New Provider Type Application and Licensure Process
The Behavioral Health Services Organization (BHSO) is a new provider type available in the state of Kentucky. To learn more about this provider type, please review the information below.
In the BHSO webinar, held on July 21, 2014, the provider type application and licensure process was clearly covered by staffs of the Office of Inspector General (OIG) and Department for Medicaid Services (DMS). View the BHSO webinar by clicking on "BHSO Webinar" in the Related Links box.
Links to the helpful, detailed presentations used during the webinar are provided below.
BHSO Licensure Through the Office of Inspector General
To apply for initial licensure as a Behavioral Health Services Organization, applicants must submit the following to the Office of Inspector General:
- An appropriate application for licensure, which will be available from the main Office of Inspector General Web page (see Related Links) on or after August 1, 2014. Look under the "Something New" box on the right side of the Web page, and under it will be a BHSO heading.
- A check for $750 made payable to the Kentucky State Treasurer.
- Proof of city or county Fire Marshal approval for the location where services will be provided. (The Fire Marshal's approval is considered current if received within the 12-month period prior to the date the OIG receives the licensure application.)
The licensure application, fee, and proof of Fire Marshal's approval must be submitted to:
Attn: Robin Rowe
Division of Health Care
Office of Inspector General
275 East Main Street, 5E-A
Frankfort, Kentucky 40621
For more specifics about the licensure process through the Office of Inspector General, please review the OIG's PowerPoint presentation above under "BHSO Webinar."
General Information on How to Become a Medicaid Behavioral Health Services Organization
- Obtain a BHSO license from the Cabinet for Health and Family Services, Office of Inspector General (see the information above under "BHSO Licensure Through the Office of Inspector General").
- Enroll in the Medicaid Program, by fully and accurately completing a Medicaid provider agreement (MAP-811) and submitting it to the Department for Medicaid Services' provider enrollment branch (see the information below under "BHSO Provider Enrollment Through the Department for Medicaid Services").
- Join the provider network of a managed care organization (MCO) by requesting to be credentialed by the MCO (see "MCO Information" in Related Links), and then fully and accurately complete a Medicaid provider agreement (MAP-811) and submit it to the Department for Medicaid Services (see the information below under Provider Enrollment Through the Department for Medicaid Services).
BHSO Provider Enrollment Through the Department for Medicaid Services
For more information about enrolling as a potential BHSO provider through the Department for Medicaid Services, please use the "Application Information" link below.
Regulations Related to BHSO
Below are links to regulations for both the Office of Inspector General and Department for Medicaid Services, as filed with the Legislative Research Commission.
Office of Inspector General
- 902 KAR 20:430 (New Administrative Regulation). Facilities specifications, operation and services; behavioral health services organizations.
- 902 KAR 20:440 (New Administrative Regulation). Facilities specifications, operation and services; residential crisis stabilization units.
Department for Medicaid Services
- 907 KAR 15:005. Definitions for 907 KAR Chapter 15
- 907 KAR 15:020 (New Administrative Regulation). Coverage provisions and requirements regarding services provided by behavioral health service organizations.
- 907 KAR 15:025 (New Administrative Regulation). Reimbursement provisions and requirements regarding behavioral health services provided by behavioral health service organizations.
Certificate of Need Deadlines for Residential Crisis Stabilization Units
Entities applying for licensure as a Residential Crisis Stabilization Unit must first obtain Certificate of Need (CON) approval under the nonsubstantive review process.
Pursuant to 900 KAR 6:060, the Cabinet for Health and Family Services has determined that the most appropriate batching cycle for applications for Residential Crisis Stabilization Units will be Batching Cycle E.
In order to make the next Batching Cycle E, an applicant must submit a Letter of Intent to the Office of Health Policy by March 2, 2015, followed by submission of a CON application by April 1, 2015.
Please note that the Office of Health Policy has filed a regulation amendment that, if approved, will allow nonsubstantive review applications to be batched monthly. This website will be updated in January 2015 to provide dates for the next batching cycle
To submit a Letter of Intent (OHP - FORM 1) followed by a CON Application (OHP - FORM 2A), please download the appropriate form from the link below. Letters of Intent may be submitted electronically.
Please contact the Office of Health Policy at (502) 564-9592 if you have questions regarding the submission of the Letter of Intent or CON application.
For more information, use the "DMS Legal and Policy Information" and "Office of Inspector General" links in Related Links.