Update on CalAIM Claims Payment Transition for ACBH Providers
Providers in Alameda County Behavioral Health Services (ACBH) are required to transition to using CPT codes for billing Medi-Cal due to the implementation of CalAIM. The transition is causing delays in claims payment processing, with ACBH working to align contract amendments with the new billing sys
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CalAIM Payment Reform Transition to CPT Codes for Billing Quality Assurance Team
The CalAIM Payment Reform initiative starting July 1, 2023, entails changes in reimbursement structures, financing mechanisms, and provider billing methods for county BH plans, with a transition to CPT coding and SmartCare system. Service entry requirements for legacy systems and SmartCare are outli
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CalAIM Implementation Updates in Sacramento County: Enhancing Medi-Cal Managed Care and Community Supports
CalAIM implementation in Sacramento County includes collaborative efforts in enhancing Medi-Cal Managed Care Plans (MCP) and implementing services like Enhanced Care Management (ECM) and Community Supports (CS). The joint MCP collaboration activities involve standing workgroups, roundtables, streaml
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California CalAIM Justice-Involved Initiative Overview
California's CalAIM Justice-Involved Initiative focuses on supporting individuals involved in the justice system by providing key services pre-release, enrolling them in Medi-Cal coverage, and connecting them with essential behavioral health and social service providers for successful reentry. The i
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Overview of Proposed Rates and Fiscal Data Modeling in Behavioral Health Payment Reform
This presentation covers the implementation of CPT coding transition under CalAIM Behavioral Health Payment Reform by the State DHCS. It includes details on outpatient service rates, use of CPT codes for clinical services, HCPCs for non-clinical services, fee-for-service rates, and taxonomy coding g
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