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BHA Systems Overview
The Behavioral Health Administration (BHA) is the agency within the Department of Health and Mental Hygiene responsible for the delivery of public behavioral health services. BHA operates five inpatient psychiatric facilities and two residential treatment centers for children and adolescents, and funds community behavioral health services for Medicaid eligible individuals. In addition, BHA funds services to individuals who, because of the severity of their illness and their financial need, are qualified to receive state subsidized services. For the most part, these services are provided and funded through a fee-for-service system.
In the community setting, BHA funds community behavioral health services for individuals who are eligible for Medicaid. Services are also provided to those, who because of the severity of their illness and their financial need, qualify to receive state-subsidized services.
These services are provided by 19 Core Service Agencies (CSA) located across Maryland. The CSAs contract for services that include peer support programs, training and others not reimbursed through the fee-for-service system.
BHA and the Core Service Agencies are assisted in their responsibility to manage the Public Behavioral Health Services by an administrative service organization (ASO), which operates under a contract with BHA. The ASO, Beacon Health Options, authorizes services, provides utilization management, management information, claims processing, and evaluation services.
Local Addictions Authority (LAA) former Treatment Coordinators
The ASO provides the following services:
24-hour access for clinically related calls
Referring individuals to qualified service providers
Preauthorization of non-emergency care
Review of Authorization Plans to assist in determining whether an individual meets Medical Necessity Criteria and is part of the Public Behavioral Health System
Conducting utilization reviews of services
Assisting with the evaluation of the PBHS
Any practitioner who is authorized under the Health Occupations Article according to Maryland state law (COMAR) to provide behavioral health services, or a provider who is licensed under the Maryland Department of Health and Mental Hygiene Regulations, may be a provider in the PBHS.
Community Mental Health Program Application
FAQs for Substance Abuse Licensure
Application Packet - COMAR 10.47 - Alcohol and Drug Abuse Administration (Word)
NOTE: The Application in Word format can be filled out and saved on your computer using Microsoft Word.
Application Packet - COMAR 10.47 - Alcohol and Drug Abuse Administration (PDF) Print Only
SPECIALTY POPULATIONS PROVIDERS
How to become a provider
Procedures for Service Delivery,Authorization and Payment
Public Behavioral Health System (PBHS) “Applicant Interest Meeting”
Beacon Health Options
does not credential or contract directly with PBHS providers. Providers are credentialed and contracted by the DHMH. The provider information in the DMHM system (MMISII) is downloaded to Beacon Health Options weekly.
Click Here to go to
Beacon Health Options Website
To receive a State of Maryland Department of Health and Mental Hygiene Medical Care Program Provider Application, contact DHMH Provider Enrollment: 410-767-5340.
On-line Provider Enrollment in the PMHS can be accessed at:
The MA number must be a valid provider type and status. See Appendix M, State Approved Medicaid Provider Types for the PBHS. The provider should also contact ValueOptions® Customer Service, 1-800-888-1965, option 3, to request a “Welcome Packet.” The Packet contains important information about ValueOptions®, including authorization and claims payment processes, as well as instructions for enrolling in the on-line authorization system, ProviderConnect®.
This information can also be downloaded at:
The “Provider Confidentiality Agreement” included in the packet must be signed and returned before access to ValueOptions will be granted.
Provider Fee Schedule
Substance Use Disorder Fee Schedule
Resources for provider
201 W. Preston Street, Baltimore, MD 21201-2399
(410) 767-6500 or 1-877-463-3464
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