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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



Due to the complexity of certain documents, download times of PDFs may vary.

You may need a special Reader or Viewer to view these files. Download a free copy of Adobe® Acrobat® Reader, Microsoft Word Viewer, or Excel Viewer at the bottom of this page.

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

Fall 2014

MassHealth is offering a free, three-day training, "Improving Women's Interconception Health."
This training is meant for community health workers, health outreach workers, health educators, promotoras, patient navigators, case managers, and other staff who function as liaisons between health services and women in the community. Please see the above flyer for registration information. Please share it with staff who you work with and for whom this would be a useful opportunity.

Winter 2014

Webinar: An Integrated Approach to Treating Depression in the Adult Primary Care Setting

In this Webinar, a team comprised of a primary care-based behavioral health clinician, primary care physician, and psychiatrist presented an overview of evidence-based approaches to treating depression in adult primary care. Presenters discussed collaborative care, the IMPACT/Diamond model, and the Behavioral Health Consultant model. They also explored the roles of an integrated treatment team (behavioral health clinician, primary care clinician, care manager, and consulting psychiatrist).

To read presenter bios, click here.

For a PDF of the presentation slides, click here. To view and listen to the recorded webinar, click here. If you have questions or need support accessing this Webinar, contact erin.donohue@valueoptions.com.

October 2013 Webinar on Motivational Interviewing
Motivational Interviewing (MI) is a collaborative, person-centered approach to facilitate behavioral and lifestyle change. In a 90-minute Webinar, Dr. Judith Bayog, licensed psychologist and clinic director of the Alcohol & Drug Treatment Program Outpatient Clinic at the Brockton Division of the VA Boston Healthcare System, provided an overview of MI designed for primary care clinicians and behavioral health providers. Dr. Bayog shared the basic principles and key concepts of MI that help to establish rapport, engage and retain clients in treatment, and guide them toward change. In addition, Dr. Bayog reviewed applications of MI across cultures and settings.

To access a recording of the Webinar, click here. You will need to either enter the e-mail address you used when registering for the Webinar (if you attended live), or all of your contact information (if you did not attend live). Once you have entered your information, you will be taken to the recording. If you have questions or need support accessing this Webinar, contact erin.donohue@valueoptions.com. To download the Webinar slides as a PDF, click here.

Provider Reports and Publications
Transition Visit Form
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.
Medical Provider Connection, formerly named the "Primary Care Clinician (PCC) Plan Quarterly," is an integrated newsletter featuring news, resources, and information benefitting both PCCs and behavioral health providers. Provider Connection contains stakeholder viewpoint columns, policy updates from MassHealth, and tips to increase practice efficiency and tackle common challenges. It also functions as a forum for providers of all types and sizes to share best practices and research ideas. Additionally, Provider Connection offers listings of events and trainings relevant to both PCCs and behavioral health providers.[Current] [Archived]

Health and Wellness Library
MBHP has an online Health and Wellness Library on a website called Achieve Solutions. This health library is a resource for both providers and Members. For providers, the Health and Wellness library offers "one-pager" health tip sheets on a wide variety of health conditions that can be printed and given to Members; links to local resources; and content that can help patients handle difficult-to-address concerns such as bullying. Providers can direct Members to the Health and Wellness Library to promote self-management of health conditions and adherence to treatment plans. Clinical content in the library is evidence-based, written by subject matter experts, and reviewed on an annual basis. Just a few of the library topics include:

  • Healthy weight (BMI) maintenance

  • Smoking and tobacco use cessation

  • Encouraging physical activity

  • Healthy eating

  • Managing stress

  • Avoiding at-risk drinking

  • Identifying psychiatric symptoms through self-assessment

  • Recovery and resiliency

  • Treatment monitoring

In addition to regular content, each month highlights a different health topic. Examples include sleep, emotional and physical abuse, and living with disabilities.

Through the Health and Wellness Library, Members will be able to access comprehensive, integrated information related to physical and behavioral health, wellness, and more. The site includes interactive quizzes, trainings, articles, videos, web links, and other tools. The Health and Wellness Library encourages Members to become active participants in their health care, and to make healthy choices by providing resources and tools to do so. Visit our Health and Wellness Library today!

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.

ImagePdf Living Well With Diabetes [English]
Use this workbook to help Members successfully manage their diabetes.
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]

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.



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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
1000 Washington Street, Suite 310, Boston, MA 02118-5002 : 1-800-495-0086
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This page was last updated: 9/12/2014