Maryland Medicaid makes a behavioral health vendor change

 Maryland Medicaid has announced Carelon Behavioral Health will be the Administrative Service Organization for the Public Behavioral Health System effective January 1, 2025.  Maryland Medicaid will no longer use Optum Maryland as the behavioral health vendor.  The transition process includes transferring authorizations, claims payment processing, participant history, and other information and materials from Optum Maryland to Carelon.  T & T will post further updates as they are released.  

Any questions regarding this announcement can be directed to: mdh.mabehavioralhealth@maryland.gov

Northwell Direct

Northwell Direct updated the network they use for mental health claims.  Claims prior to 2024 were processed and sent to Magnacare.  Starting in 2024 claims will now be sent and processed to HealthComp P.O.Box 2920 Milwaukee WI 53201-2920 Payer ID 36149

Place of service 10

 Medicare will begin accepting claims with place of service 10 for mental health telehealth services when provided while patient is located in their homes.  This place of service goes in effect 1/1/2024.  Applicable modifiers will still be accepted.