Where are we today?

Posted by Behavioral Health Billing Solutions, LLC Where are we today?    In the world of Behavioral Health in Ohio, the answer is simple; the status of where are we today, is unstable.   On January 1st, 2018, Ohio Department of Medicaid rolled out the “Ohio BH...

What’s an 824 file?

Posted by Behavioral Health Billing Solutions, LLC What exactly is an 824 file? How does it impact your agency? And what do you or should you do with it?    In March 2017, a change was made to the adjudication process at Ohio Department of Medicaid. Prior to that...

One week live……

Posted by Behavioral Health Billing Solutions, LLC. It’s one week past go live of the Managed Care Carve in and it’s been a busy one. It’s a mixed bag of providers without an EHR, without a clearing house, providers not registered with Medicaid and...

MCO Carve in – July 1st!

Posted by Behavioral Health Billing Solutions, LLC. Ready or not, here it comes. The MCO Carve in is moving forward, full speed ahead, despite a number of reservations, fully documented to the interested parties including all Ohio Senators, the JMOC Committee, all...

BHBS has exciting news!

Posted by Behavioral Health Billing Solutions, LLC. Behavioral Health Billing Solutions, LLC. (BHBS) has exciting news that could provide an EHR solution to agencies across Ohio.   With the Managed Care Carve in looming, it’s critical that all agencies are on an...

Managed Care Proposals

Posted by Behavioral Health Billing Solutions, LLC. Today, additional Managed Care Carve in proposals were announced. The Ohio Council of Behavioral Health and Family Service Providers has put together an extensive proposal intended to be an alternative option to an...

Managed Care Carve in IMPACT

Posted by Behavioral Health Billing Solutions, LLC. To address the looming deadline for the Managed Care Carve in, at Wednesday’s EDI meeting, ODM announced contingency funding available through the Managed Care Organization’s (MCO’s).  Slides...

Why are EDI Meetings important?

Posted by Behavioral Health Billing Solutions, LLC. Why are Bi-weekly Medicaid EDI meetings important to participate in?            1. Be heard – If you are having specific problems billing or understanding the billing guidelines since January 1st, take the time...

Changes in Payment Cycle

Posted by Behavioral Health Billing Solutions, LLC. Change in Payment Cycle for Specific Fee for Service Providers   The Ohio Department of Medicaid (ODM) will be restructuring the timing of specific provider payment cycles beginning in April 2018. The Medicaid weekly...

JMOC BH Redesign Update

Posted by Behavioral Health Billing Solutions, LLC. JMOC Redesign Update by ODM February 15th, 2018   Quick note, as always, anything in RED is a link to more information.   So let’s look at these numbers from a slightly different perspective. For January 2018,...

New Redesign Info from Medicaid

Posted by Behavioral Health Billing Solutions, LLC. New Redesign info from Medicaid was released at the EDI Workgroup meeting on Wednesday, January 24th. Slide deck is available here. So let’s talk through some of the pertinent info. Medicaid now has a plan for...

Important info from OhioMAS

Posted by Behavioral Health Billing Solutions. LLC. Important information from OhioMAS to Certified Providers of Mental Health, Substance Use Disorder and MH/SUD Providers. Official waiver notification available here. To: Certified Mental Health (MH), Substance Use...

Rapid Response info and more

Posted by Behavioral Health Billing Solutions, LLC. Rapid Response info, Prior Authorization training and the 1st week of BH Redesign – LIVE   The first week of BH Redesign Go live ended with a training on how to enter your claims on the MITS portal. Good...

BH Redesign goes LIVE January 1st

Posted by Behavioral Health Billing Solutions, LLC. BH Redesign goes live January 1st. This is Ohio’s major behavioral health coding change in order to be nationally compliant with current guidelines. In preparation for January 1st, the Joint Medicaid Oversight...

Sign up for Beta Testing today

Your agency still has time to sign up to be a Beta Tester and be counted, ready or not. Follow the instructions below and submit your test files as soon as you are signed up. It’s important that all agencies in Ohio participate. As of 11/06/2017, 65 agencies out...

EDI Work Group 11/08/2017

Posted by Behavioral Health Billing Solutions, LLC The EDI work group met Wednesday, November 8th, 2017. Testing updates and changes to some coding was announced. Slides for the work group can be found here.   An important notification about the functionality of dual...

