Care Coordination Information for Behavioral Health Providers

The information provided on this page is specific to the behavioral health provider community.  It includes information pertinent to mental health and substance abuse providers in order to develop relationships and understand billing processes and utilization requirements while working with the Medicaid Managed Care Organizations.

Managed Care Organization (MCO) Behavioral Health Contacts:

• MCO Contacts for Behavioral Health Providers (pdf)

Questions and Answers from the September 24, 2014 meeting hosted by HFS at Chicago-Read Mental Health Center with MCOs and behavioral health providers:

• Aetna Better Health BH Answers (pdf)
• Blue Cross Blue Shield BH Answers (pdf)
• Cigna-HealthSpring BH Answers (pdf)
• Family Health Network - Community Care Alliance of Illinois BH Answers (pdf)
• Harmony BH Answers (pdf)
• Humana Health Plan Inc  BH Answers (pdf)
• IlliniCare-CountyCare BH Answers (pdf)
• Meridian Health Plan BH Answers (pdf)

Questions and Answers from October 20, 2014 meeting hosted by HFS in Springfield with MCOs and behavioral health providers:

• Harmony (pdf)
• Health Alliance (pdf)
• Meridian Health Plan (pdf)
• Molina (pdf)

Prior Authorization Grids

• Community Mental Health Services - Prior Authorizations Comparison Chart as provided by the Managed Care Organizations (.xls)
• Community Mental Health Services � Service Array as provided by the Managed Care Organizations (pdf)

Billing Guidelines

• Managed Care Billing Guidelines for Community Mental Health Center (CMHC) Services (pdf)