BHSO Provider Type Application and Licensure Process
In 2014, the Cabinet for Health and Family Services created a new behavioral health provider type titled a Behavioral Health Services Organization (BHSO). To learn more about this provider type, please review the information below.
BHSO Webinar
Specific information detailing the BHSO provider type application and licensure process is available through two webinars held in January 2015 (geared towards a provider working in the substance use treatment field) and July 2014 (geared towards a provider working in the broad context of behavioral health). View these BHSO webinars by clicking on "January 2015" or "July 2014" under "BHSO Webinar" in the Related Links box.
Links to the helpful, detailed presentations used during the webinars are provided below.
January 2015 PowerPoint Presentations
July 2014 PowerPoint Presentations
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 is available on the Office of Inspector General Web page (see Related Links) under "Something New."
- 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: BHSO Licensure Analyst
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 presentation above under "BHSO Webinar, January 2015 PowerPoint Presentations."
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.
- 907 KAR 15:040. Coverage provisions and requirements regarding targeted case management for individuals with a substance use disorder.
- 907 KAR 15:045. Reimbursement provisions and requirements for targeted case management services for individuals with a substance use disorder.
- 907 KAR 15:050. Coverage provisions and requirements regarding targeted case management for individuals with a mental health or substance use disorder and chronic or complex physical health.
- 907 KAR 15:055. Reimbursement provisions and requirements regarding targeted case management for individuals with co-occurring mental health or substance use disorders and chronic or complex physical health issues.
- 907 KAR 15:060. Coverage provisions and requirements regarding targeted case management for individuals with a severe mental illness and children with a severe emotional disability.
- 907 KAR 15:065. Reimbursement provisions and requirements regarding targeted case management for individuals with a severe mental illness and children with a severe emotional disability.
Exemption From Certificate of Need
Effective March 25, 2015, Senate Bill 192 revised KRS 216B.020 to exempt the following licensure levels from Certificate of Need:
- Residential crisis stabilization units.
- Behavioral health services organizations (BHSO).
- Alcohol and other drug entities (AODE).
- Dually licensed BHSO/AODEs, including dually licensed BHSO/residential AODEs.
- Free-standing residential substance use disorder treatment programs with sixteen (16) or fewer beds.
Resources
For more information, use the "DMS Legal and Policy Information" and "Office of Inspector General" links in Related Links.