PCMH News You Can Use - Week of Oct. 10, 2013
October 15, 2013
CareFirst's Expert Consult Program
CareFirst has collaborated with Best Doctors1 to deliver an Expert Consult Program to members who have conditions and medical situations characterized by uncertainty in diagnosis, treatment and/or prognosis that may benefit from an additional layer of care support.
The Program provides a review of the member's case by expert physicians at leading medical centers throughout the United States.
Based on your clinical-judgment, CareFirst Case Managers and PCMH Local Care Coordinators (LCCs) will work with you as you identify members likely to benefit from the Program.
For additional details, contact your LCC.
Note: This Program/service is not a utilization review of the care you are providing and offers clinical information for your consideration only.
Telehealth Services Offered to BlueChoice HMO Members
CareFirst recently launched a six-month pilot to expand access to behavioral health services through online availability.
We encourage you to refer your BlueChoice HMO patients to participating Telehealth providers for mental health services, when appropriate.
To find and/or refer a patient to a Telehealth provider and begin using Magellan's2 Telehealth solution, visit www.breakthrough.com. Or, download the frequently asked questions for you and your patients for more information.
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1Best Doctors is an independent company that provides InterConsultation services to CareFirst members.
2Magellan is an independent company that provides Telehealth services to CareFirst BlueChoice HMO members.