Behavioral Health Identification, Treatment & Referral in Primary Care

Referral Resources for Primary Care Providers 10/5/2019 8:10 AM Referral Resources for Primary Care Providers © 2016 Optum, Inc. All rights reserved.

Optum’s Network Resources Substance Use Disorder Helpline (855) 780-5955 for education regarding substance use, treatment options and available community support services. Optum Behavioral Health Access Center (888) 777-4742 to make a referral to a behavioral health professional or make an online line virtual appointment Optum Physician Consultation Service (800) 292-2922 to discuss treatment concerns with an Optum psychiatrist. Online Provider Directory Log onto www.LiveandWorkWell.com and use the filters for the express access network In this webinar, we aim to acquaint you with available network resources that can assist you to refer, collaborate and monitor progress through the episode of care. Substance Use Disorder Helpline 1-855-780-5955 A 24/7 helpline for providers and patients to: Identify local MAT and behavioral health treatment providers and provide targeted referrals for evidence-based care Educate members/families about substance use Assist in finding community support services Assign a care advocate to provide ongoing support for up to 6 months, when appropriate Express Access Network : Providers have contractually agreed to see members within five business days of request for routine appointments. Peer-reviewed research shows decreased wait times help improve outcomes and lower re-admit rates Optum now has 85% coverage nationwide of having at least one Express Access provider within a 20-mile range of Members Express Access providers can filter on LiveandWorkWell.com and are designated with the Stopwatch icon for easy identification Virtual Visits Providers Our network directly addresses the national shortage of behavioral health care providers, especially prescribers virtual visits drastically improves access by expanding geographic region and broadening provider choice for members member appointments occur within one week virtual visits is not an add-on benefit; rather it is considered an alternative mode of service billed at standard fee schedule rates

Behavioral Health Toolkit for Medical Providers Optum’s Provider website Provider Express has a Behavioral Health Toolkit for Medical Providers: You can also search for Optum’s behavioral health network of providers on Provider Express Live and work well.com/Provider Search Online   Other resources include: How to find a Medication-Assisted Treatment Provider      How to find an Express Access or virtual visits Provider      Health Information for your patients Live and Work Well Clinician web page  (use access code "Clinician") Optum Guidelines Behavioral Clinical Policies       Best Practice Guidelines      Coverage Determination Guidelines      Level of Care Guidelines

State Emergency Services Network For patient’s who need emergency behavioral health services contact the Emergency Services Program located in your region. Click on the link for your state below for a listing of providers. MA Emergency Services Programs Maine Behavioral Health Crisis Services programs New Hampshire Behavioral Health Emergency Services CT Crisis services are delivered through crisis phone lines, mobile crisis teams, general hospital emergency rooms, walk-in clinics, and full-time, on-site crisis intervention staff. Open the links for PDFs!

Referrals: Optum’s Express Access Network Providers have contractually agreed to see members within five business days of request for regular appointments Peer-reviewed research shows decreased wait times help improve outcomes and lower re-admit rates Optum now has 85% coverage nationwide of having at least one Express Access provider within a 20-mile range of Members Express Access providers can filtered on LiveandWorkWell.com and are designated with the Stopwatch icon for easy identification

Referrals: Virtual Visits Providers Our network directly addresses the national shortage of behavioral health care providers, especially prescribers Virtual visits drastically improves access by expanding geographic region and broadening provider choice for members Member appointments occur within one week Virtual visits is not an add-on benefit; rather it is considered an alternative mode of service billed at standard fee schedule rates

Behavioral Health Resources Behavioral Health patient resources, visit LiveandWorkWell.com Behavioral Health Toolkit for Medical Providers, visit ProviderExpress.com > Clinical Resources Harvard Pilgrim Provider resources, visit HarvardPilgrim.org/provider For more information on depression and substance use disorders: The American Psychiatric Association Clinical Practice Guidelines at Psychiatry.org > Psychiatrists > Practice > Clinical-practice-guidelines National Alliance on Mental Illness at Nami.org Substance Abuse and Mental Health Services Administration at Samhsa.gov To learn more about attention deficit hyperactivity disorder: American Academy of Pediatrics at: Pediatrics.aappublications.org/content/105/5/1158 The National Federation of Families for Children’s Mental Health provides general information about other conditions affecting children and adolescents at ffcmh.org .

List of Publications on Provider Express Best Practices Alcohol and Other Drug Dependence: Initiation and Engagement in Treatment Antidepressant Medication Management Best Practices for Children and Adolescents on Antipsychotic Medications Follow-up Care for Children Prescribed ADHD Medication Metabolic Screening for Children and Adolescents on Antipsychotics Use of Multiple Concurrent Antipsychotic Medications in Children and Adolescents CDC Training Resources for Clinicians – Treatment of Chronic Pain Coordination of Care Important information about coordinating care Dangers of Drug Interactions and Use of Multiple Medications

Behavioral Health Resources & Guidelines For more information on bipolar disorder, schizophrenia, depression, ADHD and substance use disorders, please see: The American Psychiatric Association Clinical Practice Guideline National Alliance on Mental Illness NAMI Substance Abuse and Mental Health Services Administration at Samhsa.gov American Academy of Pediatrics The National Federation of Families for Children’s Mental Health The National Institute on Drug Abuse (NIDA) at Drugabuse.gov The National Institute on Alcohol Abuse and Alcoholism (NIAAA) SAMHSA: Confidentiality Regulations FAQ The National Federation of Families for Children’s Mental Health provides general information about other conditions affecting children and adolescents at ffcmh.org.

Behavioral Health Resources To learn more about Substance Use Disorders: The National Institute on Alcohol Abuse and Alcoholism (NIAAA) offers professional education materials at niaaa.nih.gov > Publications & Multi-Media Visit the National Institute on Drug Abuse (NIDA) at Drugabuse.gov The Alcohol Use Disorders Identification Test Guidelines for Use in Primary Care can be found at apps.who.int/iris/bitstream/10665/67205/1/WHO_MSD_MSB_01.6a.pdf QUIT WORKS for Smokers Helpline 1-800-QUITNOW For information on sharing substance abuse data, please visit the Substance Abuse Mental Health Service Agency at Samhsa.gov/about-us/who-we- are/laws/confidentiality-regulations-faqs

10/5/2019 8:10 AM Thank you © 2016 Optum, Inc. All rights reserved.