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PROVIDER MANUAL AND ALERTS
IMPORTANT CONTACTS
IVR AND EXTENSION SCREENS
ELECTRONIC CLAIMS
REPORTS AND SUPPORT MATERIALS
INFORMATION FOR PCCs
MASSHEALTH ELIGIBILITY
INTEGRATED CARE MANAGEMENT SERVICES
OUTCOMES MANAGEMENT
CURRENT BENEFIT SERVICE GRID
ELECTRONIC FUNDS TRANSFER (EFT)
CSA WORKING DOCUMENTS
QUALITY MANAGEMENT
RAPID ADMISSION INCENTIVE



Important Contacts for Our Providers


Regional Provider Reference Guides

State Agencies
Emergency Service Program (ESP)/Mobile Crisis Intervention (MCI) Directory
Urgent Outpatient Services (UOS)
Information and Resources
Research and Evaluation

MBHP

Massachusetts Behavioral Health Partnership
MBHP manages mental health and substance use disorder services for MassHealth (Medicaid) recipients.

1000 Washington St, Suite 310
Boston, MA 02118-5002

Interactive Voice Response (IVR) The Interactive Voice Response system is linked to the Partnership's computerized Case Management system and allows the provider to telephonically register for outpatient services, adult psychiatric day treatment services, Level 3A detoxification services, and Level 3B residential services. The system also allows the provider to obtain a registration number and confirm the status of claims.

Phone: 1-888-899-6277

Community Relations
Community Relations Representatives assist providers and Members with questions regarding claims, benefits, eligibility, contracting, rates, and other general issues.

Phone: 1-800-495-0086 (press 1 for the English menu or 2 for the Spanish menu, then press 3 then 1 to skip prompts)

MBHP's Clinical Access Line
The MBHP's Clinical Access Line precertifies all acute levels of care and offers referrals to members for all other levels of care. The line is staffed by licensed clinical care managers 24 hours a day, seven days a week, 365 days a year.

Phone: 1-800-495-0086 (press 1 for the English menu or 2 for the Spanish menu, then press 3 then 2 to skip prompts)

PCC Plan Hotline
The PCC Plan Hotline is a service for PCC Plan providers. The line is staffed by Community Relations Representatives who provide information about the PCC Plan or MassHealth services.

Phone: 1-800-495-0086 (press 1 for the English menu or 2 for the Spanish menu, then press 3 then 4 to skip prompts)


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Regional Provider Reference Guides

MBHP is pleased to provide you with the Regional Provider Reference Guides. The guides contain overviews of the wide range of mental health and substance use disorder programs that make up MBHP's provider network in each region. They also include listings of specific providers for each service type and phone numbers of our network providers. We hope you find the guides helpful and easy to use.

The regional guides are updated minimally every six months; therefore, they may not reflect all recent changes in the provider network. For the most immediate questions and updates, please contact your regional representative.

In addition, the MBHP website features a provider search function on the home page that can further assist you in locating providers, including those with particular specialties.

Central Regional Provider Reference Guide
MetroBoston Regional Provider Reference Guide
Northeast Regional Provider Reference Guide
Southeast Regional Provider Reference Guide
Western Regional Provider Reference Guide

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State Agencies

MassHealth
www.mass.gov/masshealth

MassHealth is the single state agency in Massachusetts that administers Medicaid (Title XIX) and the Children's Health Insurance Program (CHIP) (Title XXI). In Massachusetts, Medicaid and CHIP are combined into one program called MassHealth. MassHealth also manages the Insurance Partnership for small businesses.

Central Office:
One Ashburton Place
11th floor
Boston, MA 02108
Telephone: 617-573-1600

Click here for MassHealth Provider Services.

Click here for MassHealth Member information.


DMH
Department of Mental Health
www.mass.gov/dmh/

The Massachusetts Department of Mental Health (DMH) sets the standards for the operation of mental health facilities and community residential programs and provides clinical, rehabilitative and supportive services for adults with serious mental illness, and children and adolescents with serious mental illness or serious emotional disturbance. The aim of service delivery is to integrate public and private services and resources to provide optimal community-based care and opportunities. As the State Mental Health Authority, DMH also is mandated by statute to "take cognizance of all matters affecting the mental health of citizens of the Commonwealth."

Central Office:
25 Staniford Street
Boston, MA 02114
Phone: 617-626-8000
TTY: 617-727-9842


DCF
Department of Children and Families
www.mass.gov/dcf/

The Department of Children and Families (DCF) is dedicated to the permanent safety and well-being of children who have been abused or neglected in a family setting. They work first and foremost to keep families together. To achieve this goal, DCF provides family-based services to assist parents in better caring for their children. For those children who are unable to remain at home because of severe abuse or neglect or who are at risk for abuse and neglect, DCF provides temporary out of home care through foster care, group care, or residential programs. These short-term measures are meant to provide interim guidance and support to families until the children can safely be returned home. In cases where this is not possible, DCF will seek to provide a child with an alternate permanent situation such as adoption, guardianship, or, as with older teenagers, independent living.

