Behavioral Health Utilization Program

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Behavioral Health Utilization Management Program Overview

(3 days ago) WEBThe Behavioral Health Program also allows the Behavioral Health team to “touch” every member who uses behavioral health care services via our state-of-the-art analytics to identify those who could potentially benefit from our array of programs and services. …

https://www.bcbstx.com/provider/clinical/clinical-resources/bh-utilization-management-program

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CMS Behavioral Health Strategy CMS

(Just Now) WEBThe CMS Behavioral Health Strategy focuses on three key areas: 1) substance use disorders prevention, treatment and recovery services, 2) ensuring …

https://www.cms.gov/cms-behavioral-health-strategy

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Behavioral Health Utilization Management Program Overview

(Just Now) WEBBCBSIL is responsible for the effective management of its members’ behavioral health benefits. That is why the Behavioral Health Focused Outpatient Management Program …

https://plans.bcbsil.com/provider/clinical/bh_outpatient_management_program.html

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Utilization Management Guidelines & Manual Texas Health and …

(Just Now) WEBThe Utilization Management Program Manual is a resource for technical assistance to providers to develop and monitor their local UM programs and processes. Providers of …

https://www.hhs.texas.gov/providers/behavioral-health-services-providers/behavioral-health-provider-resources/utilization-management-guidelines-manual

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Behavioral Health Quality Framework: A Roadmap for Using

(3 days ago) WEBunderstand the needs and challenges of entities responsible for BH care across the health care system. Findings An environmental scan of 39 active federal programs that …

https://www.ncqa.org/wp-content/uploads/2021/07/20210701_Behavioral_Health_Quality_Framework_NCQA_White_Paper.pdf

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BEHAVIORAL HEALTH UTILIZATION MANAGEMENT …

(1 days ago) WEBBehavioral Health Utilization Review Program Responsibilities AZPC will develop policies and procedures that are utilized to support UM decisions. AZPC policies and procedures …

https://azprioritycare.com/wp-content/uploads/2021/06/2021-Behavioral-Health-UM-Program.pdf

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Behavioral Health Utilization Management Guide

(7 days ago) WEB1. Covered services that do require prior authorization: a. All out-of-network services, except emergency services b. Psychiatric in-patient hospitalization including Institute for Mental …

https://www.amerihealthcaritasnc.com/assets/pdf/provider/behavioral-health-um-guide.pdf

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Utilization Management in a Large Managed Behavioral …

(4 days ago) WEBJürgen Unützer, M.D., M.P.H. Objective: The utilization management process of a managed behav-ioral health organization was examined to determine the frequency …

https://ps.psychiatryonline.org/doi/pdf/10.1176/appi.ps.51.5.621

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Utilization Management - Behavioral Healthcare Options

(7 days ago) WEBOur comprehensive utilization management is a systematic approach to addressing your members' behavioral health care needs. We are fully accredited by Utilization Review …

https://www.bhoptions.com/employer/utilization-management

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CARE MANAGEMENT AND UTILIZATION MANAGEMENT

(5 days ago) WEBBlue Cross and BCN — crisis services. As part of our crisis services program, pediatric and adult members1 have the following options for receiving help if they’re having a mental …

https://ereferrals.bcbsm.com/docs/common/common-cm-um-behavioral-health.pdf

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Healthcare Utilization and Spending for Children with Mental …

(3 days ago) WEBFor example, youth enrolled in behavioral health utilization management programs are authorized to receive fewer services than recommended by evidence-based guidelines. …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7340572/

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Health Utilization Management Certification - URAC

(4 days ago) WEBThrough URAC’s Health Utilization Management (HUM) Certifications, we help you meet the needs of your URAC-accredited partners. Whether you are performing delegated or …

https://www.urac.org/accreditation-cert/health-utilization-management-certification/

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Behavioral Health Agency for Healthcare Research and Quality

