Here is my question:
For those counties billing Blue Cross Blue Shield for MH-TCM
what rates are they billing, and what rates is BCBS paying?
Since we started billing them the rate has been $425 for AMH
or state rate whichever is higher, and $550 for CMH or state rate whichever is
higher.
We are billing our state rate for CMH, but, only getting
paid $550. Just wondering if anyone else is seeing the same thing?
Sue Koch
Sherburne
County Health & Human Services
Work: (763) 765-4023
Fax: (763) 765-4096
6 comments:
We're billing at the State new rate of $752 for CMH-TCM, and still receiving $550.00 from BCBS.
Lisa-Rice County
We are getting the same. Blue Plus does not go by the state rates.
Ottertail County has been billing AMH $425.00 and CMH $550.00 rates since 01/01/17. We did not have an increase for 2018.
Same as the other two counties that responded. I think you should be able to track down your BC/BS contract your agency signed.
I personally think it's rotten what BC/BS did and would love to say we aren't contracting with them, but hard for consistency when children are on and off different health plans.
-Kevin Carlton
Nicollet County received an addendum to our contract in 2017 that stated the contract rate was $425 of adult and $550 for children and have not had an increase since then.
-Carrie Kisor
Anoka County is also seeing the same thing. We are trying to work with them on getting the rates fixed, but haven't really gotten a solution. We are billing $900 for CMH, receiving $550 and billing $531 for AMH claims, receiving $425.
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