DCF Central Office:
600 Washington Street
Boston, MA 02111
Phone: 617-748-2000


DPH
Department of Public Health
www.mass.gov/dph/

The Department of Public Health is dedicated to their mission, to serve all the people in the Commonwealth, particularly the underserved, and to promote healthy people, healthy families, healthy communities and healthy environments through compassionate care, education and prevention. Your health is their concern.

Main Office:
250 Washington Street
Boston, MA 02108-4619

Phone: 617-624-6000


DYS
Department of Youth Services
www.mass.gov/dys/

The Department of Youth Services is the juvenile justice agency of the Commonwealth of Massachusetts. Their mission is to protect the public and prevent crime by promoting positive change in the lives of youth committed to our custody, and by partnering with communities, families, government and provider agencies toward this end. They accomplish this mission through interventions that build knowledge, develop skills and change the behavior of the youth in our care.

Central Office
600 Washington Street, 4th Fl
Boston, MA 02111

Phone: (617) 727-7575

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Emergency Service Program (ESP)/Mobile Crisis Intervention (MCI) Directory


Every ESP provides behavioral health crisis assessment, intervention and stabilization services, 24 hours per day/7 days per week/365 days per year, through 4 service components: Mobile Crisis Intervention (MCI) services for youth, adult mobile services, ESP community based locations, and community crisis stabilization (CCS) services for ages 18 and over. The operating hours for the ESP community based locations are noted in the ESP Directory. Mobile Crisis Intervention services for youth are available 24 hours per day/7 days per week. The operating hours for adult mobile services are 24 hours per day/7 days per week: during this time period, mobile services will be available from 7 a.m. to 8 p.m. at any/all locations, and from 8 p.m. to 7 a.m. this service will be available in residential programs and hospital emergency departments. CCS services are available 24 hours per day/7 days per week and can be accessed through the ESP. Please click here for the ESP/MCI Directory.

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Urgent Outpatient Services (UOS)

UOS are for Members of all ages who are NOT experiencing a mental health or substance use emergency, but they feel they need an appointment sooner than waiting for a routine outpatient appointment. UOS appointments are provided within one business day and include an assessment and intervention geared toward decreasing and/or managing urgent concerns and immediate symptoms. Members using UOS will also be provided with referrals to any needed services including outpatient services, community supports, etc. Click here to locate the UOS provider closest to you.

Information and Resources

imagePdf Consumer Information Guide
Self-help, legal, and public resources for Members and their families

imagePdf Transportation Tip Sheet
Resources to help Members get to and from appointments with providers

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General Resources


AIDS Action Committee of Massachusetts Hotline

(800) 235-2331   www.aac.org
Information, referral, and advocacy


Boston University Center For Psychiatric Rehabilitation
(617) 353-3549   www.bu.edu/cpr
Education, training, recovery classes, and vocational rehabilitation


Health Care For All
(800) 272-4232   (617) 350-7279    www.hcfama.org
Information, advocacy, and legal resources about healthcare access, insurance, and prescription drug coverage


Information On Disabilities Exchange (Index)
(800) 642-0249   www.disabilityinfo.org
Search for programs or services, consultants, doctors, dentists, general emergency services, information specialists, and links to organizations that serve diverse communities


Jonathan O.Cole Consumer Resource Center
(617) 855-3298   www.coleresourcecenter.org
Peer-run information, education, and library


Massachusetts Clubhouse Coalition
(781) 788-8803   www.massclubs.org
Employment support, activities, and Dual Recovery Anonymous groups throughout the state


MOAR
(Massachusetts Organization For Addiction Recovery)
(877) 423-6627   www.moar-recovery.org
Education and advocacy


M-POWER
(617) 297-2030   www.m-power.org
An advocacy organization run by mental health consumers that engages in human and civil rights activities, human services policy issues, and peer networking


National Mental Health Consumers' Self-Help Clearinghouse
(800) 553-4539   www.mhselfhelp.org
Advocacy resources and information


Recovery Learning Communities (RLCs)
(877) 769-7693   (617) 442-4111
Information, referral, employment, support, advocates, and warmlines located in centers around the state


NEC (National Empowerment Center)
(800) 769-3728    www.power2u.org
Peer-run mental health education and advocacy transformation center and united way state-wide Information and Referral System


Safelink
(877) 785-2020   www.casamyrna.org
Information and referral for counseling, shelter, and other resources for all people facing domestic violence


Statewide Independent Living Centers
(866) 662-7452   www.masilc.org
Centers provide information, referral, skills training,and advocacy for people with disabilities


Massachusetts Substance Abuse Helpline
(800) 327-5050   www.helpline-online.com
Information, resources, and referral


Transformation Center
(877) 769-7693   (617) 442-4111
www.transformation-center.org
Statewide, peer-run organization providing information, referral, education, leadership training, advocacy, peer support, and regional contacts for people with mental health conditions


United Way State-Wide Information and Referral System
(877) 211-MASS   (877) 211-6277 www.mass211help.org
24/7 local information about food banks, shelters, doctors, crisis services, benefits, disabilities, and other services and programs


