PBH Provider Manual

Table of Contents

Section One Introduction & Overview: Introduction and Overview	Section Two LME Administration by Function: LME Administration by Function	Section Three Provider Network: Attachment I - Network Council Bylaws Attachment II - Network Council Code of Ethics Attachment III - Alleged Ethics Violation Reporting Form Provider Network Overview

Section Four Contracts: Contracts Overview Agency Contract Agency General Conditions Innovations Contract Innovations General Conditions ICF Contract ICF General Conditions PRTF Contract PRTF General Conditions LIP Contract LIP General Conditions	Section Five Benefit Package: Attachment I - Cardinal Health Schedule of Benefits Benefit Package Mental Health Schedule Substance Abuse Schedule	Section Six Access, Enrollment & Auth. Services: Access, Enrollment, and Authorization of Services Attachment I - Waiting List Update/Change Form Attachment II - Notice of Non Acceptance Form Attachment III TAR Attachment IV Tar Instructions

Section Seven State Service Definitions & Criteria: State Service Definitions and Criteria	Section Eight Training/Resources: Training/Resources	Section Nine Getting Paid: Attachment A Place of Service Attachment B Sliding Fee Scale Getting Paid

Section Ten Standards & Regulatory Compliance: Standards and Regulatory Compliance	Section Eleven Dispute Resolution: Attachment I - Complaint Form Attachment II - Appeal through Grievance Dispute Resolution Termination Appeal Form	Section Twelve Utilization Management Tools: Utilization Management Tools

Section Thirteen Official Communication Bulletins: Click here for the list of current bulletins Click here for the list of current announcements	Section Fourteen Glossary of Terms: Glossary of Terms	North Carolina State Service Records Manual (APSM 45-2) North Carolina State Standards Manual (APSM 30-1)

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