Alameda Alliance Behavioral Health Areas Of Expertise Provider Form

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Forms ACBH Providers Website - acbhcs.org

(7 days ago) WebStaff Authorization Request Form. The Help Desk will no longer accept requests that are either faxed or emailed. Please submit request using the Web Portal/E-Forms page. If …

https://bhcsproviders.acgov.org/providers/Forms/Forms.htm

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Provider Manual - Alameda Alliance for Health

(1 days ago) WebQuestions? Call the Alliance Provider Services Department, Monday – Friday, 7:30 am – 5 pm at 1.510.747.4510. Visit us online at www.alamedaalliance.org. 9 DEPARTMENT …

https://alamedaalliance.org/wp-content/uploads/Provider-Manual_10072021-clean.pdf

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Behavioral Health (BH) Care – Autism Evaluation, BHT/ABA …

(3 days ago) WebPlease fax the completed form along with all pertinent clinical documents to the Alliance Behavioral Health Department at 1.855.891.9163 or send a secure email to …

https://alamedaalliance.org/wp-content/uploads/BH-Care-Autism-Evaluation-BHT-ABA-Referral-Form_03302023-clean.pdf

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ACCESS Program – Alameda County Behavioral Health

(9 days ago) WebAlameda County Behavioral Health’s (ACBH) ACCESS Program is the system wide point of contact for information, screening and referrals for mental health and substance use …

https://newcomerswelcome.acgov.org/resource/access-program/

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Mental Health Screening Tool and Referral Instructions for …

(7 days ago) WebAlameda County Behavioral Health Care Services Providers KEY CONTACT INFORMATION Mental Health Plan (MHP) / Specialty Mental Health Services (SMHS) : …

https://bhcsproviders.acgov.org/providers/network/docs/Forms/Screening_Tool_Referral_Instruct.pdf

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Alliance Members - Alameda Alliance for Health

(1 days ago) WebA doctor (also called a primary care provider or PCP) Specialist; Clinic, urgent care, hospital, pharmacy, lab, and durable medical equipment (DME) Alliance partner …

https://en.alamedaalliance.org/

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Authorizations - Community Health Center Network

(8 days ago) WebPrior Authorization and Referral Form (Download PDF) Retro Authorizations. Retro authorizations will be reviewed within the 90-calendar day allowable time frame for …

https://chcnetwork.org/authorizations/

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Medical Records Request – Alameda County Behavioral …

(7 days ago) WebIf you have any questions regarding release of health information from Alameda County Behavioral Health Care, please call 1 (510) 567-6884. You may deliver your forms in person, via fax, or by mail. Alameda …

https://www.acbhcs.org/plan-administration/medical-records-request/

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Behavioral Health (BH) Care Prior Authorization (PA) Request …

(1 days ago) Web2. Please fax the completed form to the Alliance Behavioral Health Department at 1.855.891.9163 or send a secure email to [email protected]. For …

https://alamedaalliance.org/wp-content/uploads/BH-Care-PA-Form_03302023-clean.pdf

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Provider Name: Provider Type and Specialty - Blue Cross and …

(8 days ago) WebAn Area of Expertise in Eating Disorders designation is available only to Providers who answer "Yes" to all 4 questions above. Behavioral Health - Areas of Expertise. …

https://www.bcbstx.com/docs/provider/tx/network/request-contract-agreement-network-part/behavioral-health-aoe-form.pdf

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Behavioral Health Professional Areas of Expertise

(9 days ago) WebAn Area of Expertise in Eating Disorders designation is available only to providers who answer “Yes” to all of the above questions. Blue Cross and Blue Shield of Texas …

https://www.bcbstx.com/docs/provider/tx/network/prov-onboarding-proc/behavioral_health_aoe_form.pdf

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MENTAL HEALTH PLAN FEE-FOR-SERVICE PROVIDER BRIEF …

(4 days ago) WebForm No. 50-01 (Revised 1/5/24) MENTAL HEALTH PLAN FEE-FOR-SERVICE PROVIDER BRIEF APPLICATION In order to meet the needs of Alameda County’s …

https://bhcsproviders.acgov.org/providers/network/docs/forms/Brief%20Application.pdf

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ALAMEDA ALLIANCE FOR HEALTH SUMMARY OF KEY …

(6 days ago) WebAlameda Alliance for Health ATTN: Alliance Provider Services Department 1240 South Loop Road Alameda, CA 94502 Fax: 1.877.747.4508 Email: …

https://alamedaalliance.org/wp-content/uploads/Summary-of-Key-Information_06292021.pdf

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Beacon Health Options – Alameda Alliance for Health Primary …

(Just Now) Web☐ Outpatient Behavioral Health Services: Refer members interested in therapy or medication management via Beacon’s network when needs are outside PCP scope. …

https://www.stanfordchildrens.org/content-public/pdf/medical-home-project/alameda/alameda-alliance-beacon-referral-english2019.pdf

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Behavioral Health Areas of Expertise PROVIDER …

(8 days ago) WebPROVIDER INFORMATION Provider Group Individual Name Primary Practice Address Provider Type TIN NPI . Check all applicable age groups that you service. …

https://www.bcbsnm.com/pdf/forms/bh-areas-of-expertise.pdf

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CalAIM Community Support Page - Community Health Center …

(3 days ago) WebA key feature of CalAIM is the introduction of a menu of Community Supports, or in lieu of services (ILOS), in managed care. ¹. This landing page is to help providers and …

https://chcnetwork.org/calaim-community-support-page/

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Provider Enrollment - Alliance Health

(1 days ago) WebAll providers are required to notify Alliance at [email protected] at a minimum of 30 days in advance regarding potential site address changes, …

https://www.alliancehealthplan.org/providers/network/become-a-provider/provider-enrollment/

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PROVIDER RESOURCE GUIDE Alameda Alliance for Health …

(4 days ago) WebPlease call Alliance Health Programs Monday – Friday, 8 am – 5 pm Phone Number: 1.510.747.4577 www.alamedaalliance.org PROVIDER RESOURCE GUIDE A lameda …

https://alamedaalliance.org/wp-content/uploads/Provider-HE-Resource-Directory_v2.pdf

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