Behavioral health claims denial citations, accepted corrective actions, and stipulations and orders are available in the below statements of deficiencies (SODs) and statements of findings (SOFs):

1. Affinity
   1. Affinity BH Claims Denial SOD-SOF - Round 1
   2. Affinity BH Claims Denial SOD-SOF - Round 2
2. Amida Care
   1. Amida Care BH Claims Denial SOD-SOF - Round 1
   2. Amida Care BH Claims Denial SOD-SOF - Round 2
3. EmblemHealth
   1. EmblemHealth BH Claims SOD-SOF - Round 1
   2. EmblemHealth BH Claims SOD-SOF - Round 2
4. IHA
   1. IHA BH Claims Denial SOD-SOF - Round 1
   2. IHA BH Claims Denial SOD-SOF - Round 2
5. MetroPlus
   1. MetroPlus BH Claims Denial SOD-SOF - Round 1
   2. MetroPlus BH Claims Denial SOD-SOF - Round 2
6. MVP
   1. MVP BH Claims Denial SOD-SOF - Round 1
   2. MVP BH Claims Denial SOD-SOF - Round 2

For more information regarding citations, please visit the Focused Survey Citations webpage.

For questions regarding citations, please contact the BHO Mailbox.