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Behavioral Health

Behavioral health services are managed by the Harmony Behavioral Health Integrated Program. This approach to care enables one integrated care management team responsible for both medical and behavioral health.

Key Resources

Get detailed health plan information on important topics such as coverage procedures and policies.

How WellCare is grouping procedure and revenue codes to further streamline the authorization and claims payment process.

This guide establishes the standardized claims submission processes to be utilized across the HFS’ contracted Managed Care Plans for the reimbursement of services rendered by certified and enrolled CMHCs.

The 2018 Behavioral Health (BH) Quality Initiation and Engagement in Treatment for Alcohol and Other Drug Dependence (IET) Provider Incentive Program (“BH Quality Incentive Program”) is designed to promote the timely completion of BH services and improve the quality of care for Harmony Health Plan, Inc., (“Plan”) Eligible Members in its Harmony managed care products.

Contains key phone numbers and information on claims, appeals and more.

This training course provides a high-level overview of WellCare's Behavioral Health program.

Behavioral Health Forms

This document includes Harmony and WellCare covered services and authorization guidelines for Community Mental Health Center (CMHC) Services.

This document includes Harmony and WellCare covered services and authorization guidelines for Division of Alcoholism and Substance Abuse (DASA) Services.

Harmony/WellCare IET referral (Engagement Appointment)

Harmony/WellCare IET referral (Initial Appointment)

Additional Information

Case and Disease Management

We offer integrated Case and Disease Management programs specifically designed to assist with behavioral health issues such as depression and diabetes. Please refer to your Provider Manual for complete information on how to refer a member.


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Last Updated On: 12/13/2020