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Behavioral Health

Silversummit Healthplan focuses on a comprehensive approach to care for our members, which includes a combination of physical and behavioral health services. Behavioral health providers and referrals to them, as needed, play an essential role in providing this integrated care. 

 

QUICK REFERENCE GUIDE

 

CREDENTIALING

 

PRIOR AUTHORIZATION

For applicable service requests, please include the following clinical documentation: LOCUS/CASII Score and Intensity of Needs Level.

Discharge Summaries should be faxed to 1-866-535-6974.

 

MANUALS, FORMS & RESOURCES

Manuals

Please refer to the Medicaid Provider Manual for the most recent version of the manual. Find links to prior Provider Manuals here. 

Forms 

Other Resources

 

CODING TIP SHEETS

 

TRAINING & EDUCATION

Silver Summit Health Plan offers trainings for both behavioral health and physical health providers in our network at no cost. Our team provides mostly clinical, provider-focused education on topics that are geared towards improving member outcomes. The majority of our clinical trainings also offer behavioral health continuing education units also at no cost to the attendee. Trainings are completed via live/virtual instructor led webinars.

How to sign up for trainings:

  • View the lists of all upcoming trainings: (both are open to all providers)Silver Summit Health Plan Training Offerings
  • Select the training date and time that you would like to attend
  • Enter the required information and click “Register”
  • You will receive a confirmation email with a link and instructions for joining the webinar. NOTE: Please check your junk folder if you do not receive the confirmation email.
  • When you join the webinar, the call-in telephone number and an attendee passcode will be displayed.Training topics include but are not limited to:

For training requests and/or more information, please contact our Clinical Provider Training Department at: BH_training@centene.com.

Other

 

CARE COORDINATION

Silversummit’s Care Management teams are available to assist members with medically or socially complex needs that may benefit from increased coordination of services and connection to other community organizations.  A Care Manager is available Monday through Friday, from 8 a.m. to 5 p.m. PST to assist with coordination of the member’s healthcare needs. Complete the form below and fax to 1-844-851-1023 for additional care management assistance.

 

MEMBER REFERRALS/RESOURCES

Silversummit partners with Summit Behavioral Health, to deliver mental health and substance use disorder services to our members. Summit Behavioral Health offers immediate, same day psychiatric and talk therapy appointments 7 days a week, care managers to coordinate treatment and help members manage their overall health and provide access to two local resource centers for SDOH needs. For more information contact:  

Silversummit’s Community Resource Database connects people in need with programs that can help them. The Community Resource Database makes it easy for people who have social needs — and those who help others — to find and make referrals to appropriate programs and services for needs like food, shelter, healthcare, work, financial assistance and more.

 

QUALITY RESOURCES

Behavioral health providers can view the cultural competency resources in the QI section of the website.

Behavioral Health HEDIS Measures

Behavioral Health HEDIS PowerPoint Microlearnings

Purpose: The purpose of the trainings are for medical and behavioral health providers to recognize the intent of the Behavioral Health HEDIS measures and share strategies to impact quality care and outcomes for our members.

Target Audience: Medical and Behavioral health Providers, including licensed and unlicensed health care professionals and office staff.

Duration: 8-10 mins each

Need to view a training on the go? Scan our Microlearnings QR Code.