Behavioral Health Utilization Management Standards

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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 effective pain treatment and management, and 3) improving mental health care and services. …

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

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Behavioral Health Quality Framework: A Roadmap for Using

(3 days ago) WEB5 Acknowledgments Behavioral Health Quality Framework: A Roadmap for Using Measurement to Promote Joint Accountability and Whole-Person Care was supported …

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

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Utilization Management - NCQA

(6 days ago) WEBNCQA Utilization Management Accreditation provides a framework for implementing industry best practices to ensure: Fair and timely utilization evaluations using objective, evidence-based criteria: Collection and use …

https://www.ncqa.org/programs/health-plans/utilization-management/

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Outcome Measures Standard for Behavioral Health Accreditation

(Just Now) WEBProposed Revisions to the Emergency Management Chapter for Laboratory Programs; National Patient Safety Goals. are a developer of a standardized tool or instrument …

https://www.jointcommission.org/what-we-offer/accreditation/health-care-settings/behavioral-health-care/outcome-measures-standard/

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Health Utilization Management Accreditation - URAC

(4 days ago) WEBURAC is widely recognized by nearly every state and the federal government for our health utilization management accreditation program. With our origins in utilization review and utilization management, …

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

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Behavioral Health Utilization Management Program Overview

(5 days ago) WEBStandards and Requirements. Standards and Requirements; Affordable Care Act (ACA) Behavioral Health Utilization Management Program Overview. The benefit of the full …

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

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Insights on utilization of behavioral health services in …

(Just Now) WEBIn this infographic, we provide data to describe the trends in behavioral health utilization in 2020 and suggest actions stakeholders can consider taking in 2021. This publication builds on prior publications: …

https://www.mckinsey.com/industries/healthcare/our-insights/insights-on-utilization-of-behavioral-health-services-in-the-context-of-covid-19

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Our Standards for Behavioral Health Accreditation

(4 days ago) WEBOur standards help you develop strategies to address the most complex issues and identify key vulnerabilities in the care experience. The standards cover various aspects of your …

https://www.jointcommission.org/what-we-offer/accreditation/health-care-settings/behavioral-health-care/learn/our-standards/

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HSO Behavioral Health Utilization Management Handbook

(1 days ago) WEBThe utilization management (UM) guidelines in this document explain the process CareOregon uses in the authorization of behavioral health services for Health …

https://www.careoregon.org/docs/default-source/providers/behavioral-health/bh-utilization-management-procedure-handbook.pdf?sfvrsn=a5d69887_5

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Utilization Management Guidelines & Manual Texas Health and …

(Just Now) WEBThe clinical guidelines identify: The Utilization Management Program Manual is a resource for technical assistance to providers to develop and monitor their local UM programs and …

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

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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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NCQA > Managed Behavioral Healthcare Organizations (MBHO)

(Just Now) WEBManaged Behavioral Healthcare Organization Accreditation demonstrates to health plans, employers, regulators and consumers an organization’s commitment to follow evidence …

https://store.ncqa.org/accreditation/managed-behavioral-healthcare-organizations-mbho.html

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Utilization Management-Credentialing-Provider Network (UM …

(7 days ago) WEBbehavioral healthcare services (e.g., psychology groups) and the levels of behavioral healthcare services (e.g., inpatient psychiatric care, outpatient psychiatrist visits.) If the …

https://www.ncqa.org/wp-content/uploads/2021/11/Appendix-3_Proposed-Standards-Updates-for-UM-CR-PN-2023.pdf

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Health Utilization Management Certification - URAC

(4 days ago) WEBFirst, URAC’s HUM Certification demonstrates your proven commitment to high performance by embedding quality management principles into your daily operations. …

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

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JCC Behavioral Health Utilization Management Handbook

(1 days ago) WEBThe utilization management (UM) guidelines in this document explain the process CareOregon uses in the authorization of behavioral health services for …

https://www.jacksoncareconnect.org/docs/jacksoncareconnectorglibraries/providers/bh/jcc-um-handbook.pdf?sfvrsn=67141af9_1

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Daily Management System to Improve Performance in a …

(6 days ago) WEBDaily Management System to Improve Performance in a Behavioral Health Primary Care Practice. Whitley SD 1,2,3*, Estes DS 1,2, McKenzie ME 4, Salimi K 1,2, …

https://austinpublishinggroup.com/family-medicine/fulltext/jfm-v2-id1044.php

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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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Utilization Review Clinician - Behavioral Health, Remote-TX + 4 …

(1 days ago) WEBYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a …

https://jobs.centene.com/us/en/jobs/1496575/utilization-review-clinician-behavioral-health/

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Managed Behavioral Health Organization Accreditation - NCQA

(3 days ago) WEBThe MBHO standards focus on: Quality Management and Improvement: The MBHO has processes to monitor, evaluate and improve the quality and safety of care provided, …

https://www.ncqa.org/employers/ncqa-programs-of-interest-to-employers/managed-behavioral-health-organization-accreditation/

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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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Quick Reference Guide for Horizon Behavioral HealthSM …

(1 days ago) WEBManagement and Intensive Case Management Referrals 1-800-626-2212 1-800-991-5579 (for NJ State Health Benefits Program only) Complaints, Appeals and/or General …

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

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Behavioral Health Barometers, Region 1-10, Volume 7: Indicators …

(3 days ago) WEBThe Behavioral Health Barometers, Region 1-10, Volume 7: Indicators as Measured in the 2021-2022 National Surveys on Drug Use and Health is a series of 10 …

https://store.samhsa.gov/product/behavioral-health-barometers-volume-7/pep24-07-007

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