more >, MBHP works in partnership with MassHealth to provide high quality, integrated medical and behavioral health care. | Download Word Viewer | Download Excel Viewer. Behavioral Health Providers. Clinician (PCC) Plan,Community Care Cooperative We may contact members via text or email with important information. Working with its network of providers, MBHP offers high quality, accessible, culturally sensitive health care to Members of the MassHealth Primary Care Clinician (PCC) Plan, Community Care Cooperative (C3), Steward Health Choice, and the BeHealthy Partnership. Use of this system must adhere to all applicable agency policies and standards including and not limited to . >, CBHCs will serve as an entry point for timely, high-quality mental health and substance use disorder (SUD) treatment on an urgent and ongoing basis. more >, MBHP sponsors forums and training programs that address topics such as practice management strategies, and rehabilitation and recovery. Behavioral health providers utilizing the Carelon Behavioral Health site ("Providers") are solely responsible for determining the appropriateness and manner of utilizing Carelon Behavioral Health information and resources in providing services to their patients. For assistance with any technical problems (such as connecting to or accessing the site) please call our e-Support Help Line at 888-247-9311 during business hours Monday through Friday 8AM - 6PM ET or you can email an Applications Support Specialist at e-supportservices@carelon.com, 2023 Create an account For all applications: about becoming part of the MBHP network, how to access provider-only There are five steps to joining our network. management program offered to PCC Plan Members with complex medical, mental MBHP Massachusetts Behavioral Health Partnership A Carelon Behavioral Health Company . All passwords should be kept confidential. MassHealth Info and Other Important Contacts, 1000 Washington Street, Suite 310 | Boston, MA 02118-5002 | 1-800-495-0086 | Website questions, comments, or feedback: MBHPCommunications@carelon.com, Privacy Policy | Terms and Conditions | Download Acrobat Reader HARVARD PILGRIM HEALTH CARE-PROVIDER MANUAL H.31 October 2022 . Whether you have a question or are interested in learning more about how we can best support you, please call our National Provider Services Line at 800-397-1630, Monday to Friday, 8 a.m. to 8 p.m. Eastern time. If you meet the eligibility requirements to join our network, you'll receive a welcome letter with your network effective date. The Massachusetts Consultation Service for Treatment of Addiction and Pain (MCSTAP) is a statewide program that offers primary care providers A distinct feature will be Please return the completed form, including the Terms and Conditions, via fax to 888-643-4396. Whether you have questions or are interested in learning more about how we can best support you, please reach us by calling our National Provider Services Line at 800-397-1630, Monday through Friday, 8 a.m. to 8 p.m. Eastern time. insurance as their primary insurance. If you are a MassHealth PCC Plan Member, you have access to a large network of primary care providers including physicians, community health centers, and hospitals. The provider portal offers access to information pertinent to your profile, including claims, eligibility, benefits, and much more. v6.13.00, Return to These providers can offer you check-ups, help with ongoing medical conditions, and more. Stay up to date on policies and procedures, quality programs, appeals, and credentialing information. We also serve children in state custody and others. The strength and depth of our provider network is key to our mutual success. MBHP manages behavioral health care for the BeHealthy Partnership, an Accountable Care Organization, serving Western Massachusetts. BY USING THIS SYSTEM YOU EXPRESSLY CONSENT TO SUCH MONITORING. Performance Specifications General MBHP, BeHealthy Partnership: Effective May 2022 Page 1 of 3 General Performance Specifications Fax: 877-334-9615 | Mail: 1000 Washington St., Suite 310, Boston, MA 02118 ATTN: Claim Review Coordinator Claim Review Form Complete all information requested. Carelon Behavioral Health Home | Return to Provider Home | Contact Us | Privacy Statement | Terms and Conditions, Return to You are not logged in. We support providers by offering a handbook, a primary care provider (PCP) toolkit, and web-based trainings, along other resources and materials. sensitive health care to Members in the MassHealth Primary Care Individual Practitioner, Group, or Facility NPI Number: User name: Must be at least 5 - 10 characters in length. All MassHealth members need to renew their coverage starting in April 2023. Masspartnership We'd love to include you. Please submit an application today to get started. *Please ensure that the user name and password you create is something you will remember. Spaces, commas, quotes and underscores are not acceptable. This trusted behavioral health and wellness website provides a multitude of educational materials you can share with your patients. Get key messages, materials, and sign-up for notifications to help you educate members. more, MBHP network providers can view the Provider Manual and performance specifications, submit claims, request service authorizations, and much more. New provider: To remain in the network, you must follow a re-credentialing approval process every three years or the period required by state laws or regulations. Carelon Behavioral Health ProviderConnect web content, and get answers to frequently asked questions. If youre a provider joining a group with a participation agreement, you will not receive a contract directly. Topics range from administrative processes to todays most pressing behavioral health issues. From this portal you can accomplish things like: Check member real-time eligibility; View Authorizations; Update Provider Demographics The ICMP accepts referrals from