№ lp_1_2_29464
The document provides an update for individual and group providers in Fresno County on CalAIM implementation, MCO Module testing, provider transitions, contract amendments, and the continuation of CMS 1500 Forms usage.
Year: 2023
Region / City: Fresno County, California
Theme: Managed care, behavioral health services, provider transition
Document type: Policy update, provider communication
Organization / Institution: Department of Behavioral Health (DBH)
Author: Department of Behavioral Health (DBH)
Target Audience: Individual/Group Providers
Period of Validity: From July 1, 2023, to June 30, 2024
Approval Date: June 20, 2023
Date of Changes: June 20, 2023
Purpose: To communicate updates regarding CalAIM and Payment Reform to individual/group providers
MCO Module: SmartCare
Payment Rates: Varies by provider type, license, and service type
Training Dates: May 4, May 11, June 1, 2023
Testing & Approval: Required for MCO Module
CMS 1500 Forms: Continuation until further notice
Contract Extension: 12-month extension from July 1, 2023, to June 30, 2024
Amendment: Agreement No. 20-236BOS
Q&A Section: Available online
Transportation: Managed Care Plan responsibilities
Questions Contact: [email protected]
CPT Coding Queries: [email protected]
Additional Resources: DHCS library
Service Agreement: Questions regarding contract differences addressed
Service and Travel Time: Policies on documentation and travel time for claims processing
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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