Saints Billing Services

07/24/2025

My phone number has been spammed - it rings constantly. Out of 15 calls I have already received by 11am, only 1 has been a business call. I apologize to all that are impacted by this. I answer the phone and am on the phone a lot - but PLEASE leave a message or text me. I am getting a ton of spam messages, texts, calls, emails - but - if you dont leave a message, its even harder for me to figure out who is a legit person to call back. I'm not exaggerating, as I have typed this out - I Have had two additional spam calls :(

06/17/2025

As a reminder -- Medicaid region shifts are happening!!!
Everyone should have received correspondence from Carelon directly as well as Medicaid.

Effective July 1 the plan managers/regions are shifting!!!!!!

05/09/2025

Carelon sent out Quarter 1 2025 newsletter.

Access our latest provider newsletter to learn about training opportunities, tips on providing care to members, regulatory updates, and more.

04/29/2025

Received an Email Notice from Carelon today regarding the summer changes!!!

Notice of Termination of Behavioral Health Network

Dear Valued Provider,
Thank you for participating in the behavioral health network to provide services to Health First Colorado (Colorado’s Medicaid program) members. Effective July 1, 2025, Health Colorado, Inc. (HCI) will no longer contract with Health First Colorado as a Regional Accountable Entity (RAE). Additionally, Carelon will no longer manage the Medicaid behavioral health provider network for Northeast Health Partners (NHP).

Beginning July 1, 2025, the Accountable Care Collaborative (ACC) boundaries for the RAEs will change as part of the transition to ACC Phase III. Rocky Mountain Health Plans (RMHP) and NHP will cover the counties previously served by HCI depicted in the table.

Beginning July 1, 2025, RMHP and NHP will share their behavioral health provider operations, meaning the following behavioral health processes will transition from Carelon to RMHP:

Behavioral Health and SUD provider contracting
Behavioral Health and SUD provider credentialing
Call center support
Prior authorizations
Claims processing
Utilization management

Next Steps

In the coming months, NHP and RMHP will share critical details about claims submission, key contacts, and other necessary information for the providers in their networks. If you have immediate questions or want to begin the contracting and credentialing process, please contact NHP’s Behavioral Health Provider Relations team at nhprae_bh_pr@uhc.com or RMHP’s provider relations team at dale.renzi@uhc.com.

If you have additional questions for Carelon Behavioral Health, please contact Coproviderrelations@carelon.com, between 8 a.m. and 8 p.m. Eastern time, Monday through Friday.

04/16/2025

Another awesome event coming this summer!!
Project Ember Initiative and Guided Waters Counseling partner together for this amazing summer group/program. They have been doing this now for a few years, it continues to grow and gets better every year!!

Some things they have done: pottery, tie-dye, ice cream, pizza, hiking, fort-building, water balloons and slip n'slides, lots of arts/crafts, woodworking, and various sensory creations. They do SOOO many things - and its all intertwined with therapy & skills - how to build relationships/socialization, communication, anger, regulation, learn new things, etc. I dont know all the "Things" they do - but its so awesome!! I overheard them talking today about some new things are they adding this year - I am so excited for it to start!!!!

IF you are interested - you can reach out to them directly to get info & signed up!

04/16/2025

** Friendly Reminder **

Check the requirements for insurance billing.
What are the documentation requirements? What assessments are needed and when? What requirements for supporting docs?
Etc.
The provider manuals and contracts have some of this information!

If you have questions - ask!

04/04/2025

Hey Friends!! A great practice I work with - they are hosting a parenting event / boot camp / training. It sounds AMAZING!!!! Please share. Anyone is welcome to attend - even if they are not current clients at this practice. They are super super passionate about helping parents!!

Brief questionnaire gauging interest and needs for a potential group member for purposeful parenting workshops. Location: Project Ember Initiative - 1785 N. Academy Blvd, Suite 100, Colorado Springs, CO 80909 Dates & Times: Orientation Night - Friday May 2nd 6-8pm (Dinner Provided) Saturday Workshop...

04/01/2025

Important Medicaid Info:
(pulled based on feedback and observations directly from the policy book)
Covered Diagnosis.
Treatment Plan Info.
Documentation Standards.
Court-Ordered.
Medical Necessity.
etc.

04/01/2025

HCPF - Colorado Medicaid - Released an updated Manual for April 2025.

This document sets forth the requirements of billing procedure codes for behavioral health services covered by HCPF and the Behavioral Health Administration (BHA). The State Behavioral Health Services Billing Manual (the billing manual) is a living document that is updated periodically to maintain c...

03/08/2025

A therapist I know has this book in his office.
Very unique. It's one of my faves.
This is one of my favorite drawings.
-- artist Shawn Coss.

03/05/2025

Does anyone else speak CPT as a second language? No? Just me? Lol

Twice today "don't forget, that's this code"

02/25/2025

Any Med Providers in the COS area looking for some part time hours? I know a great place with a great mission, just need a great prescriber!!
Possible sign on bonus!!!