Get Bcbsm Opc Application For Traditional And Managed Care ...

This guide provides comprehensive instructions on completing the BCBSM Outpatient Psychiatric Care Application for Traditional and Managed Care programs online. By following these steps, users can ensure a smooth application process and increase their chances of approval.

Follow the steps to successfully complete your application online.

1. Click ‘Get Form’ button to obtain the form and access it in your preferred editor.
2. Begin by filling out the General Information section. Provide the business name, facility site address, telephone number, and operating details. Make sure to answer whether the facility is accepting new patients.
3. In the Program Type and Services section, indicate the types of programs offered (e.g., adolescent, adult, child, geriatric) and detail the range of services your facility provides.
4. Complete the Administration section by attaching the organizational chart and providing the administrator's name and credentials, as well as their scheduled hours.
5. In the Governance or Advisory Board section, confirm if a board exists and if it includes community representatives. Attach the relevant documents that detail its functions.
6. Enter the Accreditation section by checking all applicable accrediting bodies and attaching the most current accreditation certificates.
7. Fill out the Staffing section by providing a current staff roster and credentials of all professional staff members. Ensure to include proof of licensure and board eligibility where applicable.
8. In the Medical Record Documentation section, attach a copy of the policies and procedures for documentation requirements and include samples of medical record forms.
9. Ensure Utilization Management policies are compiled and attach the established procedures, committee member details, and minutes from recent meetings.
10. Address the Financial and Billing Information section, confirming record maintenance adheres to accounting principles and providing required explanations if applicable.
11. If any management contracts exist, provide details in the Management Contracts section. Ensure your contact information is accurately filled out in the Contact Person section.
12. Finally, sign and attest the application, certifying that all information is complete and accurate. Return the completed application along with all required attachments via mail.

Start the application process online today to begin your journey towards participation in BCBSM's Outpatient Psychiatric Care program.