Valueoptions.com

MemberConnect

Explore Health Information. Visit our Achieve Solutions site for valuable information and tools on hundreds of helpful topics. Get Coaching & Support. Get answers to personal or work challenges with these online resources. Visit Your Medicaid Site. Learn more about your state's Medicaid mental health services. Complete Outpatient Survey

Actived: 4 days ago

URL: https://www.valueoptions.com/mc/eMember/memberPreRegistration.do

MemberConnect

(9 days ago) Explore Health Information. Visit our Achieve Solutions site for valuable information and tools on hundreds of helpful topics. Get Coaching & Support. Get answers to personal or work challenges with these online resources. Visit Your Medicaid Site. Learn more about your state's Medicaid mental health services. Complete Outpatient Survey

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MemberConnect

(5 days ago) Explore Health Information. Visit our Achieve Solutions site for valuable information and tools on hundreds of helpful topics. Get Coaching & Support. Get answers to personal or work challenges with these online resources. Visit Your Medicaid Site. Learn more about your state's Medicaid mental health services. Complete Outpatient Survey

Category:  Health And Life Go Coupon

MemberConnect

(9 days ago) Explore Health Information. Visit our Achieve Solutions site for valuable information and tools on hundreds of helpful topics. Get Coaching & Support. Get answers to personal or work challenges with these online resources. Visit Your Medicaid Site. Learn more about your state's Medicaid mental health services. Complete Outpatient Survey

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MemberConnect

(2 days ago) Beacon Health Options of Pennsylvania For members (employees or their beneficiaries) who enroll in a Beacon Health Options-sponsored mental health benefit plan or employee assistance plan through your employer, please contact us by calling the toll-free number provided to you by your employer.

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Beacon Health Options Provider Handbook Beacon Health

(1 days ago) While Beacon Health Options, Inc. is licensed in numerous states as a third party administrator and/or utilization review agent of behavioral health services, some of the Beacon’s affiliates and subsidiaries are licensed as full service or limited service health plans operating in a designated state.

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ABCs of Mental Health Care

(Just Now) Explore Health Information. Visit our Achieve Solutions site for valuable information and tools on hundreds of helpful topics. Get Coaching & Support. Get answers to personal or work challenges with these online resources. Visit Your Medicaid Site. Learn more about your state's Medicaid mental health services. Complete Outpatient Survey

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ValueOptions® Provider Online Services: News

(9 days ago) Mental Health Parity Act. The Mental Health Parity and Addiction Equity Act of 2008 aligns mental health/substance use benefits and medical/surgical benefits for group health plans with more than 50 employees. PLEASE NOTE: Notification and review requirements may change or be modified to be in line with medical plans.

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Great-West Healthcare

(4 days ago) mental health and substance abuse services. a) Contact ValueOptions’ customer service at 866-714-2960 for pre certification of services for all members for admission to Inpatient levels or alternative levels of care on or after April 1, 2006. b) Please note that ValueOptions is staffed by clinical care managers for the receipt of urgent and

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VALUEOPTIONS CONTACT INFORMATION

(5 days ago) ValueOptions Contact Information Page 2 of 3 Fraud and Abuse Reports of fraud and abuse, or suspicions thereof, can be made in writing to:

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Companion Guide

(8 days ago) • The Health Coverage loop (2300) is limited to 99 repetitions per member. • The Provider Information loop (2310) is limited to 30 repetitions per Insurance product. Although the Member Level Detail loop (2000) is defined in the implementation guide with a repetition of >1, the

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Senior Whole Health Frequently Asked Questions

(4 days ago) for both mental health and substance abuse services. To pre-certify care, providers should remember the following: a) Contact ValueOptions® at 1-866-300-0217 for pre-certification of services for admission to inpatient levels or alternative levels of care.

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276/277 Health Care Claim Status Request and Response

(6 days ago) Status Request transaction that the health plan will accept. • 276 Health Care Claim Status Request – ASC X12N 276 (004010X093A1) Response Transactions Supported This section is intended to identify the response transactions supported by the health plan. • TA1 Interchange Acknowledgement • 997 Functional Acknowledgement

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Behavioral Health Revenue Codes

(4 days ago) The Health Insurance Portability and Accountability Act (HIPAA) requires covered entities to use standard codes on claim transactions. As a result of this requirement state, local and proprietary behavioral health codes will be unavailable for use. AMBHA made a request to the NUBC to establish revenue codes for

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EAPA STANDARDS AND PROFESSIONAL GUIDELINES

(5 days ago) mental health. More specifically, an EAP is a workplace program designed to assist: (1) work organizations in addressing productivity issues, and (2) "employee clients" in identifying and resolving personal concerns, including health, marital, family, financial, …

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Untitled Document [www.valueoptions.com]

(7 days ago) Mental health issues . Depression ; ValueOptions’ behavioral health care utilization statistics suggests that this stoic generation is least likely to seek mental health services. For this generation depression is an embarrassment and should be addressed quietly, alone and out of the public eye.