Update on Ohio BH Redesign

Posted by Behavioral Health Billing Solutions, LLC. Update on Ohio BH Redesign. The Ohio BH Redesign, a major coding change for all Ohio Behavioral Health agencies goes live January 1st, 2018 INCLUDING all MyCare Ohio MCO plans. Testing for Ohio Medicaid opens October...

Dual Practitioner Guidance

Posted by Behavioral Health Billing Solutions, LLC. Dual Practitioner Guidance as of the January 1st go-live for BH Redesign.   This week I was finally able to get some verification from a trusted colleague involved very closely with state departments to get a better...

BH Redesign 501 Available

Posted by Behavioral Health Billing Solutions, LLC. Today, we received notification of the BH Redesign 501 training dates and locations, as well as registration links. Also, the Benefit and Services Work group met yesterday. Slides are located here. They did release...

Is Medicaid Expansion at risk?

Posted by Behavioral Health Billing Solutions, LLC. Medicaid Expansion is at risk, nationally and locally. The Ohio House of Representatives are trying to decide whether or not to override Governor Kasich’s veto on Medicaid Expansion which, if passed, would put...

Beta Testing and more

Posted by Behavioral Health Billing Solutions, LLC On Wednesday, September 13th, two important group meetings were held at Ohio Medicaid, the Benefit and Services Work Group and the EDI Medicaid Work Group, releasing a significant amount of information about the...

Do you know where your claims are?

Posted by Behavioral Health Billing Solutions, LLC So today, Medicaid sent out the email below to Ohio Medicaid Trading Partner’s. Dear Trading Partner, It has come to our attention that some trading partners are not aware of the order in which EDI response...

Registration Service offered

Posted by Behavioral Health Billing Solutions, LLC. New Provider Registration Process offered by Behavioral Health Billing Solutions, LLC.  Important details about the changes and new service offering are listed below. Most Behavioral Health providers in Ohio are...

Senate overrides Governors Vetoes

Posted by Behavioral Health Billing Solutions, LLC. Today, the Ohio Senate held an off-season session to vote on a number of Governor Kasich’s veto items for budget bill 49.  To see the historic vote, click on this...

EDI Workgroup 08/16/2017

Posted by Behavioral Health Billing Solutions, LLC. Information from the Medicaid EDI Workgroup on August 16th, 2017. Full slides are available here. Questions that were asked through the webinar were released after the meeting along with ODM’s responses. These...

More Policy Changes?

Posted by Behavioral Health Billing Solutions, LLC The Benefit and Services workgroup met July 11th and Greg Moody, Director at Ohio Governor’s Office of Health Transformation and ODM introduced the latest track for BH Redesign and the Managed Care Carve-in. The...

Historic Vetos on hold?

Posted by Behavioral Health Billing Solutions, LLC According to an article in the Columbus Dispatch, Nine of the 11 vetoes that state representatives voted to override in the state budget last week are related to Medicaid, though not the big veto on the plan to freeze...

Ohio Senate approves HB49 Revision

Posted by Behavioral Health Billing Solutions, LLC The Ohio Senate voted today on the revised budget released by the Conference Committee who met yesterday to review the House and Senate versions of the Budget HB 49. The vote passed with 24 yes votes, 8 no votes and 1...

Adapting to Change

Behavioral Health Billing Solutions, LLC   In this turbulent time for Behavioral Health Providers in Ohio, we wanted to offer support by hosting a One-Day Seminar. “Adapting to changes from the Ohio BH Redesign and MCO Carve in”. Availability is limited,...

Status update on the MCO Carve in

Behavioral Health Billing Solutions, LLC Status update on the MCO carve in requested.   The challenges keep coming. This week was different from last only from the standpoint that I had time to review several client’s payments from the MCO’s. I found a...

Ohio Council is looking for input

Posted by Behavioral Health Billing Solutions, LLC   Ohio Council is looking for input from Ohio BH providers on their experiences with billing the Managed Care Organizations since July 1st, 2018.   In their continuing attempt to advocate for agencies across Ohio, the...

New Contingency Payment options

Posted by Behavioral Health Billing Solutions, LLC. New Contingency payment options available from CareSource and Molina.   DEADLINE for the revised Contingency plans offered by both of these plans is Monday, July 16th, 2018.   As most providers know, MCO’s have...