HealthChoices Systems Management
OMHSAS Division of Systems Management
The Division of Systems Management objective is to ensure eligible individuals can access behavioral health services covered by Medicaid and County Base-Funded Mental Health. This objective includes the management of various interacting state systems operations that ensures an individual can access services, management of the claim and/or encounter data, and conducting business intelligence activities with the behavioral health data received.
Information contained on this page is intended for the use of OMHSAS Behavioral Health business partners operating within HealthChoices and the County Mental Health Base Programs.
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Listing below of all the relevant OMHSAS Division of Systems Management Resource Accounts
Systems Notices
Document Number
| Title
| Date Updated
|
OMHSAS 2020-001
| MMIS Communication
| Feb. 10, 2020
|
OMHSAS 2020-002
| Denial Log Instructions | March 11, 2020
|
OMHSAS 2020-003
| Telehealth POS
| March 23, 2020
|
OMHSAS 2020-004
| COVID-19 CARC
| April 3, 2020
|
OMHSAS 2020-005
| COVID-19 CR Modifier DR Condition
| April 9, 2020
|
OMHSAS 2020-006
| Service History and Pharmacy File
| April 27, 2020
|
OMHSAS 2020-007
| Cash Delinking
| April 30, 2020
|
OMHSAS 2020-008
| Reapplication File
| Aug. 14, 2020
|
OMHSAS 2020-009
| New Place of Service Codes
| Oct. 30, 2020
|
OMHSAS 2020-010
| Encounter Data Adjudication Date BES
| Nov. 20, 2020
|
OMHSAS 2020-011
| Encounter Data Adjudication Date BES Update
| Dec. 4, 2020
|
OMHSAS 2020-012
| Timely Encounters
| Dec. 4, 2020
|
OMHSAS 2020-013
| Behavioral Health Extensions During Cares Act
| Dec. 9, 2020
|
OMHSAS 2021-001
| Provider Files
| March 22, 2021
|
OMHSAS 2021-002
| Provider Files Update
| April 8, 2021
|
OMHSAS 2021-003
| Reserved
| Reserved
|
OMHSAS 2021-004
| BH Extensions Override Manual Processes Discontinued
| April 29, 2021
|
OMHSAS 2021-005
| Service History File Field Additions June 2021
| June 16, 2021
|
OMHSAS 2021-006
| Encounter Data Attestation Forms
| Aug. 6, 2021
|
OMHSAS 2021-007
| Reserved
| Reserved
|
OMHSAS 2021-008
| Reserved
| Reserved
|
OMHSAS 2021-009
| NTE Segment — Modifier 95
| Nov. 4, 2021
|
OMHSAS 2022-001
| Naloxone Take Home Supply — FQHCs/RHCs
| April 4, 2022
|
OMHSAS 2022-002
| PH HealthChoices MCO Plan Changes
| Sept. 1, 2022
|
OMHSAS 2022-003
| NTE Segment Changes
| July 1, 2022
|
OMHSAS 2023-001
| CAO Notification Form
| Feb. 21, 2023
|
Encounter Documents
CCRI-Specific System Notices
Number | Title
| Date Updated |
CCRI 2021–001
| PRV720 PRV435 Communication | April 2021 |
CCRI 2021–002
| NTE — Modifier 95 | Sept. 20, 2021 |
CCRI 2022–001 | Reserved | Reserved |
CCRI 2022–002
| Adding EPOMS PEP to an already existing service location | March 16, 2022 |
CCRI 2022–003 | Provider Electronic Solutions Software (PES) | March 31, 2022
|
HealthChoices Reports
Report Title
| Description
| Date Published
|
BH-MCO Onsite Reports
| OMHSAS conducts onsite reviews of the claim and encounter data submissions with each primary contractor’s respective BH-MCO
| 2019
|
COVID-19 Powerpoint Presentation
| Powerpoint presentation of the various system changes in response to the COVID-19 public health emergency | April 2020
|
COVID-19 Presentation Meeting Minutes
| Questions and answers from the presentation in April 2020
| April 2020
|
COVID-19 Presentation Attachments
| Attachments provided as part of the presentation in April 2020
| April 2020
|
HealthChoices Provider Enrollment Documents
The table below contains links to applicable provider enrollment forms for Capitation Providers.