Behavioral Health Provider Information
Effective April 1, 2012, our behavioral health services coverage will change. We will now cover outpatient behavioral health services that South Carolina Healthy Connections previously covered.
Which Providers Will Be Affected?
This change applies to those providers who are licensed, independent practitioners providing services to our members either in the office or in a Federally Qualified Health Clinic or Rural Health Clinic.
How Will These Changes Affect Claims Submittal?
This change will affect how you file claims and get approval for behavioral health services for those in Healthy Connections. Starting April 1, 2012, file claims directly to BlueChoice HealthPlan Medicaid for those behavioral health services rendered to our members.
Behavioral Health Fee Schedule as of April 1, 2012
For More Information
If you have any questions or need more information about the changes to the behavioral health services benefit, please call our Customer Care Center at 1-866-757-8286 or check our News and Bulletins section for any updates. You can also keep abreast of upcoming training sessions from the South Carolina Department of Health and Human Services by checking out the Media Room.
How to Become Part of Our Network
On behalf of BlueChoice HealthPlan Medicaid, Companion Benefit Alternatives, Inc. (CBA) coordinates credentialing of behavioral health providers and provides behavioral health network support. CBA is a separate company.
Current CBA network providers can download the BlueChoice HealthPlan Medicaid network application information below. If you are not a current network provider, please contact CBA at 800-868-1032, ext. 25744, or email cba.provrep@companiongroup.com for information on how to apply.
Here is a checklist of the information you need for credentialing:
- Complete, sign, date and return the BlueChoice HealthPlan Medicaid Behavioral Health Credentialing Update Application
- Sign, date and return the Medicaid MCO Agreement*
- Complete and return the Disclosure of Ownership and Control Interest Statement
- Attach a copy of your DEA license (if applicable)
- Attach proof of current malpractice coverage
*Psychiatrists return the physician agreement; all other behavioral health professionals return the ancillary agreement.
Please return all applicable, completed paperwork to:
Companion Benefit Alternatives, Inc.
ATTN: Provider Network Coordinator AX-315
PO Box 100185
Columbia, SC 29202
Fax: 803-714-6456
Forms You May Need
Behavioral Health Treatment Data Sharing