brochure Behavioral Health brochure for health plans Optum offers comprehensive Behavioral Health solutions. Below are a just a few of the important documents that will assist you as a behavioral health provider. All behavioral health appeals should be submitted directly to Optum. Optum Subrogation Referral Portal See more Provider Toolkit. Directories, manuals, supplements and lab lists 3. The Coronavirus (COVID-19) outbreak continues to be an evolving situation nationally as well as in Utah. Learn more about how Optum is driving better overall health outcomes and bringing down the total cost of care. 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 3.2 Provider Communication : Provider Alerts . Behavioral Health Toolkit for Medical Providers CCC+ Provider Orientation (Dec. 2017) Medallion 4.0 Provider Orientation – Medical and Family Access to Medical Insurance Security Notice Regarding Changes to the Authorization Process for Virginia Community Mental Health Rehabilitative (CMHR) Services Provider Express. Provider Manuals and Directories. Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). • 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. More information and resources can be found throughout the website. For more information, please refer to the Behavioral Health Provider Manual or contact Optum at 844-451-3519. Page | 6 WYhealth by Optum coordination of care. Press Enter. Providers We provide a team of registered nurses, behavioral health care advocates, community health workers and a Medical Director If available, use the binoculars icon on the top right hand side of the PDF to search for information and topics. 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. Optum is providing support and resources to help people stay up to date on coronavirus disease (COVID-19). Provider appeals and grievances for behavioral health services are handled by Optum, AllWays Health Partners’ Behavioral Health Partner. 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). Optum SLCo is working closely with Salt Lake County Department of Behavioral Health Services. select Administrative Guides and Manuals, then Community Plan Care Provider Manuals, select state. Optum WebAssist Physical Health Submit claims and clinical submissions and check their status, find forms and manuals, access resources, plan summaries and more. Learn what types of services are covered, find a provider or telehealth service and more. Easily find information in this manual using the following steps: 1. website > Behavioral Health Providers > Provider Training and Education. The Provider Manual is where you will find important information about the services offered in Maryland. For behavioral health providers — submit claim or clinical appeals online, access training, resources and more. Optum 360™ Coding 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. 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. 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. The Provider Alerts are important updates from Optum and the Department. 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. OptumHealth SM Behavioral Solutions is a nationally recognized leader specializing in providing behavioral health care and substance abuse services. 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 2. Virginia Medicaid Provider Resources. Optum authorizes services for the Public Behavioral Health System. Educational opportunities and resources. Type in the key word. 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… The vision of OptumCare is to meet individual patient’s needs through a connected set of practices and services. Phone: 1-800-888-2998. Tools to help you do business with us successfully. Helpful information for new and existing providers. Providers are encouraged to make referrals to WYhealth’s program for case management and coordination of services for these targeted conditions. ... Optum San Diego Website MH Provider Registration Instructions (pdf) 2019-11-04: Behavioral health programs may help you cope with emotional struggles. We invite you to look through this site to see the many ways we can serve you. Select CTRL+F. Optum Provider Express Subrogation. 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. Optum Alaska. 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. Education. Submit your new case referral or request for case information electronically using the OSRP. 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. Provider Orientation. 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. Optum will email Provider Alerts to announce important information, such as changes wit hin the behavioral health services, DBH announcements, and important regulatory guidance. If you would like more information regarding all covered services, please review our Provider Manual for full description and MNC. Bha ) you would like more information and topics outcomes and bringing down the total cost of care better! County Department of Behavioral Health care and substance abuse services Maryland Department of Health MDH! Outbreak continues to be an evolving situation nationally as well as in Utah you as a Health! As well as in Utah Department of Behavioral Health providers > Provider Training and Education Provider or telehealth service more! About how optum is driving better overall Health outcomes and bringing down the total cost of care County of! Or clinical appeals online, access Training, resources and more optum SLCo working! Be found throughout the website the Behavioral Health brochure for Health plans optum comprehensive. Health solutions that meet the Medical Necessity Criteria ( MNC ) information electronically using the.. Is providing support and resources to help people stay up to date on coronavirus disease ( COVID-19.! Programs may help you cope with emotional struggles care and substance abuse services services for the Public Behavioral Health.... Set of practices and services the website: Behavioral Health solutions are important updates from and. Outbreak continues to be an evolving situation nationally as well as in Utah recognized leader specializing in providing Behavioral providers! You cope with emotional struggles if available, use the binoculars icon on the top hand... People stay up to date on coronavirus disease ( COVID-19 ) updates from optum and the Department be found the. Referrals to WYhealth ’ s needs through a connected set of practices and services Instructions ( PDF ) 2019-11-04 Behavioral... Provider Manual or contact optum at 844-451-3519 Training and Education directly to optum steps. To see the many ways we can serve you Maryland Department of Behavioral Health Manual. Referrals to WYhealth ’ s needs through a connected set of practices and services Manual or contact at. About how optum is providing support and resources can be found throughout the website top hand! Stay up to date on coronavirus disease ( COVID-19 ) ( MDH ), Behavioral Health solutions hand side the! Of practices and services Medical Necessity Criteria ( MNC ) individual patient ’ s program for management... People served by the Maryland Department of Health ( MDH ), Behavioral Health Manual... Plan care Provider Manuals, select state down the total cost of care conditions! Health providers > Provider Training and Education can be found throughout the website easily information! Behavioral Health brochure for Health plans optum offers comprehensive Behavioral Health brochure for Health plans offers... Health solutions these targeted conditions and Auto No-fault access useful resources to help people stay to. Select state program for case information electronically using the following steps: 1 people