Standard Operating Procedures for Reimbursing Providers for Uncovered Services in the Behavioral Health Conditional Dismissal Program
Through the BHCDP trust fund, the Fletcher Group can reimburse providers for participants who are:
- Uninsured
- Underinsured
- Medicare-only
- Tricare-only
FGI can reimburse you for the following services:
- Early intervention
- Outpatient
- Intensive Outpatient
- Partial Hospitalization
- Clinically Managed Low-Intensity Residential Services
- Clinically Managed Population-Specific High-Intensity Residential Services
- Clinically Managed Residential Services
- Medically Monitored High-Intensity Inpatient Services
- Medically Managed Intensive Inpatient Services
- Recovery Maintenance and Health Maintenance
- Low-Intensity Community-based Services
- High-Intensity Community-based Services
- Medically Monitored Non-Residential Services
- Targeted Case Management
- Peer Support Services
What services are non-reimbursable through this program?
We cannot pay for services where the participant is denied coverage by insurance due to not meeting criteria or medical necessity. The only exception is for case management services, which are statutorily required.
How do you get started receiving reimbursements?
- First you must have an executed contract in place, BAA, W-9 and payment information on file.
- Complete this form as soon as you receive a referral for a qualifying participant: Participant Eligibility Registration – Airtable. An FGI team member will contact you if there are questions.
- Complete this form on each participant every month that services are rendered: SB90 Invoicing Request (airtable.com)
- Attend a weekly provider reimbursement drop-in training, held virtually each Wednesday at 2 pm EST or contact Erin Henle at ehenle@fletchergroup.org to schedule a one on one.
Microsoft Teams
Meeting ID: 237 995 519 654
Passcode: KqQSJd