The Department of Behavioral Health/Mental Retardation Services

PROVIDER MANUAL

The CBH Provider Manual, revised in July of 2005, describes the procedures developed by Community Behavioral Health under the HealthChoices initiative to assure that all consumers of mental health and substance abuse services receive the most appropriate treatment in the least restrictive environment possible.

CBH is not only committed to helping people live in the community, but also to help people live with the community. To that end, treatment should be focused around the principles of recovery, resilience and self-determination. Notice: 2/13/2006
There was a typographical error in the first sentence on page 4.17 of the Provider Manual. This error has been corrected. However, if you have previously printed this page, please discard and replace your printed copy with the corrected page.

The incorrect sentence read:

If CBH receives a claim or Adjustment Request Form more than 180 days from the date of service for services not requiring an authorization, or more than 90 days from the date of service for services requiring an authorization, the claim or adjustment form will reject or will be returned to provider due to late submission.


The correct sentence reads:

If CBH receives a claim or Adjustment Request Form more than 180 days from the date of service for services requiring an authorization, or more than 90 days from the date of service for services not requiring an authorization, the claim or adjustment form will reject or will be returned to provider due to late submission.


Introduction

Coordinating Services

Authorizations

Claims

Quality Management

Network Development

Compliance

Glossary

Appendix A:  2005 Member Handbook

 

Users may download a complete copy of the Provider Manual by clicking here.

 

City of Philadelphia