Provider Express. Providers Tools to help you do business with us successfully. All behavioral health appeals should be submitted directly to Optum. If available, use the binoculars icon on the top right hand side of the PDF to search for information and topics. For behavioral health providers — submit claim or clinical appeals online, access training, resources and more. Page | 6 WYhealth by Optum coordination of care. 3.2 Provider Communication : Provider Alerts . Optum Alaska. The purpose of this manual is to provide key information to our contracted network providers and support you in delivering effective care for mutual patients in accordance with OptumCare Network of Arizona and industry standards. Easily find information in this manual using the following steps: 1. Optum is providing support and resources to help people stay up to date on coronavirus disease (COVID-19). Provider Express Claim Entry is available to Optum network clinicians and group practices free of charge, 24/7, for outpatient behavioral health and EAP claims. Optum Workers’ Comp and Auto No-fault Access useful resources to support your management of claims. website > Behavioral Health Providers > Provider Training and Education. brochure Behavioral Health brochure for health plans Optum offers comprehensive Behavioral Health solutions. Below are a just a few of the important documents that will assist you as a behavioral health provider. select Administrative Guides and Manuals, then Community Plan Care Provider Manuals, select state. Provider Manuals and Directories. Behavioral Health Toolkit for Medical Providers CCC+ Provider Orientation (Dec. 2017) Medallion 4.0 Provider Orientation – Medical and Family Access to Medical Insurance Security Notice Regarding Changes to the Authorization Process for Virginia Community Mental Health Rehabilitative (CMHR) Services More information and resources can be found throughout the website. Below are a few examples of specialized services that are available for Maryland individuals that meet the Medical Necessity Criteria (MNC). For assistance, please contact Harvard Pilgrim’s Behavioral Health Access Center at 888-777-4742 or access Optum’s Provider Express website for clinical and administrative resources, including the Prior Authorization of Service and the Contact Us (for provider assistance) sections. Optum WebAssist Physical Health Submit claims and clinical submissions and check their status, find forms and manuals, access resources, plan summaries and more. For more information, please refer to the Behavioral Health Provider Manual or contact Optum at 844-451-3519. • Behavioral health (Optum Behavioral Health) • Chiropractic, PT, OT, ST (Optum Physical Health) • Obstetrics and gynecology (OB/GYN) • Vision care providers (Superior Vision – Maricopa county only) • Specialists who are not contracted require prior authorization How to complete a referral Our online portal makes it quick and easy. If you are a person or a family member seeing a MDH/BHA provider, you can access relevant information with the touch of a finger: Educational opportunities and resources. Press Enter. Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). Optum Subrogation Referral Portal See more 2. 3. This Provider Operations Manual contains important information including policies and procedures to be followed when working with Optum, and/or members covered by health plans managed by Optum. Provider Orientation. The Provider Manual is where you will find important information about the services offered in Maryland. Virginia Medicaid Provider Resources. We provide a team of registered nurses, behavioral health care advocates, community health workers and a Medical Director Submit your new case referral or request for case information electronically using the OSRP. The vision of OptumCare is to meet individual patient’s needs through a connected set of practices and services. This Provider Manual is designed to guide you in working with us and supplements your Agreement with ... Behavioral Health - Optum Phone and/or Fax Medicaid Phone: 1-401-443-5997 Commercial Phone: 1-833-470-0578 ... Behavioral Health – Information about our partner, Optum… Providers > Provider Training and Education Health solutions regarding all covered services, please review our Provider Manual full... 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