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Outcomes Management


The Clinical Outcomes Management Protocol was developed in response to the growing need for increased accountability and quality in the behavioral health field. In this initiative, network providers will practice outcomes measurement and management. Outcomes management refers to the use of this data to inform and improve clinical care and programming.

This initiative was developed with the support of the Executive Office of Health and Human Services (EOHHS), the Department of Mental Health, and the MassHealth Behavioral Health Programs Unit, as well as with extensive input from provider associations, professional associations, and consumer advocates.

For questions or for more information, contact MBHPOutcomes@valueoptions.com.

To learn more about this initiative, please visit the links below:

Clinical Outcomes Management Protocol: Detailed information regarding participation in this initiative

Assessment Instrument Fact Sheets: Descriptions of various assessment instruments to help network providers choose the most beneficial tool for their organization.

Update On TOP: Although MBHP no longer subsidizes the cost of the TOP MBHP continues to regard TOP as a preferred outcome instrument. MBHP has used TOP data productively in a variety of analyses related to clinical change and risk in PCC Plan members. MBHP encourages providers' use of TOP, but in order to use TOP, providers will need to contract directly with Behavioral Health Laboratories (BHL). In this regard, the use of TOP is at the provider's discretion, and all costs associated with TOP usage will be payable by the provider to BHL.

Phase 1 Form: Assessment Instrument Selection: This form verifies the assessment instrument the provider has selected to comply with the outcomes initiative. This form can also be submitted to notify MBHP of a change in participation status or change of selected instrument.

Frequently Asked Questions: Additional information on the specifics of the outcomes initiative

Archived Alerts



BHProvider

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Link SymbolThird Party Liability (TPL) FAQs
 Click here for Frequently Asked Questions about MBHP's Provider Alert #126 regarding Third Party Liability.

Link SymbolExpedited Authorization Website
 An Expedited Authorization and Mental Status Update website is available for all eligible Emergency Service Program providers starting June 1, 2012: please click here to connect.

Link SymbolMBHP has gone Green!
 Notices of new routine authorizations, and the letters themselves, are available at the MBHP/ValueOptions online provider portal ProviderConnect. Letters related to adverse actions or denials continue to be sent through the mail. To hear a previously presented training on the authorization letter Go Green program click here.

Link SymbolChildren's Behavioral Health Initiative (CBHI)
 Please click here for information, including performance specifications, for Children's Behavioral Health Initiative (CBHI) services.

Link SymbolFile Electronic Claims
 Learn more about the advantages of submitting electronic claims.

Link SymbolRights for Your Members
 Information on rights, appeals, and grievances for your Members

Link SymbolContact MBHP
 We're here to answer your questions and address your concerns.

Link SymbolMassHealth Provider Services Department
 1-800-841-2900
Primary Care referral sources, community resources, and acute and Urgent Care Services Facilities

 

 

 

MBHP - Massachusetts Behavioral Health Partnership
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This page was last updated: 10/7/2010