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CBH Practitioner Conection
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The right help at the right time!ANNOUNCEMENTSLevel of Care GuidelinesIn May 2007, CIGNA Behavioral Health (CBH) formally adopted the 2006 revision of its Level of Care Guidelines. CBH’s Level of Care Guidelines are based on appropriate medical evidence, or evidence-based practice, and are consistent with our Clinical Practice Guidelines for condition-specific management of illness. The criteria are applied in utilization management decision-making, based on case-by-case need and with consideration of the availability of services in local delivery systems. Annually, CBH measures the consistency with which clinical staff and physician reviewers apply the Level of Care Guidelines and conducts training and/or other improvement actions as needed. Existing practitioners are notified of CBH’s website resources in an annual mailing, while new practitioners receive notification as part of contracting materials. Periodically, the Level of Care Guidelines are updated to reflect recent changes in the research and literature on treatment, and for consistency with the American Psychiatric Association and other practice guidelines adopted by CBH. In 2006, new guidelines were added on Safety of Transfer, Methadone Maintenance, differentiation of the need for crisis stabilization versus use of a 24-hour stabilization bed, and for Early Intensive Behavioral Intervention for Autism. You can freely download and access the full text of the revised Level of Care Guidelines ©2006 here. Additionally, the Web page includes a feedback mechanism for submission of practitioner input and feedback concerning the guidelines. Clinician’s Guide for Alcohol Use DisordersThe National Institute on Alcohol Abuse and Alcoholism (NIAAA) has revised its clinician’s guide entitled “Helping Patients Who Drink Too Much.” The guide is written for primary care and behavioral clinicians, and has been adopted for use by CBH. The approach to alcohol screening and intervention remain unchanged, but the new guide contains increased information and tools for practitioners and families. The revised guide is available on CBH’s website for free download and use, and you can find it here. Clinical Screening ToolsCBH’s Quarter 2 2006 newsletter reported an increasing trend toward the use of validated clinical screening instruments to identify individuals with an undiagnosed disorder and to monitor changes in the severity of symptoms for participants in treatment over time. Since that time, we have worked to assemble a collection of several validated and well-respected screening tools and, where necessary, we have obtained permission from copyright holders for the Internet distribution of these tools to our practitioner network. We are proud to announce the creation of a new Web page where you can find several clinical screening tools and instructions for their use. We encourage you to explore these resources here. CBH Named Best EAP for Third Straight YearReaders of Business Insurance® magazine once again chose CIGNA Behavioral Health’s Employee Assistance Program (EAP) as the best EAP in the industry. Selected from among ten of the largest EAP companies for the publication’s Readers Choice Awards, CBH was recognized for its long-term commitment to service, value, quality and innovation. This is the third consecutive year Business Insurance readers have selected CBH’s EAP as the best EAP. “The EAP program provides an important entry point into the health care system,” said Keith Dixon, president of CIGNA Behavioral Health, Inc. “Our team, which averages 23 years of clinical experience, works with individual members to assist them in developing strategies to manage life’s complexities.” The CIGNA Behavioral Health EAP includes services for participants and their families, in addition to resources for business managers. Participants can contact CBH by phone 24 hours a day, 7 days a week, and directly access network providers with no referrals. EAP Specialty RecruitmentCritical Incident Responders Responding to Critical Incident events such as natural disasters, industrial accidents, bank robberies, and workplace violence is a critical function of the Employee Assistance Program (EAP). CBH is currently recruiting for practitioners to deliver this service to our EAP customers. Documented Critical Incident Response (CIR) training is needed to add this specialty to your profile. The following states have been identified as needing additional providers who have this specialty: AL, MS, DE, MD, DC, LA, ME, WI, and Northern CA. The following cities have also been identified as needing CIR providers: Toledo, OH; Cleveland, OH; Cincinnati, OH; Dayton, OH; Bloomington, IN; Muskegon, MI; Grand Rapids, MI; Lansing, MI; Ann Arbor, MI; Oklahoma City, OK; Reno, NV; Carson City, NV; Santa Fe, NM; Albuquerque, NM; Spokane, WA; Macon, GA; Tallahassee, FL; Panama City, FL; Laurinburg, NC; and Suffolk County, NY. Email Provider.Education@CIGNABehavioral.com for more information. EAP Trainers Experienced trainers who can deliver 1-hour wellness and management training seminars are needed in Boston, MA; Rapid City, SD; New Orleans, LA; Middletown, PA; Dunmore, PA; MS; AL; and Puerto Rico. For more information email Carlton.Weinstein@CIGNABehavioral.com. CEAP Alert If you have obtained the Certified Employee Assistance Professional (CEAP) credential for the first time this year, please contact us at ProviderEducation@CIGNABehavioral.com we can include this important information in your provider profile. Self Introduction Contest AttestationOn August 1st CBH announced a contest to increase practitioner Self Introductions on our website. See what one practitioner has to say about our Self Introductions:
Here’s our contest: Without Photo: Those who complete, or have completed, a Self Introduction by the end of the year will be entered into a drawing for one of three $25.00 Starbucks gift cards. With Photo: Those that complete, or have completed, a Self Introduction WITH photo by the end of the year will be entered into a drawing for one of three iPod® Shuffles. To create your Self Introduction…
Should you be unable to access the Web, contact us at ProviderEducation@CIGNABehavioral.com and we’ll forward you an information sheet about Self Introductions that can help you wordsmith your introduction, provide useful dos and don’ts, and give you our telephone numbers and mailing information. We look forward to seeing more about you on the Web! Thank you! Other Featured Articles:INFORMING PARTICIPANT OF TREATMENT CHOICES NATIONAL CARE CENTER DEPRESSION PREVENTIVE HEALTH PROGRAM WORK/LIFE RESOURCES: ENHANCING THE EAP PARTICIPANT EXPERIENCE TIPS FOR COMPLETING CMS1500 FORM CARE ADVOCACY PROGRAM (CAP): OUTPATIENT REVIEW PROCESS PLANNING FOR PARTICIPANT SAFETY AN UPDATE DEPRESSION SCREENING IN MEDICAL DISEASE MANAGEMENT ADVANTAGES OF INTERACTIVE VOICE RESPONSE
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