Button to access Provider Information page Button to access RFP & RFI Information page Button to access Provider Training page Button to access Provider Resources page Button to access Provider Forum page Button to access Provider Newsletter page Button to access Provider Council page Button to access Quality Improvement page Button to access Utilization page Button to access Reimbursement page

Utilization > Bulletins

 
 

Provider Communication Bulletins

#1 -     Accessing Services - PDF
#2 -     Medical Necessity - PDF
#3 -     Service Authorizations - PDF
#4 -     Protocol for Initial Evaluation - PDF
#5 -     Request of Services - PDF
#6 -     Authorization for Services Billed by LME - PDF
#6A -   Additional CPT Code - PDF
#7 -     Walk-ins and Additional Authorizations - PDF
#8C -  H-Codes and Emergencies - PDF
#9 -     Authorization for Services - PDF
#10 -   Authorization Request - PDF
#11A - Medicaid Transition to Value Options - PDF
#12 -   Revised Treatment Request Form - PDF
#13 -   Medicaid Transition of Case Management - PDF
#14 -   Online Screening and Registration - PDF
#15 -   Revised Treatment Request Form - PDF
#16 -   Additional CPT code (99205) - PDF
#16A - Addendum to Bulletin 16 - PDF
            CB #16 Physician Form - PDF
#17 -   Hospital Admitting Agencies - PDF
            Regional Referral Form - PDF
            Bed Day Policy Procedure - PDF

Listed Documents are in PDF Acrobat Icon or DOC Word Icon  format. 
Adobe Acrobat Reader is required to view PDF files. If you do not currently have Acrobat Reader, you can download it by clicking here.
Microsoft Word or Microsoft Word Viewer is required to view DOC files. You can download Word Viewer by clicking here.
   
   
HOME | LOGIN | DIRECTIONS | SITE MAP
ACRLME Mission Statement: "To assist individuals and families affected by mental illness, developmental disabilities,
or substance abuse to develop their maximum potential for growth and maturity in dealing with everyday life."