Get the free 19-0005-BH-Fee-Schedule-Changes-Approval.pdf

DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 1301 Young Street Dallas, Texas 75202Regional Operations Group June 26, 2019 Our Reference: NM SPA 190005 Ms. Nicole

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Who needs 19-0005-bh-fee-schedule-changes-approvalpdf?

1. Anyone who is required to provide approval for the fee schedule changes outlined in document 19-0005-bh-fee-schedule-changes-approvalpdf needs this form.
2. This may include individuals in positions of authority, such as managers, executives, or supervisors, who have the responsibility to review and authorize fee schedule changes.
3. The specific individuals who need this form will depend on the organizational structure and processes in place.

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What is 19-0005-bh-fee-schedule-changes-approvalpdf?

19-0005-bh-fee-schedule-changes-approvalpdf is a form used to seek approval for changes in the fee schedule related to behavioral health services.

Who is required to file 19-0005-bh-fee-schedule-changes-approvalpdf?

Providers and organizations offering behavioral health services that intend to change their fee schedules are required to file this form.

How to fill out 19-0005-bh-fee-schedule-changes-approvalpdf?

To fill out the form, provide all required information including the current fee schedule, proposed changes, justification for the changes, and any supporting documentation.

What is the purpose of 19-0005-bh-fee-schedule-changes-approvalpdf?

The purpose of this form is to ensure compliance and transparency in changes to fee schedules for behavioral health services and to maintain appropriate billing practices.

What information must be reported on 19-0005-bh-fee-schedule-changes-approvalpdf?

The form must report details such as the current fee amounts, proposed new fees, the rationale for changes, and any relevant historical fee schedule data.