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Find a Provider

(Just Now) Beacon Health Options of California (Beacon of California) is a subsidiary of Beacon Health Options (Beacon). In order to search for a provider in the Beacon of California Mental Health or Substance Use Disorder or Mental Disorder (MHSUD) and/or Employee Assistance Program (EAP) networks, you have been directed to ReferralConnect, Beacon's Provider Directory.

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Grievance Form

(2 days ago) The California Department of Managed Health Care is responsible for regulating health care service plans. If you have a grievance against your health plan, you should first telephone your health plan at (1-800-228-1286) and use your health plan's grievance process before contacting the department.Utilizing this grievance procedure does not prohibit any potential legal rights or remedies that

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RESIDENTIAL TREATMENT DEFINITIONS

(5 days ago) Health Choice – Treatment is provided in a structured program setting by providers directly enrolled in Medicaid and licensed by the Division of Facility Services under N.C.G.S 122C. Medicaid - Treatment is provided in a structured program setting by directly enrolled providers or with staff employed by or contracted by an area program.

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Group Insurance Commission

(Just Now) PO Box 10191. Newark, NJ 07101-3189. FEP Members: PO Box 656. Newark, NJ 07101-0656. BlueCard Members: PO Box 1301. Neptune, NJ 07754-1301. *Please continue to use old addresses for the submission of behavioral health paper claims for dates of service prior to July 1, 2014.

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Careline CDR Manual

(Just Now) Mental health and substance abuse treatment coverage for General Motors and Delphi Corporation-Traditional and Preferred Provider Organizations (PPO) option enrollees are to be provided through a managed care program. The program is designed to provide quality care in the

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Medical Necessity Criteria

(4 days ago) Beacon Health Options National Medical Necessity/Level of Care Criteria Beacon Health Options (Beacon) uses its Medical Necessity Criteria (MNC) as guidelines, not absolute standards, and considers them in conjunction with other indications of a member’s needs, strengths, and treatment history in determining the best placement for a member.

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Claims Billing Audits 2007 rev

(7 days ago) members and enhances the health care delivery system as a whole. Abuse or Inappropriate Billing Examples ValueOptions defines abuse as any practice, direct or indirect, that is inconsistent with sound or established fiscal, business, insurance, or medical practices and results in an unnecessary cost to a behavioral health benefits program.

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TREATING PATIENTS WITH ACUTE

(7 days ago) general health, and academic and occupational performance. 8. Increase understanding of and adaptation to the psychosocial effects of the disorder. Monitor presence, type(s), and severity of medical symptoms continuously. 9. Evaluate and manage physical health and functional impairments. Assess level of functioning on an ongoing basis.

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278 Companion Guide

(8 days ago) • 278 Health Care Services Review - Response– ASC X12N 278 (004010X094A1) NOTE: The TA1 and 997 acknowledgements will be supported for real-time transactions. Delimiters Supported A delimiter is a character used to separate two data elements or sub-elements, or to terminate a segment.

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Find a Provider

(5 days ago) Beacon Health Options of California (Beacon of California) is a subsidiary of Beacon Health Options (Beacon). In order to search for a provider in the Beacon of California Mental Health or Substance Use Disorder or Mental Disorder (MHSUD) and/or Employee Assistance Program (EAP) networks, you have been directed to ReferralConnect, Beacon's Provider Directory.

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Keys to Recovering from Depression

(1 days ago) Family, friends, health, work, or school can all be seriously impacted by the disease. However, depression is a very treatable disease. There is hope. We have designed this workbook with three main goals in mind: First, for those who have already been diagnosed with a …

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New York State Telehealth Law

(1 days ago) A. Telehealth is also commonly known as telemedicine, telepsychiatry or telemental health (TMH). For Commercial product lines: Telehealth means the use of electronic information and secure communication technologies by a health care provider to deliver services to an individual when the individual is located at a different site than the provider.

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Behavioral Health Policy and Procedure Manual for Providers

(6 days ago) A Health and Recovery Plan (HARP) is a special needs plan that focuses on adults with significant behavioral health needs. The plan addresses these needs through the integration of physical health, mental health, and substance use services. In addition to the State Plan Medicaid services offered by

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ORF1 Outpatient Registration Form 2

(Just Now) OUTPATIENT REGISTRATION FORM (ORF 1) ValueOptions 2005 Rev. 1.03.08 Requested Start Date for this Authorization ____/____/____ NOTE: This form cannot be …

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Council for Affordable Quality

(Just Now) needs of nearly every health plan, hospital and other healthcare organization. ProView enables physicians and other healthcare professionals in all 50 states and the District of Columbia to enter information free-of-charge into a secure central database, then authorize healthcare organizations to access that information.

