Does Optima behavioral health have provider networks?
We have customized provider networks that are carefully selected, fully credentialed, and designed to provide geographically accessible, barrier-free and clinically appropriate care. This page provides resources that are specific to Optima Behavioral Health providers.
How do I notify optima of changes to my behavioral health plan?
Please notify us of any changes (relocation, joining an additional practice, leaving a practice, etc.) 30 days in advance to avoid interruption or denial of authorizations or claim payments. Download the form for requesting a behavioral health claim review for members enrolled in an Optima Health plan.
Why is it important to keep Optima Health informed of changes?
Keeping Optima Health informed of changes is an important step to ensuring accurate claims payment and patient satisfaction. If you are interested in joining our provider network, we have the information you need to get started. Optima Health wants to make you aware of upcoming changes to the authorization process for a variety of services.
How do I contact behavioral health in Troy MI?
Behavioral Health Claims P.O. Box 1440 Troy, MI 48099-1440. Optima Behavioral Health. 757-552-7174 or 1-800-648-8420 TTD Relay Station 1-800-828-1140 Fax: 757-552-7316 or 1-888-576-9675. Employment. 757-552-8387 Search and Apply for Jobs. Interested in an Individual or Family Plan? Call 1-800-741-4825, contact your broker or get a free quote.
What is Optima behavioral health?
Optima Behavioral Health (OBH) is one of Virginia's largest and most experienced behavioral health managed care organizations, with over 30 years of experience and over 4,000 providers across the state. We have customized provider networks that are carefully selected, fully credentialed, and designed to provide geographically accessible, barrier-free and clinically appropriate care.#N#This page provides resources that are specific to Optima Behavioral Health providers. For easy access to any additional information, you may need, please refer to Frequently Asked Questions. If you find you still need to reach us directly, please contact Provider Relations.
How to become a provider for Optima?
To become a participating Optima Behavioral Health Provider, each licensed practitioner or organization must be credentialed by Optima Health as applicable. Please complete and return the appropriate Application Packet below to initiate the credentialing process with Optima Behavioral Health. Please review the credentialing packet in full to ensure acceptance of your application.
What is provider connection?
Provider Connection is Optima Health’s suite of online, secure self-service resources for providers. As a registered user, you will have access to:
Does Optima Health have a CAQH?
For licensed practitioners (in a solo or group practice), Optima Health utilizes the Council for Affordable Quality Healthcare (CAQH) application. Please ensure your CAQH application has been completed (with all supporting documentation attached) before returning the Behavioral Health Provider Application Packet to Optima Health.
Covered By Medicare Or Medicaid?
If you are covered by either Medicare or Medicaid, please see the specific information below about your plan. Please note that you should visit the general Manage My Plan area of the site to access forms, drug lists and other important general plan information.
Optima Health Named One of the Best-Performing Health Plans in Virginia
Optima Health Plan earned four out of five stars and “accredited” status from the National Committee for Quality Assurance (NCQA)’s annual review.
MemberNEWS 3rd Issue September 2021
In this issue: In this issue: COVID-19 Updates, Take Charge of Your Diabetes, Swimming Safety, Prepare for Flu Season, and more
When is the Optima Health webinar 2021?
Quarterly Provider Webinars August 2021. Join our network educators on August 4th at 10:00 a.m. or August 11th at 1:00 p.m. from the convenience of your office to learn what’s new at Optima Health, receive refreshers on how to successfully do business with us as well as have your questions answered. Continue Reading.
When will enhanced behavioral health services become effective?
On December 1, 2021, seven (7) new enhanced behavioral health services will become effective.
Is Optima Health grateful for Thanksgiving?
Optima Health is grateful for all our members, colleagues, and communities. We hope you enjoy a happy and healthy Thanksgiving.
Sleep Apnea
Sleep apnea is a potentially serious sleep disorder in which breathing repeatedly stops and starts. Treatment may include lifestyle changes, mouthpieces, breathing devices, and surgery.
Respiratory Disease
The most common forms of Respiratory Disease are Asthma, COPD, Chronic Bronchitis, Emphysema, Lung Cancer, Cystic Fibrosis/Bronchiectasis, Pneumonia, and Pleural Effusion.
Heart Risk Assessment
Early detection of Heart Disease is tremendously important as it is the leading cause of death in the United States.
Diabetes Management
Effective health maintenance and screenings can help diabetic patients prevent or delay related complications allowing them to live a long and enjoyable life.
Weight Management
Being overweight puts people at a higher risk of Heart Disease, Diabetes, Depression and even Cancer. Treatments include lifestyle changes, and Food and approved weight-loss medicines.
Allergy Test & Immunotherapy
Allergies occur when your immune system reacts to a certain substance in the environment or food. Many times this causes severe symptoms which are treatable if diagnosed properly.
Behavioral Health
Millions of Americans suffer from anxiety, depression, and addiction each year. Healthcare professionals can help patients engage in behaviors that help achieve an ideal mental and physical balance.
What We Do for You
Your organization focuses on patients and we’ll focus on making sure you get reimbursed! Optima’s medical billing services are designed and created just for your organization. Providers operate in different …
CMS Makes Nursing Home COVID-19 Booster Vaccination Data Available Online
CMS) is now posting data on COVID-19 vaccine booster shots administered to nursing home residents and staff on the Medicare.gov Care Compare website. The data will show resident and staff booster rates at …
SNFs: Staffing is More Important than Ever! CMS Begins Posting Staff Turnover and Weekend Staff Levels on Medicare Care Compare
CMS will begin posting for the first time ever, staff turnover rates and weekend staff levels for nursing homes on the Medicare.gov Care Compare website today. Staffing in nursing homes has a …
Contact Us
Contact us today so you can begin to get all of the reimbursement you have worked hard for! Our staff are ready to get going and look forward to speaking with you soon.
