CBHA administers mental health and substance abuse services for enrollees with various benefit plans. Services covered, deductibles, co-payments, co-insurances as well as annual out of pocket maximums may vary among health plans. Please contact CBHA to confirm benefit parameters. Providers with a registered log-in to the CBHA website (www.cbhallc.com) can view enrollee eligibility and benefits on-line. For a registered log on, contact CBHA at 1-800-475-7900.
While CBHA makes a good faith effort to provide the most recent benefit information, CBHA does not guarantee coverage in the absence of eligibility. Enrollees should be encouraged to become informed about the limits and exclusions of their policies.
All intensive levels of care (inpatient, partial hospitalization, and intensive outpatient programs) require prior authorization whether provided in an in-network or out-of-network facility. All in-network outpatient services must be registered with CBHA to allow coordination of care and to prevent the patient from receiving concurrent care by two like providers. CBHA providers with a website log-on can obtain a registration on-line. Upon registration, CBHA will notify providers of other mental health treating providers so that care can be coordinated in order to achieve optium outcomes for the patient. CBHA will notify the therapist if there is a treating psychiatrist and will notify the psychiatrist if there is a treating therapist. CBHA encourages all providers to also coordinate care with the patient primary care physician.
Under HIPAA, authorization from the enrollee is usually not required when sharing health information with other treating healthcare providers for the purpose of coordinating care. The few exceptions may be for substance abuse, HIV/AIDS, and genetic information.