Behavioral Health Managed Care
Guidance Documents
- SED Children
Provides guidance regarding the monitoring of outpatient services for children with a serious emotional disturbance (SED) who receive care in OMH-designated Specialty Clinics.
Issued: January 30, 2012 - Court-Ordered Treatment
Provides clarification regarding individuals who are court-ordered to receive substance abuse services, but who do not meet medical necessity criteria (MNC).
Issued: January 30, 2012 - Youth Admissions to OMH State-Operated Psychiatric Centers
Frequently Asked Questions and Answers regarding the review process for youth admissions to OMH Psychiatric Centers.
Issued: January 26, 2012 - Comprehensive Psychiatric Emergency Program (CPEP) Emergency
Observation Beds (EOBs)
Provides clarification regarding the reporting on the utilization of EOBs operated at CPEPs.
Issued: January 13, 2012 - Confidentiality
Frequently Asked Questions and Answers concerning the exchange of behavioral health protected health information (PHI) between providers and the BHOs.
Issued: December 28, 2011. - Medicaid Eligibility
Provides information on how Medicaid eligibility determinations should be made.
Issued: December 14, 2011. - Task 2 Children/Youth SED
Provides clarification regarding the Appendix D Program Work Plan of Contractor Responsibilities, as it pertains to Task 2: Tracking of Children with SED.
Issued: December 14, 2011. - OMH-Designated Child SED Specialty Clinics
Provides clarification of expectations for providers operating OMH-designated outpatient specialty clinics for SED children.
Issued: December 2, 2011. - BHO Implementation
Provides details regarding timeframes and expectations for the BHOs and providers.
Issued: December 1, 2011.
Please contact OMH Managed Care with any questions, comments, or problems you may be experiencing with this site. If you would like to file a complaint about behavioral health managed care, please visit the Information on Filing a Complaint page. Providers, if you have any questions about the managed care implementation, please complete and send a question form.