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Behavioral Health Neighborhood Health Plan of Rhode Island joined forces in 2001 with Beacon Health Strategies, a managed care organization specializing in behavioral health, to create a new approach to managing the behavioral health needs of our members. Specifically, the goals of the partnership are to: - Develop the full array of community-based behavioral health services that will meet the needs of children and families in their communities;
- Eliminate inappropriate inpatient admissions to psychiatric hospitals;
- Eliminate the practice of “medical boarding” patients: admitting patients with a psychiatric crisis into a regular hospital medical unit because no psychiatric bed is available;
- Reduce the lengths of stay for appropriate psychiatric admissions;
Our results to date are highly encouraging and we continue to work with Beacon and other partners to develop a continuum of community-based care for children’s behavioral health in Rhode Island. Below are online links to: - Our Behavioral Health Provider Directory
- Beacon Health Strategies Contact Information
- Questions and Answers
- Provider Tools
We welcome any feedback you would like to share. Simply contact the Provider Relations Department at 1-800-963-1001, 9:00 am - 5:30 pm, EST. Again, welcome to this Neighborhood Health Plan of Rhode Island website and we look forward to supporting your efforts in delivering quality healthcare! Questions and Answers About Behavioral Health Services
Q: Can patients pick their own behavioral health provider? A: Members may pick a provider from the Neighborhood behavioral health directory. Q: How do patients use behavioral health benefits? A: Many services are covered such as hospitalization, day programs, individual, family, and couples counseling. - Outpatient Services - Members do not have to receive a prior authorization for the first 12 outpatient counseling sessions or any medication visits provided by a Neighborhood behavioral health provider.
- Members simply contact the provider’s office and schedule an appointment.
- Hospitalization - Inpatient hospitals, residential, day and evening programs do require prior authorization. Providers will need to contact Beacon Health Strategies at 1-800-215-0058.
Q: If members have any questions about behavioral health benefits, or need help arranging care, whom should they call? A: They should call Beacon at 1-800-215-0058. This number is available 24 hours a day, 7 days a week to help. Q: What happens when members call 1-800-215-0058? A: Their call is answered “Beacon Health Strategies - We manage the Behavioral Health Plan for Neighborhood”. If the member is calling for help making an appointment, a Beacon representative will assist in finding the right provider and getting an appointment. The representative may ask a few questions such as: - What city or town would you like to go to for care?
- Would you like to see a male or female counselor?
- Are you looking for a counselor who specializes in a certain type of service?
Q: What happens if I am calling with an emergency? A: If you believe there is an emergency, you do not have to call Beacon. Members should go to the nearest Emergency Room. |