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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



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Health Record Review and Audit Program (Updated 2/11/2011)
The following materials are available to help providers implement quality documentation practices.

ModelRecord Alert 97 Health Record Review
MBHPHealthRecord Health Records Guidebook

Provider Reports and Publications
PrimaryCare Primary Care Clinician (PCC) Plan Quarterly newsletter [Current] [Archived] informs providers about the latest policy updates and contains articles about medical and behavioral health integration issues. The newsletter includes stakeholder viewpoint columns from consumers, providers, trade associations, and public agencies as well as clinical information on best practices and current research from journals.
PCCPlanHeath PCC Plan Health Education Materials Catalog provides PCCs with current health education materials for clinicians and PCC Plan Members.
ProviderAdverseIncident Provider Adverse Incident Report Form
ImageDoc Provider Adverse Incident Report Form
Facilities use this form to notify MBHP of an incident.
Medical Medical Management Monitoring Form(3M Form):
To promote preventative care and illness management among MBHP Members, each Community Support Program (CSP) is requested to complete the Medical Management Monitoring (3M) form with each Member receiving CSP services at the beginning of the case and at the time of discharge from CSP services. MBHP Members are asked to answer questions regarding their utilization of emergency room visits, PCC appointments, Pap Smears, and mammograms to promote their awareness of and compliance with preventative care. To measure for appropriate illness management, Members are also requested to answer questions about chronic illnesses such as asthma and diabetes with particular attention given to education about medication and treatment compliance. These completed Medical Management Monitoring forms can be faxed to the MBHP Assessment Unit at 617-790-4129 or called in to an assigned care manager at MBHP.

FY2006 MBHP Report on Patterns of Medication Prescribing for Children in the Massachusetts Child Welfare and Justice Systems
letter Letter to Providers
ExecSummary Executive Summary
FullRpt Full Report

Member Health Education Materials
MBHP is committed to providing quality health information designed to enhance the health and well-being of our Members. We offer a wide range of patient education materials and encourage you to offer these invaluable resources to your patients.

Click here for the online materials order form.

Communication between Behavioral Health Providers and Primary Care Clinicians "Two Way" Communication Form

The Primary Care Clinician (PCC) Plan and the Massachusetts Behavioral Health Partnership, along with Beacon Health Strategies, Fallon Community Health Plan, BMC HealthNet Plan, Network Health, and Neighborhood Health Plan, have collaborated to create a single form that can be used by all MassHealth providers to facilitate communication. Behavioral health providers and PCCs can use the form when communicating with one another about a MassHealth Member.

The primary purpose of this quality improvement initiative is to increase the frequency and the quality of the content of communication between behavioral health providers and primary care clinicians. Click here to download the "Two Way" Communication Form.

Publications
ImageTempDoc FY2008 Performance Incentive Report:
The FY2008 Performance Incentive Report contains information on the Performance Incentives for FY08. It includes descriptions of the issues that were addressed, the methods undertaken to address them, the results of the team's efforts, and suggested possible next steps.
ImagePdf Health Highlights Member Newsletter
ImageRecovery Recovery Health and Wellness Bulletin
ConsumerInfoGuide Consumer Information Guide [English] [Spanish]
MemberAppeals Member Appeals Fact Sheet [English][Spanish]
ImageHowCanMBHPhelpMe "How Can MBHP Help Me?" Brochure [English] [Spanish]
ImageCompetency "What is Cultural Competency?" Fact Sheet
ImageMentalHealth How's Your Child's Mental Health? Your Primary Care Clinician     Wants To Know! [English] [Spanish]



BHProvider

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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.

 

 

 

MBHP - Massachusetts Behavioral Health Partnership
100 High Street 3rd Floor, Boston, MA 02110 : 1-800-495-0086
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This page was last updated: 3/5/2013