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Departments and RegionsTo meet the growing number of Members and to better support its providers, the Massachusetts Behavioral Partnership (MBHP) operates regional offices in three cities across Massachusetts. MBHP's central office is located in Boston, and regional offices are located in Worcester and Holyoke.The departments within MBHP work closely together to coordinate program efforts to support our Members. The main departments and their responsibilities at MBHP are: Clinical Operations: Ensures that Members have access to appropriate, effective, and quality mental health services. Quality Management: Ensures quality of care, reviews Member complaints and provider concerns and critical incidents; produces provider profiles; and audits medical records. Community Relations: Assists providers and Members with questions and concerns regarding claims, benefits, eligibility, contracting, and rates. Establishes programs to prevent, minimize, or detect behavioral health disorders. Network Management: Oversees service development and expansion, provider credentialing, outlier management, and network monitoring. Management Information Systems: Manages the Managed Healthcare System, which contains all claims, enrollment, inquiries, referrals, assessments, care management, appeals, and other related information. Claims: Receives and processes all claims, prints and mails all authorization letters and provider payments, corrects Member eligibility issues, investigates fraud and abuse. Reporting: Generates reports, which are shared with the Division of Medical Assistance and other agencies, to identify trends in the MassHealth program and to shape program development at the Partnership. Finance: Manages the general financial operations, including payroll, accounts payable, budgets, financial statements, and forecasting Medical Affairs: Assists providers with mental health services for Members and manages the care for all Members who are receiving medical assistance. |
 
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MBHP - Massachusetts Behavioral Health Partnership
100 High Street 3rd Floor, Boston, MA 02110 : 1-800-495-0086
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