Metro area behavioral health providers

In 2023, CareOregon will transition Metro behavioral health claims and authorization administration from CIM/PH TECH to CareOregon’s internal operating systems. Follow this link to see the full announcement: CareOregon system integration news.

We will be providing the latest information on the transition at the BH Billing and Admin Meetings. If you’d like to participate, send a request through the provider question form.

In addition, the latest news and information on the BHSI project can be found here.

• CareOregon BH Billing & Admin recorded meeting - April 27th
• CareOregon BH Billing & Admin presentation - March 30th
• BHSI FAQs

We would appreciate a few minutes of your time to complete a brief survey to help inform our testing, training, and communications. The survey will help us understand the impact of the changes to your organizations. Click on this link to access the survey:  provider survey.

We want to hear from you! Submit your questions through the provider question form.

Click here to download the Behavioral Health Utilization Management Procedure Handbook. 

Utilization management forms: 

• Substance Use Disorder Request form
• Sublocade MAT PA Request Form
• ABA Request Form
• Mental Health Treatment Auth Form
• ACT/Adult Level D Request Form
• Level D Child Referral Form
• ACT/ICM criteria

• Contracted providers may register as a new provider and gain CIM access by visiting the PH TECH Help Center at help.phtech.com and submit a request. (Learn more here.)
• Contracted providers may visit theCIM Provider Portal to log in to your CIM account and access additional CIM provider tools, like the CIM Provider Manual.
• For additional support, please contact PH TECH Provider Customer Service at 503-584-2151

Please ensure you request and activate your EFT registration codes with Payspan

• Post-Service Claims Reconsideration/Appeal
• Submitting a Corrected Claim
• PH Tech Paper and Online Claim Submission
• Noncontracted MH & SUD Fee Schedule

• Organization Provider Roster Template (Excel)
• Adding a New Practitioner to a Delegated Organizational Provider
• Billing Data Change
• Administrative Address Update
• Office Address Addition/Relocation
• Office Closure Notification

• Metro Area Behavioral Health Credentialing Resources
• Metro Area Behavioral Health Non CoA Credentialing
• Metro Area Behavioral Health Transition PPT
• CareOregon Credentialing Checklist
• EDI Training Opportunity Handout
• HSO Provider peer FAQ
• HSO Narrative Access Report

• Level of Care Determination Form: Adult Mental Health Services Initial Treatment Registration
• Level of Care Determination Form: Adult Mental Health Services Continued Stay Registration
• Level of Care Determination Form: Child and Adolescent Mental Health Services Initial Treatment Registration
• Level of Care Determination Form: Child and Adolescent Mental Health Services Continued Stay Registration

• For more detailed information on claims, authorizations, data reporting and other topics, please see the Metro Area Behavioral Health Provider Manual
• For more information on Behavioral Health Provider Resources and the transition, please email Provider Relations at BHContracts@careoregon.org, or call Provider Customer Service at 503-416-4100 or 800-224-4840