Behavioral Health Resources for Primary Care Providers (PCPs)
This information provides resources and contact numbers for PCPs related to behavioral health, including Optum's toolkit for medical providers, AllWays Health Partners' services, and a Substance Use Disorder helpline. PCPs can access the toolkit online to find training videos, screening tools, best practices, and more. The collaboration between Optum and PCPs aims to improve patient outcomes by enhancing care coordination between medical and behavioral health services.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. Download presentation by click this link. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
E N D
Presentation Transcript
Behavioral Health Resources for PCPs
Behavioral Health Behavioral Health Partner: Optum Customer Service Numbers: AllWays Health Partners Commercial: 844-451-3518 AllWays Health Partners MassHealth/ACO: 844-451-3519 AllWays Health Partners, Partners ASO: 844-451-3520 Available via Provider Express at: https://www.providerexpress.com/content/ope-provexpr/us/en.html Provider Information Resource Materials, Guidelines, and Tools Eligibility Verification Claims and Authorization Status For BH Appeals: Optum Appeals and Grievances P.O. Box 30512 Salt Lake City, UT 84130-0512 Fax:1-855-312-1470 Phone: 1-866-556-8166 2 AllWays Health Partners includes AllWays Health Partners, Inc. and AllWays Health Partners Insurance Company.
Optum is a committed partner in coordinating and integrating care between medical and behavioral health services to improve patient outcomes As the first line of defense for behavioral health issues, primary care providers play a critical role in the proper identification, treatment, and referral for BH conditions. As a collaborative healthcare partner, Optum supports PCPs through information sharing and support so that they have the tools and resources they need to successfully treat these patients. Optum s BH Toolkit for Medical Providers has been created to support collaborative initiatives with primary care providers. 3 AllWays Health Partners includes AllWays Health Partners, Inc. and AllWays Health Partners Insurance Company.
Optums Toolkit Member Resources Training Videos Screening Tools Best Practices SUD Resources Substance Use Disorder Helpline 1-855-780-5955 A 24/7 helpline for providers and patients to: Identify local MAT and behavioral health treatment providers and provide targeted referrals for evidence-based care Educate members/families about substance use Assist in finding community support services Assign a care advocate to provide ongoing support for up to 6 months, when appropriate Treatment Plans and Mental Health Referrals Antidepressant Medication Management Provider Search Online PHQ-2 and 9 Depressive Disorders Presentation & Treatment Birth to 5 Compendium of Screening Measures How to find Express Access or Virtual Visits Alcohol and Other Substance treatment 4 AllWays Health Partners includes AllWays Health Partners, Inc. and AllWays Health Partners Insurance Company.
PCPs can access the toolkit from Optums provider page 1. Go to https://www.provider express.com/content /ope- provexpr/us/en.html 2. Click on Clinical Resources 3. Click on Behavioral Health Toolkit for Medical Providers Many additional resources and trainings are available on this provider site 5 AllWays Health Partners includes AllWays Health Partners, Inc. and AllWays Health Partners Insurance Company.
BH Screening Tools for PCPs Behavioral Health Screening Tools Administered by Age Group Additional Tools and Quality Initiative information available at ASQ:SE Ages and Stages Questionnaire: Social-Emotional www.brookespublishing.com/asq Brief Infant and Toddler Social and Emotional Assessment http://www.pearsonclinical.com/psychology/products/100000150/brief-infant-toddler-social- emotional-assessment-bitsea.html Parent 6 to 60 months Parent 12 to 36 months BITSEA Youth 14 to 21 years Car, Relax, Alone, Forget, Friends, Trouble (specific to substance/alcohol use) http://www.ceasar-boston.org/CRAFFT/ CRAFFT Parent 18 to 60 months Early Childhood Screening Assessment http://www.infantinstitute.org/measures-manuals/ Edinburgh Postnatal Depression Scale (new as of March, 2017) http://www.fresno.ucsf.edu/pediatrics/downloads/edinburghscale.pdf Modified Checklist for Autism in Toddlers (specific to autism) for dates of service through 12/31/17 only effective 1/1/18, only the MCHAT-R can be used www2.gsu.edu/~psydlr Modified Checklist for Autism in Toddlers (revised with follow-up) www2.gsu.edu/~psydlr Parents Evaluation of Developmental Status www.pedstest.com ECSA https://www.pro viderexpress.co m/content/ope- provexpr/us/en/ clinical- resources/clinic al-tools-and- quality- initiatives.html EPDS Parent 0 to 6 months M-CHAT Parent 16 to 30 months M-CHAT- R/F Parent 16 to 30 months Parent Birth to 8 years PEDS Patient Health Questionnaire-9 (screening for depression) http://www.integration.samhsa.gov/images/res/PHQ%20-%20Questions.pdf PHQ-9 Youth 13+ years PSC/PSC-17 Pediatric Symptom Checklist or 17-question version* (*new as of March, 2017) www.massgeneral.org/psychiatry/services/psc_home.aspx Parent 4 to 16 years PSC-Y Pediatric Symptom Checklist Youth Report www.massgeneral.org/psychiatry/services/psc_home.aspx Pediatric Symptom Checklist Strengths and Difficulties Questionnaire (www.sdqinfo.org ) Youth 11 to 18 years PSC-17 SDQ Parent 3 to 16 years SDQ Self-Rated SDQ (www.sdqinfo.org ) Youth 11 to 16 years SWYC or SWYC-MA Survey of Wellbeing of Young Children (standard or Massachusetts specific version) www.TheSWYC.org Parent 0 to 60 months 6 AllWays Health Partners includes AllWays Health Partners, Inc. and AllWays Health Partners Insurance Company.
Integrated Care Management Offered at AllWays Health Partners Your Care Circle(YCC) The YCC program is designed to provide individualized, coordinated support and care management to members of all ages who are experiencing a range of medical, psychological, and social health challenges. A holistic and multidisciplinary approach to care management, Care Managers work as part of an interdisciplinary team and visit members in their homes, during hospitalizations, shelters or other public venues. Each interdisciplinary team is comprised of a Medical Care Manager, Behavioral Health Care Manager, Social Care Manager and Community Health Workers. The program aims to increase engagement with these historically hard-to-reach members through the use of novel approaches (e.g., home visits, phone calls, letters, hospital visits, community health workers) and meet a member s bio-psycho-social healthcare needs to improve overall quality of life Referrals can be made via secure/confidential email at Yourcarecircle@allwayshealth.org, include member name and AllWays Health Partners ID, referring person contact information and a brief description of why you are referring (issues, concerns, needs). 7 AllWays Health Partners includes AllWays Health Partners, Inc. and AllWays Health Partners Insurance Company.
How Might This Programs Impact You? Contact with the PCP should occur for all members* enrolled in these programs (*if the member has signed a release of information to speak with his/her PCP) You may have information which is crucial to include in a member s care coordination plan If you don t have a relationship with the member (i.e., have never met the member), the YCC CM will work with the member to schedule an appointment with you as soon as possible The YCC team can assist with things like referrals to behavioral health services, setting up transportation to appointments, etc. this can save you valuable time!!! 8 AllWays Health Partners includes AllWays Health Partners, Inc. and AllWays Health Partners Insurance Company.
