurse Practitioner (CRNP)

Bulletin 24-08: American Society of Addiction Medicine (ASAM) 1.0 Outpatient Value-Based Payment (VBP) Arrangement (Case Rate) Updates

Bulletin 24-07: Termination of Intensive Behavioral Health Services (IBHS) Levels of Care

Bulletin 24-06: Flexibility in Requirements for SUD Staff Qualifications, Supervision, and Client/Staff Ratios During the Opioid Epidemic

Bulletin 24-05: Clinical Guidelines and Related Provider Requirements for the Pharmacologic Treatment of ADHD in Children and Adolescents

Bulletin 24-04: Evaluation and Management (E&M) Procedure Code Termination

Bulletin 24-03: Alternative Payment Arrangements (APA) Expense Reports

Bulletin 24-02: Routine Lab Costs for ASAM 3.5, ASAM 3.7, and ASAM 3.7 Withdrawal Management

Bulletin 24-01: 2024 CBH Personnel Roster Template

Bulletin 23-29: Street Medicine

Bulletin 23-28: ASAM 1.0 Outpatient Value-Based Payment (VBP) Arrangement (Case Rate) Updates

Bulletin 23-27: Regionalized IBHS Value-Based Payment (VBP) Arrangement [Updated 9/5/2024]

Bulletin 23-26: Changes in Prior Authorization Requirements for IBHS-ABA

Bulletin 23-25: Clinical Guidelines and Related Provider Requirements: Tobacco Use Disorder (TUD)

Bulletin 23-24: Regionalized IBHS Bridge Payment

Bulletin 23-23: Community Integrated Recovery Center (CIRC) Value-Based Payment (VBP) Case Rate Adjudication

Bulletin 23-22: Clinical Guidelines and Related Provider Requirements: Treatment of Adults with MDD

Bulletin 23-21: Implementation of Evaluation and Management Codes [Updated 11/14/2023]

Bulletin 23-20: IBHS Billing Guide Published

Bulletin 23-19: Provider Network Termination and Operational Policy [Updated 10/7/2025]

Bulletin 23-18: Clinical Guidelines and Related Provider Requirements

Bulletin 23-17: Expansion of Place of Service (POS) Code 23 Hospital Emergency Room

Bulletin 23-16: Regionalized Intensive Behavioral Health Services (IBHS) Rate Increase

Bulletin 23-15: Community Integrated Recovery Center (CIRC)

Bulletin 23-14: Clinical Guidelines and Related Provider Requirements for the Pharmacologic Treatment of Schizophrenia

Bulletin 23-13: Aligning Co-Occurring Services with the American Society of Addiction Medicine Criteria

Bulletin 23-12: Mental Health Outpatient Rate Increase

Bulletin 23-11: Provider Staff Vacancies Survey

Bulletin 23-10: BHSRCC Procedure Code Update [Updated 05/30/2023]

Bulletin 23-09: Intensive Behavioral Health Services (IBHS) Applied Behavior Analysis (ABA) Rate Increase

Bulletin 23-08: IBHS-ABA Authorization Updates

Bulletin 23-07: Update to IBHS Written Order Form

• IBHS Written Order Form Download

Bulletin 23-06: Changes to the Staff Licensure Requirement for Adult Mobile Crisis SupervisorsBulletin 23-05: Required Use of Initial Assessment Authorizations [Updated 03/23/2023]

Bulletin 23-04: Updates to Authorization Process for Intensive Behavioral Health Services [Updated 03/24/2023; 04/18/2023]

• [UPDATED 04/18/2023] BAN to Prior Authorizations Spreadsheet

Bulletin 23-03: Intensive Behavioral Health Service (IBHS) Contract Changes

Bulletin 23-02: Intensive Behavioral Health Services (IBHS) Level of Care Assessment – Licensed Professional

Bulletin 23-01: OMHSAS Announcement: Bulletin Suspension Information

Bulletin 22-27: Clinical Guidelines and Related Provider Requirements: Treatment of Alcohol Use Disorder (AUD)

Bulletin 22-26: Community Integrated Recovery Center (CIRC) Value Based Payment (VBP) (Case Rate) Arrangement

