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Bulletin ID: No. 43 - MCO Covered Services

Thursday, June 12, 2008
This bulletin serves as a reminder notice that the following services for consumers covered by one of the MCO Plans must be billed directly to the appropriate MCO:
  • Diagnostic Assessment
  • Medication/Somatic
  • Counseling
  • Rehabilitation Day Services
  • Intensive Day Services
  • Crisis/Emergency Services

Claims submitted to DMH for payment for any of the above indicated services for MCO covered consumers will be denied. These services should not be placed on the DMH Authorization Plan. If any of these services are submitted on an Authorization Plan, and a claim is submitted to DMH, payment will be denied.

If you have additional questions please contact your assigned Provider Relations Specialist.

Venida Hamilton- (202) 671-3155
Joycelyn Alleyne- (202) 674-7011
Tony Crews- (202) 671-2098
Patricia Thompson- (202) 671-3157