Bcn Behavioral Health Manual

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Behavioral health utilization management criteria (local rules)

(Just Now) WebBCN 2023 Local Rules: Adult/Geriatric Residential Mental Health Treatment. In applying InterQual® 2023 criteria to different benefit packages, Blue Cross Blue Shield of …

https://www.bcbsm.com/amslibs/content/dam/public/common/documents/2023-bcn-local-rules-residential-mental-behavioral-health-adult-geriatric-child-adolescent.pdf

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Useful tools and hints for BCN behavioral health providers

(7 days ago) WebAdditional claim tips are found in the Behavioral Health chapter of the BCN Provider Manual and on BCN’s web-DENIS Billing / Claims page. Instructions for completing the …

https://ereferrals.bcbsm.com/bh_providers_tools_hints.pdf

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Blue Cross and BCN contacting behavioral health providers …

(4 days ago) WebBCN Provider Manual: 1. Click . BCN commercial and BCN Advantage. SM. 2. Scroll down to the . Access to Care (PDF) chapter. 3. Click . Behavioral health …

https://providerinfo.bcbsm.com/documents/alerts/2023/202308/alert-20230801-behavioral-health-appt-access-calls.pdf

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April 2021 Blues Brief - BCBSM

(3 days ago) WebBehavioral Health Eligibility and Type GridLearning Opportunities Behavioral Health general resources, forms, utilization management criteria, Behavioral Health Incentive …

https://www.bcbsm.com/content/dam/microsites/corpcomm/provider/blues_brief/assets/pdf/2021/bluesbrief_BH_0421.pdf

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Quick Reference Guide for Horizon Behavioral HealthSM …

(1 days ago) Web1-800-991-5579 (for NJ State Health Benefits Program only) Address for claims submitted via paper: Horizon BCBSNJ Horizon Behavioral Health PO Box 10191 Newark, NJ …

https://s21151.pcdn.co/wp-content/uploads/HBH_QRG_HBCBSNJ.pdf

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BCN to use updated InterQual® ABA criteria starting March 1

(7 days ago) WebImportant: The severity is categorized as mild, moderate, or severe, and general guidelines for these severity categories can be found in the InterQual criteria …

https://providerinfo.bcbsm.com/documents/alerts/2022/202212/alert-20221220-bcn-updated-interqual-criteria-march-1.pdf

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OUTPATIENT PSYCHIATRIC CARE (OPC) FACILITY - BCBSM

(2 days ago) WebBCBSM’s Mental Health and Substance Abuse Managed Care (MHSAMC) program is utilized by select manuals, newsletters (e.g., The Record), the Magellan Behavioral …

https://www.bcbsm.com/content/dam/public/Providers/Documents/enrollment/OPC-GI.pdf

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BCN referral and authorization requirements for non …

(1 days ago) WebFor bariatric surgeries, non-Michigan providers must contact BCN Utilization Management at 1-800-392-2512 prior to performing the surgery. Behavioral health outpatient services …

https://www.bcbsm.com/amslibs/content/dam/public/providers/documents/medical-policy-router-bcn-requirements.pdf

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BCN Partners in Care - ospdocs.com

(7 days ago) WebTo request criteria for behavioral health decisions, call the BCN Behavioral Health department at 1-877-293-2788. We’ll mail the criteria to you free of charge if you don’t …

https://www.ospdocs.com/resources/uploads/files/W003951_BCN_PartnersInCareNewsletter_2021_WEB.pdf

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Credentialing Process Overview - Horizon BCBSNJ

(5 days ago) WebManuals & User Guides: 4. Click : Agreements: If you have trouble accessing our Agreements online, please review the : Horizon BCBSNJ Email Share: Behavioral …

https://www.horizonblue.com/sites/default/files/2020-04/32244_Other_healthcare_professional_checklist.pdf

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Horizon Behavioral Health

(7 days ago) WebIf you or a loved one is dealing with daily challenges or serious conditions, Horizon Behavioral Health can help connect you with care, including: Asking for help can be …

https://www.horizonblue.com/members/health-programs/horizon-behavioral-health

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WebBehavioral Health Services • Horizon Behavioral Health: 1-800-682-9094, prompt 6, or [email protected] Nursing Facility • When a resident that is auto …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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Certified Community Behavioral Health Clinics (CCBHC) …

(2 days ago) WebDepartment of Health and Human Services (HHS) to publish criteria for clinics to be cer ﬁed as Cer ﬁed Community Behavioral Health Clinics (CCBHCs). In 2015, …

https://eohhs.ri.gov/sites/g/files/xkgbur226/files/2024-05/RI%20CCBHC%20MCO%20Operations%20Manual_05.10.2024.pdf

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