office 219.757.1905BHMI Services
Services Available Through BHMI and Subcontractors
BHMI, through its own internal capabilities and through relationships with valued partners, can provide a wide array of managed care health management and related services. The following is a list of what is available through the BHMI Partnership.
Clinical Resources for Managed Care
- Development of Best Practices for Network
- Development of Standard Treatment Protocols for Network
- Adoption/Development of Utilization Management Criteria
- Utilization Management and Prior Authorization
- Disease Management Programming
- Member Complaints (or support of the MCO with same)
- Provider Appeals and Grievances
- Crisis Line staffing and dedication
- Quick response subcontracted personnel for member emergencies
- Statewide behavioral health care service delivery system
- Consulting for behavioral health inclusion and service implementation
- Partnerships to lend support to grant applications
- Grants and program evaluation
- Support for care integration
- School-based access for medical and behavioral health issues
Administrative
- Network Development and Contracting
- Network Oversight and Network Management
- Individual and Organizational Credentialing (NCQA equivalent, URAC Accredited)
- State of the Art Managed Behavioral Health & Network Management Platforms
- Claims Adjudication and Payment
- Financial Management
- Data Collection and Reporting
- Provider Complaints
- Dissemination to all Community Mental Health Centers
- Electronic Surveys
- Collaborative Website
- Marketing materials development and materials dissemination Quality Improvement
- Ongoing Process and Outcome Oversight Monitors
- Performance Improvement Projects
- Other Data Collection and Analysis Initiatives
- Provider and Consumer Focus Group Facilitation
- Standing and ad hoc committee meetings and facilitation
- Clinical provider and consumer education training
Accreditation
- URAC (Network with Credentialing)
- NCQA Equivalent Procedures; NCQA Support
- CARF
Human Resources (Resources Available for Lease)
- Clinical Director
- Program/Account Manager
- Quality Improvement Director and Support Staff
- Executive Leadership
- Various Project & Implementation Management Resources
- Trainers