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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 />

35

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