Valueoptions Provider Portal - Maryland State Department of Health and Mental Hygiene and ValueChoices® questions will be answered at the end of each segment and at the end of today.

Presentation on theme: "Maryland State Department of Health and Mental Hygiene and VALUEOPTIONS® questions will be answered at the end of each section and at the end of today." - Presentation transcript:

Valueoptions Provider Portal

Valueoptions Provider Portal

Questions will be answered at the end of each segment, and at the end of today's session the questions and answers will be posted on the DHMH website as time permits. Clinical training September 2009

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Provider Alerts MHA Updates and Announcements ValueOptions® Maryland Provider Updates and Announcements Manual Training Schedule Provider Connect "Tips" Maryland Specific Provider Connect "Demo" Consumer Information New Phone Option: Inpatient Authorization Request - , Option 2 Authorization - Cheryl B Thomp , x214040

ProviderConnect is an online tool that improves convenience and reduces administrative burden. Free, secure, online application Easy access 24/7 Complete multiple transactions in one sitting

With ProviderConnect, providers can: Register consumer eligibility Register uninsured consumers (effective October 2009) Request authorization View authorization Submit a claim (bulk and direct/online claim) View and print claim status Provider Summary Voucher Customer Submit service access inquiries and printing forms

Each provider has a secure login and online registration, which includes a provider ID number, via the Provider Connect website. In the same process, additional applications for other providers are available through ProviderConnect. Contact: ValueOptions® EDI Helpdesk (888), option 3 Monday through Friday 8:00 a.m. to 6:00 p.m. EST time for additional applications is 48 hours.

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Please write your questions on the attached cards. Please submit only one (1) question per card in the card aisle and staff will collect them. We will respond as soon as possible. Don't forget to fill out the satisfaction survey.

Download the PPT "Maryland State Department of Health and Mental Hygiene and Evaluation® questions answered at the end of each section and at the end of today."

In order for this website to function, we record user data and share it with processors. To use this website, you must accept our Privacy Policy, including our Cookie Policy. Beacon Health Options (ValueOption) offers substance abuse benefits within its plans that can reduce or cover the cost of addiction treatment. Using your health insurance to pay for rehab can ease the financial burden on you or your loved one throughout the recovery process.

Valueoptions Provider Portal

One of the most common concerns people have about going to rehab is covering the cost of treatment. If you have health insurance, it can help you get full or partial funding for rehabilitation services. This includes insurance with providers like Beacon Health Options.

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Beacon Health Options, formerly ValueOptions, has over 30 years of experience in managed care. Specializing in behavioral care, their plans include substance abuse health benefits, addiction treatment and mental health services.

As a premier insurance provider, Beacon Health Options is in network with more than 100,000 behavioral health providers and rehab centers nationwide. The amount of service coverage may vary from state to state and depends on your plan's benefits.

Understanding your Beacon Health Options substance abuse coverage can help you or your loved one find the treatment that best fits your financial and personal needs.

Beacon Health Options plans offer benefits that can cover or reduce the cost of drug rehabilitation. This includes inpatient programs within the rehabilitation center as well as detoxification and aftercare.

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Substance abuse benefits may vary depending on your plan and your location. You can check your plan's benefits by visiting the Beacon Health Options online MemberConnect portal or by calling your insurance representative.

Whether or not Beacon Health Options can cover your rehab costs may also depend on whether the rehab center accepts your insurance. Finding a facility that accepts your insurance is the best way to keep your treatment costs down.

Beacon Health Options aims to provide its members with comprehensive mental health and behavioral care. Therefore, they provide coverage for a variety of addiction treatment services that can be helpful in overcoming substance abuse.

Valueoptions Provider Portal

People who stop using drugs or stop drinking after becoming addicted may experience a variety of withdrawal symptoms.

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Just trying to detox from drugs or alcohol can be dangerous. Many substances can cause withdrawal symptoms that affect the mind and body. In the most severe cases, untreated symptoms can be fatal.

