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CCBH

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Earlier this year, Community Care Behavioral Health (CCBH) notified Behavioral Health Services of Somerset and Bedford Counties, Inc. (BHSSBC) of their intent to withdraw from servicing the HealthChoices contract with the counties. In April, BHSSBC announced that they are working to transition its subcontract from CCBH to Magellan Behavioral Health Services of Pennsylvania, Inc., one of five behavioral health managed care organizations (BH-MCO) in the commonwealth, with an effective transition date of November 1, 2025. The primary goal is to provide a seamless transition for providers to prevent any disruption in the delivery of crucial behavioral health and/or substance use disorder services to their members.

All parties will continue to work collaboratively in an effort to promote the delivery of high-quality behavioral health and substance use disorder services to the community.

BHSSBC is one of 24 primary contractors in Pennsylvania’s Behavioral HealthChoices program. The Pennsylvania Department of Human Services (DHS) receives federal Medicaid funding and enters contracts with these primary contractors, who then enter contracts with BH-MCOs, which, among other responsibilities, manage a network of behavioral health providers.

Read BHSSBC’s latest correspondence here.

Contact RCPA Policy Associate Emma Sharp with any questions.

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The following is a notice provided by Community Care Behavioral Health (CCBH) regarding the future status of provider Alternative Pay Agreements/Arrangements (APA):

“Community Care, in collaboration with our Primary Contractors/county partners, has been closely monitoring service delivery volumes in order to assess the level of need to continue with the current Ambulatory Alternative Payment Arrangement (APA). In order to continue to support providers to ensure member access to essential behavioral health services, we collectively have determined the need to continue the current terms of the Ambulatory APA and are committed to doing so through December 31, 2021. Community Care and our Primary Contractors will continue to work with our contracted providers to prepare for the future and the eventual discontinuation of our APAs.

Please review your previous contract amendment. In lieu of an extension for additional one (1) month periods, this email serves as formal notification to extend the APA through December 31, 2021. The criterion for eligibility and the methodology for APA calculations will remain unchanged from the contract language. Please add this document to your previous contract exhibit listed below.

APA Exhibit
Ambulatory Services Advance Payment Arrangement Exhibit P

 

As noted in the contract amendment, Community Care will perform a reconciliation process for the payments providers receive under this agreement. The reconciliation process for 2021 will begin 90 days after the APA ends.

Providers have the option to opt-out of the APA payments by submitting notice to the following email address. Please use the subject line Opt Out – your organization’s name.

Continue to check our website (COVID-19 Information: HealthChoices Providers – Community Care (ccbh.com)) for other important COVID updates. If you have any questions, please contact your Community Care Provider Relations representative. A list of Provider Relations representatives and contact information may be found at Provider Representatives: HealthChoices Providers – Community Care (ccbh.com).”

RCPA is grateful for these efforts by CCBH for their continued support of providers during this time. If you have any questions, please contact your RCPA Policy Director.

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