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.
Partnerships in Care (PiC) Program
Our Partnerships in Care (PiC) program uses data analytics and clinical reviews to enhance our partnership with you as the provider to maximize treatment successes. This approach is based on our philosophy that quality member care is achieved through purposeful collaboration with providers that serve our members receiving a multitude of behavioral health services.
If you are identified as a provider that could benefit from participation in the Partnerships in Care program through a data analysis, we will review members’ clinical documentation and then collaborate with you to highlight areas of strengths and opportunities.
Manuals, Forms & Resources
Manuals
Please refer to the Medicaid Provider Manual (PDF) for the most recent version of the manual.
Forms
- Behavioral Health Place of Service Codes (PDF)
- 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.
Our training topics include but are not limited to:
- ACES: The Study and Beyond
- Autism Spectrum Disorders
- Clinical Topics Behavioral Health
- Overview
- Bipolar
- Anxiety
- Depression
- PTSD
- Schizophrenia
- Behavioral Health Screening Tools
- Co-Occurring Disorders
- DSM-5 TR Overview
- Easting Disorders
- Ethics
- Goal Setting and Documentation
- Integrated Health Care
- Maintaining a Healthy Professional Life
- Mental Health First Aid (Adult)
- Mental Health First Aid (Youth)
- Perinatal Mood and Anxiety Disorder
- Physical Conditions and their links to Mental Health
- Positive Psychology
- Poverty Competence
- Side Effects of Psychotropic Medications
- Recovery and Resiliency
- SBIRT (Screening Brief Intervention and Referral to Treatment)
- Stages of Change
- Social Determinants of Health
- Substance Use Disorders
- Overview
- Alcohol
- Caffeine
- Cannabis
- Hallucinogens
- Inhalants
- Opioids
- Sedatives
- Nicotine
- Stimulants
- Non-Substance: Gambling
- Suicide Risk Module 1 and Module 2
- Trauma Informed Care: Trauma Across the Lifespan
Training and Education Documents
- Microlearning Strategies (PDF)
- Follow-Up After High-Intensity Care for Substance Use Disorder (FUI) (PDF)
- Behavioral Health HEDIS at a Glance (PDF)
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.
ADHD Toolkit
Depression Toolkit
Behavioral Health HEDIS Lab Toolkit
Behavioral Health HEDIS Measures
90837 - Outlier Management
Provider Behavioral Health ECHO Training
Standard Psychiatric Residential Treatment Facilities (PRTF) Referral
Treatment Plan for Mental Health Diagnosis Training
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
QUALITY RESOURCES
Behavioral health providers can view the cultural competency resources in the QI section of the website.