BHDD Proposed October 1, 2025 Provider Manual Changes
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 |
|
| 002 | Definitions | 10/01/2025 |
100 |
Section 1 - General Requirements |
Issued/ Revised |
| 115 | Assessments | 10/01/2025 |
| 120 | Individualized Treatment Plans for Behavioral Health Treatment | 10/01/2025 |
200 |
Section 2 - Utilization Management |
Issued/ Revised |
| 230 | Integrated Service Delivery | 10/01/2025 |
400 |
Section 4 - Medicaid Adult Mental Health Services |
Issued/ Revised |
| 420 | Community Based Psychiatric Rehabilitation Support Services (CBPRS) | 10/01/2025 |
| 425 | Mental Health (MH) Outpatient (OP) Therapy | 10/01/2025 |
| 475 | Transcranial Magnetic Stimulation (TMS) | 10/01/2025 |
| 486 | Community Maintenance Program (CMP) | 10/01/2025 |
500 |
Section 5 – Medicaid Substance Use Disorder (SUD) Services |
Issued/ Revised |
| 516 | SUD Community Based Psychiatric Rehabilitation Support Services (CBPRS) *NEW* | 10/01/2025 |
| 520 | SUD Outpatient (OP) Therapy (ASAM 1.0) | 10/01/2025 |
| 535 | SUD Clinically Managed Low-Intensity Residential (ASAM 3.1) | 10/01/2025 |
| 536 | SUD Withdrawal Management (ASAM 3.2) (New) | 10/01/2025 |
600 |
Section 6 – Medicaid HEART Waiver (NEW) |
Issued/ Revised |
| 603 | HEART Waiver – Tenancy Support Service – Eligibility and Enrollment | 10/01/2025 |
| 605 | HEART Waiver – Tenancy Support Service – TSS | 10/01/2025 |
| 606 | HEART Waiver – Tenancy Support Service – Application Fee and Security Deposit Assistance | 10/01/2025 |
| 607 | Setting Requirements for Tenancy Support Services Providers *NEW* | 10/01/2025 |
| 608 | Critical Incident Policy *NEW* | 10/01/2025 |
| 620 | HEART Re-entry Services *NEW* | 10/01/2025 |
| 621 | HEART Re-entry Targeted Case Management (TCM)- Adult *NEW* | 10/01/2025 |
If you are looking for more information regarding HEART Waiver, you can find it on our HEART Waiver Services page.
700 |
Section 7 – Medicaid Consolidated Appropriations Act (CAA) (NEW) |
Issued/ Revised |
| 700 | Section 5121 of the Consolidated Appropriations Act (CAA, 2023) Purpose *NEW* | 10/01/2025 |
| 705 | Consolidated Appropriations Act (CAA) Targeted Case Management (TCM)- Re-Entry | 10/01/2025 |
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.
