Behavioral Health Generations
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Enrollment and Eligibility Determination

 

BHG is responsible for verifying eligibility, entering clients into the state MACSIS system, and updating and correcting client information. These services are provided in a secure area, which is compliant with the federal Health Insurance Privacy and Portability Act of 1996.

BHG employs experienced, professional Enrollment Specialists who are dedicated to the job of reviewing and updating the eligibility of clients in our provider network and enrolling them into the public mental health and alcohol and drug health system. A Senior Enrollment Clerk provides backup for our Enrollment Specialist. Our enrollment team researches and answers provider’s questions regarding eligibility criteria and the enrollment process.

They provide telephone support and stay up-to-date on State and County rules, regulations and procedures. If required, our enrollment team will also offer advice and prepare error reports to help our providers identify ways to improve their enrollment process, thus reducing their time and administrative overhead. The Enrollment Specialist will routinely process about 150 forms each day.

To learn more about how BHG can assist your board or agency please complete our information request form.

 

 

Behavioral Health Generations
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