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2016 Provider Satisfaction Survey Is Available

Each year, as part of the Performance Evaluation Performance Summary required by the State, CBH produces a Provider Satisfaction Survey (PSS) for its network of providers. The PSS is open from the end of November until the beginning of January each year. The survey is available on Survey Monkey and can be completed by any employee that works for a provider in our network. Each year we review overall results in the CBH Quality Council and present a summary of our findings at the Executive Directors Meeting. Survey results are also reviewed with individual CBH departments to analyze results, identify trends, and create action items to address areas of concern. The action items identified from the 2016 survey have been included in the Provider Satisfaction Survey Summary document.

Included are a few general facts about the PSS:

  • Total Number of Questions: 48
  • Average time to complete survey: 20 minutes
  • Format of survey: General questions first, followed by department specific questions
  • Order of Survey: General questions, Member Services, Provider Relations, Clinical, Claims, Quality, Compliance, NIAC, PEAR/ Pay for Performance
  • Responses can be anonymous, but we encourage providers to self-identify so that we may follow up with providers with specific concerns.

Bluebirds Flying Arts Fest

Come join us for a day of creativity and fabulous arts presentations. The event will highlight peer art, making collages, pillowcase painting, mandalas, poetry, and more. Presenters will be Sharon Wise, an artist extraordinaire from Washington, D.C., and Hikmah Gardiner, a beloved advocate  and former DBHIDS employee.

Lunch will be provided. A $10 donation is suggested. Presented by Gayle Bluebird & Associates. The event is hosted by DBHIDS.

Provider Operations

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Provider Operations

The Provider Operations department at CBH manages activities aimed at building and sustaining a proficient provider network to meet the behavioral health needs of CBH members. Provider Operations is comprised of three units: Network Development, Provider Relations, and Contracts.

  • Network Development
    The Network Development unit is responsible for ensuring that the provider network consists of quality resources to meet the behavioral health needs of CBH members. In collaboration with other CBH departments, its team members systematically identify and respond to gaps and needs in services. Network Development is the single point of contact for resource development and reconfiguration, which is completed through a procurement process. When providers and programs enter the network, Network Development team members conduct initial credentialing visits. They also provide training, technical assistance, and evidence-based practice implementation support to providers and programs within the CBH network.
  • Provider Relations
    The Provider Relations unit is comprised of representatives assigned to each in-network facility and practitioner, with representatives also assigned to manage the Out-of-Network (OON) processes. The Provider Relations representatives are the “go to” staff for providers; in collaboration with other CBH departments, they assist in resolving facility and practitioner concerns, including claims issues.
  • Contracts
    The Contracts unit, within Provider Operations, works in collaboration with CBH Provider Operations staff and other CBH departments to ensure that all contractedservices are in compliance with State standards for licensure, participation in the HealthChoices Medicaid managed care program, and other regulatory requirements.

Compliance

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Compliance

The Compliance Department is comprised of three distinct yet integrated units: the Routine Investigative and Training Unit (RITU), the Special Investigative Unit (SIU), and the Network Personnel Analysis Unit (NPAU)

The RITU is charged with conducting ‘routine audits’ on all CBH providers and for ensuring that effective training related to fraud, waste, and abuse is provided to CBH, DBHIDS, and provider staff.

The SIU conducts targeted audits based on tips from a number of internal and external sources and assists providers, as needed, with self-audits.

The NPAU leads periodic audits of provider staff files to ensure that the requirements associated with delegated credentialing are being met. NPAU staff is also responsible for maintaining the Manual for the Review of Provider Personnel Files, and for analyzing data to identify potential staffing gaps and/or training issues within the system.

Geoffrey Neimark, M.D.

Geoffrey Neimark, M.D.

Kamilah Jackson, M.D.

Kamilah Jackson, M.D.

Joan L. Erney, J.D.

Joan L. Erney, J.D.

