Chemical Dependency
Message to PrimeWest Health Chemical Dependency (CD) Providers
Effective July 1, 2008, CD providers will be required to bill according to the attached CD structure grid to reflect the specific type of care provided. This differs from DHS FFS CCDTF billing requirements that (currently) do not require the breakout of various types of room and board based on facility type. CD services rendered before July 1, 2008 using the previous CD structure will still be considered for payment.
PrimeWest Health understands this is an imposition to you and we apologize. PrimeWest Health is now required to submit quarterly reports to DHS that identify the CD room and board services authorized in combination with CD treatment pursuant to the Rule 25 assessment criteria. The report needs to include only those CD room and board services for which the MCO issued payment and submitted an encounter claim to the State.
Please contact PrimeWest Health's Provider Services Contact Center at 1-866-431-0802 (toll free) if you have questions and or concerns.