1 ene, 2023

HealthPath for Medicare

BCBSRI is excited to share that as of 1 de enero de 2023, Butler Hospital’s HealthPath program will be offered to Medicare Advantage members.

HealthPath is an innovative program designed to provide BCBSRI members with comprehensive behavioral health services. The program highlights the benefits of team-based care through care delivered by a multidisciplinary team of psychiatrists, nurses, independently licensed clinicians, peer support specialists, and substance abuse specialists.

HealthPath is designed to serve adults who live in Rhode Island, who are covered by BCBSRI, and who have experienced one or more instances of greater than outpatient level of care in the last three years, and could benefit from intensive, community-based wrap-around services, care, and support.

The team provides individualized office, home, or community-based services depending on the patient’s identified needs. HealthPath offers clients access to psychiatric care, counseling, case management, health and wellness care, life skills support (including vocational and educational training), medication management, transportation to and from medical appointments as needed, flexible appointment dates and times, as well as weekend and holiday emergency care. The services are intended to help members struggling with behavioral health conditions reach their highest level of functioning through a coordinated and individualized treatment approach.

HealthPath Connect offers members the same array of services as HealthPath but is intended for members who may need less intensive or less frequent services. HealthPath Connect also serves as a step-down from full HealthPath intervention for those who have completed full HealthPath, but still need additional support.

To connect a patient directly to HealthPath, please call the Butler Hospital Behavioral Health Call Center at 1-844-401-0111.

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 Physician & Provider Service Center can answer questions regarding a member’s benefits, including member liability for services. They can also assist if you’re simply looking for a participating behavioral health provider. You can contact the Physician & Provider Service Center at (401) 274-4848 or 1-800-230-9050. You can also use our Find a Doctor tool to search for a behavioral health provider.
  • BCBSRI behavioral health care management can help your patients effectively manage their behavioral health conditions. Our experienced mental health and substance use professionals will work with your patient to:
    • Help them understand barriers that prevent them from getting the most from their treatment or in obtaining recommended treatment.
    • Help them find and obtain 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.

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

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