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Behavioral Health Provider Resources

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Anxiety. Depression. Substance abuse. Behavioral health issues can impact a person’s life just as a physical illness can. To help you better cope with these common health concerns, we offer mental health and substance abuse services.  
 
Extensive networks
Our extensive provider network includes psychiatrists, psychologists, social workers, psychiatric nurses, and other mental health and employee assistance providers. The facility network includes hospital inpatient units, residential treatment centers, partial hospitalization programs, and intensive outpatient services and programs.  
 
Easy access to care
You don’t need a referral to access your behavioral health benefits. However, we recommend you call our help line for assistance in selecting a provider and understanding your benefits. You may need to receive preauthorization and use a network provider, depending on your plan. If you are currently receiving behavioral health care outside our network, you must contact us to arrange for continued coverage. If prior arrangements are not made, services may not be covered or could be covered at a lower level of benefits, depending on your plan.  
 
Confidential help line
When you call our confidential help line, a behavioral health care professional will review your plan’s coverage and help you access your benefits to the fullest extent. Before seeking mental health or substance abuse services, you may call the help line to:  

Get information about mental health and substance abuse services, providers and hospitals.

Speak with a clinical care manager to determine an appropriate level of care.

Receive a referral to a health care provider that specializes in substance abuse or in caring for children or seniors with special needs.

Obtain preauthorization for all inpatient and outpatient (if required) mental health and substance abuse care.

Receive help with accessing urgent and emergent, mental health and substance abuse care.

 
If you need assistance from our clinical staff or have other questions, please call 1-866-621-0043.  
Please refer to the Health Plan Description Form or certificate for details about plan benefits, limitations and exclusions.  
Management of Behavioral Health Services Transitioning from HBI effective January 1, 2008 
On January 1, 2008, Anthem Behavioral Health will begin managing behavioral health services for Anthem Blue Cross and Blue Shield in Nevada and for our subsidiary, HMO Nevada, Inc. (Anthem). This business is currently being managed by Human Behavior Institute (HBI). This change affects all lines of business, with the exception of state-sponsored programs, BlueCard® and national account members. For those members, please refer to the behavioral health/substance abuse phone number on the member’s health plan ID card. HBI will continue to be a provider in the Anthem behavioral health provider network. 
Authorization Requirements for Behavioral Health Services: 
For members in PPO plans: Inpatient and Partial Hospital admissions require prior authorization for psychiatric and substance abuse services; and 
For members in HMO plans: All behavioral health services require prior authorization (Inpatient, Partial Hospital, Intensive Outpatient and Outpatient services) 
To get an authorization for behavioral health services, please contact Anthem Behavioral Health at one of the following numbers: 
All local members with alpha prefixes that begin with YF: 866-621-0043 
Federal Employee Health Benefit Program (FEP) members: 800-424-4011 
HBI will authorize dates of service through 12/31/07. ABH will authorize dates of service thereafter. If you have an HMO member whose active treatment has started prior to 12/31/07 and will continue into next year, please contact ABH at 866-621-0043 to arrange transition visits for the member in 2008 
This letter was recently sent to all behavioral health providers participating in the Anthem Nevada provider network. 
Use this form to receive authorization for OP visits for HMO members whose treatment started in 2007 and will continue in 2008. 
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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Com pany. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi"), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare"), which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem Web sites constitutes your agreement with our Terms of Use