Behavioral Health HealthChoices

The Binkley Kanavy Group, LLC (BKG) operates the largest and most experienced Behavioral Health HealthChoices auditing and consulting practice within the Commonwealth of Pennsylvania. Since 1999, we have provided services to primary contractors managing behavioral health care across more than 70% of Pennsylvania counties. Our practice spans various program structures, including full-risk ASO arrangements, limited-risk MCO arrangements, and hybrid risk models. We serve a diverse range of clientele, including individual county programs, county joinder programs, and county collaborative programs. With total capitation under audit and consulting engagements exceeding $2.8 billion, we are a trusted partner in ensuring compliance and operational excellence within the HealthChoices program.

BKG offers a comprehensive suite of services designed to meet the needs of Behavioral Health HealthChoices programs:

• Financial Schedule Examinations
• Compliance Examinations
• Outsourced HealthChoices CFO Services
• Policies and Procedures Development
• Internal Control Assessments
• Reinvestment Program Agreed-upon Procedures
• HealthChoices Training Services
• Readiness Review Assessments
• Medical Claim Reviews and Audits
• Medical Claim Liability Analysis
• Capitation Analysis
• Implementing Monitoring Tools
• Subrecipient Monitoring Plans

Our leadership in the Commonwealth of Pennsylvania stems from a deep understanding of the HealthChoices program’s evolving nature. We continuously adapt to program changes and proactively communicate this knowledge to our clients, ensuring they can effectively manage their programs.

We proudly serve clients in all counties and regions across Pennsylvania as part of the state’s Behavioral Health HealthChoices program.