CCBHC Initial Evaluation and Comprehensive Care Plan

CCBHC Enrollment and Client Eligibility Process

• Clients cannot be enrolled in two CCBHCs if they have private insurance, and a copy of the insurance card must be made.
• A copy of the guardian’s state ID must be made.
• Client guarantors need to be set up in Go Health to set up insurance, including Medicaid 01AA-Adult Basic and 39AA-WRAP.
• Eligibility and Medicaid information should be inputted into Go Health, and manual eligibility for DMH and Medicaid should be chosen if the client has Medicaid.
• PINs need to be set for clients, guardians (if applicable), and treatment advocates in Go Health.
• The program name (e.g., School Based, Moderate Intensity Children, High Intensity Children/WRAP) should be put into Go Health.
• Various forms, including Communicable Disease Form, Intake Packet, Income Verification Form, Business Packet, Fee Worksheet, Fee Agreement, Medication and Allergies, and ROI forms, need to be completed and turned in.
• Clients wanting services in Tulsa Public Schools need to complete three School Forms.
• Various screeners, including TB Screen, PHQ-A, GAD-7, GAINS, Suicide Screen, Ohio Forms, SWYC, CATS Youth, and Caregiver, need to be completed.
• Health Risk Appraisal must be completed for all clients, including Health Risk Appraisal Youth for ages 0-17 and Health Risk Appraisal Young Adult for ages 18-25.
• The 21 CDC needs to be filed after 30 days of the first filing, and the second 21 CDC needs to be filed on the day of a PPS service.
• Initial Evaluation-T1023 needs to be billed for 1 hour, and NOMs Baseline Child needs to be turned in within 1 business day, either physically or via email. The Comprehensive Plan must be scheduled within 7-29 calendar days of the Initial Evaluation and 21 CDC Appointment.

Test your knowledge about the enrollment and client eligibility process for Certified Community Behavioral Health Clinics (CCBHCs), including the required documentation, forms, and procedures.