Dagiti Tagaipaay

Community Mental Health Center (CMHC) Services Billing Guideline

This guide establishes the standardized claims submission processes to be utilized across the HFS’ contracted Managed Care Plans for the reimbursement of services rendered by certified and enrolled CMHCs. It is designed to provide guidance and clarification to both Managed Care Plans and CMHC certified providers. The HFS encounter claims system will accept encounter claims from the Managed Care Plans in line with the standardized claims submission requirements outlined in this guide.