CRS CRS Acute Care CRS Fully Partially Partially Service/Responsibility RBHA TRBHA CRS Only DDD CMDP AIHP Contractor Integrated Integrated Integrated BH Acute The Enrolled Entity is Responsible For: Reimbursement of X transportation for the For member to the initial members behavioral health determined appointment regardless X X X X X X to have of whether the Enrolled SMI who Entity or the Behavioral are Health Entity scheduled integrated that appointment. Reimbursement of transportation for the X member to the For emergency department members of an acute care hospital determined X X X X X X when the transport is to have SMI who emergent, including are inter-facility transfers to integrated the emergency department.
Service/Responsibility Acute Care Contractor RBHA TRBHA CRS Fully Integrated CRS Partially Integrated BH CRS Partially Integrated Acute CRS Only DDD CMDP AIHP The Enrolled Entity is Responsible For: Reimbursement of transportation for the member to the initial behavioral health appointment regardless of whether the Enrolled Entity or the Behavioral Health Entity scheduled that appointment. X X For members determined to have SMI who are integrated X X X X X Reimbursement of transportation for the member to the emergency department of an acute care hospital when the transport is emergent, including inter-facility transfers to the emergency department. X X For members determined to have SMI who are integrated X X X X X
Attachment-A-Matrix-of-Financial-Responsibility-by-Responsible-Party.docx