Adult Behavioral Health Managed Care Policy, Guidance, and Resources
Benefits and Services | Billing and Rates | Care Management | Clinical Resources
Data and Planning | Federal Authority | Health and Recovery Plans (HARPs) |
MMCO Guidance and Standards | Pharmacy | Utilization Management | Value Based Payment
Adult Behavioral Health (BH) Home and Community Based Services (BH HCBS)
Assertive Community Treatment (ACT)
Licensed Behavioral Health Practitioner (LBHP) Benefit | (FAQs)
Medicaid Managed Care Cost-Effective Alternative Services (In-Lieu of Services)
Personalized Recovery-Oriented Services (PROS)
Information for Medicaid Managed Care Organizations (MMCOs)
Language Assistance Services for Adult BH HCBS
Medicaid Managed Care Model Contract
MMCO Behavioral Health Policy Paper
Provider Contract Guidelines for MMCOs and IPAs
Telehealth Reimbursement and Credentialing for Article 31 and 32 Providers
Infrastructure Program Extension Guidance
Infrastructure Application Form A - Agency Information and Funding Request
Infrastructure Application Form B - Lead Agency Information
Ambulatory Health Services Prior Authorization Guidelines
Assertive Community Treatment (ACT)
ACT Continuity of Care Expectations for Inpatient Settings
Behavioral Health (BH) Home and Community Based Services (BH HCBS)
BH HCBS Authorization Request Form
CPEP Authorization Guidance for MMCOs
Grievance and Appeals Processes
Long-Stay Article 28 Inpatient Units
All questions or complaints regarding Behavioral Health Medicaid Managed Care should be submitted to the OMH Division of Managed Care using the OMH MC Question/Complaint Form. This ensures all questions or complaints submitted can be reviewed and responded to by appropriate staff within OMH and/or the Department of Health.