Children's Behavioral Health Initiative
Provider Resources

Managed Care Entity (MCE) CBHI Information
MCE
CBHI Authorization Processes
The MCE CBHI Authorization Process details the process for obtaining authorizations for any CBHI service, broken down by the individual
managed care entities (MCEs).
MCE Clinical Review Questions for TM, IHT, FS&T, and IHBS
This document contains commonly asked questions during an MCE CBHI clinical review.
MCE CBHI Health Record Documentation Standards
This document describes the standards for documenting health records for providers of CBHI services.
Access to Care Protocols
These protocols outline expectations regarding referral and waitlist processes for ICC/FS&T/IHT/TM/IHBS providers
Access to Care Protocols
Referral Log Waitlist Template
This is a template for providers to use to track referrals and waitlist information.
MCE Use of Interns for CBHI Services
This document details the requirements for utilizing interns in CBHI services.
Conflict Resolution Process
This document outlines the steps to follow for resolving conflicts that may arise for Intensive Care Coordination (ICC) or In-Home Therapy (IHT)
teams.
MCE Waiver Request Form
This form is used by CBHI providers who need to request consideration for a staff member who does not meet the service's credentialing criteria.
The Tip Sheet for Outpatient Clinicians is a document outlining the role of outpatient clinicians serving as a Hub provider. The document provides
helpful links and resources to enhance the effectiveness of services.
Mobile Crisis Intervention (MCI), In-Home Therapy (IHT), and Therapeutic Mentoring (TM) Practice Guidelines
CBHI has produced practice guidelines for MCI, IHT, and TM as a way to provide narrative context for the services. The guidelines detail professional
standards, as well as information about and recommendations for youth and family-centered practices, beliefs, and quality services consistent
with the CBHI mission, values, vision and strategic priorities.
Visit the CBHI Resources for Providers page on mass.gov to download the practice guidelines >
Community Service Agencies (CSAs) Resources
Intensive Care Coordination
Operations Manual
This program description and operations manual describes the roles and responsibilities of Community Service Agencies (CSAs), ICC service
components, continuing care criteria, staffing requirements, and other information.
Individual Care Plan Resources
Individual Care Plan
The Individual Care Plan (ICP) is the primary tool used in Intensive Care Coordination (ICC) care planning. It includes information gathered
through the comprehensive assessment, and the goals prioritized by the youth and caregiver.
English/Spanish Individual Care Plan
This is a bilingual version of the Individual Care Plan (ICP), which is the primary tool used in Intensive Care Coordination (ICC) care planning.
Individual Care Planning Manual
This manual was developed to describe the Individual Care Plan process and related documentation for wraparound.
Appendices to the Individual Care Planning Manual
The below appendices offer sample comprehensive assessments, ICPs, documentation, progress notes, and other information.
Individual Care Planning Manual Presentation
This presentation by Vroon VanDenBerg, LLP gives a comprehensive overview of the Individual Care Planning process.
Promoting Timely Access to CBHI Services, Including Intensive Care Coordination (ICC)
Guidelines
for Ensuring Timely Access to Children's Behavioral Health Initiative Services
This document offers information on the MABH Access website and how to seek assistance from Hub providers in accessing services.
Increasing Timely Access to ICC Presentation
This document provides network management activities and target goals,technical assistance, and tips for CSAs providing timely access to ICC
services.
Best Practices for
Timely Access to ICC Services: Tips from CSAs
This document provides tips and identified best practices from CSAs on promoting timely access to ICC services.
MBHP-Specific Service Authorization Information
For CBHI services, including Therapeutic Mentoring (TM), In-Home Behavioral Services (IHBS), Family Support and Training (FS&T), In-Home Therapy (IHT),
and Intensive Care Coordination (ICC), authorization is obtained through MBHP's ProviderConnect system.
To access service authorization information for CBHI services, including procedures and additional unit request forms, please visit
the MBHP Service Authorizations page >
CBHI Publications and MassHealth Resources
CBHI Brochure and Companion Guide >
CBHI Information for Early Education and
Care, Pre-K, and K-12 School Staff >
If you are looking for any additional CBHI information, please contact the MBHP CBHI mailbox at MBHPCBHI@carelon.com.