| CT BHP Provider Manual – Complete Edition |
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| Also printable by section: |
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| SECTION I: |
Introduction |
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(Overview of the Connecticut Behavioral Health Partnership, Quick Reference Guide to the Partnership) |
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| SECTION II: |
Participating as a CT BHP Provider |
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(Provider Enrollment, Participating Provider Responsibilities, Supports Available to CT BHP Network Providers, Claims and Billing Information, Rapid Response Team) |
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| SECTION III: |
Verifying Member Eligibility |
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(Options for Verifying Member Eligibility for CT BHP Services, Non-Husky Children) |
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| SECTION IV: |
CT BHP Approach to Care Management and Utilization Management |
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(Principles of Recovery and Resiliency, Overview of Services Requiring Authorization and Concurrent (Continuing Stay) Reviews, Authorizing the Initiation of Services, Participating in a Concurrent (Continuing Stay) Review, Registering Services, Discharge & After Care Plan, Working with Care Managers, Critical Elements in Treatment Plans, Other Reviews Conducted by CT BHP) |
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| SECTION V: |
Interface with the HUSKY MCOs |
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(Collaboration across Delivery Systems, Overview of Services Covered by HUSKY MCOs, Overview of Services Covered by the CT BHP) |
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| SECTION VI: |
Departments and Services of the ASO |
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(System Management and Development, Provider Relations/Network Operations, Peer Specialists, Quality Management) |
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| SECTION VII: |
Rights and Responsibilities |
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(Honoring Member Rights, Filing Inquiries, Complaints, Grievances and Compliments, Filing Administrative Appeals, Filing Medical Necessity Appeals) |
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| Appendix A: |
Glossary of Terms |
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| Appendix B: |
Frequently Asked Questions |
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| Appendix C: |
CT BHP Services Requiring Authorization and Registration |
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| Appendix D: |
Adolescent/Adult Substance Abuse Guidelines |
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| Appendix E: |
Child Psychiatric Level of Care Guidelines |
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| Appendix F: |
Adult Psychiatric Level of Care Guidelines |
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| Appendix G: |
Clinical Templates |
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| Appendix H: |
Mixed Services Protocols: Responsibilities of the CT BHP and the HUSKY MCOs |
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(Co-Occurring Medical and Behavioral Health Condition (Screening, Referral, and Coordination), Freestanding Medical/Primary Care Clinics, Home Health Services, Hospital Emergency Department, Hospital Inpatient Services, Hospital Outpatient Clinic Services, HUSKY Plus Behavioral, Long Term Care, Mental Health Clinics, Methadone Maintenance, Multi-Disciplinary Examinations, School-Based Health Center Services, Transportation) |
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| Appendix I: |
CT BHP Local Areas |
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