Behavioral Add-On

The deadline for the Specialized Behavioral Services Program Add-On is March 31,2018.  Documentation to support a buildings fulfillment of the requirements for this add on are to be submitted to Richard Clark at HCPF (  All mass adjustments and reprocessing related to the patient liability and crossover claim fixes on the Medicaid Interchange have been completed.  No further mass adjustment or reprocessing are scheduled at this time.  HCPF will be issuing timely filing waivers to accommodate any claims that were missed in the mass adjustments and/or other claims that were unable to be billed but are now outside the 240 timely filing window.  To obtain a timely filing waiver contact Richard Clark with the facility name, NPI, service location, physical address and date span for the waiver.  If the date span goes back farther than January 1, 2017, also include an explanation for needing a waiver dated previous to 2017 dates of service.  Richard would like to issue one letter for each provider chain, so please include all the information for all  buildings owned/manage in the request.  Once the timely filing waiver is received it will be good for 60 days and must be uploaded as an attachment to claims adjusted or billed manually on the portal.

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