Reminder: Unique NPI required for rehab groups to credential BH providers

We’re reminding all rehabilitation groups credentialed with us that, if they’d like to also provide behavioral health (BH) services, they’ll need to obtain a unique NPI specific to their BH services.

This will allow us to ensure they maintain the appropriate billing setup for both their rehab and behavioral health services.

What do you need to do?

If a rehab group would like to provide BH services to our members, they’ll need to submit a new enrollment request in prism for BH providers, providing a unique group NPI.

See the note under Behavioral health facilities on our Provider Manual’s Credentialing criteria by organization type page for details on completing an organizational enrollment application, if appropriate.