Health Blue Shield of California Promise Health Plan is a Medicare Advantage HMO plan with a Federal Government contract in California. Learn more about our non-discrimination policy and no-cost services available to you. Were here to help. To improve the health and well-being of our customers and communities we won't stop until health care is better for all. 2023 Blue Cross and Blue Shield of North Carolina. Then, select. Blue Shield The drug list includes more generic, brand name and specialty drugs. Disponible nicamente en ingls. All claims payments are made via electronic funds transfer (EFT). Member Services Find a pharmacy. The drugs listed below have been removed from the specified formularies (drug lists). Internet speed, browser and computer hardware may impact your download time. Learn more, Our Behavioral Health team follows members as they step down from intensive inpatient, residential or partial hospitalization to less intensive levels of care (outpatient). Youll be matched with a mental health provider who meets your needs, preferences, and takes your insurance. Behavioral Health Provider Resources WebThe process will create a new folder with the contents of the ZIP file (the full machine-readable file). Blue Shield's objective in developing physician and healthcare professional compensation rates is to closely align payments with the resources used by providers for This list also includes a lower cost tier for some maintenance medications related to High Blood Pressure, High Cholesterol and Diabetic conditions. This program will help our clinical staff identify members who could benefit from co-management earlier and may result in: Some members* may be referred to other medical care management programs that are designed to help identify and help close potential gaps in care through evidence-based and member-focused approaches to health care and benefit decisions. Behavioral Health Care Management Program | Blue Cross and Blue All behavioral health benefits are subject to the terms and conditions as listed in the member's benefit plan. WebIf you need help finding mental health and substance use services, call Member Services at 1-800-300-8181 (TTY 711) Monday through Friday from 8 a.m. to 8 p.m. Eastern time/Saturday from 9 a.m. to 5 p.m. Eastern time. The site may also contain non-Medicare related information. The most current listings are in our online Provider Finder it is updated daily. To locate a provider within your plans network, you will need to know the name of your plan. All Rights Reserved. Please note that you're leaving the Blue Cross Blue Shield of Michigan website. Blue Cross and Blue Shield of New Mexico, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. Everyone deserves affordable, high-quality health care no matter where you live, your income or health status. Learn more, The BCBSIL Behavioral Health (BH) team uses nationally recognized, evidence-based and/or state or federally mandated clinical review criteria for all behavioral health clinical decisions. The Empire Behavioral Health Provider Collaboration program is a value-based payment opportunity that recognizes large-volume behavioral health providers and substance use disorder facilities that offer improved treatment outcomes for our members. WebTo search for a mental health provider: (1) Under Choose your Benefit Plan, choose BSC MHSA, (2) Under Choose a Provider List, choose either Non-Medicare provider or Non-Medicare facility. Interpretation services for other languages are available upon request. 3840 Kilroy Airport Way WebIndependence Blue Cross is focused on a whole-person approach to health that looks at all the factors that can affect a persons well-being. Member Services Provider Services: 1-800-521-6007. TheraThink.com A Mental Health Billing Service. Learn more, Members are responsible for requesting benefit preauthorization when it is required. The file has been compressed and provided in a ZIP format. Behavioral Health Blue Shield of California Promise Health Plan complies with State and Federal civil rights laws and provides free language services to people whose primary language is not English. Find a Provider VBA has their own dedicated website with information you need as a provider. Find an acupuncture or chiropractic provider. * This file is large and download time may take a while. This includes conditions that require intensive outpatient care or admission to a hospital or residential treatment center. WebEarn rewards when shopping for certain medical services and procedures. WebA definitive guide to insurance reimbursement rates for psychotherapy and mental health services, provided by a team of billing experts. In addition, some sites may require you to agree to their terms of use and privacy policy. WebUse these forms to refer your patients to Blue Shield Promise social services and/or mental health services and treatment programs or request treatment authorizations, when You have access to mental health providers in the MHSA Network who can treat anxiety, depression, addiction, and much more. BlueCross Secure SM Health Maintenance Organization (HMO) plans provide in-state coverage, with out-of-state coverage limited to emergency Behavioral health providers - Regence Please check your benefit booklet or your plan's terms if you are unsure. With so many choices, its easy to find a doctor close to home with our Provider Finder tool. Availity is a trademark of Availity, L.L.C., a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Dr. Lucy Magda is a board-certified Psychiatric Mental If you need help deciding whether you or your child needs to see a doctor or knowing what to do if your symptoms get worse, connect with a registered nurse