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Integrated Behavioral
Health is a specialty, carve-out managed care company serving Fortune
1000, self-insured employer groups, unions and health plans who
value high quality care and service. In today's highly competitive
job market, employers are interested in behavioral health benefits
that focus on quality service rather than lowest cost. IBH's networks
are designed to meet that growing need for quality treatment services.
IBH seeks relationships with licensed behavioral health providers
and facilities that are interested in providing high quality, effective,
and efficient treatment services. We view this relationship as a
mutually beneficial alliance. Some of the benefits to our providers
and facilities include the following:
- We approach
our providers and facilities in a collegial manner, and require
a reciprocal, professional response. Our contracted providers
tell us that one of the highlights of working with IBH is that
they are always treated with respect by our case management staff,
and that this is not always their experience with other MCO's.
Likewise, our case managers enjoy the professional interchange
with our providers.
- Our 100%
doctoral-level case management staff offers a level of review
that is unique in the managed care industry. Many of our providers
consider the IBH case management staff as their personal consultants,
often initiating contact to review difficult to treat cases. For
IBH, our PPO networks include some of our country's leading experts
in behavioral health treatment, some of who work exclusively with
IBH and this is due, in part, to our 100% doctoral staff.
- IBH arranges
for quality service delivery to employees/members and dependents
of our client accounts, and our providers are able to divert time,
energy and money they would have had to expend on marketing into
providing clinical services.
- The IBH Fee
Schedule consistently ranks very high in most areas of the country
when compared to the rates of other managed care companies.
- To ensure
the delivery of the highest quality services, IBH requires documentation
of the medical necessity and appropriateness of the care. Maintaining
quality service standards cannot be achieved by blanket authorizations
of 10 visits, anticipating that most will complete treatment in
6 sessions. IBH manages to quality through a three-page treatment
plan that affords the provider a structured manner to accurately
document medical necessity and appropriateness of care. The benefit
of this documentation to the provider is two-fold: First, it gives
the provider opportunity to think through the case and construct
a formal treatment plan, and second, it serves as documentation
of treatment for ethical and legal purposes for the provider's
risk-management procedures.
- For facility-level
services, IBH manages to quality through Doctor-to-Doctor phone
reviews rather than documentation, which allows the treating provider
a rapid review for authorizations and ensures accuracy of communication.
Minimum Standards
for PPO Provider Network Membership
- Provider
must be licensed to practice as a mental health provider independently
and without supervision or consultation of any kind as a condition
of licensure for a minimum of three years (post-license.)
- Provider's
license must be in good standing and without any disciplinary
action by state or professional agency.
- Provider
must maintain adequate malpractice insurance.
The
IBH PPO networks are by invitation only. However, IBH is growing
our business in most areas of the country and welcome letters of
interest.
If you are interested
in requesting an application to join the IBH networks, and meet
the minimum standards for providers, you may submit your Vita or
Resume to the Provider Services Department. Please attach a cover
letter on your professional letterhead expressing your interest
in joining the IBH network, and include a copy of your current license
and malpractice face sheet.
Integrated Behavioral
Health
Provider Services Department
PO Box 30018
Laguna Niguel, CA 92607-0018
Or FAX to: (949)
251-9178
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