09-21-23
Medica was approved as a Special Needs Basic Care (SNBC)
provider as of January for our county but is not one of our PMAP
providers. We are now running into an issue with the clients on SNBC that
have elected Medica and we are offering MH TCM services to the
client. We are under the assumption that we would not be able to bill MH
TCM to Medica since they are not our PMAP provider.
Does anyone know if this is correct or has had
issue/experience with this?
Does anyone know if you can contract with a provider even if
they are not one of your PMAP providers so we could bill for these client?
Any suggestions or advise would be greatly appreciated.
Thank you
Accounting
Specialist
Finance
Department
501
South Minnesota Avenue
St.
Peter, MN 56082
Phone:
507-934-8578
A few of our clients have MCO's that we aren't contracted with so we aren't able to claim.
ReplyDeleteThank you
DeleteWe have a contract with Medica to provide MH-TCM services, even though they are not one of our PMAP choices. We also contract with Medica for provision of SNBC services to their members so we do have Medica members in need of this service. The contract we have is through Medica's behavioral health division - United Behavioral Health/Optum. We added SUD comprehensive assessments and treatment coordination to this contract in 2021. My contact at that time was lisa.marx@optum.com You could try reaching out to her - she was very helpful. Jena Peterson - Todd County Health & Human Services
ReplyDeleteThank you
Delete