Mental Health Services
APS Healthcare offers customized mental health utilization management services to state Medicaid programs to assist states with improving quality of care and increasing beneficiary access to necessary healthcare services.
APS’ multi-disciplinary team of clinicians work to:
- Increase access to care by providing information regarding benefits and locating healthcare providers
- Provide medical necessity evaluation for access to additional levels of care
- Provide concurrent review for continued services
- Coordinate care for special populations
- Provide 24/7 telephone access to licensed mental health professionals
Innovative technology is fundamental to APS’ success in providing mental health services. APS CareConnection®, a proprietary Web-based technology platform, collects authorization and quality improvement data via the Internet, and provides that data to authorized participants in full compliance with HIPAA requirements. Automating the review of routine, criteria compliant, outpatient authorization requests reduces the administrative burden on providers and improves beneficiary access to necessary services.
APS CareConnection® maintains complete records of treatment history and enables APS to review an individual’s entire course of treatment, rather than an isolated authorization request, to determine the most efficient treatment plan. It also promotes effective care coordination by enabling clinicians to address treatment fragmentation when services are provided by multiple providers.
APS’ mental health services care managers are licensed mental health professionals and specialize in adult and children services, including:
- Severe and persistent mental illness, such as schizophrenia
- Dual diagnosis, such as substance abuse and mental illness or developmental disabilities and mental illness
- Co-morbid conditions
In many cases, APS develops customized programs to meet the needs of specific populations. This customized approach, when coupled with a superior technology platform and a strong clinical team, allows APS to achieve unparalleled results in the mental health services area.
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