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Community Behavioral Health (CBH)

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2016 Provider Satisfaction Survey Is Available

Each year, as part of the Performance Evaluation Performance Summary required by the State, CBH produces a Provider Satisfaction Survey (PSS) for its network of providers. The PSS is open from the end of November until the beginning of January each year. The survey is available on Survey Monkey and can be completed by any employee that works for a provider in our network. Each year we review overall results in the CBH Quality Council and present a summary of our findings at the Executive Directors Meeting. Survey results are also reviewed with individual CBH departments to analyze results, identify trends, and create action items to address areas of concern. The action items identified from the 2016 survey have been included in the Provider Satisfaction Survey Summary document.

Included are a few general facts about the PSS:

  • Total Number of Questions: 48
  • Average time to complete survey: 20 minutes
  • Format of survey: General questions first, followed by department specific questions
  • Order of Survey: General questions, Member Services, Provider Relations, Clinical, Claims, Quality, Compliance, NIAC, PEAR/ Pay for Performance
  • Responses can be anonymous, but we encourage providers to self-identify so that we may follow up with providers with specific concerns.

Bluebirds Flying Arts Fest

Come join us for a day of creativity and fabulous arts presentations. The event will highlight peer art, making collages, pillowcase painting, mandalas, poetry, and more. Presenters will be Sharon Wise, an artist extraordinaire from Washington, D.C., and Hikmah Gardiner, a beloved advocate  and former DBHIDS employee.

Lunch will be provided. A $10 donation is suggested. Presented by Gayle Bluebird & Associates. The event is hosted by DBHIDS.

Provider Operations

  • Home
  • Search Results for "" Query

Provider Operations

The Provider Operations department at CBH manages activities aimed at building and sustaining a proficient provider network to meet the behavioral health needs of CBH members. Provider Operations is comprised of three units: Network Development, Provider Relations, and Contracts.

  • Network Development
    The Network Development unit is responsible for ensuring that the provider network consists of quality resources to meet the behavioral health needs of CBH members. In collaboration with other CBH departments, its team members systematically identify and respond to gaps and needs in services. Network Development is the single point of contact for resource development and reconfiguration, which is completed through a procurement process. When providers and programs enter the network, Network Development team members conduct initial credentialing visits. They also provide training, technical assistance, and evidence-based practice implementation support to providers and programs within the CBH network.
  • Provider Relations
    The Provider Relations unit is comprised of representatives assigned to each in-network facility and practitioner, with representatives also assigned to manage the Out-of-Network (OON) processes. The Provider Relations representatives are the “go to” staff for providers; in collaboration with other CBH departments, they assist in resolving facility and practitioner concerns, including claims issues.
  • Contracts
    The Contracts unit, within Provider Operations, works in collaboration with CBH Provider Operations staff and other CBH departments to ensure that all contractedservices are in compliance with State standards for licensure, participation in the HealthChoices Medicaid managed care program, and other regulatory requirements.

Compliance

  • Home
  • Search Results for "" Query

Compliance

The Compliance Department is comprised of three distinct yet integrated units: the Routine Investigative and Training Unit (RITU), the Special Investigative Unit (SIU), and the Network Personnel Analysis Unit (NPAU)

The RITU is charged with conducting ‘routine audits’ on all CBH providers and for ensuring that effective training related to fraud, waste, and abuse is provided to CBH, DBHIDS, and provider staff.

The SIU conducts targeted audits based on tips from a number of internal and external sources and assists providers, as needed, with self-audits.

The NPAU leads periodic audits of provider staff files to ensure that the requirements associated with delegated credentialing are being met. NPAU staff is also responsible for maintaining the Manual for the Review of Provider Personnel Files, and for analyzing data to identify potential staffing gaps and/or training issues within the system.

Geoffrey Neimark, M.D.

Geoffrey Neimark, M.D.

Kamilah Jackson, M.D.

Kamilah Jackson, M.D.

Joan L. Erney, J.D.

Joan L. Erney, J.D.

Community Relations

Community Relations

Community Behavioral Health (CBH)

Community Behavioral Health (CBH)

Clinical Care Management

Clinical Care Management