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HNE BH Care Management Services

HNE Be Healthy's care management system aims to expand access to services and promote the integration of behavioral and primary care for Members with mental illness and/or substance abuse problems. The flexible system targets the individual needs of Members and provides them with one point of contact into the health care system.

The system features a continuum of care management services, comprised of:

Assessment Unit provides one point of access for referrals to care management services. The Assessment Unit evaluates the Member's condition and makes recommendations to the most appropriate level of care management. To reach the Assessment Unit, call 1-800-495-0086, Ext. 5633.

Targeted Outreach provides short-term interventions for Members who have mental illness or psychosocial issues that may interfere with their ability to access medical treatment and community-based services. Targeted Outreach aims to remove any barriers to care and connect Members with available resources and services, such as temporary transportation to and from the physician's office.

Care Coordination provides supportive services for Members who are having difficulty transitioning from hospitalization to community-based services. Care Coordination reviews the care Members are currently receiving to ensure that it is the most appropriate and coordinates treatment services to support their recovery. Care Coordination also monitors the provision of the Member's medical care. This includes ensuring treatment compliance with any chronic conditions and developing a crisis prevention plan with the Member to reduce further hospitalizations.

Intensive Clinical Management (ICM) is set up for the most vulnerable Members, who are at the highest risk of hospitalization. ICM coordinates services across all levels of care. Care managers work with the treatment team and Members to develop an individualized care plan to develop strategies and goals for integrating behavioral health and medical care, preventing crisis, and ensuring functioning within the community. ICM also provides support for pregnant women with alcohol and/or substance abuse problems.

All of these levels of Care Management have access to:

Community Support Program (CSP) is available to any Member who is enrolled in care management services at HNE BH. The program is composed of community-based agencies, which provide outreach and wraparound services to Members. To improve their health status, CSP care managers work closely with Members to support their care plans and link them to local healthcare and support resources.

Referral Forms

 

MBHP - Massachusetts Behavioral Health Partnership
1000 Washington Street, Suite 310, Boston, MA 02118-5002 : 1-800-495-0086
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This page was last updated: 5/11/2012