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CBHI Managed Care Entity (MCE)

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The CBHI Managed Care Entity (MCE) Reference Guide provides an overview of the updates and functionalities related to the Children's Behavioral Health Initiative (CBHI) CANS application on the Virtual Gateway. Key features include a new consent process allowing providers to enter and share CANS records with caregiver consent, updated consent forms, and enhancements to data management and reporting capabilities. The guide also outlines procedures for logging in, viewing, printing, and exporting CANS records, as well as addressing frequently asked questions regarding consent and data privacy.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What does MassHealth CommonHealth cover?

This means that MassHealth pays for any medically necessary treatment that is covered by Medicaid law, if it is delivered by a provider who is qualified and willing to provide the service.

What does MCE stand for in insurance?

Managed Care Entity (MCE means an entity that enters into a contract to provide services in a managed care delivery system, including but not limited to managed care organizations, prepaid health plans, primary care case managers and Coordinated Care Organizations.

What does CBHI mean?

Community-based health insurance (CBHI) schemes are usually voluntary and characterized by community members pooling funds to offset the cost of healthcare.

What is CBHI services in MA?

CBHI partners with child and family serving state agencies, providers, and payers to ensure that services meet the individual needs of the child and family, are easy for families to find and access, and make families feel welcomed and respected.

Is CBHI only for MassHealth?

This service is only available to youth with MassHealth Standard or CommonHealth. How does a youth qualify for a particular CBHI service? To receive a particular CBHI service, a youth must meet the medical necessity criteria for that service.

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