Adult Family Homes Claims Clearinghouse

Our Claims Clearinghouse supports participating Adult Family Homes with submitting claims and claims data for Community Behavioral Health Support (CBHS) and Intensive Behavioral Supportive Supervision (IBSS) services following Medicaid billing rules.

Questions about billing? Contact our Claims Help Desk at 1-800-709-9901 (TTY:711) Monday through Friday, 8 a.m. to 5 p.m. PST or email [email protected].

Claims processing and Adult Family Home support

We support Adult Family Homes by:

  • Creating Apple Health (Medicaid) claims or encounters using data submitted through electronic medical record systems, secure electronic methods, or paper claims.
  • Checking eligibility and making sure all data sharing follows HIPAA requirements.
  • Reviewing claims to confirm they are linked to an approved CBHS or IBSS service.
  • Using HCA billing guidance, including the ProviderOne Billing and Resource Guide and CBHS operations and billing guides, to support accurate claims submission.
  • Providing clear, written instructions that explain how to submit claims data through our Claims Clearinghouse.
  • Notifying providers of missing information and helping address issues so claims meet Medicaid and HCA requirements.
  • Onboarding and technical assistance.

We help Adult Family Homes understand:

  • How to prepare and submit claims information.
  • How to upload required documents.
  • How to track claim status through our Claims Clearinghouse.

Access resources and trainings ➔

Contact us

We provide virtual support from trained staff who can answer questions and resolve technical issues related to claim submissions.

Monday through Friday, 8 a.m. to 5 p.m. PST

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