Total Health Management
Our behavioral health staff is available 24 hours a day, seven days a week to facilitate inpatient admissions. CDPHP network providers are required to ensure that members have access to care within the following standards:
- Emergency—Immediate access (may be referred to the ER)
- Urgent appointment—within 48 hours
- Initial routine appointments—within 10 business days
- Ambulatory appointment post-inpatient discharge—within 7 days of discharge
The behavioral health utilization management (UM) process includes triage and referral as well as prospective, concurrent, and retrospective review of the services delivered to our members.
All services can be accessed at the Behavioral Health Access Center at 1-888-320-9584, Monday through Friday, 8 a.m. to 6 p.m. Participating providers can log into the secure provider site to view the Provider Office Administration Manual and CDPHP policies.
Call to verify eligibility and benefit information prior to rendering care for your patients. Pending determination of eligibility and benefits, no authorization will be required for the first 10 visits/treatments you provide a member. If treatment is needed beyond the 10 pass-through visits, an Outpatient Mental Health Treatment Report or an Outpatient Substance Abuse Treatment Report will be required to certify additional visits.
Behavioral health providers can learn more by downloading a tip sheet. If you have not yet joined the growing panel of CDPHP behavioral health providers and would like to do so now, please complete a data collection form to begin the process.
We are cooperating with Conifer Park Inc. on a new treatment model to assist individuals addicted to opiates. The program involves a brief inpatient stay and the use of Suboxone, an FDA-approved treatment for opioid dependence. CDPHP members must meet certain criteria and sign a patient treatment agreement to participate.
Important: When presenting for a scheduled admission to the Conifer Park Suboxone induction program, patients must be in withdrawal and/or have had no opioid use within 24 hours.