Behavioral Health

CREDENTIALING 

• Behavioral Health Disclosure of Ownership and Control Interest Statement (PDF)
• Behavioral Health Facility and Ancillary Credentialing Application (PDF)
• Behavioral Health Provider Specialty Profile (PDF)

PRIOR AUTHORIZATION 

Medicaid

• Medicaid Discharge Consultation Form (PDF)
• Inpatient Prior Authorization Form (PDF)
• Outpatient Prior Authorization Form (PDF)
• Outpatient Treatment Request Form Tips (PDF)
• Medical Records Release Form (PDF)

Ambetter

View the Ambetter Behavioral Health forms.

MANUALS, FORMS & RESOURCES 

Manuals

Please refer to the Medicaid Provider Manual (PDF) for the most recent version of the manual. 

Forms 

• Medical Records Release Form (PDF)
• Behavioral Health Provider Appeal Request Form (PDF)
  
• Behavioral Health Provider Adjustment Request Form (PDF)

Tip Sheets

• Medication Management Tip Sheet (PDF)
• Caregiver Training Sheet (PDF)
• Coordination of Care Tip Sheet (PDF)
• Prescription Fulfillment Training Tip Sheet (PDF)
• Applied Behavior Analysis Authorization Tip Sheet (PDF)
• Transition Planning Tip Sheet (PDF)

Other

• FAQs (PDF)
• MyStrength
• SAMHSA 988 Fact Sheet (PDF)
  
• Functional Behavior Assessments and Behavior Intervention Plans (PDF)
• Appendix F - Required Cover Sheet for Documentation Submission for PA (PDF)
• NCCI Provider Notification (PDF)
  
• Applied Behavioral Analysis Outpatient Treatment Request Checklist (PDF)

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QUICK REFERENCE GUIDE 

Behavioral Health Quick Reference Guide (PDF)

TRAINING & EDUCATION 

Behavioral Health Training

Peach State Health Plan offers trainings for both behavioral health and physical health providers in our network at no cost. Our team provides mostly clinical, provider-focused education on topics that are geared towards improving member outcomes. The majority of our clinical trainings also offer behavioral health continuing education units also at no cost to the attendee. Trainings are completed via virtual instructor led webinars.

How to sign up for trainings:

1. View the lists of all upcoming trainings: (both are open to all providers) Peach State Health Plan Specific Training Offerings: https://attendee.gototraining.com/9x11d/catalog/1551338704302541312
2. Select the training date and time that you would like to attend.
3. Enter the required information and click “Register.” 
4. You will receive a confirmation email with a link and instructions for joining the webinar. NOTE: Please check your junk folder if you do not receive the confirmation email. 
5. When you join the webinar, the call-in telephone number and an attendee passcode will be displayed.

Training topics include but are not limited to:

• Autism Spectrum Disorders
  
• Clinical / Behavioral Health Topics
  
• Overview of Mental Illness
• Anxiety Related Disorders
• Bipolar and Related Disorders   
  
• Depressive Disorders
  
• Schizophrenia and Psychotic Disorders
• Post traumatic Stress Disorder        
• Behavioral Health Screening Tools
• Perinatal Mental Health Disorders
  
• Maintaining a Healthy Professional Life-The Science of Self-Care
• Co-Occurring Disorders·        
• Cultural Competency/Cultural Humility
  
• Eating Disorders
• Effective Communication
• Ethics training for Professionals
  
• Integrated Care
  
• Motivational Interviewing part 1 and part 2
  
• Physical health Illness and Their Links to Mental Health
  
• Side Effects of Behavioral Health Medications
  
• Poverty Competence
  
• Recovery and Resiliency
  
• SBIRT (Screening Brief Intervention and Referral to Treatment)
  
• Social Determinants of Health
  
• Strength Based Treatment
  
• Stages of Change
  
• Suicide Risk
  

Substance Use Disorders Topics:

• SUD Overview
  
• Alcohol
  
• Caffeine
  
• Cannabis
  
• Hallucinogens
• Inhalants        
• Opioids
  
• Sedatives
• Nicotine

Other Topics     

• Trauma Informed Care
  
• Adverse Childhood Experiences- The Study and Beyond
  
• Treatment Planning and Documentation
  
• ASAM Overview
  

For training requests and/or more information, please contact our Clinical Provider Training Department at: BH_training@centene.com.

Relias Learning

We know that it can be a challenge for you and your staff to find time to attend trainings and educational opportunities.  We offer online clinical education through Relias Learning.  All Relias Learning courses are free of charge and available 24-hours a day, 7-days a week. Many of the Relias Learning courses offer Continued Educational Credits (CEUs), and there is no limit to the number of online courses that Peach State Health Plan providers are permitted to take. For information and a complete course catalog, please log in or sign up for Relias Learning.

Relias Learning offers online learning, staff compliance training and continuing education for behavioral health, mental health, addiction treatment, community health, developmental disability, community action and child welfare organizations.

Behavioral Health HEDIS PowerPoint Microlearnings

Purpose: The purpose of the trainings are for medical and behavioral health providers to recognize the intent of the Behavioral Health HEDIS measures and share strategies to impact quality care and outcomes for our members.

Target Audience: Medical and Behavioral health Providers, including licensed and unlicensed health care professionals and office staff.

Duration: 8-10 mins each

1. Antidepressant Medication Management and Antipsychotic Medication Adherence: Optimizing the AMM and SAA HEDIS® Measures
2. Follow-Up Care After a Hospital or Emergency Department Visit for Mental Illness: Optimizing the FUH and FUM HEDIS® Measures
3. Initiation and Engagement, Follow-Up After Emergency Department or High Intensity Care for Substance Use Disorders: Optimizing the IET, FUA, and FUI HEDIS® measures
4. Strategies to Improve Cardiovascular, Diabetes, and Metabolic Monitoring: APM, SSD, SMC, and SMD HEDIS® Measures
5. Optimizing the Impact of the ADD and APP HEDIS® Measures
6. Strategies to Minimize the Risk of Opioid Overuse and Misuse
7. Enhancing Member Experience with Behavioral Health Care Services: Experience of Care and Health Outcomes (ECHO) Survey 

ADHD Toolkit

• ADHD Overview (PDF)
  
• ADHD Brochure (PDF)

Depression Toolkit

• Depression Brochure (PDF)

Behavioral Health HEDIS Lab Toolkit

• Behavioral Health Provider HEDIS Laboratory Toolkit (PDF)

Behavioral Health HEDIS Measures

• 2022 Behavioral Health HEDIS Measures - HEDIS Tip Sheet (PDF)
  Behavioral Health 

90837 - Outlier Management

• 90837 - Outier Management Presentation (PDF)

Provider Behavioral Health ECHO Training

• How to access Provider ECHO training (PDF)

Standard Psychiatric Residential Treatment Facilities (PRTF) Referral

• Behavioral Health (PRTF) Initial Review Form (PDF)

Treatment Plan for Mental Health Diagnosis Training

• Treatment Plan for Mental Health Diagnosis Training (PDF)

Provider Engagement Microlearnings:

• Overview
• Care Coordination 
• Treatment Planning
• Titrating Services
• Discharge Planning
• Adolescents Transitioning to Adulthood Microlearning
• Engaging the Family in Behavioral Health Treatment

Other

• Foster Care Provider and Stakeholder Training

 

QUALITY RESOURCES 

Behavioral health providers can view the cultural competency resources in the QI section of the website.