Resources for Families


Child At Risk Hotline
(800) 792-5200
Anonymous hotline for suspected abuse or neglect of children up to age 18


Families For Depression Awareness
(781) 890-0220   www.familyaware.org
Information and education


Federation For Children With Special Needs
(800) 331-0688   (617) 236-7210
www.fcsn.org
Information, education, referral, and advocacy


Greater Boston Parents, Families and Friends Of Lesbians and Gays (GBPFLAG)
(866) 427-3524   www.gbpflag.org
Information, referral, education, support groups, and advocacy for families of gay, lesbian, bisexual or transgendered people


NAMI-Mass
(National Alliance on Mental Illness of Massachusetts)
(800) 370-9085   www.namimass.org
Information, referral, education, support groups, and advocacy


NAMI-Western Mass
(National Alliance on Mental Illness of Western Massachusetts)
(413) 786-9139   www.namiwm.org
Information, referral, education, support groups, and advocacy


Parents Helping Parents
(800) 632-8188   www.parentshelpingparents.org
Parenting support groups


Parent/Professional Advocacy League (PPAL)
(617) 542-7860 or (866) 815-8122   www.ppal.net
Information, referral, education, support groups, and advocacy for families of children and adolescents with mental health needs

Legal Assistance


Center For Public Representation
Newton (617) 965-0776
Northampton (413) 586-6024
www.centerforpublicrep.org
Legal information, education, consultation, and advocacy for people with disabilities


Disability Law Center
(800) 872-9992   www.dlc-ma.org
Legal information, education, consultation, advocacy, and representation for people with disabilities


Governmental Assistance


DPPC (Disabled Persons Protection Commission)
(800) 426-9009   www.mass.gov/dppc
Anonymous hotline for suspected abuse or neglect of disabled adults


Health & Human Services Agency Programs
(800) 223-2559   www.mass.gov/mrc
Information about Home Care Assistance, Head Injury Program, Independent Living Programs, and the Assistive Technology Program


Mental Health Legal Advisors Committee
(800) 342-9092   (617) 338-2345
www.mhlac.org
Legal information, education, referral, consultation, and advocacy for people with mental illness


MassHealth Customer Service Center
(800) 841-2900   www.ma.gov/masshealth
Information about covered services, referral to specialists, changing your address or phone number, and reporting a lost MassHealth card


Massachusetts Rehabilitation Commission
(617) 204-3600   www.mass.gov/mrc
Education, job placement, and training for individuals with disabilities


Massachusetts Department of Mental Health Information and Referral Line
(800) 221-0053   www.mass.gov/dmh
Information and referral, DMH services, patient records, human rights, and other resources


Social Security Administration
(800) 772-1213   www.socialsecurity.gov
Information about Social Security benefits


Meetings


Al-Anon/Alateen Family Groups
(508) 366-0556   www.ma-al-anon-alateen.org
Support group meetings for family members of individuals with addictions

Alcoholics Anonymous
Eastern Massachusetts (617) 426-9444
Worcester (508) 752-9000
Berkshires (413) 448-2382
Cape Cod (508) 775-7060
Martha's Vineyard (508) 627-7084
Nantucket (508) 228-2334
www.theagapecenter.com
Twelve-step support meetings for individuals with alcohol problems


Emotions Anonymous
(651) 647-9712   www.emotionsanonymous.org
Twelve-step support meetings


Massachusetts Council On Compulsive Gambling
(800) 426-1234   www.masscompulsivegambling.org
Lists of GA and Gam-Anon meetings and resources


Depression & Bipolar Support Alliance of MetroBoston
(617) 855-2795   www.dbsaboston.org
Support meetings, education, and information


Narcotics Anonymous
(866) 624-3578   www.nerna.org
Twelve-step support meetings


Dual Recovery Anonymous (DRA)
(781) 778-8803   www.massclubs.org
DRA meetings for people with mental health conditions and addictions


Overeaters Anonymous
(781) 641-2303   www.oa.org
Twelve-step support meetings

(508) 875-0001   www.metrowestoa.org
List of twelve-step meetings statewide


Recovery Inc. Of New England
(413) 567-4510   www.recovery-inc.org
Meetings, online forums, and resources for people who want to change behaviors and attitudes


Debtors Anonymous
(800) 421-2383   (781) 453-2743 www.debtorsanonymous.org
Twelve-step support meetings


Smart Recovery
(866) 951-5357   www.smartrecovery.org
Statewide meeting list of alternative addiction recovery meetings


National Suicide Prevention Lifeline
(800) 273-8255   www.suicidepreventionlifeline.org
Twenty-four hour support for people who are suicidal or despairing



Research and Evaluation



CQI Consumer Quality Initiatives
A consumer-run and directed organization that conducts mental health quality improvement, evaluation, research and service planning activities.

Phone: 617-929-4400
Email: info@cqi-mass.org
Web: www.cqi-mass.org


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BHProvider

quickProvLink

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
1000 Washington Street, Suite 310, Boston, MA 02118-5002 : 1-800-495-0086
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This page was last updated: 7/9/2014