Mental Health Service, MCO Coverages and Authorizations

Mental Health Service, MCO Coverages and Authorizations

Communication Alert

Community Providers:

As promised, HFS has posted the technical tools they developed to aid community mental health providers in working with managed care entities. Two documents were posted - A Prior Authorization Guide and a list of all MH services and their coverage under each of the MCOs. They are located at this link (scroll to the bottom of the page).

http://www2.illinois.gov/hfs/PublicInvolvement/cc/Pages/CCInfoforBehavioralHealthProviders.aspx 

The health plans have all seen these documents and approved them. HFS worked extensively with each of the MCOs to assure that they are accurate.

We in DMH hope that these two documents are helpful to you.

Cathy Cumpston, DMH Medicaid Officer