BHDD Medicaid Services Provider Manual Effective March 8, 2025

Printing the manual material found at this website for long-term use is not advisable. Department Policy material is updated periodically and it is the responsibility of the users to check and make sure that the policy they are researching or applying has the correct effective date for their circumstances.  State Website Disclaimer.

Medicaid Manual

Introduction

Issued/ Revised

 001 Purpose 10/01/2022
 002 Definitions 01/01/2025

100

Section 1 - General Requirements

Issued/ Revised

 105 Severe and Disabling Mental Illness 05/12/2023
 110 Substance Use Disorder 10/01/2022
 115 Assessments 10/01/2022
 120 Individualized Treatment Plans for Behavioral Health Treatment 10/01/2022
 130 Progress Notes 10/01/2022
 135 Continuing Care Plan 10/01/2022

300

Section 3 - Administrative Reviews

Issued/ Revised

305 Retrospective and Quality Reviews 01/01/2025
310 Administrative Review, Fair Hearing, & Sanctions 05/12/2023

All BHDD Medicaid resources can be located on our Forms and Applications webpage.

Looking for the Fee Schedules? 

This can be found on the Medicaid Provider website:

Adult Mental Health and HEART Waiver Services:

  • Please read and review the end user agreement. If you agree, click "I Accept" box.
  • Find "Mental Health Center" link
  • Locate "Fee Schedule- Medicaid Mental Health Adults 18 and Over"
  • Select "January 2025 Medicaid Mental Health for Adults"

 

Substance Use Disorder Services:

  • Please read and review the end user agreement. If you agree, click "I Accept" box.
  • Find "Substance Use Disorder" link
  • Locate "Fee Schedule- Substance Use Disorder"
  • Select recently updated fee schedule, there is a Medicaid and Non Medicaid version.