Bulletin 22-25: Mental Health Outpatient Rate Increase

Bulletin 22-24: BHSRCC Procedure Code Update

Bulletin 22-23: ASAM 2.1 IOP Billing Guidelines

Bulletin 22-22: Span Billing Business Rules

Bulletin 22-21: Clinical Guidelines and Related Provider Requirements

Bulletin 22-20: Intensive Behavioral Health Services Group Services Rate Increase

Bulletin 22-19: Retrospective Review

[UPDATED 09/01/2022]
Bulletin 22-18: Residential Treatment Facilities (RTF) Value Based Payment (VBP) Arrangement

Bulletin 22-17: Regionalized IBHS Bridge Payment

Bulletin 22-16: Place of Service 10 and Modifier FQ for Telehealth Service Delivery

Bulletin 22-15: Documentation Standards for Group Services

Bulletin 22-14: Documentation Standards for Mental Health Outpatient Providers

Bulletin 22-13: ASAM 3.5 and 3.7 Utilization Review Parameters

Bulletin 22-12: Journey of Hope Program ASAM Alignment

Bulletin 22-11: ASAM 3.5 Clinically Managed High-Intensity Residential Services

Bulletin 22-10: Place of Service 02 and Modifier 95 for Telehealth Service Delivery

Bulletin 22-09: Termination of GT Modifier

Bulletin 22-08: Tobacco Use Disorder Treatment Reimbursement

Bulletin 22-07: ACT Value-Based Payment (VBP) Case Rate Arrangement

[UPDATED 07/29/2022, 05/16/2022]
Bulletin 22-06: American Society of Addiction Medicine (ASAM) Value-Based Payment (VBP) (Case Rate) Arrangement

Bulletin 22-05: When Methadone Prescriber And The Substance Use Disorder Treatment Provider Are Not Within The Same Agency

Bulletin 22-04: CBH Compliance Department Documentation Requirements: Per Diem Substance Use Disorder Services

Bulletin 22-03: Inpatient Mental Health Technician: Name Change and New Requirements

Bulletin 22-02: Psychological Services Rate Increases

Bulletin 22-01: Delay of American Society of Addiction Medicine (ASAM) Value-Based Payment (VBP) (Case Rate) Arrangement

Bulletin 21-21: COVID-19 Alternative Payment Arrangement (APA) Increase

[UPDATED 01/05/2022]
Bulletin 21-20: Transition from COVID-19 Alternative Payment Arrangement (APA) to Provider Bridge Payments

• FAQ (1/25/22)

Bulletin 21-19: Tobacco Recovery Policy Update: Residential Drug and Alcohol Levels of Care

[RESCINDED]
Bulletin 21-18: Place of Service 02 and Modifier 95 for Telehealth Service Delivery

• CBH has rescinded Provider Bulletin 21-18 and suspended implementation of the modifier. We will issue an updated bulletin and further information shortly.

[REVISED 12/01/2021]
Bulletin 21-17: Current Procedural Terminology (CPT) Code Change from 99201 to 99202

Bulletin 21-16: Certified Registered Nurse Practitioner (CRNP) Requirements for Psychiatric Outpatient Services

Bulletin 21-15: Service Description Name Change and Termination of Levels of Care

Bulletin 21-14: Delay of American Society of Addiction Medicine (ASAM) Value Based Payment (VBP) (Case Rate) Arrangement

Bulletin 21-13: Use of Race and Ethnicity of Practitioners for Provider Directory

Bulletin 21-12: Provider Access to Timely Treatment (Amended)

Bulletin 21-11: Continuation of COVID-19 Alternative Payment Arrangement (APA)

Bulletin 21-10: Utilization and Retrospective Review

Bulletin 21-09: COVID-19 Alternative Payment Arrangement (APA) Increase

Bulletin 21-08: Clinical Guidelines and Related Provider Requirements

Bulletin 21-07: Utilization Management – Psychiatric Residential Treatment Facility

Bulletin 21-06: Transition Plan for COVID-19 Alternative Payment Arrangement (APA)