(Just Now) WEBThe Academy for Integrating Behavioral Health and Primary Care (the Academy) is an online portal developed by AHRQ to serve as a national resource and coordinating …

https://www.ahrq.gov/topics/behavioral-health.html

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State Approaches to Behavioral Health Measures in Medicaid

(Just Now) WEBIn late 2022, the National Academy for State Health Policy (NASHP) conducted a scan of Medicaid managed care programs to identify which behavioral …

https://nashp.org/state-approaches-to-behavioral-health-measures-in-medicaid-managed-care/

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Employer-Sponsored Behavioral Health Program Impacts on Care …

(7 days ago) WEBABSTRACT. Objectives: To examine the impact of an employer-sponsored behavioral health (BH) program on all-cause health care utilization and cost. Study …

https://www.ajmc.com/view/employer-sponsored-behavioral-health-program-impacts-on-care-utilization-and-cost

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Primary and Behavioral Health Care Integration Program: Impacts …

(6 days ago) WEBSpecifically, utilization, cost, and quality outcomes are compared for individuals served by a diverse set of U.S. Department of Health and Human Services …

https://aspe.hhs.gov/reports/primary-behavioral-health-care-integration-program-impacts-health-care-utilization-cost-quality-0

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SAMHSA’s Behavioral Health Equity Fact Sheet

(1 days ago) WEBSAMHSA’s mission is to promote mental health, prevent substance misuse, and provide treatments and supports to foster recovery while ensuring equitable access and …

https://www.samhsa.gov/sites/default/files/health-equity-fact-sheet.pdf

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Promoting Integration of Primary and Behavioral Health Care …

(5 days ago) WEBBehavioral Health Care (PIPBHC) Program Overview FOA: SM-24-003 fy-2024-pipbhc-states-sm-24-003.pdf (samhsa.gov) April 17, 2024 3:00 PM Eastern Standard Time …

https://www.samhsa.gov/sites/default/files/grants/pdf/other/fy-2024-pipbhc-slides-sm-24-003.pdf

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Horizon Blue Cross Blue Shield of New Jersey Points of Contact

(3 days ago) WEBHorizon Behavioral HealthSM Provider Relations, credentialing and contracting questions Authorizations, complaints, appeals and/or general inquiries eBusiness helpdesk 1-800 …

https://www.horizonblue.com/sites/default/files/2017-04/2017_Navigating_Horizon_POC_Worksheet_FINAL.pdf

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WEBCall Utilization Management (UM) Department at 1-800-682-9094 a minimum of five business • Horizon Behavioral Health: 1-800-682-9094, prompt 6, or …

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

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BehavioralHealth-Publications - Department of Human Services

(9 days ago) WEBNCQA or URAC Certifications. As per CFR 438.332, the department posts the certificate of accreditation by a Private Independent Entity. The posted certificates reflect the …

https://www.dhs.pa.gov/HealthChoices/HC-Services/Pages/BehavioralHealth-Publications.aspx

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Biden-Harris Administration Announces $46.8 Million in Behavioral

(9 days ago) WEBThe funding opportunities invest in a range of critical behavioral health efforts: Minority Fellowship Program – $15.4 million – This program aims to reduce health …

https://www.hhs.gov/about/news/2024/05/08/biden-harris-administration-announces-46-8-million-behavioral-health-funding-opportunities-advance-president-bidens-unity-agenda-may-mental-health-awareness-month.html

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FY 2024 Behavioral Health Service Expansion - bphc.hrsa.gov

(7 days ago) WEBIncrease access to behavioral health services through starting or expanding: Mental health services . and SUD services . Eligibility • Health Center Program award …

https://bphc.hrsa.gov/sites/default/files/bphc/funding/fy2024-bhse-ta-presentation-applicants.pdf

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Behavioral Health in New Jersey Hackensack Meridian Health

(Just Now) WEBBehavioral health, mental health, and psychiatry – these are all related terms for emotional health and well-being. It is long overdue that society treated these issues like …

https://www.hackensackmeridianhealth.org/en/services/behavioral-health

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Participation in a Value-Based Insurance Design Program and …