Medical detox programs, which may be covered by your Beacon Health Options plan, can provide more protection during this process. Detoxification usually lasts from a week to ten days with the possibility of some symptoms.

The most effective way to stop using an addictive substance is to enter a medically assisted detoxification program. Medical specialists can monitor your health and provide medication as needed to treat severe symptoms. Medical help also reduces the risk of relapse.

Beacon Health Options plans may offer coverage for both inpatient and outpatient detox programs. This may vary depending on your plan and location. Hospital detoxification is most often recommended, especially for people with severe drug or alcohol addiction.

Alcohol And Drug Rehabs That Accept Beacon Health Options

If you ask your doctor or treatment specialist for help, they can help you determine which option would be best for your needs.

Addiction recovery requires a strong support system as well as a structure to help the person heal. This is especially true in the early stages of sobriety, when cravings for drugs or alcohol can still be strong. The effects of withdrawal on mood can also make a person feel unstable during this time.

Inpatient rehabilitation centers can be helpful in providing supervision and structure for people recovering from substance abuse. Inpatient programs typically last 30 to 90 days and include on-site 24-hour care.

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Inpatient programs typically offer a variety of effective treatments to help patients recover from addiction. This may include:

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Different rehab centers may differ in the types of treatments offered within their programs. While hospital treatment can cost thousands of dollars a month out of pocket, using insurance to pay for it can reduce or cover much of this cost.

Beacon Health Options provides comprehensive substance abuse treatment options for members who benefit from substance abuse. This includes treatment within a hospital or residential rehabilitation center. Co-pays or deductibles may apply.

Your insurance may require you to get pre-authorization before entering a rehab center. This may require Beacon Health Options to provide proof of medical necessity for this level of care from your doctor.

Beacon Health Options recognizes how essential outpatient treatment can be to providing ongoing support to people in addiction recovery.

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There are many different options for outpatient treatment after a person leaves an inpatient program. You may be recommended to continue treatment in a day program such as partial hospitalization (PHP) or intensive outpatient (IOP). This involves spending two to seven days a week and up to ten hours a day in a treatment center.

Less intensive outpatient treatment options include regular visits to outpatient counselors, physicians, and other specialists as needed. Participating in support groups such as Narcotics Anonymous (NA) and Alcoholics Anonymous (AA) can also be beneficial in creating a support system for yourself within your community.

Beacon Health Choice plans provide coverage for outpatient treatment at providers that accept your insurance. Out-of-network providers may be required to apply for coverage, which may or may not be approved.

Valueoptions Provider Portal

Another useful outpatient treatment option offered by Beacon Health Options is their mobile, video-based telehealth program. This online platform connects members with in-network service providers in your home, or wherever you are. This can provide flexibility without having to choose between work, other commitments and recovery.

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Several medications have been shown to be effective in combination with behavioral therapy for the treatment of substance abuse. The combination of medication and counseling is known as medication-assisted treatment, or MAT.

Beacon Health Options provides coverage for this type of treatment as an effective way to treat the whole person, not just one or two aspects of the problem. As a whole person approach, MAT can help treat the emotional, mental and physical side of addiction.

Your amount of prescription drug coverage will depend on the policy under your plan. Depending on the type of drug, some prescriptions may require a co-payment.

Expect questions about your rehab insurance. Many people are stressed about the costs they may be responsible for seeking addiction treatment.

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Talking to a treatment specialist, as well as your insurance provider, can give you a full understanding of your treatment options. They may be able to direct you to resources that accept your insurance plan and provide you with a full explanation of your insurance plan's benefits.

It's best to ask questions about your coverage before entering a treatment program. This can help you avoid any hidden or unexpected costs along the way, allowing you to focus on treatment and recovery.

Finding addiction treatment accepted by your Beacon Health Options plan doesn't have to be confusing. Our treatment specialists can help you find the treatment services that are right for you or your loved ones to get you on your way

Valueoptions Provider Portal

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