BHCP - Enrollment and contact information

About BHCP

Behavioral Health (BH) and Long-Term Services and Supports (LTSS) Community Partners (CPs) are community-based entities that work with Accountable Care Organizations (ACOs) and Managed Care Organizations (MCOs) to provide care management and coordination to certain members identified by MassHealth, ACOs, and MCOs. BH CPs provide supports to certain members with significant behavioral health needs, including serious mental illness and addiction. LTSS CPs provide supports to certain members with complex LTSS needs, such as children and adults with physical and developmental disabilities and brain injuries.

 

Eligibility

Age: 21-64

Insurance: MassHealth + ACO or MCO 

Must Have: A relevant diagnosis & some relevant utilization /co-morbidities in last 12 months.

Must have MassHealth

  • Can be Standard, Care Plus, Family Assist, and more.
  • Cannot be any Safety Net

Must be enrolled in a participating ACO/MCO

These are currently:

  • MBHP Community Care Cooperative (C3)
  • MBHP Steward
  • Be Healthy Partnership
  • Wellsense Mercy Alliance
  • Wellsense Community Alliance
  • Wellsense Essentials Managed Care Organization (MCO)
  • Tufts Health Together MCO

Must NOT be assigned to another agency as their Community Partner

BHCP And LTSS Coverages List Xlsx
Excel – 18.9 KB 3 downloads

How to enroll

Enrollment for BHCP in completed via the smart sheet. 

 

How to document 

Smart Sheet

  • On the status column select Pending
  • on the comments/information column 12/05/2024 ERS Jane Doe referred client to BHCP.
  • on the care management column select BHCP 
  • The BHCP staff will update the smart sheet with information regarding the Eligibility and enrollment. Update the status as the information is provided. in the comments/information column
  • If the client is already enrolled with a Non BHN care partner: 05/06/2024 ERS Jane Doe: Client is enrolled in Innovative Care Partners program, making the client ineligible for BHCP and GAP services within our agency. The client or Authorized Representative can contact ICP to speak with the clients assigned Care Coordinator. Referent has been notified via email. No further action required. ERS closing case.

Carelogic

  • 12/05/2024 ERS Jane Doe referred client to BHCP.
  • also include all status updates when documenting.
  • If the client is already enrolled with a Non BHN care partner: ERS Jane Doe: Client is enrolled in Innovative Care Partners program, making the client ineligible for BHCP and GAP services within our agency. The client or Authorized Representative can contact ICP to speak with the clients assigned Care Coordinator. Referent has been notified via email. No further action required. ERS closing case.

 

Inform referent

Update the referent via email or phone. Let them know the client has been or will be enrolled into BHCP.

 

BHCP contact person

Lindsey White lindsey.white@bhninc.org

 

Engagement & Retention Manual

For more detail information please see the Engagement & Retention Manual: Click here