December 29, 2010 On December 29, 2010, OptumHealth New Mexico informed provider organizations of a change to its claims system that imposed clinical review triggers on substance abuse and mental health treatment services in a Provider Alert memo. The New Mexico Behavioral Health Collaborative said the clinical review trigger violated federal law, state regulation, and the terms of the contract between OptumHealth and the Collaborative. Download the Report . . .

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OptumHealth New Mexico Provider Alert, December 29, 2010

December 29, 2010 On December 29, 2010, OptumHealth New Mexico informed provider organizations of a change to its claims system that imposed clinical review triggers on substance abuse and mental health treatment services in a Provider Alert memo. The New Mexico Behavioral Health Collaborative said the clinical review trigger violated federal law, state regulation, and the terms of the contract between OptumHealth and the Collaborative. Download the Report . . .

Want To Read More? Log In Or Become A Paid Member
Resource Available For Paid OPEN MINDS Circle Members Only
Not a paid member? Don't miss out! Sign up today and receive unlimited organizational access to all OPEN MINDS strategic advice, market intelligence, and management best practices – over 250,000 resources!
If you are already a paid member, log in to your account to access this resource and more. If you are a free member, you will need to upgrade to a paid membership before accessing this resource.

If you are not yet a paid member, learn more about the OPEN MINDS Circle Market Intelligence Service Membership on our website, reach out to our team at info@openminds.com, or call us at 877-350-6463.