Integrated Care Management Services
MBHP's care management system aims to expand access to services and promote the
integration of medical, mental health, and substance use disorder care for Members.
This more comprehensive approach targets the individual
needs of Members and provides them with one point of contact into the health
New Resources as of October 1, 2012
Integrated Care Management Program (ICMP):
ICMP is an enhanced care management program offered to Members
with complex medical, mental health, and/or substance use disorders.
Five (5) regional service centers with clinical staff (licensed,
master's-level clinicians and registered nurses) will provide
integrated medical and behavioral health care management which may
include direct face-to-face care management visits with Members. Please
call MBHP at 1-800-495-0086, Ext. 454165 if you have a patient you'd
like to refer to ICMP.
Who will be eligible for the ICMP?
Members in MBHP's current Intensive Clinical Management (ICM)
program as of October 1, 2012 will transition over to the ICMP.
In addition, a predictive modeling tool will analyze behavioral health,
medical, and pharmacy claims data (historical and current) to identify
Members with the highest need for integrated physical and behavioral
health services and care coordination. The ICMP will also accept
referrals from providers and Members.
The ICMP staff will notify you if you are a PCC and have a Member(s)
in your panel identified for the ICMP and then again upon enrollment
into the program. For Members already receiving care management/coordination
services in another program (i.e., Children's Behavioral Health Initiative,
Patient-Centered Medical Home Initiative), the ICMP staff will work
with you to ensure that there is coordination, not duplication of services.
MBHP is actively seeking referrals from providers for Members to participate
in ICMP. To make a referral please click here
to access the interactive ICMP referral form, or call 1-800-495-0086, Ext. 454165
for more information.
Health Needs Assessment (HNA): The Health Needs Assessment (formerly known
as the Health Risk Assessment) is a series of questions designed to gather
information about a Member's health needs. Members can complete the HNA
online through MBHP's web portal available through www.masspartnership.com,
or a Member Engagement Specialist may provide direct assistance to the Member,
as needed, in completing the HNA.
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.
Community Support Program (CSP) is available to any MBHP Member. 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 health care and