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Care Management Referral Form Welles Health Plan offers a variety of care management programs to members with complex medical or behavioral health conditions, or other barriers to health. Please complete
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Gather all necessary forms and documents for the behavioral health care management process.
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Ensure all required information is accurately completed on the forms.
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Provide any additional supporting documentation as needed.
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Submit the completed forms and documentation to the appropriate healthcare provider or insurance company.
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Follow up as needed to ensure the process is completed in a timely manner.

Who needs behavioral health care management?

01
Individuals experiencing mental health or substance abuse issues.
02
Patients with chronic or complex medical conditions that require coordination of care.
03
Individuals in crisis situations who require immediate intervention and support.
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Behavioral health care management involves overseeing and coordinating the treatment of individuals with mental health or substance abuse issues to ensure they receive appropriate care and support.
Health care providers, facilities, or organizations that offer behavioral health services are typically required to file behavioral health care management reports.
Behavioral health care management reports can be filled out electronically or using paper forms provided by the relevant regulatory agency. Information about patient treatments, outcomes, and services provided must be accurately documented.
The purpose of behavioral health care management is to ensure that individuals with mental health or substance abuse issues receive comprehensive and coordinated care, leading to improved outcomes and overall well-being.
Information such as patient demographics, diagnoses, treatments received, medications prescribed, outcomes, and follow-up care must be reported on behavioral health care management forms.
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