Behavioral health providers or authorized family members may request benefit preauthorization on behalf of the member.Learn more, Behavioral Health providers have contractually agreed to offer appointments to our members according to specific appointment access standards.Learn more, OurBehavioral Health Quality Improvement (QI) department continually monitors and evaluates the Behavioral Health Care Management program for BCBSIL to identify enhancement opportunities.Learn more, Our Behavioral Health Care Management Program has been accredited for Health Utilization Management since October 2012.Learn more, Different guidelines and processes are in place for behavioral health care and services provided to our government programs members.Learn more, Questions? We want to assist physicians, facilities and other providers in accurate claims submissions and to outline the basis for reimbursement if the service is covered by a members benefit plan. Drug Drug Benefits. This program is available to members with Commercial, Federal Employee Plan (FEP), IPP Host and Home, and Medicare Advantage plans. WebA psychiatrist can treat and prescribe medicine for members 18 and up. The site may also contain non-Medicare related information. Register Now. Behavioral Health This is also called blood glucose. Professional fee schedule | Blue Shield of CA Provider rendered and the application of the Plans Medical Policy. Find out more about this and other great products for your business. If you are interested in learning more information about accepting insurances, being credentialed, or online counseling, please give us a call at 1-855-2-THRIVE. Clinical payment and coding policies are based on criteria developed by specialized professional societies, national guidelines (e.g. The Blue Cross and Blue Shield name and symbols are registered marks of the Blue Cross Blue Shield Association. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Blue Cross NC partners with Mindoula1 to offer Blue Premier Behavioral Health Advanced (BPBHA), which addresses the complex health needs of members with serious mental illness, substance use disorder or both conditions. It's an important part of our long-term strategy to help deliver quality care, increase long-term savingsand improve patient experience. Behavioral Health Provider Collaboration Blue Cross Blue Shield Health Equity and Social Determinants of Health (SDoH), Over the Counter Equivalent Exclusion Program, Prior Authorization and Step Therapy Programs, Consolidated Appropriations Act & Transparency in Coverage, Medical Policy/Pre-certification: Out-of-area Members, Availity Eligibility and Benefits Tip Sheets, Electronic Options for Behavioral Health Providers, Provider Characteristic Codes For Medication-Assisted Treatment, Utilization Management Equity in Behavioral Health. Headway is an independent company providing behavioral health services on behalf of Blue Cross NC.

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