BEHAVIORAL HEALTH UNIT
Individualized, Integrated and Innovative Behavioral Health Solutions
Cigna-HealthSpring is committed to providing our customers with healthcare benefits and services. The Behavioral Health Unit provides individualized and integrated behavioral health solutions to our customers through our Intake Team, Utilization Management Team, and Community Based Care Coordination (CBCC) Team.
- Behavioral Health Unit (Intake Line for Customers and Health Care Professionals) 1-866-780-8546
- Routine hours are Monday through Friday, 8 a.m. to 5 p.m central. However, calls are answered 24 hours a day, 7 days a week by our after-hours service health care professional.
- Behavioral Health Fax: 866-949-4846
- Cigna-HealthSpring Depression Disease Management Program (DDM)
- This program serves customers diagnosed with Major Depression Disorder (MDD) as well as those identified as having low, moderate, or high risk of depression, with or without a formal diagnosis.
- Eligible customers are contacted by Behavioral Health Intake Team customers, screened and enrolled in the Program by the program's staff or immediately referred to CBCC services when high risk is identified.
- Any health care professional can refer a customer to this program. (To make a referral, complete the DDM Referral Form and fax it to the Behavioral Health Unit at 866-949-4846.
- The program is free and customers can disenroll at anytime
- The Depression Management Program (DDM) provides the following:
- Education to customers about depression and available treatments
- Information about adjunct services
- Help in making appointments
- Coordination of care
- Monitoring of treatment adherence
- Monitoring of treatment progress using the Patient Health Questionnaire-9 (PHQ-9).
- Confirmation of enrollment and program completion to the customer's PCP.
- Do you have a patient who could benefit from this program? Make a referral today!
- Behavioral Health and Primary Care Communication Tool Kit
- Acute Stress Disorder (ASD) & Post-Traumatic Stress Disorder (PTSD): Clinical Practice Guidelines for Treatment
- Bipolar Disorder: Clinical Practice Guidelines for Treatment
- Treatment Resistant Depression: Clinical Practice Guidelines for rTMS
- American Psychological Association (APA) Clinical Practice Guidelines: http://psychiatryonline.org/guidelines.aspx
We are glad to have you partner with us in helping our customer complete their HRA helping us provide better care to our customers. We want to help our customers stay as healthy as possible. Please have the customer answer the questions in the HRA in the link provided.
If they have any problems completing the form, have them call a Health Risk Assessment Representative toll-free at 1-800-337-6769. He/she will be glad to help and will answer any questions they may have. TTY users should call 711. Our hours are Monday through Friday, 8 a.m. - 5 p.m. Central Standard Time.
When they have answered the questions, please mail or fax the completed form to us at:
Attn: HRA Department
500 Great Circle Road
Nashville, TN 37228
HRA Fax Number: 1-877-440-9340
Warning Signs of Depression Brochure
Any authorization issued is for medical necessity only and not a guarantee of payment. Eligibility is determined at the time the claim is received and benefits are subject to the limitations and exclusions of the member’s plan.
- Depression Disease Management Program Referral Form
- BH Inpatient Form – Provider
- BH Inpatient Notice of Discharge
- BH Outpatient Preauthorization forms:
- Electroconvulsive Therapy Inital Treatment Request Form
- Patient Health Questionnaire-9 (PHQ-9)
MORE INFORMATION ABOUT THE BEHAVIORAL HEALTH UNIT
The Behavioral Health Unit provides individualized and integrated behavioral health solutions to our customers through our Intake Team, Utilization Management Team, and Community Based Care Coordination (CBCC) Team.
Who we are:
The Intake Team is comprised of Behavioral Health Intake Specialists who serve as the first point of contact for customers seeking information about behavioral health services and for health care professionals calling for behavorial health authorizations.
What we do:
The Intake Team is responsible for assisting customers in finding behavioral health care professionals and helping them understand the various types of services available. Our Intake Specialists serve as the first point of contact for facilities calling for authorization for inpatient behavioral health hospitalizations and for outpatient services such as psychological evaluations, medication management, and therapy. In addition, the Intake Team also follows up with recently hospitalized customers for a post-discharge assessment.
Who we are:
The Utilization Management Team includes Registered Nurses and licensed behavioral health professionals. Each Utilization Manager is required to have at least five years of behavioral health and/or utilization management experience. The Team also includes board-certified Psychiatrists.
What we do:
The Utilization Management Team administers Behavioral Health benefits by performing Precertification and Concurrent Reviews for inpatient hospitalizations. Additionally, this team works with hospital staff during a customer’s inpatient stay to ensure that appropriate discharge planning is occurring. The Utilization Management Team refers customers to CBCC services when barriers to success after discharge are identified or when a customer may otherwise benefit from participation in the CBCC program. While primarily responsible for managing inpatient utilization, this team also manages authorizations for Electroconvulsive Therapy (ECT), Partial Hospitalization Programs (PHP) and certain other outpatient services. The Team’s Medical Directors provide clinical direction to and consult with health care professionals about customer’s services as needed.
Who we are:
Each Community Base Care Coordinator is a licensed behavioral health professional who strives to enhance the customer’s quality of life, facilitate the provision of services in the appropriate setting, and promote quality cost effective outcomes.
What we do:
The HealthSpring Community Based Care Coordination (“CBCC”) Behavioral Health Case Management Program focuses on coordination of services for customers with complex behavioral health care needs and for those customers with short term care coordination needs who may benefit from participation in the CBCC program. The CBCC Program is designed to work as a partnership between customers, health care professionals, and other health services staff to provide the best clinical outcomes for customers. The CBCC Team achieves this through coordination with health care professionals, hospital staff, and other community resources, as well as by working directly with customers during home visits and through close telephone contact.