Managed Behavioral Services

We have updated our notification and authorization guidelines for in-network!

Effective 1/1/2018, BHP no longer requires notification and authorization for outpatient services for dates of service after 1/1/2018. Services should continue to be billed directly to the patient’s insurance company. Please see the following breakdown of services:

The following services require notification and authorization -

  • Autism Therapy – Intensive
  • Detox
  • Inpatient Chemical Health
  • Inpatient Mental Health
  • Residential Chemical Health
  • Residential Mental Health (including Crisis Residential and IRTS)
  • TMS

The following services do not require notification and authorization -

  • ARMHS
  • Autism Therapy – Non-Intensive
  • CTSS
  • Day Treatment
  • DBT
  • ECT – provided outpatient
  • Group Therapy
  • Medication Management
  • Mobile Crisis
  • Neuropsychological Testing
  • Outpatient Therapy
  • Partial Hospitalization
  • Psychological Evaluation/Testing

Providers who are not contracted or credentialed with BHP and PreferredOne should contact Care Management, 763-486-4445, for review of out-of-network services.

If you have questions, please contact Care Management @ CMMail@bhpnet.com.

Chemical Health

Licensed BHP staff offer chemical health case management services

The Care Management department of BHP specializes in providing chemical health case management services in the following areas:

  • Assist patients in finding appropriate and high quality treatment services
  • Utilization and Medical necessity review of chemical health services
  • Provide authorization of chemical health services
  • Participation in NCQA clinical activities to increase quality of care received

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Mental Health

Licensed BHP staff offer mental health case management services

The Care Management department of BHP specializes in providing mental health case management services in the following areas:

  • Assist patients in finding appropriate and high quality treatment services
  • Provide authorization of mental health services
  • Utilization and Medical necessity review of mental health services
  • Participation in NCQA clinical activities to increase quality of care received
  • Offer complex case management through the Personalized Outreach Program (POP)

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Level of Care

Level of care guidelines are applied to determine medical necessity

The BHP level of care guidelines are:

  • Based on objective and evidence-based care guidelines
  • Supported by community standards for care
  • Reviewed annually by BHP Clinical Team
  • Used to determine care meets medical necessity

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