Mental Health Plan (MHP) Fee-for-Service (FFS) Providers

What is the MHP FFP Provider Network?
The MHP FFS Provider Network is a pool of mental health providers/practitioners such as Licensed Clinical Social Workers, Licensed Marriage and Family Therapists, Licensed Professional Clinical Counselors, Licensed Clinical Psychologists, and Physicians who contract with Alameda County Behavioral Health Services (ACBH) to provide outpatient mental health services to Medi-Cal beneficiaries and other safety net populations in Alameda County.

MHP FFS Providers Needed
ACBH has an immediate need for qualified individual providers/practitioners to provide outpatient eating disorder treatment and individual providers/practitioners who have certain language capacity and/or have an outpatient office in South County or the Tri-Valley areas of Alameda County, to provide services to children, youth, and adults who are eligible for mental health benefits under Alameda County’s Mental Health Plan.

Fee For Service Virtual Office Hours
To support the Clinical Quality Review Team (CQRT) process, Office Hours have been scheduled on the first Wednesday, monthly, from 1 – 2 pm, to answer questions regarding the process and review results.

Upcoming Dates:

• April 3^rd, 2024
• May 1^st, 2024
• June 5^th, 2024

Location:

Microsoft Teams meeting from your computer, mobile app or room device

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Meeting ID: 257 033 180 180
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+1 415-915-3950,,442898634#   United States, San Francisco

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Phone Conference ID: 442 898 634#

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Provider Handbook  

• Provider Handbook

Utilization Tables  

• MHS FFS Eating Disorder Services Utilization Table
• MHS FFS General Utilization Table

Memos  

Training  

• Fee for Service providers will be required to conduct a Clinical Quality Review Team (CQRT) process
  An online training for CQRT is available here

• Fee For Service Current Procedural Terminology (CPT) Code Training
  Description:The CalAIM Payment Reform initiative, rolling out on July 1, 2023, changes the way most providers claim for services, requiring the use of CPT codes in many instances. The training is a review of some of the changes related to this initiative, as well as basic concepts relevant to the use of CPT codes.
  Offered: September 2023
  Recorded Presentation
  Presentation Slides

• Network Adequacy Certification Tool (NACT) – Timely Access Client Service Information (CSI) Assessment Record Data Submission Training for Fee-for-Service Network Providers 
  Description:This training is an overview of the NACT Timely Access CSI Assessment Record Data Submission requirements.
  Click here to view a recording of this training.
  Presentation Slides:  CSI Assessment Record Data Documentation
  Additional Resources:  CSI Sharefile Request

• Fee for Service Mock CQRT Training
  Description:This training is a review of the Clinical Quality Review Team (CQRT) process and requirements for Fee for Service providers.
  Offered: April 2023
  Recorded Presentation 
  Presentation Slides

• Fee for Service CalAIM Documentation Training
  Description:This training is a review of changes to Medi-Cal documentation requirements resulting from California Advancing and Innovating Medi-Cal (CalAIM).
  Offered: April 2023
  Recorded Presentation
  Presentation Slides 

• Fee For Service Outpatient Therapy Provider Virtual Meeting
  Description: During the meeting, staff from ACBH ACCESS, Contracts, Billing and Benefits, QA and UM answered questions.
  Click here to register and view the recorded meeting. Please note registration is required to view this training, for tracking and monitoring purposes.

• Upcoming Changes to the MHS Fee-for-Service Outpatient Therapy Level of Care. 
  Description: This training series consists of two recorded trainings focused on the upcoming changes to the ACBH FFS outpatient therapy level of care. Each video is approximately 30 minutes.
  • The first video includes an overview of the changes along with information from Contracts, ACCESS and Insurance Verification information.
  • The second video includes information from Quality Assurance, Utilization Management and the Claims Processing Center.

• How to Verify Medi-Cal Eligibility to Ensure Claims Processing
  Description: Eligibility training packet that will explain how to log into the state system, how to look-up eligibility, and examples of responses and what they mean.
  Click here to view the training presentation.

Clinical Templates  

• Progress Notes: PDF | Word (DOCX) - POSTED 4/14/2023
• Mental Health Assessment: PDF | Word (DOCM) - POSTED 3/29/2023
• Problem List: PDF | Word (DOCX) - POSTED 3/29/2023

CQRT  

• CQRT Checklist- Fee For Service - UPDATED 11/7/2023
• CQRT Glossary- Fee For Service - POSTED 4/25/2023
• CQRT Procedures Post Cal-AIM (link to the QA manual 8-2) - POSTED 4/25/2023
• CQRT Tracking Tool (link to the QA manual 8-2D) - POSTED 4/25/2023
• CQRT Electronic Health Record Attestation form (link to the QA manual 8-2E) - POSTED 4/25/2023

Forms  

• Adult/Older Adult Outpatient Level of Care Determination Tool for FFS Providers
• Brief Application – Seeking licensed mental health providers/practitioners to provide services to Alameda County residents
• Provider Update Form – Use this form to updated BHCS of changes such as:
  • your location/address
  • email, phone, or fax
  • name
  • a change to status with any licensing/oversight board that may impact your ability to provide, claim or be reimbursed for specialty mental health services
• Voluntary Disenrollment Form – Use this form to voluntarily dis-enroll from the MHP FFS Providers

What’s New  

• FY 23/24 Contract Changes
• MHP FFS Provider Procedure Code Crosswalk FY 23/24

Contact Us  

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