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List of Psychological Tests

(Just Now) 3-18 ; 30 . ADHD Rating Scale . Behav Rating Scale ; 4 – 18 . 15 ; Adolescent Anger Rating Scale . Behav Rating Scale . 11-19 ; 15 . Adolescent Apperception Cards

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Merger FAQs

(9 days ago) For example, if Beacon Health Strategies holds a contract with a particular plan and there is a need for providers in that area, ValueOptions may send a notice to its providers to advise their agreement will be extended to include referrals for members under that plan.

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CLINICAL CRITERIA 7.0 Other 7.102

(9 days ago) Beacon Health Options Policies and Procedure and Medical Necessity Criteria cover the operations of all entities within the BVO Holdings, LLC corporate structure, including but not limited to Beacon Health Strategies LLC, Beacon CBHM LLC and ValueOptions, Inc. Beacon Health Strategies, LLC is a Beacon Health Options Company. 7.0 Other

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Grier Provider initiated Notice

(6 days ago) Health. The Grier Consent Decree The consent decree provides a way for members to receive notice of adverse actions and the ability to appeal the decisions that providers and MCCs are making about their treatment. What is an Adverse Action? An adverse action is any Delay

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Frequently Asked Questions

(1 days ago) Health, for the entire length of stay (into 2010) as long as the admission remains at that level of care and is medically necessary. The claim for the entire length of stay will be adjudicated and paid by CIGNA Health. ValueOptions ® 2. Any patient admitted to inpatient (including acute care, detoxification,

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Sub-Acute Mental Health Services

(1 days ago) Sub-Acute Mental Health Services . Service/Program Definition . Sub-Acute facilities are psychiatric residential treatment facilities (PRTF) that provide psychiatric and other therapeutic and clinically informed services to individuals under age 21, whose immediate treatment

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GHI-BMP PROVIDER BILLING INSTRUCTIONS

(2 days ago) mental health sessions. All contracted CPT codes would apply with the exception of psychological testing, which will continue to require pre-certification. The initial ten (10) sessions are per member, per provider, per year. Initial case registration for Outpatient Mental Health (OPMH) cases are no longer required due to the 10 -visit waiver.

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Mental Health / Substance Abuse Treatment Claim Form

(4 days ago) Mental Health / Substance Abuse Treatment Claim Form DIRECTIONS FOR COMPLETION If you are in treatment with a non-participating Beacon Health Options, Inc. (Beacon) provider and your provider has indicated that you will be responsible to file your claim, please take this claim form with you to your visit.

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ICD-10 Provider Frequently Asked Questions

(3 days ago) Yes, all Beacon Health Options’ contracts will be moving to ICD-10 effective October 1, 2015 in compliance with federal regulations. Please note: ValueOptions is a Beacon Health Options’ company. Please visit our website or view our Frequently Asked Questions for more information regarding our merger. ICD-10 Clinical Questions

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Applied Behavior Analyst (ABA) Credentialing Criteria

(Just Now) Ambulatory Health Care (AAAHC), Det Norske Veritas(DNV), or Community Health Accreditation Program (CHAP). When not accredited, a site visit review must be completed prior to the credentialing decision being made. 5. Certification from Medicare, Medicaid, …

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Empire Plan Mental Health and Substance Abuse (MHSA

(3 days ago) PaySpan Health is the software that PaySpan, Inc. uses for online registration for EFT. PaySpan Health is a multi-payer adjudicated invoices settlement service that delivers electronic payments and electronic remittance advices based on your provider preferences. With PaySpan Health

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ReferralConnect- What is a Master Level Counselor

(5 days ago) Mental Health Counselor (MHC): Has a Master's degree in mental health discipline from a regionally accredited college or university. State license or certified at the highest level independent Practice in the state where practice is to occur. Not qualified to prescribe or dispense medications.

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Applied Behavior Analyst (ABA) Provider Frequently Asked

(1 days ago) PaySpan Health is the software that Payformance uses for online registration for EFT. PaySpan Health is a multi-payer adjudicated invoices settlement service that delivers electronic payments and electronic remittance advices based on your provider preferences. Once registered through PaySpan Health, you stay in control of bank

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ReferralConnect- What is psychological testing

(3 days ago) A typical psychological assessment includes an interview with a mental health practitioner and one or more formal psychological tests. The person may be able to complete some tests on his own; others may be completed with an examiner. Upon a referral for psychological testing, one should recognize that the intent is to gain a deeper, more

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