KanCare Training for Providers - Ubhonline.com
KanCare Training for Providers - Ubhonline.com
KanCare Training for Providers - Ubhonline.com
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Access to Care – Standards<br />
Routine Outpatient –Mental Health<br />
Routine Outpatient – Substance Use Disorders<br />
Urgent<br />
If not addressed in a timely way could escalate to an<br />
emergency situation<br />
Life threatening emergencies<br />
Imminent risk of harm or death to self or others due to a<br />
medical or psychiatric condition<br />
Post Inpatient Discharge<br />
If you are unable to see the member during this time –<br />
refer to another in‐network provider to satisfy this<br />
deadline<br />
Special Health Care Needs: IV drug users identified as<br />
having used drugs within the last 6 months, will need to be<br />
seen <strong>for</strong> treatment<br />
Missed an Appointment<br />
The Optum Care Advocate <strong>for</strong> behavioral services will<br />
contact members who have missed a post‐discharge<br />
appointment to reschedule that appointment<br />
Members will be offered an initial appointment<br />
within 10 calendar days<br />
Assessment within 14 days of initial contact.<br />
Treatment services are delivered within 14 days<br />
of assessment<br />
Referral within 24 hours. Services delivered<br />
within 48 hours of initial contact<br />
Referral is Immediate<br />
All members must be seen within 72 hours post<br />
discharge<br />
Within 14 calendar days of initial contact<br />
Within 24 hours<br />
Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.<br />
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