Behavioral Health Care Services. The Contractor shall provide all medically necessary community-based, partial hospital and inpatient hospital behavioral health services as identified in Contract Exhibits 2 and 3. Contractors shall pay CMHCs at no less than the Indiana Medicaid FFS rate for any covered non-MRO service that the CMHC provides to members. The Contractor shall provide behavioral health services through hospitals, offices, clinics, in homes, at school and other locations, as permitted under state and federal law. A full continuum of services, including crisis services, as indicated by the behavioral health care needs of members, shall be available to members, including partial hospitalization services as described in 405IAC 5-20- 8. Behavioral health services codes billed in a primary care setting shall be reviewed for medical necessity and, if appropriate, shall be paid by the Contractor. The Contractor must allow members to self-refer to any behavioral health care provider in the Contractor’s network without a referral from the PMP. Members may also self-refer to any IHCP-enrolled psychiatrist.
Behavioral Health Care Services. The Contractor shall provide all medically necessary community-based, partial hospital and inpatient hospital behavioral health services as identified in Contract Exhibit 4. Contractors shall pay CMHCs at no less than the Medicare rate or 130% of Medicaid FFS rate for any covered non-MRO service that the CMHC provides to a HIP member. The Contractor shall provide behavioral health services through hospitals, offices, clinics, in homes, and other locations, as permitted under state and federal law. A full continuum of services, including crisis services, as indicated by the behavioral health care needs of members, shall be available to members, including partial hospitalization services as described in 405 IAC 5-20-8. Behavioral health services codes billed in a primary care setting shall be reviewed for medical necessity and, if appropriate, shall be paid by the Contractor. The Contractor shall allow members to self-refer to any behavioral health care provider in the Contractor’s network without a referral from the PMP. Members may also self-refer to any IHCP-enrolled psychiatrist.
Behavioral Health Care Services. The Contractor shall provide all medically necessary community-based, partial hospital and inpatient hospital behavioral health services as identified in Contract Exhibits 2 and 3. Contractors shall pay CMHCs at no less than the Indiana Medicaid FFS rate for any covered non-MRO service that the CMHC provides to members. The Contractor shall provide behavioral health services through hospitals, offices, clinics, in homes, at school and other locations, as permitted under state and federal law. A full continuum of services, including crisis services, as indicated by the behavioral health care needs of members, shall be available to members, including partial hospitalization services as described in 405 IAC 5-20-8. Behavioral health services codes billed in a primary care setting shall be reviewed for medical necessity and, if appropriate, shall be paid by the Contractor. The Contractor must allow members to self-refer to any behavioral health care provider in the Contractor’s network without a referral from the PMP. Members may also self-refer to any IHCP-enrolled psychiatrist. The Contractor shall ensure the availability of behavioral health crisis intervention services twenty-four (24) hours a day, seven (7) days a week. The Contractor shall maintain processes for crisis intervention.
Behavioral Health Care Services. The Contractor shall provide all medically necessary community-based, partial hospital and inpatient hospital behavioral health services as identified in Contract Exhibits 2 and
Behavioral Health Care Services. The Contractor shall provide all medically necessary community-based, partial hospital and inpatient hospital behavioral health services as identified in Contract Exhibit 2. Contractors shall pay CMHCs at a rate not less than the Medicaid fee schedule for any covered non-MRO service that the CMHC provides to a HIP member.
Behavioral Health Care Services. SPECIFIC REQUIREMENTS -------------------------------------------------------
Behavioral Health Care Services. The Contractor shall provide all medically necessary community-based, partial hospital and inpatient hospital behavioral health services as identified in Contract Exhibit 2. EXHIBIT 1 SCOPE OF WORK – HEALTHY INDIANA PLAN Contractors shall pay CMHCs at no less than the Medicare rate or 130% of Medicaid FFS rate for any covered non-MRO service that the CMHC provides to a HIP member. The Contractor shall provide behavioral health services through hospitals, offices, clinics, in homes, and other locations, as permitted under state and federal law. A full continuum of services, including crisis services, as indicated by the behavioral health care needs of members, shall be available to members, including partial hospitalization services as described in 405 IAC 5-20-8. Behavioral health services codes billed in a primary care setting shall be reviewed for medical necessity and, if appropriate, shall be paid by the Contractor. The Contractor shall allow members to self-refer to any behavioral health care provider in the Contractor’s network without a referral from the PMP. Members may also self- refer to any IHCP-enrolled psychiatrist. The Contractor shall ensure the availability of behavioral health crisis intervention services twenty-four (24) hours a day, seven (7) days a week. The Contractor shall maintain processes for crisis intervention.
Behavioral Health Care Services. Services provided by Orange County Health Care Agency staff for PARTICIPANTS in need of treatment for mental health and/or substance abuse which pose barriers to employment.
Behavioral Health Care Services. The Contractor shall provide all medically necessary community-based, partial hospital and inpatient hospital behavioral health services as identified in Contract Exhibits 2 and 3. Contractors shall pay CMHCs at no less than the Indiana Medicaid FFS rate for any covered non-MRO service that the CMHC provides to members. The Contractor shall provide behavioral health services through hospitals, offices, clinics, in homes, at school and other locations, as permitted under state and federal law. A full continuum of services, including crisis services, as indicated by the behavioral health care needs of members, shall be available to members, including partial hospitalization services as described in 405IAC 5-20-8. Behavioral health services codes billed in a primary care setting shall be reviewed for medical necessity and, if appropriate, shall be paid by the Contractor. EXHIBIT 1
Behavioral Health Care Services. The Contractor shall provide all medically necessary community-based, partial hospital and inpatient hospital behavioral health services as identified in Contract Exhibits 3 and 4. Contractors shall pay CMHCs at no less than the Medicare rate or 130% of Medicaid FFS for any covered non-MRO service that the CMHC provides to a HIP member. Behavioral health services codes billed in a primary care setting shall be reviewed for medical necessity and, if appropriate, shall be paid by the Contractor. The Contractor shall allow members to self-refer to any behavioral health care provider in the Contractor’s network without a referral from the PMP. Members may also self-refer to any IHCP-enrolled psychiatrist.
