Healthchoices Behavioral Health Agreement

This manual has been designed to answer your questions about behavioral health from the HealthChoices program and explain how Beacon coordinates the delivery of mental health and addiction to affected individuals. Among those covered are recipients of medical assistance from the Pennsylvania Department of Human Services (DHS) enrolled in HealthChoices. They are referred to as ”members” in this manual. Important note: This manual outlines many important aspects of the behavioral health component of the HealthChoices program. Together, the Beacon Manual and Subscriber Agreement outline the requirements and procedures that network providers must follow to be included in the Beacon network. Beacon reserves the right to interpret and interpret the terms or provisions of this manual and to modify it at any time. In the event of a disagreement between the manual and the participating supplier agreement, the provisions of the participating supplier agreement shall apply. The manual will begin with an introduction to the HealthChoices program, followed by a list of services covered by the program. The beacon workflow process is described in its entirety, from transferring the member to providers and authorizing services, from filing and paying claims to troubleshooting assistance. All necessary forms are included in the appropriate section for your use or on our Website Beacon. Your compliance with the guidelines described in this manual will help Beacon grant you timely service authorizations and reimbursement of claims. If you have any questions or comments while reading the manual or at any other time, please call our toll-free provider number at 877-615-8503. The provider`s toll-free number is also listed on the contact page, along with other relevant phone numbers and information.

Thank you for your participation in our network of suppliers. We look forward to a long and profitable relationship for both parties, as we work together to provide responsive treatment and support to HealthChoices members. . . .