who will answer your questions. Health Learn more, Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). Doctor Learn more, Different guidelines and processes are in place for behavioral health care and services provided to our government programs members. Search your provider directory online. Section hidden in CSS: https://www.bluecrossnc.com/admin/appearance/settings/bcbsnc. Provider Blue Cross and Blue Shield of Texas (BCBSTX) administers behavioral health services (mental health and substance use disorder) for members who have behavioral health benefits through a variety of retail, government and group products. Finding a Provider | CareFirst BlueCross BlueShield HealthKeepers Blue , Blue Shield of California Promise Health Plan,3840 Kilroy Airport Way,Long Beach, CA 90806. Mental health Search Blue Shield Promise Medi-Cal's provider directory to find a doctor. Learn more, OurBehavioral Health Quality Improvement (QI) department continually monitors and evaluates the Behavioral Health Care Management program for BCBSIL to identify enhancement opportunities. Most PDF readers are a free download. $132.70. Like most insurance coverage, our Blue Medicare HMO, Blue Medicare PPO and Blue Medicare Rx plans have some limitations and exclusions. For HMO members, all behavioral health services(mental health and substance use disorders) are managed by the member's Medical Group/Independent Practice Association (MG/IPA). Blue Cross NC is an abbreviation for Blue Cross and Blue Shield of North Carolina. On the provider search page, choose A second version is organized alphabetically by the doctors last name. Psychological testing and evaluation by a physician or qualified health care professional, first hour. Find a Doctor or Hospital Blue Shield of California Our behavioral health toolkit includes resources specific to 12 diagnoses and challenges to support primary care providers (PCPs). The Blue Medicare Rx (PDP) Enhanced prescription drug list is based on a preferred list of FDA-approved prescription drugs and was developed using guidelines from the federal government. For more information, see prior authorization, step therapy, and quantity limitations. This new site may be offered by a vendor or an independent third party. , SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. You do not need to see your primary care provider (PCP) before getting behavioral health services. These tools are offered for your convenience and should be used only as reference tools. Depending on your operating system, you may need to download a tool to open (un-zip) the file. Ready to join us? MHSA Network providers can treat anxiety, depression, addiction, and much more. You do not need to call the Nurse Advice Line before getting health care. Visiting the Find a Doctor tool for your plan, Enter your location details, and select provider type, specialty, gender, ages treated, and any other criteria that are important to you. We are working to close health equity gaps to ensure simpler, better, more affordable health care for those we servefrom all backgrounds and walks of life. WebCounselors, clinicians & therapists Clinical social workers Certified alcohol & drug abuse counselors These professionals provide care in different settings like: Teletherapy & Linked Apps. WebYour pharmacy benefits are provided by the state. Thank you for the care and support you provide to your patientsour members. Learn more. Eligible members can benefit from unlimited outpatient mild to moderate mental health intervention services and treatment. Directory,Spanish(PDF, 35 MB), Directory, English(PDF, 40 MB) Magellan Medical Necessity Criteria & Clinical Practice Guideline, Prior Authorization Services For Fully Insured and ASO, Prior Authorizations Lists for Blue Cross Medicare Advantage (PPO) and Blue Cross Medicare Advantage (HMO), Prior Authorizations Lists for Designated Groups, Prior Authorization Exemptions (Texas House Bill 3459), Medicare Advantage Private Fee-for-Service (PFFS), Eligibility and Benefits Inquiry (HIPAA 270/271), Behavioral Health Care Management Program, Quality Care Partner With Your Patients, Preventive Care Guidelines/Patient Wellness Guidelines, Health Equity and Social Determinants of Health (SDoH), Prescription Drug List and Prescribing Guidelines, Prior Authorization and Step Therapy Programs, Medical Policy and Pre-certification/Pre-authorization Information for Out-of-Area Members, Consolidated Appropriations Act and Transparency in Coverage Final Rule, Behavioral Health Program Flier (Provider), Clinical Practice Guidelines - Behavioral Health, Mandated Postpartum Depression Services ("Andrea Yates Bill"), Medical Necessity Criteria - Behavioral Health, Provider Characteristic Codes for Medication-Assisted Treatment, Employees Retirement System of Texas (ERS). Find a Therapist Were here to help. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Apple and the Apple logo are trademarks of Apple Inc. App Store is a service mark of Apple Inc. Google Play and the Google Play logo are trademarks of Google LLC. You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. For help selecting a behavioral health provider, call us at 1-800-868-1032. Find a mental health provider - myoptions.blueshieldca.com Find a Doctor Mental Health Reimbursement Rates by Insurance Company $120.30. We communicate with our members in many different languages and dialects including English, Spanish, Cantonese, Mandarin, Armenian, Russian, Vietnamese, Khmer (Cambodian), among others. If there is a request for a referral and/or information about providers in the member's location, Behavioral Health Clinicians may conduct a brief These supplemental diagnosis codes help us understand barriers