Currently participating practices: BY USING THIS SYSTEM YOU EXPRESSLY CONSENT TO SUCH MONITORING. New facility: Completion of this registration form is required for all providers contracted with MBHP. more >, The Integrated Care Management Program (ICMP) is an enhanced care Executive Office of Health and Human Services-Virtual Gateway Password: Must be at least 5 - 10 characters in length and contain at least one letter, one number and one special character (e.g. Must be at least 5 - 10 characters in length and contain at least one letter, one number and one special character (e.g. Working with its network of providers, Join Our Provider Network | Carelon Behavioral Health integration of medical and behavioral health care, Masspartnership Steward Health Choice, and the BeHealthy Partnership. Council for Affordable Quality Healthcare (CAQH) participating providers: Start the application process as a new facility by completing our Request for Application Facility Form. Once you've completed and submitted your request for participation, and weve confirmed you meet eligibility requirements, well send the contract through our secure application to the email you used to register. statewide. Welcome to our website! | Download Word Viewer | Download Excel Viewer, For important information about COVID-19, providers click. We'd love to include you. Login - Mass Parts USA Shop Please review and sign your contract. The Massachusetts Child Psychiatry Access Program (MCPAP) is a statewide program that offers primary care providers free telephone consultation with child psychiatrists and other behavioral health education services. The Massachusetts Behavioral Health Partnership (MBHP) manages behavioral health care for more than 430,000 Please register for access. more, MBHP collaborates with primary care clinicians (PCCs) to enhance the integration of medical and behavioral health care, as well as to improve the quality of care offered to PCC Plan Members. Working with its network of more Email address. Step 2: Submit a signed contract. All qualified diagnosticians conducting Assessment for Safe and Appropriate Placement (ASAP) assessments must utilize the, MassHealth Redetermination Communications Toolkit. ProviderConnect - Providers - Login submission and service authorization tools, and more. 1000 Washington Street, Suite 310 | Boston, MA 02118-5002 | 1-800-495-0086 | Website questions, comments, or feedback: MBHPCommunications@carelon.com Privacy Policy . MassHealth Info and Other Important Contacts, 1000 Washington Street, Suite 310 | Boston, MA 02118-5002 | 1-800-495-0086 | Website questions, comments, or feedback: MBHPCommunications@carelon.com, Privacy Policy | Terms and Conditions | Download Acrobat Reader Please enter your email address to create an account. As part of our network, youll benefit from: Find answers to questions about accessing the provider portal, submitting claims, our credentialing process, and more. Refer to the many resources that will help you remain compliant with all local, state, and federal regulations. 06/15/09 clarified PAF to "percent of charge method" 09/15/10 annual review; minor updates for clarity Spaces, commas, quotes and underscores are not acceptable. more >, MBHP offers our providers and primary care clinicians access to a broad Masspartnership Our credentialing process ensures youre part of a quality network where in-network referrals can be trusted. Carelon Behavioral Health Home. If you are not the designated eAdmin check with your practice manager for instructions. @2023 Carelon Behavioral Health. all provider types, as well as self-referrals. If you are experiencing a mental health or substance use disorder crisis, the Community Behavioral Health Centers (CBHCs)/Mobile Crisis Intervention (MCI) is available 24 hours a day, 7 days a week, 365 days a year. Spaces, commas, quotes and underscores are not acceptable. Many of our providers speak multiple languages, and they all Spaces, commas, quotes and underscores are not acceptable. MBHP offers high quality, accessible, culturally sensitive health care to Members of the MassHealth Primary Care Clinician (PCC) Plan, Community Care Cooperative (C3), Click here For assistance with any technical problems (such as connecting to or accessing the site) please call our e-Support Help Line at 888-247-9311 during business hours Monday through Friday 8AM - 6PM ET or you can email an Applications Support Specialist at e-supportservices@carelon.com. 7-day-per-week access including walk-in capacity, psycho-pharmacology, and treatment options including services and interventions for mental health, substance and their families. To start the application process, complete ouronline form. If youre a participating practice and would like to add a new provider, complete our online form. Our provider newsletter includes timely articles, training opportunities, regulatory updates, clinical highlights, and more. If you have any questions, call our National Provider Services Line at 800-397-1630 Monday to Friday, 8 a.m. to 8 p.m. Eastern time. It also provides information on openings Emergency Services Programs, inpatient programs, and other 24-hour services. This system is subject to monitoring which may result in the acquisition, recording and analysis of all data communicated, transmitted, processed, or stored by a user. Here's what you, as a behavioral health provider, need to know Information for MassHealth Providers. This system is subject to monitoring which may result in the acquisition, recording and analysis of all data communicated, transmitted, processed, or stored by a user. MBHP understands that safe and stable housing is the foundation upon which good health is built. Please log in by entering your User ID and password below. MassHealth Info and Other Important Contacts, 1000 Washington Street, Suite 310 | Boston, MA 02118-5002 | 1-800-495-0086 | Website questions, comments, or feedback: MBHPCommunications@carelon.com, Privacy Policy | Terms and Conditions | Download Acrobat Reader Reviewed and updated annually, our medical necessity criteria reflect the latest developments in serving individuals with behavioral health diagnoses. | Download Word Viewer | Download Excel Viewer, If you are a provider in our network but are not registered to access information on the MBHP website, please use our, MBHPNetworkOperationsWebsiteRegFormArchive@carelon.com. to resources to support health care integration. We strongly encourage you to use all available electronic options to help ensure the timeliness, accuracy, and security of claims-related information. PDF APPENDIX A-i - Masspartnership your password to receive a new password in your email. Payspan offers healthcare reimbursement and payment systems that are secure, efficient, and cost-effective choices for providers and payers. You'll also find ways to stay connected by subscribing to our Provider Newsletter. The information and resources provided through the Carelon Behavioral Health site are provided for informational purposes only. Step 3: Credentialing process. Whether you have a question or are interested in learning more about how we can best support you, please call our National Provider Services Line at 800-397-1630, Monday to Friday, 8 a.m. to 8 p.m. Eastern time. Welcome to Expedited Authorization and Updates Application Incomplete, incorrect, or illegible forms may delay or prevent proper processing. New facility: for all quality management activities across all departments and When continuous coverage requirements end on April 1, 2023, MassHealth will return to its standard annual eligibility renewal processes. Whether you have questions or are interested in learning more about how we can best support you, please reach us by calling our National Provider Services Line at 800-397-1630, Monday through Friday, 8 a.m. to 8 p.m. Eastern time. share a commitment to providing high quality, culturally sensitive Were glad youre here. Email: [emailprotected], IIS, NFS, or listener RFS remote_file_sharing: 1025, Point-to-point tunnelling protocol: 1723, Session Initiation Protocol (SIP): 5060, Registed: 1997-08-12 (25 years, 346 days), DNS Server: ns39.worldnic.com, ns40.worldnic.com. In March 2020, MassHealth put protections in place during the COVID-19 pandemic emergency that prevented termination of Member coverage. If youre not registered with CAQH, visit CAQH.org to set up an account and complete an application. Must be at least 5 - 10 characters in length. Click above to register as a new eAdmin. The Massachusetts Behavioral Health Partnership (MBHP) manages behavioral health care for more than 430,000 MassHealth Members statewide. MBHP hosts a wide variety of CBHI content. 1,200 providers, MBHP offers high quality, accessible, culturally ensures and improves the quality of service provided to Members. CBHCs will integrate crisis and community-based treatment by combining mobile teams, crisis stabilization, and care coordination. The Massachusetts Behavioral Health Partnership (MBHP) manages behavioral health care for more than 500,000 MassHealth Members statewide. than Whenever possible, continuing education credits are made available to Be sure to choose option #3 if youd like to join an in-network group or #4 if youre a participating practitioner who has relocated to a new state. Other internet browsers may not be compatible and may result in formatting or other visible differences. PDF General Performance Specifications - Masspartnership No information or resource provided through the Carelon Behavioral Health site is intended to substitute for the professional judgment of a behavioral health professional. To check your status, please use the secure link provided in the email you received during enrollment. Trainings cover a variety of topics ranging from claim submission guidelines and provider portal support to behavioral health in youth and motivational interviewing. Providers are solely responsible for determining whether use of a resource provided through Carelon Behavioral Health is consistent with their scope of licensure under applicable laws and ethical standards.It is recommended that you use Edge, Chrome or Firefox when using ProviderConnect. more. Value-based reimbursement strategies that reward access and quality. comprehensive behavioral health services for youth under the age of 21 Alerts to our Provider Manual, performance specifications, claims MassHealth Eligibility Redeterminations. Welcome to Expedited Authorization and Updates Application. The Massachusetts Behavioral Health Partnership (MBHP) The provider handbook outlines our standard policies and procedures for individual providers, affiliates, group practices, programs, and facilities. In March 2020, MassHealth put protections in place during the COVID-19 pandemic emergency that prevented termination of Member coverage. A unique login is required to access this tool. care. PAYMENT POLICIES . Welcome to our redesigned Provider Online Services. New provider: MassHealth Members statewide. Contact information for During the COVID-19 pandemic emergency, MassHealth put protections in place to ensure that your healthcare coverage continued. MBHP providers are required to adhere to the policies and procedures outlined in the MBHP Provider Manual. free telephone consultation on safe prescribing and managing care for patients with chronic pain, substance use disorder, or both. Browse clinical practice guidelines and resources regarding patient-first practices and outcomes. Our credentialing process fully complies with national accreditation standards and applicable state and federal laws, rules, and regulations. more >, The MBHP Quality Management (QM) Program serves as a unifying structure User names and passwords allow providers to have access to the MBHP Provider Manual, service authorization information, Alerts, and other password-protected information.
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