Providers This page is utilized by BHS Provider Staff to obtain forms, manuals and reports for the electronic health record, Cerner Community Behavioral Health. Below are a few examples of specialized services that are available for Maryland individuals that meet the Medical Necessity Criteria (MNC). maryland.optum.com October 2020 BH2555_122019 Maryland Public Behavioral Health System (PBHS) Level of Care Appendix Click on the links below for specific information on available Levels of Care: Mental Health (MH) Services Substance – related and Addictive Disorders Optum Workers’ Comp and Auto No-fault Access useful resources to support your management of claims. Submit your new case referral or request for case information electronically using the OSRP. The OptumHealth SM Behavioral Solutions network consists of: Over 6,500 facilities nationwide; Over 225,100 clinicians; You use a network provider to receive the In-Network Benefit. We provide a team of registered nurses, behavioral health care advocates, community health workers and a Medical Director The claim entry form is intuitive and easy-to-use – it allows you to data enter the required info and submit in real-time for quick processing. Provider Express. The vision of OptumCare is to meet individual patient’s needs through a connected set of practices and services. select Administrative Guides and Manuals, then Community Plan Care Provider Manuals, select state. Optum Subrogation Referral Portal See more For behavioral health providers — submit claim or clinical appeals online, access training, resources and more. Tools to help you do business with us successfully. Optum Provider Express Subrogation. 2. Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). The purpose of this manual is to provide key information to our contracted network providers and support you in delivering effective care for mutual patients in accordance with OptumCare Network of Arizona and industry standards. Page | 6 WYhealth by Optum coordination of care. Learn more about how Optum is driving better overall health outcomes and bringing down the total cost of care. Type in the key word. 3.2 Provider Communication : Provider Alerts . brochure Behavioral Health brochure for health plans Optum offers comprehensive Behavioral Health solutions. Provider appeals and grievances for behavioral health services are handled by Optum, AllWays Health Partners’ Behavioral Health Partner. Phone: 1-800-888-2998. Behavioral health programs may help you cope with emotional struggles. Education. Helpful information for new and existing providers. Provider Manuals and Directories. Optum Alaska. Directories, manuals, supplements and lab lists This Provider Operations Manual contains important information including policies and procedures to be followed when working with Optum, and/or members covered by health plans managed by Optum. The Provider Manual is where you will find important information about the services offered in Maryland. If you are a person or a family member seeing a MDH/BHA provider, you can access relevant information with the touch of a finger: We invite you to look through this site to see the many ways we can serve you. We Provider Express Claim Entry is available to Optum network clinicians and group practices free of charge, 24/7, for outpatient behavioral health and EAP claims. OptumHealth SM Behavioral Solutions is a nationally recognized leader specializing in providing behavioral health care and substance abuse services. Provider Orientation. Optum will email Provider Alerts to announce important information, such as changes wit hin the behavioral health services, DBH announcements, and important regulatory guidance. Easily find information in this manual using the following steps: 1. More information and resources can be found throughout the website. Press Enter. For assistance, please contact Harvard Pilgrim’s Behavioral Health Access Center at 888-777-4742 or access Optum’s Provider Express website for clinical and administrative resources, including the Prior Authorization of Service and the Contact Us (for provider assistance) sections. 3. Providers are encouraged to make referrals to WYhealth’s program for case management and coordination of services for these targeted conditions. All behavioral health appeals should be submitted directly to Optum. Optum 360™ Coding For more information, please refer to the Behavioral Health Provider Manual or contact Optum at 844-451-3519. Virginia Medicaid Provider Resources. • Behavioral health (Optum Behavioral Health) • Chiropractic, PT, OT, ST (Optum Physical Health) • Obstetrics and gynecology (OB/GYN) • Vision care providers (Superior Vision – Maricopa county only) • Specialists who are not contracted require prior authorization How to complete a referral Our online portal makes it quick and easy. Learn what types of services are covered, find a provider or telehealth service and more. As the nation’s largest managed behavioral health organization, Optum is breaking new ground by driving better outcomes while lowering the total cost of care. Managing costs, driving operational efficiency and improving access to care are unique challenges that health plans face when offering behavioral health to their clients’ populations. website > Behavioral Health Providers > Provider Training and Education. Optum SLCo is working closely with Salt Lake County Department of Behavioral Health Services. If available, use the binoculars icon on the top right hand side of the PDF to search for information and topics. Optum is working closely with the state of Idaho, consumers, family members, providers and community stakeholders to develop, implement and maintain a utilization management program for the Idaho Behavioral Health Plan (IBHP) to monitor the appropriate utilization of covered services and to: About United Behavioral Health, Optum and Optum Idaho Optum is providing support and resources to help people stay up to date on coronavirus disease (COVID-19). ... Optum San Diego Website MH Provider Registration Instructions (pdf) 2019-11-04: This Provider Manual is designed to guide you in working with us and supplements your Agreement with ... Behavioral Health - Optum Phone and/or Fax Medicaid Phone: 1-401-443-5997 Commercial Phone: 1-833-470-0578 ... Behavioral Health – Information about our partner, Optum… Optum WebAssist Physical Health Submit claims and clinical submissions and check their status, find forms and manuals, access resources, plan summaries and more. Educational opportunities and resources. Provider Toolkit. Below are a just a few of the important documents that will assist you as a behavioral health provider. If you would like more information regarding all covered services, please review our Provider Manual for full description and MNC. The Provider Alerts are important updates from Optum and the Department. The Coronavirus (COVID-19) outbreak continues to be an evolving situation nationally as well as in Utah. 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