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Behavioral health utilization management criteria (local rules)

(3 days ago) WEBThese local rules apply to all BCN commercial, BCN Advantage and Medicare Plus Blue members statewide whose care is coordinated by BCN’s and Medicare Plus Blue’s …

https://www.bcbsm.com/amslibs/content/dam/public/common/documents/2023-bcbsm-bcn-local-rules-mental-behavioral-health-partial-hospitalization-program.pdf

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BCN Behavioral Health - Blue Cross Blue Shield of Michigan

(Just Now) WEBBehavioral health fee schedule on Provider Resources (PDF) — Access this document on our Provider Resources site, which is accessible through Availity ® Essentials. It’s …

https://ereferrals.bcbsm.com/bcn/bcn-behavioral_health.shtml

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BCN behavioral health utilization management criteria

(1 days ago) WEBBlue Care Network Criteria - effective 08/01/2017 2 INTRODUCTION Treatment for mental health and substance abuse/chemical dependency conditions is covered when the …

http://ereferrals.bcbsm.com/docs/bcn/bcn-behavioral_health_criteria.pdf

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Blue Cross and BCN: Telehealth for behavioral health providers

(9 days ago) WEBAbleTo providers are in network for telemedicine visits for members who have mental health benefits through Blue Cross or BCN, for dates of service on or after July 15, …

https://providerinfo.bcbsm.com/documents/billing-claims/telehealth/telehealth-behavioral-health-providers.pdf

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More information about the Jan. 1 behavioral health changes

(4 days ago) WEBAs a reminder, starting Jan. 1, 2024, Blue Cross Blue Shield of Michigan and Blue Care Network will consolidate the prior authorization and case management …

https://providerinfo.bcbsm.com/documents/alerts/2023/202311/alert-20231101-bh-changes-more-info-2024.pdf

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BCN behavioral health information for date of service before …

(1 days ago) WEBThis document contains information for behavioral health services with dates of service before Jan. 1, 2024. Note: See the BCN Behavioral Health page on …

https://ereferrals.bcbsm.com/docs/bcn/bcn-bh-info-for-before-010124.pdf

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BCN referral and authorization requirements for Michigan …

(Just Now) WEBBCN's Behavioral Health department hours: Monday through Friday 8 a.m. to 5 p.m. Telephone – BCN HMO: 1-800-482-5982 Telephone – BCN Advantage: 1-800-431 …

http://ereferrals.bcbsm.com/bcn_referral_clinical_review.pdf

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BCN to use InterQual® ABA criteria for prior authorization …

(Just Now) WEBOct. 1, 2022, Blue Care Network will use Change Healthcare’s InterQual Applied Behavior Analysis Treatment criteria to make determinations. • Are based on a review of …

https://providerinfo.bcbsm.com/documents/alerts/2022/202208/alert-20220801-bcn-interqual-aba-criteria-oct1.pdf

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Blue Cross Behavioral Health to reinstate requirements; …

(4 days ago) WEBStarting Jan. 9, 2024, providers can submit requests for prior authorization and concurrent reviews to Blue Cross Behavioral Health: Through the provider portal. By phone. This …

https://providerinfo.bcbsm.com/documents/alerts/2024/202401/alert-20240109-bh-changes-2024.pdf

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Quick Reference Guide for Horizon Behavioral HealthSM …

(1 days ago) WEBThe Horizon Behavioral HealthSM program is administered by ValueOptions of New Jersey, Inc. ValueOptions of New Jersey, Inc., a subsidiary of Beacon Health Options, …

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

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

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We ll use 2024 InterQual criteria starting Aug. 1

(2 days ago) WEBOn Aug. 1, 2024, Blue Cross Blue Shield of Michigan and Blue Care Network will start using 2024 InterQual® criteria to make determinations on prior …

https://providerinfo.bcbsm.com/documents/alerts/2024/202405/alert-20240516-2024-interqual-criteria.pdf

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Bergen County Community Mental Health Resource List

(6 days ago) WEBBehavioral Healthcare Partial Care Providing services via telehealth 201 646 0195 Care Plus Partial Care Not accepting new referrals Services temporarily suspended 201-265 …

https://www.co.bergen.nj.us/images/About_Bergen_County/News__Press/COVID/COVID-19_Community_Resources_04_23_2020.pdf

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Behavioral Health Clinical Practice Guidelines 2023-2024

(7 days ago) WEBBlue Cross and Blue Shield of Illinois adopts Clinical Practice Guidelines as the foundation for our Behavioral Health Care Management Program. We review and adopt updates to …

https://www.bcbsil.com/provider/clinical/clinical-resources/behavioral-health-program/bh-clinical-practice-guidelines

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Behavioral health providers: How to bill prolonged services

(6 days ago) WEBHere’s what to do with the claims you’ve been holding. For prolonged behavioral health services: For Blue Cross and BCN commercial members, use …

https://providerinfo.bcbsm.com/documents/alerts/2023/202305/alert-20230517-bh-prolonged-svcs.pdf

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Guidelines for ABA interventions via telemedicine (ABA and …

(8 days ago) WEBOther guidelines to consider. • Direct-line and skills training interventions via telemedicine are most appropriate for. •. o members: o Whose sessions are primarily conversation …

https://providerinfo.bcbsm.com/documents/billing-claims/telehealth/aba-telemedicine-guidelines.pdf

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Quick Reference Guide for Horizon Behavioral

(8 days ago) WEBFor Medicare primary members, Medicare must be billed first and the EOB should be later submitted to Horizon NJ Health. Horizon NJ Health Claim Appeals Department PO Box …

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

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Behavioral Health in New Jersey Hackensack Meridian Health

(Just Now) WEBBehavioral Health and Psychiatry Prioritizing Mental Health & Addiction Recovery Every Day. Mental health conditions and substance use are at epidemic proportions across …

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

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HHS Announces LEAP in Health IT Special Emphasis Notice for AI …

(1 days ago) WEBThe U.S. Department of Health and Human Services (HHS), through the Office of the National Coordinator for Health Information Technology (ONC), today …

https://www.hhs.gov/about/news/2024/05/13/hhs-announces-leap-health-special-emphasis-notice-ai-behavioral-health-focused-projects-fiscal-year-2024.html

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Behavioral Health Consultations During Medical Hospitalization …

(6 days ago) WEBA behavioral health follow-up within 30 days after discharge can be in the form of: o Behavioral health inpatient admission. o Partial hospitalization program. o …

https://www.bcbstx.com/provider/medicaid/education-and-reference/news/2024/05-21-2024-bh-consult-during-hospitalization-improve-outcomes

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