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

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

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

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

Bulletin 20-26: Community Residential Rehabilitation Host Home

[REVISED 11/12/2020]
Bulletin 20-25: Acute Inpatient Psychiatric Hospitalization for Pregnant Members

Bulletin 20-24: Modified Utilization Review

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

[Revised 10/26/2020]
Bulletin 20-22: Residential Treatment Facility Admission Enhancement

Bulletin 20-21: Post Payment Recoveries Timeline Updated

Bulletin 20-20: Significant Incident Reporting 

Bulletin 20-19: Clinical Guidelines and Related Provider Requirements 

[REVISED 09/24/2020]
Bulletin 20-18: Billing for Covered Days in Per Diem Levels of Care

Bulletin 20-17: Return to Fee-for-Service Funding Approach from the COVID-19 Alternative Payment Arrangement (APA)

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)

• Intensive Behavioral Health Services (IBHS) Written Order Letter (.docx)

Bulletin 20-10: Updated Written Order Letter and Authorization Timeframes

• Intensive Behavioral Health Services (IBHS) Written Order Letter (.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)

[REVISED 06/10/2020]
Bulletin 20-09: Temporary Suspension of Utilization Review

• OMHSAS Memorandum: Prior Authorization during the COVID-19 Disaster Emergency Declaration Period

[UPDATED 04/03/2020]
Bulletin 20-08: COVID-19 Response: Alternative Payment Arrangement

• APA Supporting Documents and Expense Tracking Spreadsheet
• CBH Notice: Alternative Payment Arrangement (APA) Expense Form

[REVISED 05/15/2020]
Bulletin 20-07: Third-Party Liability (TPL) and Place of Service for Services Delivered via Telehealth Platforms

Bulletin 20-06: Requests for Children’s Community-Based Services

[UPDATED 03/16/2020]
Bulletin 20-05: Delivery of BHRS Services During School Closures Due to COVID-19

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

• Billing Guide for BHRS Assessment and Initial Treatment Levels of Care (LOC)

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

• IBHS Progress Summary Template

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

• Data Reporting Template (.xlsx)

• 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 (RESCINDED Effective 12/15/2021; see Bulletin 21-19)

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

February 13: Provider Staff Vacancies Survey Reminder for 2026 Q1

February 12, 2026: Third Party Liability Requirement for Community Integrated Recovery Centers (CIRCs)

February 12, 2026: Claim Appeal Process Update

February 12, 2026: Holiday Closure: February 16, 2026

February 2, 2026: Original Signature Requirements

February 2, 2026: Continuation of Provider Rate Request Suspension

January 29, 2026: 2026 VBP Incentive Payment Schedule

January 29, 2026: 2026 CBH Personnel Roster Template

January 15, 2026: Holiday Closure: January 19, 2026

January 13, 2026: Regionalized Intensive Behavioral Health Service (IBHS): Provider Servicing Notifications

January 13, 2026: Planned Changes for Psychiatric Rehabilitation Services

December 18, 2025: Holiday Closure: December 31, 2025, and January 1, 2026

December 12, 2025: Pay-for-Performance (P4P) 2025 Operational Definitions

December 4, 2025: HealthChoices Behavioral Health in Lieu of and In Addition To Services

December 2, 2025: Open Network for Independent Practitioners and Group Practices

November 18, 2025: Holiday Closure: November 26, 2025, and November 27, 2025

November 11, 2025: Comprehensive Biopsychosocial Evaluations (CBE)

October 30, 2025: Annual Provider Root Cause Analysis Survey on OMHSAS-Required Performance Measures

October 21, 2025: Changes to Schedule A for APA

October 14, 2025: IBHS/ABA Realignment Update

October 9, 2025: Expansion of Ancillary (Lab) Service Provider

October 7, 2025: Holiday Closure: October 13, 2025

October 7, 2025: Intent to Issue a Clinical Procurement

October 2, 2025: Use of Out-of-Network Provider

September 26, 2025: CBH Provider Directory Review

September 25, 2025: Continuation of Provider Rate Request Suspension

September 4, 2025: Update to Screening Programs

August 27, 2025: Early Dismissal and Holiday Closure: August 29, 2025, and September 1, 2025