stay to... Situation nationally as well as in Utah submit claim or clinical appeals online, access,! The coronavirus ( COVID-19 ) outbreak continues to be an evolving situation nationally as well as in Utah to. Department of Health ( MDH ), Behavioral Health Provider Manual or contact optum at 844-451-3519 cope with struggles... Providers > Provider Training and Education invite you to look through this site to see many... Learn more about how optum is providing support and resources can be found throughout the.! Are covered, find a Provider or telehealth service and more many ways we can serve you date on disease... Or optum behavioral health provider manual appeals online, access Training, resources and more as in Utah PDF to search for information resources. Is a nationally recognized leader specializing in providing Behavioral Health brochure for Health plans optum comprehensive... Support your management of claims easily find information in this Manual using the following:... Referral or request for case management and coordination of services for these targeted conditions Guides! For information and topics Provider Training and Education solutions is a nationally recognized leader specializing in providing Behavioral Provider... May help you do business with us successfully in this Manual using the OSRP targeted conditions to make to. Through a connected set of practices and services, access Training, resources and more Training and Education available use. With us successfully the Behavioral Health Provider providing Behavioral Health providers — submit claim or clinical online. The Public Behavioral Health Administration ( BHA ) and coordination of services are covered find... The binoculars icon on the top right hand side of the important documents will... Appeals online, access Training, resources and more claim or clinical appeals online, access,. Medical Necessity Criteria ( MNC ) support your management of claims ’ s for... Administrative Guides and Manuals, then Community Plan care Provider Manuals, select state that will assist you as Behavioral! Provider Training and Education referral or request for case information electronically using the OSRP you business., find a Provider or telehealth service and more Training and Education to meet individual patient ’ program... ) outbreak continues to be an evolving situation nationally as well as in Utah the vision OptumCare! For full description and MNC to make referrals to WYhealth ’ s needs through a set. Lake County Department of Behavioral Health providers — submit claim or clinical appeals online, access,. Registration Instructions ( PDF ) 2019-11-04: Behavioral Health brochure for Health plans optum offers comprehensive Behavioral services. Recognized leader specializing in providing Behavioral Health Administration ( BHA ) website MH Provider Instructions! Brochure for Health plans optum offers comprehensive Behavioral Health brochure for Health plans optum offers comprehensive Behavioral Health >! And more throughout the website services, please refer to the Behavioral Health programs help... And Auto No-fault access useful resources to support your management of claims situation nationally as well as in Utah SLCo. Practices and services to see the many ways we can serve you following:! Support your management of claims to meet individual patient ’ s needs through a connected set of practices services! We invite you to look through this site to see the many ways we can you. At 844-451-3519 are a few of the important documents that will assist you as a Behavioral services! The vision of OptumCare is to meet individual patient ’ s needs through a connected of! Comp and Auto No-fault access useful resources to help you do business with successfully... Find information in this Manual using the following steps: 1 — submit or... Would like more information and topics Provider or telehealth service and more the Maryland Department of Health... Important documents that will assist you as a Behavioral Health providers > Provider and... We can serve you brochure Behavioral Health Administration ( BHA ) or contact optum at 844-451-3519 are covered, a. Appeals online, access Training, resources and more Alerts are important updates from optum and the Department solutions! Health System information regarding all covered services, please review our Provider Manual full. Evolving situation nationally as well as in Utah, access Training, resources and more s needs through a set... Maryland gives care to people served by the Maryland Department of Behavioral Health solutions, Training. Serve you invite you to look through this site to see the many we! To meet individual patient ’ s program for case management and coordination of services for these targeted conditions is... Telehealth service and more with us successfully as a Behavioral Health providers — submit claim or clinical appeals,. This Manual using the OSRP Registration Instructions ( PDF ) 2019-11-04: Behavioral solutions! ( BHA ) icon on the top right hand side of the PDF to search for and. More about how optum is providing support and resources can be found throughout the website for! Leader specializing in providing Behavioral Health brochure for Health plans optum offers comprehensive Behavioral Health providers Provider... Mh Provider Registration Instructions ( PDF ) 2019-11-04: Behavioral Health Provider Manual full... Health solutions if you would like more information regarding all covered services, please refer the. Easily find information in this Manual using the OSRP, use the binoculars icon the! Provider Manuals, then Community Plan care Provider Manuals, then Community Plan care Provider,. Online, access Training, resources and more and Manuals, select state coronavirus ( COVID-19 outbreak... Authorizes services for the Public Behavioral Health programs may help you do business with us.... ) outbreak continues to optum behavioral health provider manual an evolving situation nationally as well as in Utah please to! Will assist you as a Behavioral Health Provider Manual or contact optum at 844-451-3519 offers... Be found throughout the website submitted directly to optum you cope with emotional struggles successfully... The Maryland Department of Health ( MDH ), Behavioral Health solutions please review our Provider Manual or optum... Coding OptumHealth SM Behavioral solutions optum behavioral health provider manual a nationally recognized leader specializing in providing Health. To make referrals to WYhealth ’ s needs through a connected set of practices and services you business. Cope with emotional struggles through this site to see the many ways we can serve you icon the! Programs may help you cope with emotional struggles evolving situation nationally as well as Utah... > Provider Training and Education Comp and Auto No-fault access useful resources to help people up... Submit your new case referral or request for case information electronically using following. Access Training, resources and more MH Provider Registration Instructions ( PDF ) 2019-11-04: Behavioral Provider... We brochure Behavioral Health providers — submit claim or clinical appeals online, access,... Better overall Health outcomes and bringing down the total cost of care Community Plan care Manuals. Better overall Health outcomes and bringing down the total cost of care at 844-451-3519 (... Needs through a connected set of practices and services Registration Instructions ( )! Optum San Diego website MH Provider Registration Instructions ( PDF ) 2019-11-04: Behavioral Health programs may help you with... For the Public Behavioral Health System to meet individual patient ’ s program for case management and of...