Behavioral Health

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

Medicaid

• Medicaid Discharge Consultation Form (PDF)
• Medicaid Electroconvulsive Therapy (ECT) Request Form (PDF)
• Medicaid Inpatient Psychological Testing Authorization Form (PDF)
• Medicaid Intensive Outpatient/Day Treatment Request Form (PDF)
• Medicaid Outpatient Treatment Request Form (PDF)
• Medical Records Release Form (PDF)
• Medicaid Neuropsychological Testing Form (PDF)

Medicare

• Allwell Discharge Consultation Form (PDF)
• Allwell Outpatient Psychological Testing Authorization Request Form (PDF)
• Allwell Electroconvulsive Therapy (ECT) Request Form (PDF)
• Allwell Outpatient Treatment Request Form (PDF)

Ambetter

View the Ambetter Behavioral Health forms.

Manuals

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

2020 Behavioral Health HEDIS Measures - HEDIS Tip Sheet (PDF)

Forms 

• Medical Records Release Form (PDF)
• Facility Change Form (PDF)
• Provider Change Form (PDF)

Other

• FAQs (PDF)
• MyStrength
• Georgia Suicide Prevention Clinician Network: Connecting, Equipping, and Supporting Clinicians Skilled in Suicide Care across Georgia (PDF)

Track your health, enjoy interactive activities, and become inspired by quotes and videos with myStrength. You'll find online help 24/7 for stress, sleep, substance use, chronic pain and more. myStrength is here to help.

NCCI Provider Notification (PDF)

Behavioral Health Quick Reference Guide (PDF)

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.

Pain Management and Opioids Flyer (PDF)

HEDIS PowerPoint Microlearnings Links

• Follow Up after Hospitilization for Mental Illiness (FUM)
• Use of First-Line Care for Children and Adolescents on Antipsychotics (APP)
• Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET)
• Antidepressant Medication Management (AMM)
• Follow Up After Emergency Department Visit for Mental Illness (FUM)

ADHD Toolkit

• ADHD Fact Sheet (PDF)
• ADHD Overview (PDF)
• ADHD Brochure (PDF)

Depression Toolkit

• Depression Fact Sheet (PDF)
• Depression Overview (PDF)
• Depression Brochure (PDF)

Substance Use Disorder Toolkit

• Substance Use Disorder Fact Sheet (PDF)
• Substance Use Disorder Overview (PDF)
• Substance Use Disorder Brochure (PDF)

Behavioral Health HEDIS Lab Toolkit

Behavioral Health Provider HEDIS Laboratory Toolkit (PDF)

Behavioral Health HEDIS Measures

2019 Behavioral Health HEDIS Measures - HEDIS Tip Sheet (PDF)

Behavioral Health 90837 - Outlier Management

90837 - Outier Management Presentation (PDF)

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