Mental Health Program Referral Process for Providers

• For Community Behavioral Health (CBH) Medicaid Members: Contact your hospital or program’s CBH Care Manager or your Utilization Review Manager to submit a referral. Simultaneously, download a copy of the CBH referral form and submit directly and securely to admissions@projecttransition.com with a copy of the client’s most recent Comprehensive Biopsychosocial Psychiatric Evaluation.
• For Community Care Behavioral Health (CCBH) Medicaid Members: download the appropriate referral form and submit directly the the fax or e-mail on the cover page of the referral form.
  • CCBH-Berks Referral Form
  • CCBH-Carbon/Monroe/Pike Referral Form
  • CCBH-Lycoming/Clinton Referral Form
  • CCBH-North Central Referral Form
• All Members (regardless of insurance), must have a fully completed Project Transition pre-admission packet prior to admission
  • Pennsylvania Pre-admission packet

Members with an approved referral visit the program to tour and complete pre-admission assessments as soon as the referral is approved. If unable to leave an inpatient setting for whatever reason to tour in person, assessments can be done remotely to assess readiness for program.

• For Tennessee TennCare Members, Members can contact Admissions directly, or work with their supports to initiate the referral process. In order to be assessed for readiness for program, Project Transition will need:
  • A recent psychiatric evaluation and/or biopsychosocial assessment
  • Verified benefit eligibility to receive Project Transition’s level of care
• All Members (regardless of insurance), must have a fully completed Project Transition pre-admission packet prior to admission
  • Nashville Preadmission Packet
  • Knoxville Preadmission Packet

Members will participate in a program tour and complete pre-admission assessments as soon as the behavioral health clinical documentation is received (psych eval, progress notes, discharge paperwork, etc.). If unable to leave an inpatient setting for whatever reason to tour in person, assessments can be done remotely to assess readiness for program.

• For North Carolina Members, Members can contact Admissions directly, or work with their supports to initiate the referral process. In order to be assessed for readiness for program, Project Transition will need:
  • A recent psychiatric evaluation and/or biopsychosocial assessment
  • Verified benefit eligibility to receive Project Transition’s level of care
• All Members (regardless of insurance), must have a fully completed Project Transition pre-admission packet prior to admission
  • North Carolina Preadmission Packet
  • North Carolina Referral Form

Members will participate in a program tour and complete pre-admission assessments as soon as the behavioral health clinical documentation is received (psych eval, progress notes, discharge paperwork, etc.). If unable to leave an inpatient setting for whatever reason to tour in person, assessments can be done remotely to assess readiness for program.

Once you’ve submitted a referral for the patient, contact Project Transition’s Admissions Team and send them a copy of the clinical documentation for the Member and a completed preadmission packet.

When an approved referral is secured, the goal time to admit a member from approval to admission is within five business days.

Below is a list of documentation required prior to admission:

1. 1. 1. Fully completed pre-admission packet
      2. Labs (required if presently taking Clozaril, Depakote, Lithium or Tegretol, dated within 30 days prior to admission)
      3. Psychiatric Evaluation (current and any recent)
      4. Valid Photo ID
      5. Insurance Card
      6. Birth Certificate
      7. Social Security Card
      8. Leasing application for designated living site