Manuals and Service Agreements

Treatment Services Descriptions

• BHSI Special Terms and Conditions
• City of Philadelphia Contract Provisions
  These Provisions are contained in the PMHCC Contract(s) with the City of Philadelphia. Where relevant, PMHCC providers paid with funds provided pursuant to those contracts must adhere to these same City of Philadelphia Contract Provisions.
• City of Philadelphia 2018 Heat Safety Policy for Contractors
• City of Philadelphia Whistleblower Protections Policy
• DDAP PA-4
• DDAP PA-6
• Philadelphia Behavorial Health System Significant Incident Report
• BHSI 5010 Professional Companion Guide
• BHSI 5010 Trading Partner Companion Guide

Behavioral Health Special Initiative Provider Manuals

• Authorization/Approval Process 
• Claims Submissions

General Information

Provider Hotline – information about claims and website support.

Claims

• ‍HIPAA 5010 Implementation – Valid until July 1, 2019.
• ‍TA1 and 999 Acknowledgement FAQ – June 26, 2012.

Cost Reimbursement Enhanced Recovery

• DBHIDS / OAS Budget Template
  This includes Report Request, HDA311-2, HBA313B, Equipment Schedule and misc. item details.
• May 2018 Cost Reimbursement Enhanced Recovery Services PowerPoint
  Includes information about important websites, contact information about submitting invoices and services, setting up access to the Point of Contact web site

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BHSI Service Management
801 Market Street, 7th Floor
Philadelphia PA 19107
(215) 546-1200

‍BHSI Intensive Case Management
123 S. Broad Street, 23rd Floor
Philadelphia, PA 19109
‍(215) 546-6435