Provider News & Updates

This page is dedicated to keeping our providers up to speed on what's going on with Yamhill CCO and the community we serve.

Mid-Valley out, YCCO and YCHHS in for Behavioral Health Services

Effective January 1, 2015, the responsibility for Yamhill CCO members’ behavioral health services shifted from MVBCN as the principal risk-bearing entity, to a joint responsibility by Yamhill CCO and Yamhill County Health & Human Services (YCHHS).

You should have already received a letter to this effect about this transition.

Many providers are already accustomed to working with YCHHS in relation to Yamhill CCO members’ behavioral health services. YCHHS has been responsible for Yamhill CCO members’ outpatient mental health services since the inception of the plan in November 2012 and outpatient and intensive outpatient (OP/IOP) substance use disorder services since January 2014. This will continue in January 2015.

 The January 2015 transition primarily impacts providers of service types listed below:

  1. Former MVBCN “cross-county” mental health outpatient services: These services were historically approved without an authorization.
    1. Effective January 2015, all MH outpatient services require an authorization. See the table below for YCHHS contact information to request an authorization for services.
  2. Mental health services: Psychiatric hospitalizations, hospital step-down or diversion and New Solutions services, including psychiatric residential and day treatment services. These services historically have been authorized by MVBCN staff.
    1. MVBCN will continue to authorize and manage adult inpatient and diversion services.
    2. YCHHS will begin authorization and management of children’s inpatient and diversion services for dates of service after 12/31/2014.
  3. Substance use disorder services: A&D residential, non-hospital withdrawal management, and medication-assisted treatment (MAT). These services historically have been authorized by Scott Smith, CD Member Services Coordinator, who works for MVBCN’s subcontractor Marion County CaPS.
    1. YCHHS will authorize and manage the above services for dates of service after 12/31/2014. YCHHS will continue to authorize and manage all A&D outpatient services in addition to the residential, withdrawal management, and medication-assisted treatment (MAT).

For more information about this change, claims responsibilities, billing or your provider relationship with MVBCN, please read and share this notice widely with your organization.

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