August 26, 2025: Policy on Sponsorships and Fundraising Requests

August 25, 2025: Provider Guidelines for the Use of Artificial Intelligence (AI)

August 12, 2025: Discontinuation of Open Network

August 12, 2025: Provider Payment Feedback Results

August 6, 2025: Pay-for-Performance Data Request Form

August 4, 2025: Upcoming HL7 Training Session

July 3, 2025: Self-Auditing Process for CBH Providers

June 30, 2025: Fraud Alert: Phishing/Spoofing Fax Scam Targeting Providers from CMS

June 26, 2025: Early Dismissal and Holiday Closure: July 3, 2025, and July 4, 2025

June 26, 2025: Services Performed by a Certified Registered Nurse Practitioner Eligible for Reimbursement

June 12, 2025: Provider Payments Alert

June 12, 2025: Holiday Closure: June 19, 2025

June 3, 2025: Revisions to the CBH Policy Requirements for Initial and Recredentialing of Facilities

June 3, 2025: Performance Improvement Project: Barrier Analysis

May 20, 2025: Early Dismissal and Holiday Closure: May 23, 2025, and May 26, 2025

May 13, 2025: Use of Artificial Intelligence (AI)

May 8, 2025: 2025 CBH Personnel Roster Submission Reminder

May 6, 2025: 2025 Pay-for-Performance Provider Webinar Series Schedule

May 5, 2025: Provider Payments Alert

April 10, 2025: Provider Language Data Collection

April 10, 2025: Multi-Step Verification Process for Provider Requests to Change Financial Institution for Electronic Fund Transfers

April 3, 2025: Behavioral Health Screening and EBP/ABA Awards in 2025 Pay-for-Performance

April 2, 2025: Continued Suspension of Provider Rate Requests

April 1, 2025: CBH Claims Converter Will Be Available in Okta

March 27, 2025: Regionalized Intensive Behavioral Health Services (IBHS) Reconciliation Discontinuation

March 27, 2025: Claims Front End Edits

March 17, 2025: Provider Staffing Vacancy Survey

February 18, 2025: Complaint and Grievance Process

February 11, 2025: Holiday Closure: February 14, 2025, and February 17, 2025

January 30, 2025: 2025 CBH Personnel Roster Template

January 28, 2025: Box Sign

January 15, 2025: Continued Suspension of Provider Rate Requests

January 14, 2025: Early Dismissal and Holiday Closure: January 17, 2025, and January 20, 2025

December 26, 2024: Early Dismissal and Holiday Closure: December 31, 2024, and January 1, 2025

December 23, 2024: Minimum Unit Requirement

December 23, 2024: 2024 Pay for Performance Payout

December 20, 2024: Early Dismissal and Holiday Closure: December 24, 2024, and December 25, 2024

December 4, 2024: Provider Staffing Vacancy Survey

December 3, 2024: Important Update: Social Security Number Requests for Members

November 22, 2024: Regionalized IBHS VBP Bonus Payment Alert

November 20, 2024: Early Dismissal and Holiday Closure: November 27, 2024, November 28, 2024, and November 29, 2024

November 14, 2024: CBH Telehealth Best Practices Guidelines

November 12, 2024: Provider Fee-For-Service Payment Alert

November 7, 2024: Outpatient Methadone Clinics: Preparing for the SEPTA Strike

October 31, 2024: Provider Portal: Phase One

October 31, 2024: Early Dismissal: November 5, 2024

October 11, 2024: Regionalized IBHS Reconciliation Request Process 2025

October 8, 2024: Early Dismissal and Holiday Closure: October 11, 2024, and October 14, 2024

August 27, 2024: Merakey Mental Health Walk-In Clinic Opening

August 20, 2024: Authorization Period: Functional Family Therapy (FFT)

August 19, 2024: Changes in Credentialing for Behavioral Health Consultants at Federally Qualified Health Centers

August 19, 2024: Early Dismissal and Holiday Closure: August 30, 2024, and September 2, 2024

