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DPW Begins Elimination of Kirk T. BHRS Data Reporting
July 9, 2004

  • In January, the state and the Kirk T. plaintiff’s amended the Kirk T. Settlement Agreement to allow for the discontinuation of the highly detailed reports required under MA Bulletin #00-01-01.
  • HealthChoices Behavioral Health Managed Care Organizations (BHMCOs) recently received a letter from the Department of Public Welfare (DPW).
  • This letter is advising them that, after submission of the June BHRS Exception Reports, they will no longer be required to submit this child-level data. HealthChoices BHMCO contractors will still report aggregate figures by county on the number of hours of TSS services that are authorized and the number of authorized hours for which claims were paid. This data should be automatically collected in each BHMCO Authorization and Claims Payment system.
  • The Office of Medical Assistance Programs is finalizing a bulletin that will “obsolete” MA Bulletin #00-01-01. This will inform both HealthChoices BHMCOs and Fee-For-Service (FFS) counties and providers of the elimination of Behavioral Health Rehabilitation Services (BHRS) Exception Reports.
  • The department will maintain the focus on delivering authorized services and will continue to monitor service delivery.
  • The Office of Mental Health and Substance Abuse Services (OMHSAS) will continue to conduct statewide BHRS chart reviews as part of on-going outpatient, partial hospitalization, and Family Based Mental Health Services licensure visits.
  • OMHSAS is implementing an internal complaint tracking system to track and trend complaints received in HealthChoices and FFS regions. OMHSAS will ask The Pennsylvania CASSP Institute and the Parents Involved Network to include an article in their newsletters reminding families of who to contact at OMHSAS if there are concerns about timely service initiation or access to on-going BHR Services.

It continues to be PCPA’s expectation that BHRS providers will quickly be fully relieved of the exception report data and collection burden. Members in the HealthChoices regions are encouraged to contact their BHMCOs to obtain details for the timing of the elimination of reporting.

As more information and the new bulletin become available, PCPA will communicate this information to members. For more information, please contact Connell O'Brien.

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