BHI Cares Behavioral HealthCare, Inc.
155 Inverness Drive West #201
Englewood, CO 80112
720-490-4400
BHI Cares

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Provider Information

We have provided our manual online in pdf format. You will need to have Adobe Acrobat Reader to view these files.

I. General Information
II. Consumer and Family Affairs
III. Clinical Services
IV. Provider Assistance and Support
V. Utilization Management
VI. Quality Improvement
VII. Grievances, Actions & Appeals
VIII. Billing For Services
IX. Benefit Summary
X. Clinical Forms
XI. Corporate Compliance
XII. Billing Forms
XIII. Treatment Record Content
XIV. Español
Practice Guidelines

I. General Information
   Welcome
   Administrative Offices
   Confidentiality
   Mission Statement
   Access to Care Flowchart
   Provider Information Update Form

II. Consumer and Family Affairs
   Advanced Directives
   Consumer Rights & Responsibilities
   Consumer Choice
   BHI Member Handbook
   Second Opinions
   Consumer & Family Run Services
   Consumer & Family Representatives

III. Clinical Services
   Clinical Service Descriptions

IV. Provider Assistance & Support
   Intake, Referral and Provider Assistance
   Provider Availability
   How Consumers Access Mental Health Services
   Once You Have Received a Referral
   Service Benefits
   Joining & Leaving the BHI Network
   BHI's Credentialing Policy
   BHI's Provider Office Site Visit Form
   BHI's Provider Information or Facility Update Form

V. Utilization Management
   UM Procedures
   UM Criteria
   UM Program Description

VI. Quality Improvement
BHI will provide consumers, consumer advocates, advocacy organizations, providers
and the Department of Health Care Policy and Finance information about its internal quality assurance program upon request and at no cost.
   BHI Quality Improvement Program
   BHI QI WorkPlan FY07

VII. Grievances, Actions & Appeals
   Provider Claims Appeal Process
   The Grievance System
   Notice of Action Letter Template
   Reconderation Procedure for claims

VIII. Billing for Services
   Claims Payment/Management
   Billing for Professional and Facility/Program Services

IX.Benefit Summary
   Benefit Facts
   Benefit Exclusions and Limitations

X. Clinical Forms
   Outpatient Integrated Service Plan
   Instructions Outpatient Integrated Service Plan
   Colorado Client Assessment Record Form (CCAR)
   Instructions for Completing the CCAR
   Discharge Summary
   Instructions for Completing the Discharge Summary
   Authorization to Release Information
   EPN Assessment Form
   Client Admission Form
   Client Admission Instructions
   PCP Notification Form

XI.Corporate Compliance
   Corporate Compliance Overview
   Corporate Compliance Plan for DRA

XII. Billing Forms
   Blank UB92 Form
   Instructions for Completing the UB92 Form
   Blank HCFA 1500 Claim Form
   Instructions for Completing the HCFA 1500 Form
   Sample HCFA 1500 Form
   Sample Authorization Notice
   Covered Diagnoses

XIII. Treatment Record Content
   Trestment Record Content

XIV. Español
   La Información del miembro en español
   Alternative Formats


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