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.
| < Prev |
|---|
Provider Search
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 Provider News
-
Quality Improvement Connection A new Performance Improvement-CME activity enables practicing providers with prescribing authority and an active ADHD caseload to make that assessment. Using a HIPAA-compliant, confidential platform, providers...
-
Reminder to Behavioral Health Providers 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...
- 1
Resources for Providers
I want to . . .
- Find a medication through Medco
- How well is your practice doing?
Access a performance improvement CME activity from NCQA to evaluate how well your practice manages pediatric ADHD patients and more.
- Visit Vision Services Plan (VSP)
Questions concerning your Vision Services can be found here.
- Secure Provider website
- Contact Provider Relations

