CABHC/PerformCare Alternative Payment Arrangement (APA) Status


CABHC/PerformCare Alternative Payment Arrangement (APA) Status

The CABHC/PerformCare Ambulatory Services APA went into effect March 2020, and currently has no end date.

  • CABHC and PerformCare agreed to extend the APA until at least 9/30/2020.
  • CABHC and PerformCare will provide at least 45 days’ notice to APA providers prior to ending or modifying the Ambulatory APA.
  • CABHC and PerformCare will engage providers in discussions about the overall functioning of the system before making a decision to terminate or modify the APA.
  • Providers that qualify for the Ambulatory APA should reference the Agreement regarding any reconciliation. If you have any questions, please contact your Account Executive.
  •  
    The CABHC/PerformCare Substance Use (SU) Facility APA went into effect March 1, 2020.

  • The SU Facility APA includes a 10% rate increase effective 3/1/2020 and will continue at least until 9/30/2020.
  • The SU Facility APA also includes a potential monthly Gap payment to eligible providers.
  • The SU Facility Gap payment APA for eligible providers will also continue at least until 9/30/2020.
  • CABHC and PerformCare will provide at least 45 days’ notice to SU Facility APA providers prior to ending or modifying the Substance Use Facility APA.
  • CABHC and PerformCare will engage providers in discussions about the overall functioning of the system before making a decision to terminate or modify the APA.
  • There is no reconciliation associated with this APA.
  •  
    CABHC/PerformCare has approved a one-time APA Gap payment for eligible Residential Treatment Facilities based on utilization history.

  • PerformCare will notify eligible RTF facilities of their status in July of 2020.