Valueoptions Provider Portal - Maryland Department of Health and Mental Health and VALUEOPTIONS® questions will be answered at the end of each section, and at the end of the day.
Presentation on Topic: “Maryland Department of Health and Mental Health and VALUEOPTIONS® questions will be answered at the end of each section, and at the end of the day.” Presentation text:
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Questions will be answered at the end of each section, and at the end of today's session, as time permits, questions and answers will be posted on the DHMH website. Clinical training September 2009
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Updates and Announcements MHA ValueOptions® Maryland Provider Alerts and Announcements ProviderConnect Training Schedule Manual ProviderConnect Tips “Maryland ProviderConnect “demo” Consumer Information New Phone Options for: Inpatient Authorization Application - Option 2 Crisis Bed Authorization - Cheryl Thompson, Option 4, x214040
ProviderConnect is an online tool that increases convenience and reduces administrative burden. Free and secure online application Easy access 24 hours a day, 7 days a week Complete multiple transactions in one session
With ProviderConnect Providers, they can: Check consumer eligibility in enrolling uninsured consumers (as of October 2009) Request authorizations View authorizations Submit claims (collected and direct/online claims) View claim status Print Provider Summary slips Submit questions to Access Service customer and print the form
Each Provider has a secure login and online registration, including a Provider ID number through the ProviderConnect website. Additional logins for other Providers in the same practice are available through ProviderConnect. Contact: ValueOptions® EDI Help Desk (888), Option 3 Monday-Friday 8:00am - 6:00pm. EST for additional logins is 48 hours apart.
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To make this website work, we log user data and share it with processors. To use this site, you must agree to our Privacy Policy, including our Cookie Policy. Beacon Health Options (ValueOptions) offers substance abuse benefits in plans that can reduce or cover the cost of addiction treatment. Using health insurance to pay for rehabilitation can reduce the financial burden during the recovery process or that of a loved one.
One of the biggest concerns people have about rehabilitation is the cost of treatment. If you have health insurance, this can help you get full or partial assistance for rehabilitation services. This includes insurance under providers such as Beacon Health Options.
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Formerly known as ValueOptions, Beacon Health Options has more than 30 years of experience in the managed care field. Specifically in behavioral therapy, the plan includes the health benefits of substance abuse, addiction treatment, and mental health services.
As a leading insurance company, Beacon Health Options is in a network with more than 100,000 behavioral health providers and rehabilitation centers nationwide. Coverage amounts for services may vary from state to state and depend on your plan benefits.
Understanding Beacon Health Options' substance abuse coverage can help you or a loved one find treatment that meets your financial and personal needs.
Beacon Health Choice plans offer benefits that can cover or reduce the cost of substance abuse rehabilitation. This includes an inpatient program at a rehab center, as well as detox and aftercare.
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The benefits of taking drugs may vary depending on your plan and location. You can check your plan's benefits by visiting Beacon Health Options' MemberConnect online portal, or by contacting your insurance representative.
Whether Beacon Health Options can cover your rehab costs may depend on whether the rehab center accepts your insurance. Finding a facility that accepts your insurance is the best way to keep treatment costs down.
Beacon Health Options aims to provide comprehensive mental and behavioral health care to its members. Therefore, they offer coverage for a variety of addiction treatment services that can be helpful in dealing with substance abuse.
People who stop using drugs or stop drinking after becoming addicted can experience a variety of withdrawal symptoms.
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Trying to detox from drugs or alcohol can only be dangerous. Many substances can cause withdrawal symptoms that affect the mind and body. In severe cases, untreated symptoms can be fatal.
A medical detox program, which can be included in a Beacon Health Choice plan, can provide greater safety during this process. Detox usually lasts between a week and ten days, with symptoms likely to persist.
Entering a medically assisted detox program is the most effective way to stop using addictive substances. A medical professional can monitor your health and prescribe medications if needed to treat severe symptoms. Getting medical support also reduces the risk of relapse.
Beacon Health Choice plans can provide coverage for both inpatient and outpatient detox programs. This may vary based on your plan and location. Inpatient detoxes are commonly recommended, especially for people with severe drug or alcohol addiction.
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By contacting your doctor or therapist for help, you can select the option best suited to your needs.
Addiction recovery requires a strong support system, as well as a structure to help people recover. This is especially true in the early stages of sobriety, when cravings for drugs or alcohol are still strong. The effect of withdrawal on mood can also make people uneasy during this time.
Inpatient rehab centers can help provide supervision and structure for people recovering from substance abuse. Inpatient programs typically last 30 to 90 days and include a stay in a 24/7 care facility.
Inpatient programs usually offer a variety of effective therapies to help patients recover from addiction. This may include:
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Different rehabilitation centers can vary in the treatments they offer in their programs. While inpatient care can cost tens of thousands of dollars a month out of pocket, using insurance to pay for it can reduce or even cover that cost.
Beacon Health Options offers comprehensive substance abuse treatment options for members who enjoy substance abuse benefits. This includes inpatient treatment in a network or residential rehabilitation center. Co-payments or discounts may apply.
Your insurance may require you to obtain clearance before entering a rehabilitation center. This may require that evidence of medical necessity for this level of care be submitted from your physician to Beacon Health Options.
Beacon Health Options understands the importance of outpatient care to provide ongoing support to people recovering from substance abuse.
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There are several different outpatient treatment options once a person leaves the inpatient program. A continuation of treatment during the day may be recommended such as Partial Hospitalization (PHP) or Intensive Hospitalization (IOP). This includes spending two to seven days a week, and up to ten hours a day in a treatment center.
Less outpatient intensive care options include seeing outpatient consultants, physicians and other specialists as needed on a regular basis. Attending support groups, such as Narcotics Anonymous (NA) and Alcoholics Anonymous (AA), can also be helpful in building a support system for yourself in your community.
Beacon Health Options plans offer coverage for outpatient care with providers who accept your insurance. Out-of-network providers may be required to submit coverage claims, which may or may not be approved.
Another useful outpatient care option offered by Beacon Health Options is the video-based telehealth program. This online platform connects members with in-network caregivers in your home or from wherever you are. This can provide flexibility without making people choose between work, other responsibilities, and recovery.
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Certain medications have been shown to be effective in treating substance abuse when combined with behavioral therapy. The combination of medication use and counseling is known as Medication-Assisted Therapy, or MAT.
Beacon Health Options offers coverage for this type of therapy as an effective way to treat the whole person, not just one or two sides of a problem. As a holistic approach to the person, MAT can help treat the emotional, mental, and physical side of addiction.
The amount of prescription drug coverage will depend on the policy in your plan. Some may require prescriptions, depending on the type of medication.
Questions about insurance coverage for rehabilitation are to be expected. Many people feel stressed about the costs of seeking addiction treatment.
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Talking to a therapist as well as your insurance provider can give you a more complete understanding of your treatment options. They can also direct you to resources that accept your insurance plan, and give you full details about your insurance plan's benefits.
It's a good idea to ask about your coverage before signing up for a treatment program. This can help you avoid hidden or unexpected costs down the road, so you can focus on your recovery in treatment.
Finding addiction treatment that accepts the Beacon Health Choice plan doesn't have to be overwhelming. A care professional can help you find the right care services for you or your loved one's needs for work
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