to care and social risk factors, as well as helping us identify opportunities to support our members, such as through transportation or in-home care or by connecting members to food banks and other community resources. WebMake an appointment for Teladoc mental health services. Providers Directory Health Equity and Social Determinants of Health (SDoH), Over the Counter Equivalent Exclusion Program, Prior Authorization and Step Therapy Programs, Consolidated Appropriations Act & Transparency in Coverage, Medical Policy/Pre-certification: Out-of-area Members, Availity Eligibility and Benefits Tip Sheets, Electronic Options for Behavioral Health Providers, Provider Characteristic Codes For Medication-Assisted Treatment, Utilization Management Equity in Behavioral Health. Health Advantage plans. You must choose a PCP when you join the plan. Copyright2023 Health Care Service Corporation. On the provider search page, under "Choose your Benefit Plan," select, Enter your location details, and select provider type, specialty, gender, ages treated, and any other criteria that are important to you. Reference Contact Guide. Los Angeles County Access Center Helpline: One alcohol and drug use screening per year, Department of Health Care Services Substance Use Resource Center, Los Angeles County Substance Abuse Service, San Diego County Substance Use Disorder Services, For information on Blue Shield Promise plans for your health care, call the Department of Health Care Services at (800) 430-4263 {TTY: (800) 735-2922}, or visit, https://www.healthcareoptions.dhcs.ca.gov/, Clinical policies, procedures and guidelines, Policies, guidelines, standards and forms, Los Angeles County Department of Mental Health website, San Diego County Behavioral Health Services website, Substance Abuse, Prevention and Control website, Find a behavioral health service provider, Medi-Cal Appeals & Grievances (Grievance Forms), Cal Medi-Connect Appeals & Grievances (Grievance Forms), About Blue Shield of California Promise Health Plan. Olvido su contrasea? Learn more, Behavioral Health providers have contractually agreed to offer appointments to our members according to specific appointment access standards. Call toll-free:(800) 609-4166 (TTY: 711), 24 hours a day, 7 days a week. Idaho: Contact Blue Cross of Idaho at 1 (877) 908-0972, Washington: Contact Premera Blue Cross at 1 (800) 622-1379. Such services are funded in part with the State of New Mexico. WebThe support team can help you: Find a provider. mental health provider Learn more about pricing disputes and appeals. WebAnthem Blue Cross and Blue Shield Medicaid (Anthem) facilitates integrated physical and behavioral health services as a vital part of healthcare. Our network Empire WebCBA is a separate company that offers behavioral health benefits on behalf of BlueCross BlueShield of South Carolina. Depending on your operating system, you may need to download a tool to open (un-zip) the file. All behavioral health benefits are subject to the terms and conditions as listed in the member's benefit plan. Health WebMental health provider match. WebThe OutList is an international directory that recognizes LGBTQ+ affirming providers who identify as affirming in the provision of care, treatment, and services of LGBTQ+ Behavioral health services forFederal Employee Program(FEP) membersare managed by BCBSIL, but different processes may apply. Our network has PCPs in almost every county in the state. The drug list for this plan has many highly utilized generic drugs and some brand name and specialty drugs. Necesita su ID de usuario? URAC offers a wide range of quality benchmarking programs and services that keep pace with the rapid changes in the health care system, and provide a symbol of excellence for organizations to validate their commitment to quality and accountability. Get Support Today. Not all providers offer acupuncture service. Washington: Contact Premera Blue Cross at 1 (800) 622-1379. Enrollment in Blue Shield of California Promise Health Plan depends on contract renewal. ; On the provider search page, choose BSC MHSA as your Benefit Plan and Non-Medicare Provider under the Provider WebBehavioral Health Care. Depending on your operating system, you may need to download a tool to WebWe have provided the following directory as a reference guide to help you find a doctor in the John Muir Health Physician Network. WebProvider Collaboration. We know that behavioral health is a fundamental part of a persons well-being. Health plans are offered by Blue Shield of California. *, Directory, English(PDF, 123 MB) WebFind a Doctor or Health Care Facility. Mental Health Y0079_8890_M CMS Accepted 09302019. Other Adobe accessibility tools and information can be downloaded atwww.adobe.com/accessibility.html. You are now leaving the blueshieldca.com website, Customer Care to get Behavioral Health Services. Follow the instructions. Provider Resources If members do not have medical care management programs as part of their group health plans, they will not be referred to other medical care management programs. Inscribirse ahora! WebBlue Shield of California welcomes you. In addition, some sites may require you to agree to their terms of use and privacy policy. WebPlease enable JavaScript to continue using this application. Apply for individual or family medical, dental, and life insurance plans. WebFor Outpatient services, if a member receives any of the behavioral health services listed below without prior authorization, BCBSIL will request clinical information from the provider for a medical necessity review. Blue Cross NC wants to make sure you have the most accurate and up-to-date information.
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