Billing Manual for Community Care Network Providers

III.B.2 Change in Facility informationAny change to information submitted by the facility during the assessment andcontracting process or any time thereafter, including information such as mailingaddress and telephone and facsimile numbers, must be communicated to CommunityCare's Network Management Department. To prevent problems such as interruptions ofreferrals, failure to receive authorizations for services, or denial of payment for servicesprovided to members, facilities are asked to call their designated Provider RelationsRepresentative at least 30 days in advance through the Community Care Provider Line(1-888-251-2224) with any change to facility information.Community Care will request written documentation of the change through thecompletion of an Attachment A form so that all Community Care Departments can benotified of the change.PLEASE NOTE: If the facility change involves adding or changing a service or asite where services are provided to Community Care members, the addition orchange must be reviewed. If approved, a site visit may be required beforepayment for services can be processed.III.B.3 Facility ContractingA facility may begin the contracting process after the facility completes assessment byCommunity Care. Community Care seeks to contract with facilities to provide specificbehavioral health services in specific geographic locations (See the Guidelines forObtaining Approval for In-plan Services at the beginning of this Provider Manual).Criteria considered for contracting include:The service needs of prospective members.The geographic and demographic distributions of members.The geographic distribution and cultural competencies of facilities.Each facility's scope of services, capacity to serve members and responsiveness toquality issues.For any facility terminated from the network, up to a 60 day transition of care period—forroutine ambulatory services only—may be initiated for members under that facilityprovider's care (See Section IV.E.3).Community Care Provider Manual | 1-888-251-CCBH | © 2012 All Rights Reserved | Page 63