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MVBCN Overview > FOR PROVIDERS > Provider Manual 

Provider Manual


Welcome to the on-line version of BCN's Provider Manual. We hope it includes all of the forms and policies you need as a BCN provider of Oregon Health Plan services, whether mental health or chemical dependency. The documents listed in RED apply only to the agencies which are contracted through us to provide mental health services. For other information or questions, check the staff directory to see which of our staff can help, and to obtain our contact information.


1. COD (Co-Occurring Disorders) Resources 1. COD (Co-Occurring Disorders) Resources
a. Practice Guidelines: Co-Occurring Disorders
b. Chart review protocol – April 2005 version
c. Confidentiality Protections for Individuals with Co-Occurring Disorders
d. Sample materials for agency personnel processes
e. Competency in the Treatment of Individuals with Co-Occurring Disorders
f. Dual Diagnosis Anonymous



RELATED DOWNLOADS [PDF]

Practice Guidelines: Co-Occurring Disorders PDF

Chart review protocol – April 2008 (PDF)

Dual Diagnosis Anonymous of Oregon.PDF
   


2. Credentialing 2. Credentialing
a. Credentialing and Recredentialing Policy and Procedure
b. Adverse Action Form – for individual staff
c. Credentialing for Adjunct Service Providers
d. Provider Re-Credentialing Application – for agencies
e. Holding Ourselves Accountable


RELATED DOWNLOADS [PDF]

Credentialing and Recredentialing Policy and Procedure

Adverse Action Form – for individual staff PDF

Credentialing for Adjunct Service Providers

Provider Re-Credentialing Application – for agencies

Holding Ourselves Accountable PDF


3. Critical Incidents 3. Critical Incidents
a. Critical Incidents Policy and Procedure
b. Critical Incident Report Form
c. Regional Review of Client Deaths and Suicide Attempts



RELATED DOWNLOADS [PDF]

Critical Incident Report Form PDF

Critical Incidents Policy and Procedure PDF

Regional Review of Client Deaths and Suicide Attempts PDF
   


4. Member Rights and Responsibilities 4. Member Rights and Responsibilities
a. Member Rights and Responsibilities Policy and Procedure
b. Confidentiality Protections for Individuals with Co-Occurring Disorders
c. Declaration for Mental Health Treatment
www.oregon.gov/DHS/mentalhealth/forms/declaration.pdf target=_blank>Download Declaration from Oregon.gov website



RELATED DOWNLOADS [PDF]

Member Rights and Responsibilities Policy and Procedure PDF

Declaration for Mental Health Treatment PDF
     


5.   Notices of Action, Formal Complaints and Appeals 5. Notices of Action, Formal Complaints and Appeals
a. Notices of Action, Appeals, Formal Complaints, and DHS Administrative Hearings Policy and Procedures
b. Formal Complaint and Appeal Form
d. Sample Notice - for change of services
e. Sample Notice – for denial of requested services
f. How to File an Appeal
g. Notice of Hearing Rights




RELATED DOWNLOADS [PDF]

Notices of Action, Appeals, Formal Complaints, Administrative Hearings

BCN Process for Member Complaints & Feedback PDF (English)

BCN Process for Member Complaints & Feedback-Word (English)

BCN Process for Member Complaints & Feedback PDF (Spanish)

BCN Process for Member Complaints & Feedback-Word (Spanish)

Formal Complaint and Appeal Form (Eng) PDF

Manual: Complaint Form (Span) PDF

Manual: Complaint form (Eng) PDF

Manual: Complaint Form (Span) -Word

Manual: Complaint Form (Eng) Word

Sample Notice - for change to previously authorized services PDF

Sample Notice – for denial of requested services PDF

How to File an Appeal (Eng) PDF

How To File An Appeal (Eng) Word

How To File An Appeal (Span) PDF

How To File an Appeal (Span) Word

Notice of Hearing Rights (Eng) PDF

Notice of Hearing Rights (Span) PDF
   


6. Quality Management 6. Quality Management
a. Standards for Provider Quality Management Program


RELATED DOWNLOADS [PDF]

Quality Management PDF
       


7. Practice Guidelines 7. Practice Guidelines
a. Practice Guidelines: Co-Occurring Disorders
b. Practice Guidelines for Early Psychosis


RELATED DOWNLOADS [PDF]

Practice Guidelines: Co-Occurring Disorders PDF

Practice Guidelines for Early Psychosis PDF
     


8. Utilization Management Policy and Procedures 8. Utilization Management Policy and Procedures
a. Outpatient Services
b. Services to Members with Other Medical Conditions
c. Intensive Services Array for Children and Youth
    1. Admission Criteria
    2. Referral and Determination of Need for Integrated Services Array
    3. Determination of Need

d. Crisis and Emergency Services Plan
e. Inpatient Psychiatric Services
    1. Expected Practices
    2. Emergency Admission Criteria
    3. Continued Stay Criteria



RELATED DOWNLOADS [PDF]

Utilization Management Policy and Procedures PDF

BCN Crisis Plan PDF
     



  



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