Provider Transition of Care Letter

Effective January 1, 2014, Cenpatico Behavioral Health, LLC, (Cenpatico) has expanded our services to manage the behavioral health benefits, authorization processes, utilization management and claims payment for MassHealth CarePlus members enrolled with CeltiCare Health Plan of Massachusetts, Inc. It is the goal of Cenpatico to continue to partner with local providers to make the transition as efficient as possible.

Cenpatico has adopted a “transition period” beginning on the date of each member’s eligibility for up to 30 days after. What this means is that you can continue providing covered behavioral health services, for up to 30 days, to any CeltiCare Health member already in your care prior to their effective date with CeltiCare, regardless of your participation status in Cenpatico’s Massachusetts provider network. Click below for frequently asked questions:

We’re Updating the Provider Portal!

Great News! Effective November 1st, 2013, Cenpatico will be launching a NEW Provider Portal with important time saving features. New users can create an account now and existing users can migrate their existing account on 10/7/2013 at http://provider.cenpatico.com For information regarding training sessions and instructional guides on account creation please visit our new Provider Portal Resources page under the Provider Tools menu below.

CPT Code Changes

The American Medical Association, in conjunction with the American Academy of Child & Adolescent Psychiatry, the American Psychiatric Association, the American Psychiatric Nurses Association, the American Psychological Association and the National Council of Social Workers, conducted a comprehensive review of psychiatry CPT codes resulting in significant changes related to CPT coding for psychiatric services effective January 1, 2013. The changes will appear in the 2013 CPT code manual.

Cenpatico Provider Manuals and FAQs have not been updated with the new codes. This will not occur until after confirmation of codes and rates have been received from the respective states.

More information can be found by following the links below.

Current Procedural Terminology CPT Code Changes for 2013