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Stage 3 PNM Training

October 14, 2022 | Stage 3: Next Generation Medicaid - Fiscal Intermediary (FI) & PNM

Behavioral Health Billing Solutions, LLC Stage 3 PNM Training is available! https://lnkd.in/e3muUAME Use code: ‘bhorgprovider’ for access

PNM Issues

October 12, 2022 | 2022, Stage 2: Next Generation Medicaid - PNM & Centralized Credentialing

Known Issues We understand many providers are experiencing issues related to the Ohio Medicaid Provider Network Management (PNM) implementation. We recognize your frustration and want to ensure you are aware of the currently identified issues and opportunities to report PNM issues and seek technical assistance. Below are identified issues ODM has communicated related to the […]

OhioRISE Implementation Checklist and OAC Rules – Released by Ohio Council

June 27, 2022 | Stage 1: Next Generation Medicaid - Aetna OhioRISE

Behavioral Health Billing Solutions, LLC Important Information from Ohio Council regarding Ohio Rise 06/27/2022 As you know, the new OhioRISE Medicaid managed care plan goes live this Friday 7/1/22. In order to assist members with this implementation and the necessary changes we created an OhioRISE operations implementation checklist. This resource outlines the operational […]

OhioRISE Provider Enrollment Trainings Available

June 17, 2022 | Stage 1: Next Generation Medicaid - Aetna OhioRISE

Aetna Ohio Rise Provider Orientation: live webinar Providers can join a live webinar for provider orientation. In this session, you’ll learn about working with Aetna Better Health, including our overall processes and policies. You’ll learn about key topics, including: What is the OhioRISE program? What is your role/responsibility as a network provider? […]

Ohio Medicaid Changes: News on HB 169, OMES, PNM and the Fiscal Administrator

April 5, 2022 | 2022, Stage 1: Next Generation Medicaid - Aetna OhioRISE, Stage 2: Next Generation Medicaid - PNM & Centralized Credentialing, Stage 3: Next Generation Medicaid - Fiscal Intermediary (FI) & PNM

Posted by Behavioral Health Billing Solutions, LLC Behavioral Health Billing Solutions is well known in the Ohio Behavioral Health area and we wanted to share some important information that we received this morning from Ohio Council. Please see Ohio Council’s release below: Good News! CMS has approved the managed care portion of […]

MCO Procurement and PNM/Fiscal Administrator Timeline

February 9, 2022 | 2022, Stage 1: Next Generation Medicaid - Aetna OhioRISE, Stage 2: Next Generation Medicaid - PNM & Centralized Credentialing, Stage 3: Next Generation Medicaid - Fiscal Intermediary (FI) & PNM

Posted by Behavioral Health Billing Solutions, LLC We hope all of you have survived “Snowpocalyspe” and are staying strong through the latest COVID surges. Behavioral Health Billing Solutions (BHBS), even though we are remote, has also felt the effects of COVID. It is an unfortunate reality that we are hoping and praying will pass […]

Ongoing Updates for Ohio Behavioral Health Providers

November 17, 2020 | Behavioral Health Billing, Community Addiction Service Providers, Ohio BH Redesign

Posted by Behavioral Health Billing Solutions, LLC

Updates for the New Year from BHBS

January 1, 2020 | Behavioral Health Billing, Community Addiction Service Providers, Ohio BH Redesign

Posted by Behavioral Health Billing Solutions, LLC. All of us at Behavioral Health Billing Solutions, LLC are wishing you a safe and happy holiday season! There have been a number of important changes recently that we also wanted to make everyone aware of. 1. Effective January 1st, 2020, Medicare will no […]

Staying on top of Telehealth for Ohio Behavioral Health

April 2, 2020 | Behavioral Health Billing, Community Addiction Service Providers, Ohio BH Redesign

Posted by Behavioral Health Billing Solutions, LLC Behavioral Health Billing Solutions wanted to ensure everyone had access to the presentation by ODM and OhioMAS regarding Emergency Telehealth rules enacted by Governor DeWine. “Delivering Behavioral Health via Telehealth” We also wanted to touch base and let all of our contacts know we are still […]

Where are we NOW…..

September 23, 2019 | Behavioral Health Billing, Community Addiction Service Providers, Ohio BH Redesign

Posted by Behavioral Health Billing Solutions, LLC. Ohio BH Redesign started January 1st, 2018 and the Managed Care carve in began July 1st, 2018. Every few months, I try to look at the overall picture and ask the question “Where are we now?” I believe most agencies think longingly of the time period […]

Are you Ready?

July 30, 2019 | Behavioral Health Billing, Community Addiction Service Providers, Ohio BH Redesign

Posted by Behavioral Health Billing Solutions, LLC. August 1st is a day away, ARE YOU READY? On July 23rd, ODM held a follow up Stakeholder’s meeting to announce upcoming changes that include new services, new rates and changes to providers that can provide certain services. I’ve spent 5 hours today scouring the new, […]

IMAGINE……And be concerned

June 24, 2019 | Ohio BH Redesign

Posted by Behavioral Health Billing Solutions, LLC. Imagine….. Imagine receiving a letter from an MCO that states they are initiating a “Pre-Payment Review”. What does that mean? This letter initiates a time period where you will not get paid for services without printing all notes, office documentation, testing results […]

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