BEHAVIORAL HEALTH REDESIGN
The Ohio Department of Medicaid (ODM) and the Ohio Department of Mental Health and Addiction Services (OhioMHAS) will implement Behavioral Health (BH) Redesign on January 1, 2018, on a fee-for-service basis for all Medicaid enrollees other than MyCare Ohio members, who will receive their redesign benefit package by their MyCare Ohio plan. The traditional Medicaid managed care plans will begin covering the behavioral health redesign benefit package for their members on July 1, 2018, when "carve-in" takes place.
Over the past two years, ODM and OhioMHAS have provided numerous community and webinar training opportunities where BH redesign policies and technical aspects and specification have been shared and reviewed. The most recent comprehensive training was the "BH 401" webinar that was hosted on May 22, 2017 and was recorded and posted to the bh.medicaid.ohio.gov website.
In collaboration with the Ohio Association of County Behavioral Health Authorities (OACBHA), ODM and OhioMHAS will be providing a final series of "BH 501" trainings throughout Ohio to assist OhioMHAS certified providers of community behavioral health services with the most up to date information to make the successful timeline transitions. Examples of topics of interest are: prior authorization (PA), including PA transitions, policy clarifications related to practitioner enrollment, contracting with managed care plans, testing, and a high level overview of the OhioMHAS certification process to successfully transition on January 1, 2018.
For more information about BH Redesign, visit:
Ohio Department of Medicaid Provider Assistance