Provider Behavioral Health Unit Files & Forms
You can reach the Behavioral Health Unit at 1.877.221.9295 (24 hours a day) with any questions. Fax requests for treatment and reporting of crisis encounters to 740.699.6255 or 1.866.616.6255. This is a dedicated fax line that is available to the BHU staff only.
Documents
Crisis Encounter Report
| Date added: | 12/12/2007 |
| Filesize: | 541.24 kB |
| Downloads: | 83 |
This form will aid the transportation of vital behavioral health information from your facility to our Behavioral Health Unit. No pre authorization is needed by the patient. Complete all appropriate information on the form and fax completed form to The Health Plan Behavioral Health Unit at our local fax: 740.699.6255 or toll free fax: 1.866.616.6255.
Psychological Testing Pre-Authorization Request
| Date added: | 01/18/2008 |
| Filesize: | 613.72 kB |
| Downloads: | 90 |
This form is to be used for the Behavioral Health Unit.
Treatment Continuation Request
| Date added: | 07/02/2009 |
| Filesize: | 1.12 MB |
| Downloads: | 149 |
This new and improved form is to be used for the Behavioral Health Unit.
Provider Search Menu
Ohio Valley/Mountaineer Region
TF: 1.800.624.6961
Email: hpecs@healthplan.org
Hours: Mon- Fri., 8:30 am to 5:00 pm
HomeTown Region
TF: 1.800.426.9013
Email: hpecs@healthplan.org
Hours: Mon- Fri., 8:00 am to 5:00 pm
Resources for Providers
I want to . . .
- Find a medication through Medco
- How well is your practice doing?
Access a performance improvement CME activity from NCQA to evaluate how well your practice manages pediatric ADHD patients and more.
- Visit Vision Services Plan (VSP)
Questions concerning your Vision Services can be found here.
- Secure Provider website
- Contact Provider Relations