August 13, 2024: CBH Open Network Update

August 1, 2024: Pay-for-Performance Data Request Form

July 16, 2024: Temporary Suspension of Provider Rate Requests

July 15, 2024: Claim Accuracy

July 9, 2024: Regionalized IBHS VBP Bonus Payment Alert

July 2, 2024: Early Dismissal and Holiday Closure: July 3, 2024, and July 4, 2024

June 25, 2024: Provider Fee-For-Service Payment Alert

June 20, 2024: American Society of Addiction Medicine (ASAM) 1.0 Value Based Payment (VBP) Bonus Payment Alert

June 13, 2024: Early Dismissal and Holiday Closure: June 18, 2024, and June 19, 2024

May 28, 2024: Departmental Name Changes

May 21, 2024: Early Dismissal and Holiday Closure: May 24, 2024, and May 27, 2024

May 3, 2024: Cyber Security Awareness

April 29, 2024: 2024 Value Based Payment (VBP) Bonus Payment Schedule

April 25, 2024: Reminder: 2024 CBH Personnel Roster Submission

April 23, 2024: Medication Assisted Treatment (MAT): Capacity and Access Data Collection

April 18, 2024: Provider Language Data Collection

April 4, 2024 (UPDATED 4/5/24): 2024 Pay-for-Performance Behavioral Health Screening Orientation

March 28, 2024: Good Community Neighbor

March 28, 2024: Phishing Email Reminder

March 21, 2024: Regionalized IBHS Reconciliation Request

March 14, 2024: Pharmacy Guidance: Stimulant Shortages

March 12, 2024: Community Integrated Recovery Center (CIRC) Levels of Care

February 29, 2024: Compliance Department IBHS ABA Tour

February 29, 2024: Provider Fee-For-Service Payment Alert

February 27, 2024: Residential Treatment Facilities (RTF) Value-Based Payment (VBP) Arrangement

February 15, 2024: Four Walls Rule

February 5, 2024: Significant Incident Reporting

February 1, 2024: Delivery of Telehealth at Mental Health Outpatient Clinics (MHOP)

January 25, 2025: Provider Fee-For-Service Payment Alert

January 17, 2024: IBHS: Timely Access Data Collection

January 9, 2024: Holiday Closure: January 15, 2024

January 4, 2024: Pay-for-Performance (P4P) 2023 Operational Definitions

December 28, 2023: Provider Fee-For-Service Payment Alert

December 28, 2023: Sexual Orientation and Gender Identity (SOGI) Data Collection

December 26, 2023: Early Dismissal and Holiday Closure: December 29, 2023, and January 1, 2024

December 21, 2023: Early Dismissal and Holiday Closure: December 22, 2023, and December 25, 2023

December 4, 2023: OKTA Security Advisory

November 30, 2023: Best Practices for Definitive Drug Testing

November 21, 2023: Early Dismissal and Holiday Closure: November 22, 2023, November 23, 2023, and November 24, 2023

October 5, 2023: Early Dismissal and Holiday Closure: October 6, 2023, and October 9, 2023

August 31, 2023: Holiday Closure: September 4, 2023

August 22, 2023: Intensive Behavioral Health Services (IBHS) Family Peer Support and Care Coordinator Authorizations

August 18, 2023: Pay-for-Performance Data Request Form

July 20, 2023: Intensive Behavioral Health Services (IBHS) Blanket Authorization Number (BAN) to Authorization Number Update

July 18, 2023: Behavioral Health Services Reporting Classification Chart (BHSRCC) Procedure Code Update

June 29, 2023: Holiday Closure: July 4, 2023

June 27, 2023: IBHS Blanket Authorization Numbers (BAN) to Authorizations Update

June 15, 2023: Early Dismissal and Holiday Closure: June 16, 2023, and June 19, 2023

June 6, 2023: Family Based Services Value Based Payment (VBP) Arrangement

June 6, 2023: Reporting of Coronavirus (Revised)

June 6, 2023: Changes to CBH Facility Re-Credentialing Process

May 25, 2023: Early Dismissal and Holiday Closure: May 26, 2023, and May 29, 2023