(8 days ago) WEBKey Points. Question Was participation in a California public payer’s value-based insurance design (VBID) program associated with desired changes in health …

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2802353

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We at Rutgers Health understand information about you and …

(6 days ago) WEB• Rutgers University Behavioral Health Care • University Physician Associates of New Jersey, Inc. • Graduate School of Applied and Professional Psychology The schools, …

https://ubhc.rutgers.edu/documents/About%20Us/RH-Notice-of-Privacy-Practices-updated-10.1.18.pdf

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COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF …

(6 days ago) WEBHealthChoices Behavioral Health Program Requirements for Count y . utilization review (DUR) program approved by the . Department. This system is based on federal . …

https://www.dhs.pa.gov/HealthChoices/HC-Services/Documents/2023%20Updated%20Documents/HC-BH-PSR-1.1.24.pdf

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Behavioral Health Workforce Shortages and State Resource Systems

(6 days ago) WEBAt least four 2023 awardees have a training focus on behavioral health care apprenticeships. Washington State has a multi-partner program with apprenticeship …

https://www.ncsl.org/labor-and-employment/behavioral-health-workforce-shortages-and-state-resource-systems

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Fact Sheet: Expand Behavioral Health Workforce - Sites@Duke

(Just Now) WEBadminister grants to community colleges to enhance behavioral health workforce training programs” • $50 million over two years is provided to expand the NC. …

https://sites.duke.edu/nclf/files/2024/05/4.-Expand-Behavioral-Health-Workforce-Fact-Sheet-FINAL.pdf

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Illinois Medicaid Comprehensive Assessment of Needs and Strengths

(4 days ago) WEBThe IM+CANS serves as the foundation of Illinois’ efforts to transform its publicly funded behavioral health service delivery system. It was originally developed …

https://hfs.illinois.gov/medicalprograms/behavioral/illinoismedicaidcomprehensiveassessmentofneedsandstrength.html

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Eugene Police Department launches new co-responder program …

(8 days ago) WEBThe Eugene Police Department recently began embedding a Lane County Behavioral Health professional with police for mental health-related calls in downtown …

https://www.opb.org/article/2024/05/07/eugene-police-department-volunteer-civilian-mental-behavioral-health/

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Family Support Program (FSP) - hfs.illinois.gov

(7 days ago) WEBFamily Support Program funded residential treatment services are subject to medical necessity and utilization reviews in accordance with 89 Illinois Administrative Code …

https://hfs.illinois.gov/medicalprograms/behavioral/familysupportprogram.html

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Health Systems and Health Economics Program Officer

(1 days ago) WEBBSR seeks program officers in this area. Role. Health Systems and Health Economics: This Program Officer will support the development and management of a portfolio of …

https://www.nia.nih.gov/about/careers/division-behavioral-and-social-research/health-systems-and-health-economics-program

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EPD launches program to promote safety downtown, support …

(1 days ago) WEBThe Eugene Police Department is rolling out a new program aimed at diverting police from non-emergency calls involving people experiencing a behavioral …

https://www.registerguard.com/story/news/local/2024/05/08/eugene-police-department-launches-program-to-promote-safety-downtown-support-public-health/73593245007/

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Program Officer, Technology Development for Behavioral and …

(6 days ago) WEBNIA's Division of Behavioral and Social Research (BSR) offers a scientifically energizing and collegial environment with opportunities to engage the scientific community and …

https://www.nia.nih.gov/about/careers/division-behavioral-and-social-research/program-officer-technology-development

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Health Scientist Administrator, Behavioral and Systems …

(3 days ago) WEBNIA's Division of Neuroscience (DN) is accepting applications for a Health Scientist Administrator in the Behavioral and Systems Neuroscience Branch, Affective …

https://www.nia.nih.gov/about/careers/division-neuroscience/health-scientist-administrator-behavioral-and-systems

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