Starting April 1, 2012, Cenpatico will also manage Outpatient Behavioral Health services for Medicaid members.  This will exclude any services provided at the Department of Mental Health (DMH) or the Department of Alcohol and Other Drug Abuse Services (DAODAS).

Click here for Cenpatico’s Transition and
Post-Transition Authorization requirements.

Click here for more information regarding the Transition Period.

Administrative and Claims

• PCP Communication Form
• Provider Change Form
• Provider Complaint Form

Clinical Resources

• SMART Goals Fact Sheet

Frequently Asked Questions (FAQ)

• South Carolina Frequently Asked Questions (FAQ)

Outpatient Treatment Request (OTR)

• South Carolina Outpatient Treatment Request (OTR) Form
• South Carolina OTR Tips Sheet

Provider Manual

• South Carolina Provider Manual

Psychological Testing Forms

• South Carolina Outpatient Psychological Testing Form

Reference Materials

• South Carolina Provider Orientation Training
• South Carolina Quick Reference Guide (QRG)

As of April 1, 2011, Cenpatico manages the Behavioral Health Inpatient benefit for Medicaid members. Please call 866-534-5976 for authorization. Claims may be submitted through our Provider Web Portal, a clearinghouse, or by mail.  The claims address is:

P.O. Box 7001
Farmington, MO 63640-3811

For any questions regarding claims payment, please call our Claims Service Center at 877-730-2117.