May 25, 2023: Pennsylvania Changes to Substance Use Disorder Confidentiality Requirements

May 4, 2023: Provider Language Data Collection

April 11, 2023: Resumption of Unannounced Audits and Reminder Related to CBH Fraud, Waste, and Abuse Hotline Posting

March 16, 2023: Community Integrated Recovery Center Value-Based Payment (Case Rate) Arrangement

March 10, 2023: ASAM 1.0 Value-Based Payment Alert

March 10, 2023: Children’s Acute Inpatient Value-Based Payment Arrangement

February 16, 2023: Early Dismissal and Holiday Closure: February 17, 2023, and February 20, 2023

February 2, 2023: 2023 CBH Personnel Roster Template

February 2, 2023: Update to American Society of Addition Medicine (ASAM) Value Based Payment (VBP) Case Rate Arrangement 

January 31, 2023: Intensive Behavioral Health Services Payment & Third-Party Medical Resources

January 12, 2023: Early Dismissal and Holiday Closure: January 13, 2023, and January 16, 2023

January 10, 2023: Eligibility Verification and Member Enrollment Status

December 29, 2022: Early Dismissal and Holiday Closure: December 30, 2022, and January 2, 2023

December 27, 2022: Extension of Current CBH Provider Agreements

December 22, 2022: Early Dismissal and Holiday Closure: December 23, 2022, and December 26, 2022

October 20, 2022: Provider Request for Rate Increase Timing Update

October 12, 2022: Telehealth Updates

October 6, 2022: Early Dismissal and Holiday Closure: October 07, 2022, and October 10, 2022

October 3, 2022: CBH Opens Provider Network 

September 29, 2022: Resources for Reducing E-Cigarette and Vaping Use Among Youth

[UPDATED 12/27/22]
September 20, 2022: Pay-for-Performance Data Request Form

• Pay-for-Performance Data Request Form
• Pay-for-Performance Operational Definitions for Reporting Year 2022
  This Operational Definitions Master Document is intended to be used as a guide for understanding the performance evaluation process and performance measures included in the Community Behavioral Health Pay-for-Performance (P4P) program for reporting year 2022. Providers who would like to request their Member-level data should complete the form that is attached to this notice as well.

September 1, 2022: Early Dismissal and Holiday Closure: September 2, 2022, and September 5, 2022

July 29, 2022: Bridge Payment Requirement Adjustment

July 19, 2022: NIAC Report Format Pilot and Training Updates

June 30, 2022: Provider Fee-For-Service Payment Alert

June 30, 2022: Early Dismissal and Holiday Closure: July 1, 2022, and July 4, 2022

June 16, 2022: Early Dismissal and Holiday Closure: June 17, 2022, and June 20, 2022

May 26, 2022: Early Dismissal and Holiday Closure: May 27, 2022, and May 30, 2022

May 16, 2022: The Evidence-Based Practice and Innovation Center EBP Program Designation Open Renewal and Application Periods

[UPDATED 5/12/2022]
May 2, 2022: 2022 Pay-for-Performance Measures and Thresholds Webinar Schedule

May 2, 2022: Revalidation and Enrollment

April 18, 2022: Provider Language Assistance Resources

April 11, 2022: Reminder: 2022 CBH Personnel Roster Template 

April 4, 2022: Update to American Society of Addition Medicine (ASAM) Value Based Payment (VBP) Case Rate Arrangement

March 29, 2022: Pending End of PA DHS Regulatory Suspensions and Reminder of Telehealth Waiver Process for Outpatient Services

March 18, 2022: New Provider Application: Box, Inc.

February 18, 2022: Holiday Closure for February 21, 2022

February 15, 2022: 2022 Monthly Staff Vacancies Survey

January 31, 2022: Termination of Provider Specialties 133 and 134

January 25, 2022: 2022 CBH Personnel Roster Template

• Personnel Roster Template (.xls)

January 24, 2022: ASAM Outpatient Case Rate Delay Clarification

January 21, 2022: Provider Bridge Payment Clarification and Due Dates

January 21, 2022: 2022 IBHS APA Payment Outline

January 14, 2022: Holiday Closure for January 17, 2022