CommercialCoverageMedium impact
Behavioral Health Community Oriented Recovery and Empowerment (CORE) Services
EmblemHealth·Psychiatry·Provider News
Effective date
Feb 1, 2022
We identified it
Jun 20, 2026
Summary
Starting February 1, 2022, EmblemHealth changed four Adult Behavioral Health Home and Community Based Services (BH HCBS) to Community Oriented Recovery and Empowerment (CORE) services. The billing team needs to update service descriptions and verify coverage for eligible members receiving these behavioral health services.
Action Required
By February 1, 2022: Billing team must update service descriptions from Adult Behavioral Health Home and Community Based Services (BH HCBS) to Community Oriented Recovery and Empowerment (CORE) services in billing system. Verify member eligibility for CORE services before billing. Update encounter forms and documentation to reflect new service terminology.