Behavioral Health Benefits
| Date: | November 16, 2016 |
| To: | Health Plan of San Joaquin (HPSJ) Providers |
| From: | Provider Services Department |
| Subject: | Behavioral Health Benefits |
| Business: | Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) |
In order to better serve our members, your patients, HPSJ has made the strategic decision to more directly work with behavioral health service providers to better coordinate medical and behavioral services.
On January 1, 2017, behavioral health services, other than autism and telehealth, will be administered directly through HPSJ. The autism and telehealth services will remain with Beacon Health Strategies, our behavioral health partner.
HPSJ has been initiating direct contracts with many of the Beacon Health Strategies behavioral health providers to ensure continuity of care for members currently receiving services. This transition will go into effect on January 1, 2017.
- Beacon will continue to perform initial screenings
- Providers and members will continue to call the behavioral health phone number located on the back of the HPSJ member ID card.
For members currently receiving behavioral health services, HPSJ believes this direction will result in better coordination of medical and behavioral health care services and better outcomes for those served.
For behavioral health providers, the change will include these advantages:
- Clean claims being paid within 30 business days of receipt
- Electronic claims processing will be available
- Electronic funds transfer will occur with electronic remittance advice (RA) for
claims payment - Local health plan offices located in both counties served, San Joaquin and
Stanislaus
If you have questions, please contact our Provider Services Department at 209-942-6340.