Provider Guidelines

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Provider Standards of Practice

Published: October, 2001

PBH realizes that its providers are the key to delivering service to members. In order to achieve consistent, high-quality treatment, PBH has developed provider standards of practice and provider evaluation criteria.

The following practices are required of all PBH providers:

  • Submit all required PBH forms within specified time frames
  • Inform the PBH Care Manager of any significant changes in the patient's condition
  • Comply with the care management process
  • Cooperate with PBH's Quality Improvement activities
  • Demonstrate professional competence and adherence to community practice standards
  • Begin discharge planning at time of admission for all levels of care
  • Utilize community support groups and other community resources
  • Provide 24-hour emergency availability to patients and PBH staff
  • Provide availability within four hours of an emergency
  • Utilize family involvement in treatment of children and adolescents
  • Utilize Informed Consent forms when prescribing psychotropic medications
  • Demonstrate adherence to time-limited therapy
  • Coordinate care with other providers, including the Primary Care Physician (PCP)
  • Complete the Health Care Coordination Form for all patients seen.
  • Offer appointments for routine referrals within five working days and ensure the member is seen within 10 working days of the referral.


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Sunday, February 05, 2012