Healthy Blue Unmanaged Units

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Healthy Blue Behavioral Health Q&A Transcript - NC AHEC

(8 days ago) WEBHealthy Blue Behavioral Health Q&A Transcript Question # 39 – The 10 unmanaged units for children is 16 on the NC-DHHS Clinical Policy 8C. So, how come you guys are …

https://www.ncahec.net/wp-content/uploads/2021/05/Healthy-Blue-Behavioral-Health-QA-Transcript.pdf

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Behavioral Health Overview

(Just Now) WEBBehavioral health self-referrals. o Blue Cross NC does not require Healthy Blue members to obtain a referral or PA for the first mental health or substance dependence …

https://provider.healthybluenc.com/docs/gpp/HBNC_HBTC_BehavioralHealthOrientation.pdf?v=202106181539

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Provider Manuals and Guides

(7 days ago) WEBProvider Manual. Healthy Blue’s provider manual provides key administrative information including the quality improvement program, the UM program, quality standards for …

https://provider.healthybluenc.com/north-carolina-provider/manuals-and-guides

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Behavioral Health - Healthy Blue North Carolina Providers

(6 days ago) WEBBehavioral health. Member Services: 844-594-5070 Provider Services: 844-594-5072 Behavioral Health Crisis Line: 844-594-5076. Integrated health care. Blue Cross and …

https://provider.healthybluenc.com/north-carolina-provider/behavioral-health

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Outpatient Behavioral Health Services Reminder - Provider News

(Just Now) WEBBlue Cross and Blue Shield of North Carolina will require prior authorization (PA) for Healthy Blue outpatient behavioral health services in alignment with the …

https://providernews.healthybluenc.com/articles/outpatient-behavioral-health-services-reminder-14265

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Healthy Blue Provider Manual

(2 days ago) WEBcommittees. Please feel free to call Healthy Blue Provider Services at 844-594-5072 with any suggestions, comments and/or questions. Together, we can make a real difference …

https://provider.healthybluenc.com/docs/gpp/NCNC_CAID_ProviderManual.pdf

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Healthy Blue Medicaid Managed Care

(4 days ago) WEBThe information in this bulletin may be an update or change to your provider manual. Find the most current manual at: https://providers.healthybluela.com. Healthy Blue is the …

https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_BHCoveredBenefits_LA.pdf?v=202101272128

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Healthy Blue Member Handbook: Behavioral Health Services

(9 days ago) WEB1 Healthy Blue . Member Handbook . 10000 Perkins Rowe, Suite G-510 • Baton Rouge, LA 70810 . 844-227-8350 . TTY 711 . myhealthybluela.com Welcome to Healthy Blue!

https://www.myhealthybluela.com/la/lala_caid_bh_mhb_eng.pdf

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Medicaid North Carolina Healthy Blue of North Carolina

(4 days ago) WEBBehavioral Health Crisis Line. 844-594-5076 (TTY 711) 24 hours a day, seven days a week. Call us if you are experiencing emotional or mental pain or distress. We have …

https://www.healthybluenc.com/north-carolina/home.html

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June 2023 Utilization Management Clinical Criteria

(1 days ago) WEBNCHB-CD-027268-23-SRS27176 June 2023. June 2023. Utilization Management Clinical Criteria. The Clinical Criteria below were adopted by the Medical Operations Committee …

https://provider.healthybluenc.com/docs/gpp/NC_CAID_ClinicalCriteriaList.pdf?v=202306271518

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SPECIAL BULLETIN COVID-19 #46: Behavioral Health Service …

(2 days ago) WEBTable 1: Behavioral Health Emergency Flexibilities by Policy. Waive prior authorization after the initial unmanaged 32 units of service. (For state-funded …

https://medicaid.ncdhhs.gov/blog/2020/04/16/special-bulletin-covid-19-46-behavioral-health-service-flexibilities

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Healthy Blue Utilization Management (UM) Program …

(Just Now) WEBGoals. The goals of the UM program are: (1) to ensure adequacy of service availability and accessibility to eligible members; (2) to maximize appropriate medical and behavioral …

https://www.healthybluenc.com/north-carolina/ncnc_caid_utilizationmgmtpolicy.pdf

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Behavioral Health Utilization Management Guide

(7 days ago) WEBCheck to ensure you are not requesting backdating of services. Contact the Behavioral Health Utilization Management (BH UM) department at 1-833-900-2262 for further …

https://www.amerihealthcaritasnc.com/assets/pdf/provider/behavioral-health-um-guide.pdf

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WellCare of North Carolina Medicaid Behavioral Health …

(1 days ago) WEBThese units can be a combination of any modality of therapy such as individual, family and/or group therapy codes (90832, 90834, 90837, 90846, 90847, …

https://www.wellcarenc.com/content/dam/centene/wellcare/nc/pdfs/behavioral-health-guidelines-faqs.pdf

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Healthy Blue 837P

(3 days ago) WEBHealthy Blue recognizes units in values of less than 9999 and greater than or equal to zero. Healthy Blue Medicaid Managed Care 837 Professional Health Care Claim Page …

https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_837P.pdf

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Eligibility & Provider Report

(7 days ago) WEBSelect the health plan. From the Payer Spaces homepage, select the Resources tab. From the Resources tab, select Provider Online Reporting. Select I Agree on the disclaimer …

https://provider.healthybluenc.com/north-carolina-provider/eligibility-provider-reports

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Mental Health & Substance Use Services Healthy Blue Louisiana …

(1 days ago) WEBHow to access mental health and substance use services. Our team is here for you. Call Member Services at 1-844-227-8350 (TTY 711). We can help you: Find a provider. Find …

https://www.myhealthybluela.com/la/benefits/mental-health-substance-services.html

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Clinical Utilization Management Guidelines - Healthy Blue Ne

(6 days ago) WEBBlue Cross and Blue Shield Association. BNEPEC-0003-20 September 2020 State approval: 09/03/2020 Clinical Utilization Management Guidelines The new Clinical …

https://provider.healthybluene.com/docs/gpp/NENE_CAID_ClinicalUtilizationMgmtGuidelines.pdf?v=202012182149

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Crossover to NC Medicaid Managed Care/Standard Plan

(8 days ago) WEBNew name for our current Medicaid program. Fee-for-service + LME/MCOs (or PACE) What everyone on Medicaid has now. The term used reference the five …

https://www.alliancehealthplan.org/document-library/59429/

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Healthy Blue Medicaid Managed Care Provider Manual

(5 days ago) WEBHealthy Blue is an expert in the Medicaid market, focused solely on meeting the health care needs of financially vulnerable Louisianans. We’re dedicated to offering real …

https://provider.healthybluela.com/docs/gpp/LA_CAID_ProviderManual.pdf?v=202109101410

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WellCare of North Carolina Medicaid Behavioral Health …

(9 days ago) WEBBehavioral Health UM Authorization Fax number. Inpatient (Inpatient, Facility-Based Crisis, Detox Services) 1-800-551-0325. Outpatient Behavioral Health …

https://www.wellcarenc.com/content/dam/centene/wellcare/nc/pdfs/NC_Caid_Prov_BH_Authorization_Guidelines_FAQ_2023_R.pdf

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