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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 2014 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)

COD chart review protocol April 2014 (PDF)

Dual Diagnosis Anonymous of Oregon (PDF)
   


2. Credentialing 2. Credentialing
a. Credentialing and Recredentialing Policy and Procedure
b. Credentialing for Adjunct Service Providers
c. Provider Re-Credentialing Application for agencies
d. Holding Ourselves Accountable
e. 2012 Mental Health Agency Recredentialing Criteria



RELATED DOWNLOADS [PDF]

Credentialing and Recredentialing Policy and Procedure

Credentialing for Adjunct Service Providers

Provider Re-Credentialing Application for agencies

Holding Ourselves Accountable (PDF)

2012 MH Recredentialing Criteria


3. Critical Incidents 3. Critical Incidents
a. Critical Incidents Policy and Procedure
b. Critical Incident Report Form (PDF & Word versions)
c. Regional Review of Client Deaths and Suicide Attempts



RELATED DOWNLOADS [PDF]

Critical Incident Report Form (PDF)

Critical Incident Report Form (Word)

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. WVCH Member Rights and Responsibilities - English
b. WVCH Member Rights and Responsibilities - Spanish
c. Confidentiality Protections for Individuals with Co-Occurring Disorders
d. Declaration for Mental Health Treatment Download Declaration from Oregon.gov website



RELATED DOWNLOADS [PDF]

Declaration for Mental Health Treatment (PDF)

WVCH Member Rights & Responsibilities - Eng (PDF)

WVCH Member Rights & Responsibilities - Span (PDF)
   


5.  Grievance System Policy & Appendices 5. Grievance System Policy & Appendices
Refer to WVCH and YCCO grievance policies, as applicable





6. Quality Management 6. Quality Management
a. Standards for Provider Quality Assessment and Performance Improvement Process


RELATED DOWNLOADS [PDF]

Provider QAPI Process (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. Crisis and Emergency Services
d. Intensive Services Array for Children and Adolescents
     1. Admission Criteria
     2. Referral and Determination of Need
     3. Managing the Utilization of Intensive Services
     4. Criteria for Transition and Discharge from Intensive Services
e. Inpatient Psychiatric Services
     - Inpatient Services - Expected Practices
     - Emergency Admission Criteria
     - Continued Stay Criteria

 




RELATED DOWNLOADS [PDF]

Intensive Services Array (PDF)

Personal Action/Crisis Prevention Plan (PDF)

Utilization Management Policy (PDF)
   


9. PCP Communication 9. PCP Communication
a. PCP Communication Policy


RELATED DOWNLOADS [PDF]

PCP Communication Policy (PDF)
       


10.  Access and Capacity 10. Access and Capacity
a. Access and Capacity Policy


RELATED DOWNLOADS [PDF]

Access and Capacity Policy (PDF)
       



  



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