Working with CDPHP

Behavioral Health Office Administration Overview

Behavioral health providers: CDPHP welcomes you to our growing network of caring professionals. We have a proactive program to help you coordinate the care of our members. By understanding our expectations and guidelines, you can streamline the process and assure timely reimbursement for your efforts. We have assembled a presentation with the following resources to help you get started:

  • Sample member ID card

  • Information on participating labs and our drug formulary

  • Contractual expectations and treatment reporting

  • CPT coding and claim submission

  • Mandated autism services

  • Important CDPHP phone numbers

View the Behavioral Health Office Administration Overview presentation.

Communication is Key: Exchange of Information Consent Form

To help us coordinate your hospitalized patients’ care, the hospital will share discharge plans with CDPHP. Please remind your patient to fill out an Exchange of Information Consent Form so this information can also be shared with the primary care physician.

CDPHP Behavioral Health Access Center

CDPHP offers our providers personal assistance and a variety of resources. Call the CDPHP Behavioral Health Access Center toll-free at 1-888-320-9584 between 8 a.m. and 6 p.m., Monday through Friday. You may also refer your patients to call after hours for an urgent need. Call the Crisis Hotline directly at 1-855-293-0785.

The Behavioral Health Access Center is staffed by clinicians who:

  • Assess and triage the complex needs of members with behavioral health conditions

  • Manage and stabilize members who are in crisis and connect them with a CDPHP Behavioral Health or HARP Care Manager

  • Help initiate and review authorization requests (where required) for behavioral health services

  • Provide referrals for mental health and/or substance use treatment to members and providers, including in specialty areas (eating disorders, trauma, chronic pain, bereavement, LGBT, etc.)

  • Connect members with behavioral health community programs and resources

  • Can be reached at 1-888-320-9584 for providers and members who have questions regarding eligibility, benefits, and claims

Level of Care for Alcohol and Drug Treatment Referral (LOCADTR) Manual

LOCADTR is a web-based tool that aids substance abuse treatment providers in determining the best level of care for a patient with a substance use disorder. This manual will explain the reasoning behind the LOCADTR, and the logic of the tool, which includes a step-by-step guide through the questions, and answers to Frequently Asked Questions.