Saturday, July 31, 2010
   
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Reminder to Behavioral Health Providers

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The Health Plan considers the PCP to be the gatekeeper of the member's healthcare. In keeping with this premise, providers are responsible not only to treat our members, but to collaborate with the PCP to guarantee total patient care.

Behavioral health practitioners will need to obtain authorization from members in order to communicate patient information to the PCP.

Once the authorization is on file, the BH provider should communicate, in writing, to the PCP the following information in regard to the member:

  • Results of the initial evaluation
  • Significant changes in diagnosis, treatment plan or clinical status
  • After medication is initiated, discontinued, or significantly altered
  • Termination of treatment

If you are in need of an authorization form, please contact our office and we can fax one to you. You can reach the Behavioral Health Unit at 1.877.221.9295 (24 hours a day) with any questions. Fax requests for treatment and reporting of crisis encounters to 740.699.6255 or 1.866.616.6255. This is a dedicated fax line that is available to the BHU staff only.

Ohio Valley/Mountaineer Region
TF: 1.800.624.6961
Email: hpecs@healthplan.org
Hours: Mon- Fri., 8:30 am to 5:00 pm

HomeTown Region
TF: 1.800.426.9013
Email: hpecs@healthplan.org
Hours: Mon- Fri., 8:00 am to 5:00 pm

 

BHU
TF:
1.877.221.9295
(24 hours a day)
F: 740.699.6255 or toll-free 1.866.616.6255

Case Management Services
P: 740.695.7301
TF: 1.800.624.6961, ext. 7301

 

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