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BCBSRI behavioral health case management

How do I connect a patient to Behavioral Health services?

The behavioral health system can be confusing and overwhelming for your patients to navigate. As BCBSRI continues to expand our continuum of services for behavioral health, we realize that providers may have questions regarding the types of services available for their patients. There are several ways to learn more about behavioral health benefits and services:

  • The Provider Call Center [(401) 274-4848 or 1-800-230-9050] can answer questions regarding a member’s benefits, including member liability for services. They can also assist if you are simply looking for a participating behavioral health provider. You can also search our website, BCBSRI.com, if you are simply looking for a behavioral health provider.
  • The BCBSRI BH Clinical Referral Line is answered by clinical behavioral health staff. The clinical referral line can assist you in identifying a behavioral health provider, as well as providing support and guidance. The clinical referral line should not be used if there is concern of imminent danger but can be a first point of contact in non-emergency situations. The clinician, who may be a registered nurse, independently licensed social worker, or a mental health counselor, will ask questions to get a better understanding of your patient’s needs. The clinician will provide you with information about services that are available and will offer the names and contact information for providers who offer these services. You can contact the Clinical Referral Line at 1-800-274-2958. You may also share this number with your patients if they prefer to contact BCBSRI themselves.
  • The BCBSRI behavioral health case management program can assist your patients in effectively managing their behavioral health conditions. Independently licensed behavioral health clinicians will work with your patient to:
  • Help them understand barriers that prevent them from getting the most from their treatment or obtaining recommended treatment.
  • Help them find and obtain the services or resources needed to better manage their behavioral health condition.
  • Provide education and supports to help them better manage their condition.
  • Coordinate care with providers to ensure you and your patient have the necessary information to provide them with the best care and support.
  • Work with them to ensure they know the medications they should be taking and understand the instructions you’ve provided to them.

To refer a patient to the BCBSRI behavioral health case management program, please call 1-800-274-2958.

You may also use our automated referral form at BCBSRI.com by following these easy steps:

1. Log on to the provider portal of BCBSRI.com.

2. Click on Tools and Resources.

3. Click on Forms.

4. Click on Case Management Request.

5. Complete the required fields and click Go!

Behavioral health case managers are available Monday through Friday from 8 a.m. to 4:30 p.m. To contact BCBSRI behavioral health case management, please call 1-800-274-2958 or email BHClinicalOps@bcbsri.org.

For additional information, please contact Monica Ross at monica.ross@bcbsri.org.

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